有减肥手术史的妇女母乳喂养相关因素：一项横断面调查研究

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-06-18 DOI:10.1016/j.midw.2025.104496

Seyedeh Samira Mokhlesi , Vidanka Vasilevski , Linda Sweet

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引用次数: 0

摘要

随着育龄妇女减肥手术率的上升，越来越多的人在手术后怀孕。这些母亲的母乳喂养率低于那些没有做过减肥手术的母亲。关于减肥手术后母乳喂养的证据有限，导致早期停止的因素也不完全清楚。目的确定孕前接受过减肥手术的母亲纯母乳喂养和母乳喂养时间的相关因素。方法对澳大利亚孕前接受过减肥手术的妇女进行横断面在线调查。数据收集采用人口统计问卷和减肥手术后母乳喂养量表（BBSS）。进行描述性统计和关联分析。共有221名母亲完成了这项调查。大多数参与者（81.4%）打算纯母乳喂养，59%的人计划持续至少6个月。然而，只有47%的婴儿在头三个月进行纯母乳喂养。母乳喂养意图与产后前三个月纯母乳喂养显著相关（OR=5.41, 95% CI: 1.30-22.41, p = 0.02），与六个月前停止母乳喂养的几率较低（OR=0.16, 95% CI: 0.03-0.71, p = 0.01）。有实际或感知到的母乳供应问题的母亲进行纯母乳喂养的可能性降低82% (or = 0.18, 95% CI: 0.07 - 0.45, p <；0.001)，与那些没有这些母乳喂养挑战的人相比，乳房皮肤松弛的人继续母乳喂养超过6个月的可能性要低75% （OR=0.24, 95% CI: 0.08-0.77, p = 0.01）。结论减肥手术后母亲母乳喂养意愿与实践存在差距。与减肥手术相关的独特挑战可能会影响母乳喂养的结果。

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Factors associated with breastfeeding in women with a history of bariatric surgery: A cross-sectional survey study

Background

As bariatric surgery rates rise among women of reproductive age, more are becoming pregnant post-surgery. These mothers have lower breastfeeding rates than those without bariatric surgery. Evidence on breastfeeding after bariatric surgery is limited, and the factors contributing to early cessation are not fully understood.

Aim

Identify the factors associated with exclusive breastfeeding and breastfeeding duration among mothers who have undergone bariatric surgery before pregnancy.

Methods

A cross-sectional online survey was conducted among women in Australia who had pre-pregnancy bariatric surgery. Data were collected using a demographic questionnaire and the Breastfeeding after Bariatric Surgery Scale (BBSS). Descriptive statistics and association analysis were conducted.

Findings

A total of 221 mothers completed the survey. Most participants (81.4 %) intended to exclusively breastfeed, with 59 % planning to continue for at least six months. However, only 47 % exclusively breastfed during the first three months. Intention to breastfeed was significantly associated with exclusive breastfeeding during the first three months postpartum (OR=5.41, 95 % CI: 1.30–22.41, p = 0.02) and with lower odds of stopping breastfeeding before six months (OR=0.16, 95 % CI: 0.03–0.71, p = 0.01). Mothers with real or perceived milk supply issues were 82 % less likely to exclusively breastfeed (OR = 0.18, 95 % CI: 0.07 – 0.45, p < 0.001), and those with loose breast skin were 75 % less likely to continue breastfeeding beyond 6-month (OR=0.24, 95 % CI: 0.08–0.77, p = 0.01), compared to those without these breastfeeding challenges.

Conclusion

A gap exists between breastfeeding intention and practice among post-bariatric surgery mothers. Unique challenges related to bariatric surgery can impact breastfeeding outcomes.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.