目的 了解北京市海淀区海淀街道6个月内婴儿母乳喂养现状及其影响因素,为提高母乳喂养率提供科学依据。方法 随访2014年1月1日-12月31日出生的890例6个月内婴儿母乳喂养现状及影响因素,并采用Logistic回归法分析危险因素。结果 6个月内婴儿纯母乳喂养率为31.82%,部分母乳+人工喂养率为68.18%。6个月内婴儿纯母乳喂养率随月龄增加呈降低趋势,顺产儿童纯母乳喂养率高于剖宫产,差异有统计学意义。Logistic回归分析显示,母亲年龄＜30岁(OR=0.70,95%CI=0.53~0.93)、顺产(OR=0.63,95%CI=0.44~0.81)、非全职者(OR=0.52,95%CI=0.35~0.76)均是母乳喂养的保护因素。结论 降低剖宫产率,加强爱婴社区创建,全社会共同参与,能有效地提高母乳喂养率,延长母乳喂养时间。

Objective To understand the status of breastfeeding and to explore the influencing factors among infants within six months of age in haidian neighbourhood of Haidian district of Beijing,and to provid information for consolidating and promoting the rate of breastfeeding in baby-friendly hospitals and the community. Method Retrospective analysis was used for the rate of breastfeeding and related factors of 890 cases within six months of ages,Logistic regression risk factors were analysed. Results Within 6 months,the rate of pure breastfeeding was 31.82%,the rate of partial breastfeeding and artificial feeding was 68.18%.The rate of pure breastfeeding within 6 months was in decline.Non-conditional Logistic regression analysis showed that mother′s age below 30(OR=0.70,95%CI=0.53~0.93),spontaneous labor (OR=0.63,95%CI=0.44~0.81)and part-time working(OR=0.52,95%CI=0.35~0.76) were protective factors of breastfeeding. Conclution Reducing the cesarean delivery rate,strengthening the baby-friendly creating community and participating of the whole society can increase the rate of pure breastfeeding and extend the time of pure breastfeeding.