目的 研究健康宣教对剖宫产产妇院内纯母乳喂养的影响,为更好地提高剖宫产术后母乳喂养成功率提供参考。方法 以824名剖宫产产妇为研究对象,采用自填式问卷收集一般情况、院内纯母乳喂养情况、健康宣教及母乳喂养认知水平。结果 剖宫产产妇院内纯母乳喂养率为64.7%。分别有80.3%和93.8%在入院前、后接受了宣教,但仅有32.9%的剖宫产产妇对母乳喂养认知水平达到熟悉。调整社会人口统计学等信息后,入院前接受宣传次数≥4次、入院后接受宣教的次数≥4次的剖宫产产妇院内纯母乳喂养的比例较高,其OR值(95%CI)分别为2.27(1.50~3.42)和3.75(2.02~6.97);母乳喂养认知水平达到熟悉的剖宫产产妇院内纯母乳喂养的可能性较大(OR=3.39,95%CI:2.17~5.28)。结论 对剖宫产产妇进行全面系统的母乳喂养知识宣教及指导,加强对母乳喂养认知水平的提高将是促进剖宫产产妇母乳喂养成功的重要手段。
Abstract
Objective To explore the effect of health education and breastfeeding knowledge on in-hospital exclusive breastfeeding among cesarean section maternal,in order to better improve the success rate of breastfeeding after cesarean section. Methods A total of 824 cesarean section maternals were collected.Self-administered questionnaires were used to collect information,including socio-demographic variables,in-hospital exclusive breastfeeding,health education on breastfeeding during pregnant and puerperal period as well as breastfeeding knowledge of cesarean section maternal. Results The prevalence rate of in-hospital exclusive breastfeeding among cesarean section maternal was 64.7%.There were 80.3% and 93.8% respondents accepting health education before hospitalization and health education in hospital.But only 32.9% of the respondents had good breastfeeding knowledge.After adjustment for socio-demographic information,the odds of in-hospital exclusive breastfeeding was high among cesarean section maternal who received pre-hospital health education ≥4 times (OR=2.27,95%CI:1.50~3.42) and in-hospital breastfeeding education ≥4 times (OR=3.75,95%CI:2.02~6.97).And having good breastfeeding knowledge (OR=3.39,95%CI:2.17~5.28) were positively associated with in-hospital exclusive breastfeeding among cesarean section maternal. Conclusion Providing a comprehensive system of in-hospital breastfeeding propaganda and education and strengthening the breastfeeding knowledge are important strategies for promoting exclusive breastfeeding among cesarean section maternal.
关键词
剖宫产 /
母乳喂养 /
健康宣教 /
知识
Key words
cesarean section /
breastfeeding /
health education /
knowledge
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Feng XL,Wang Y,An L,et al.Cesarean section in the People's Republic of China: current perspectives[J].Int J Womens Health,2014,6:59-74.
[2] Betrán AP,Ye J,Moller AB,et al.The increasing trend in caesarean section rates:global,regional and national estimates:1990-2014[J].PLoS One,2016,11(2):e0148343.
[3] Lumbiganon P,Laopaiboon M,Gülmezoglu AM,et al.World health organization global survey on maternal and perinatal health research group method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-2008[J].Lancet,2010,375(9713):490-499.
[4] Maimburg RD.Rates of breastfeeding initiation among newborns[J].Sex Reprod Healthc,2017,12:1-2.
[5] Sonko A,Worku A.Prevalence and predictors of exclusive breastfeeding for the first six months of life among women in Halaba special woreda,Southern Nations,Nationalities and Peoples' Region/SNNPR/,Ethiopia:a community based cross-sectional study[J].Arch Public Health,2015,73(1):53-64.
[6] Küc ükoğlu S,Celebioğlu A.Effect of natural-feeding education on successful exclusive breast-feeding and breast-feeding self-efficacy of low-birth-weight infants[J].Iran J Pediatr,2014,24(1):49-56.
[7] 张悦,王惠珊,罗倩,等.新生儿院内纯母乳喂养情况及其影响因素分析[J].中国儿童保健杂志,2012,20(6):507-513.
[8] 张悦,王惠姗,姚礼明.健康宣教对城市地区产妇院内母乳喂养的影响[J].中国妇幼健康研究.2012,23(3):291-293.
[9] 刘红军,季秀娟,李岩,等.孕产期知识教育对孕妇分娩方式及产后母乳喂养的影响[J].航空航天医学杂志,2014,25(6):856-857.
[10] Mbada CE,Olowookere AE,Faronbi JO,et al.Knowledge,attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community[J].BMC Res Notes,2013,6(1):552-560.
[11] Mekuria G,Edris M.Exclusive breastfeeding and associated factors among mothers in Debre Markos,Northwest Ethiopia:a cross-sectional study[J].Int Breastfeed J,2015,10(1):1-7.
[12] Kasahun AW,Wako WG,Gebere MW,et al.Predictors of exclusive breastfeeding duration among 6-12month aged children in gurage zone,South Ethiopia:a survival analysis[J].Int Breastfeed J,2017,12(1):20-29.
[13] Haroon S,Das JK,Salam RA,et al.Breastfeeding promotion interventions and breastfeeding practices:a systematic review[J].BMC Public Health,2013,13 (Suppl):3-20.
[14] Gao H,Wang Q,Hormann E,et al.Breastfeeding practices on postnatal wards in urban and rural areas of the Deyang region,Sichuan province of China[J].Int Breastfeed J,2016,11(1):1-11.
PDF(578 KB)
