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445例早产儿6个月内纯母乳喂养影响因素分析
引用本文:王丹妮,韦婷,罗小婷,韩紫敏,朱敏丽,陈赢赢. 445例早产儿6个月内纯母乳喂养影响因素分析[J]. 中华全科医学, 2021, 19(10): 1685-1688. DOI: 10.16766/j.cnki.issn.1674-4152.002142
作者姓名:王丹妮  韦婷  罗小婷  韩紫敏  朱敏丽  陈赢赢
作者单位:温州医科大学附属第二医院新生儿科,浙江 温州 325027
基金项目:浙江省医药卫生科技计划项目2020KY644温州市科技局项目Y20190291
摘    要:目的 调查早产儿6个月内的母乳喂养情况及其影响因素,以期能为早产儿母乳喂养干预提供一定的参考依据.方法 使用方便抽样,于2018年4-12月选择在浙江省温州市4所三甲医院早产分娩的493例早产儿母亲作为研究对象,3个月回访时失访21例,6个月回访时失访27例,最终纳入445例.使用一般资料问卷和爱丁堡产后抑郁问卷进行问...

关 键 词:纯母乳喂养  影响因素  早产儿
收稿时间:2020-12-28

Analysis of influencing factors of exclusive breastfeeding within 6 months in 445 preterm infants
Affiliation:Neonatal Department, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, China
Abstract:  Objective  To investigate the situation of breastfeeding within 6 months and its influencing factors in preterm infants, and provide reference for breastfeeding intervention of premature infants.  Methods  A total of 493 participants were recruited as follow-up subjects from four tertiary hospitals in Wenzhou, Zhejiang Province by convenience sampling between April and December 2018. Twenty-one cases were lost during the 3-month return visit, 27 cases were lost during the 6-month return visit, and 445 cases were finally included. The basic data questionnaire and Edinburgh Postpartum Depression Questionnaire were used to collect data. Single-factor analysis of the influencing factors of exclusive breastfeeding rate in preterm infants within 6 months was carried out using χ2 test, and the meaningful variables of single-factor analysis were entered into multivariate logistic regression analysis.  Results  The breastfeeding rate was 27.2% (134/493) at discharge of preterm infants with exclusive breastfeeding rate of 9.3% (46/493). The breastfeeding rate at 3 months of corrected age was 39.2% (185/472), of which the exclusive breastfeeding rate was 18.4% (87/472). The breastfeeding rate at 6 months of corrected age was 28.1% (125/445), of which the exclusive breastfeeding rate was 11.7% (52/445). The regression results showed that breastfeeding history, postpartum depression, postpartum lactation time and family monthly income could affect the exclusive breastfeeding of premature infants within 6 months.  Conclusion  Medical workers should improve the breastfeeding knowledge and problem-solving skills of mothers of premature infants, especially those with no breastfeeding history and higher family income, ensure their normal lactation, carry out early psychological intervention to relieve their negative emotions, and increase the exclusive breastfeeding rate of premature infants within 6 months. 
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