母乳挤出喂养行为的影响因素与母婴满意度的调查

目的 了解1岁内婴儿母乳喂养方式及其影响因素,以及不同喂养方式的母婴满意度,为促进母乳喂养提供科学依据。方法 选择2018年7－8月于重庆医科大学附属儿童医院儿童保健科就诊的1岁内母乳喂养的婴儿母亲填写自设问卷及《母乳喂养评估量表》,分析母乳挤出喂养行为的现状、影响因素及不同喂养方式下的母婴满意度。结果 纳入研究对象240人。挤出喂养者占39.6％,其中因工作选择挤出喂养者占82.1%。39.6%支持挤出喂养,13.3%反对,47.1%认为均可。母亲通勤时间越长更倾向于挤出喂养(OR=1.893,95%CI:1.139~3.146),独自带养婴儿的母亲则更倾向于直接喂养(OR=0.256,95%CI:0.112~0.583)。不同喂养方式组《母乳喂养评估量表》得分差异无统计学意义(P>0.05)。结论 挤出喂养行为较常见且得到较多哺乳女性支持,返岗工作是挤出喂养的主要原因,挤出喂养未影响母婴满意度。

Analysis of the influencing factors of breast milk expression and investigation on maternal-infantile satisfaction

Objective To know about the breastfeeding patterns of infants within 1 year old,and to investigate its influencing factors and maternal-infantile satisfaction,so as to provide scientific evidence for promoting breastfeeding. Methods Infants under one year old receiving breastfeeding in the Department of Child Health Care,Children′s Hospital of Chongqing Medical University were enrolled in this study from July to August in 2018.And a self-designed questionnaire and the Maternal Breastfeeding Evaluation Scale were filled out by mothers of infants.The current situation and influencing factors of breast milk expression,as well as maternal-infantile satisfaction under different breastfeeding patterns were analyzed. Results Totally 240 valid questionnaires were collected.And 95(39.6%) were totally or partially fed by expressed breastmilk,among which 82.1% were due to working factors.Also,39.6% of 240 participants were in support of breast milk expression,while 13.3% were against,and 47.1% thought that direct feeding and breast milk expression were both acceptable.Mothers with longer time for commuting (OR=1.893,95%CI:1.139-3.146),and with less involvement in infant care (OR=0.256,95%CI:0.112-0.583) were more likely to choose breast milk expression.There were no significant differences on the total score and the score of three subscales of Maternal Breastfeeding Evaluation Scale between direct feeding group and breast milk expression group(P＞0.05). Conclusions Breast milk expression is common and is widely supported by lactating women.Returning to work is the main reason for breast milk expression.And feeding infants expressed breast milk does not impact maternal-infantile satisfaction.