摘要
目的:分析高安地区2017年上半年度母乳喂养现状及相关因素,为临床提高母乳喂养率提供参考依据。方法:选择2017年1-6月高安地区产后未出院产妇289例为研究对象,采用自行设计的2017年上半年高安地区母乳喂养情况调查表对母乳喂养现状进行调查,根据调查结果将产妇分为母乳喂养组和非母乳喂养组,调查内容包括性别、年龄、胎次、产前母乳喂养宣教知识、受教育程度、职业、居住地、产前体重、家庭收入情况、分娩方式、分娩时孕周、产后血性恶露时间、产后催乳、乳房穴位按摩、婴幼儿发病次数,对影响因素进行单因素、多因素Logistic分析。结果:289例产妇母乳喂养得分由低到高排在前三位的分别为母乳喂养经验及婴儿情况、母亲一般情况、母亲喂养行为;289例产妇中,拒绝母乳喂养产妇占22.15%,拒绝母乳喂养原因中排在前三位的分别为乳房疾患、母乳不足及工作因素;单因素及多因素Logistic分析显示,产前母乳喂养宣教知识、职业、家庭收入情况、产后血性恶露时间、产后催乳、乳房穴位按摩、婴幼儿发病次数均是高安地区2017年上半年度影响母乳喂养率的独立因素(P<0.05)。结论:高安地区2017年上半年度母乳喂养情况较好,受到的影响因素相对较多,应根据影响因素制定有效的干预措施,提高母乳喂养率。
Objective:To analyze the current situation of breastfeeding in the first half of 2017 in Gao’an area and related factors,so as to provide reference for clinical improvement of breast-feeding rate.Method:A total of 289 puerperal in Gao’an area who were not discharged in the hospital from January to June 2017 were selected as the study objects.A self-designed questionnaire on breastfeeding in Gao’an in the first half of 2017 was used to investigate the current situation of breastfeeding.According to the survey results,the parturient were divided into breast feeding group and non breast feeding group.The survey contents included gender,age,parity,prenatal breastfeeding education knowledge,education level,occupation,residence,prenatal weight,family income,delivery mode,gestational week at delivery,time of postpartum bloody lochia,postpartum lactation,breast acupoint massage,frequency of infant disease.The influencing factors were analyzed by single factor and multi factor Logistic analysis.Result:A total of 289 cases of maternal breastfeeding score from low to high in the top three were breastfeeding experience and infant condition,general condition of mother,feeding behavior of mother.In 289 cases,22.15% of them refused to breastfeed,the top three reasons were breast disease,lack of breastfeeding and working factors.Single factor and multi factor Logistic analysis showed that the knowledge of prenatal breastfeeding education,occupation,family income,time of postpartum blood lochia,postpartum lactation,breast acupoint massage and the frequency of infant disease were the independent factors affecting the breastfeeding rate in the first half of 2017 in Gao’an area(P<0.05).Conclusion:In the first half of 2017,the situation of breastfeeding in Gao’an area is relatively good,and there are relatively many influencing factors.Effective intervention measures should be formulated according to the influencing factors to increase the breastfeeding rate.
作者
王争艳
朱少荣
宋发荣
WANG Zhengyan;ZHU Shaorong;SONG Farong(Gao’an Hospital of Traditional Chinese Medicine,Gao’an 330800,China)
出处
《中国医学创新》
CAS
2019年第36期150-154,共5页
Medical Innovation of China
基金
江西省卫生计生委科技计划项目（20197523）
