首页|产妇纯母乳喂养意愿与产后母乳行为的差异性及影响因素分析

产妇纯母乳喂养意愿与产后母乳行为的差异性及影响因素分析

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目的 调查产妇产后 42d纯母乳喂养现况及产前喂养意愿情况,探讨意愿与行为的差异性及其影响因素.方法 采用问卷调查的方式,选取 2023 年 1月 1 日至 7月 31日在宁夏吴忠市人民医院和银川市妇幼保健院两家医院建档的616名产妇为研究对象,对其进行信息收集,应用单因素χ2 检验和多因素Logistic回归分析产妇纯母乳喂养意愿与产后行为差异性的影响因素.结果 产妇 42d纯母乳喂养率为 53.41%,其产前纯母乳喂养意愿为86.04%,纯母乳喂养意愿与 42d纯母乳行为的差异性为 36.53%.多因素Logistic回归分析结果显示,正确知晓纯母乳喂养情况和持积极奶粉喂养态度是产妇纯母乳喂养意愿与产后 42d纯母乳喂养行为差异性的保护因素;产妇年龄≥35 岁和月经济收入 3 001~≤8 000 元是产妇纯母乳喂养意愿与产后 42d纯母乳喂养行为差异性的危险因素(P均<0.05).结论 产妇在产前纯母乳喂养意愿较高,但产后 42d实际纯母乳喂养的人数却较少,应对孕产妇在不同孕产阶段提供及时的纯母乳喂养支持措施,可以提高纯母乳喂养的成功率和延长持续时间.
Analysis of Differences and Influencing Factors between Postpartum Exclusive Breastfeeding Intention and Postpartum Breastfeeding Behavior
Objective To investigate the current status of exclusive breastfeeding on the 42 days after delivery and prenatal feeding intentions,and to explore the differences in intentions and behaviour and the factors that influence them.Methods A questionnaire survey was used to collect information from 616 mothers who were enrolled in two hospitals,Wuzhong Municipal People's Hospital and Yinchuan Maternal and Child Health Hospital,from 1 January 2023 to 31 July,and the influencing factors affecting the variability of maternal exclusive breastfeeding intention and postpartum behaviours were analyzed by applying the one-way χ2 analysis and the multifactorial Logistic regression.Results The rate of exclusive breastfeeding of parturients for 42 days was about 53.41%,and their prenatal intention to exclusively breastfeed was 86.04%;the variability between intention to exclusive breastfeeding and exclusive breastfeeding behaviour for 42 days was 36.53%.The results of multifactorial Logistic regression analysis showed that correct knowledge of exclusive breastfeeding and a positive attitude towards formula feeding were protective factors for the variability of maternal exclusive breastfeeding intentions and exclusive breastfeeding behaviour 42 days after delivery.Maternal age≥35 years and monthly income of RMB 3 001~≤8 000 were risk factors for the variability of maternal exclusive breastfeeding intention and exclusive breastfeeding behaviour 42 days after delivery(P all<0.05).Conclusion Mothers'willingness to exclusive breastfeeding before delivery is high,but the number of those who actually exclusive breastfeeding on the 42 days after delivery is low.Relevant personnel should emphasise the provision of timely and appropriate exclusive breastfeeding support measures for mothers at different stages of pregnancy and childbirth,so as to improve the success rate and duration of exclusive breastfeeding.

exclusive breastfeedingpostpartum breastfeeding behaviorinfluencing factors

于红丽、马慧、丑欣彤、韩华、邱红燕

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宁夏医科大学公共卫生学院,银川 750004

宁夏环境因素与慢性病控制重点实验室,银川 750004

银川市妇幼保健院,银川 750004

纯母乳喂养 产后母乳行为 影响因素

银川市科技计划重点项目宁夏医科大学校级重点项目国家社会科学基金年度一般项目

2022ZDSF06XZ202103423BRK036

2024

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2024.46(6)
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