影响母乳喂养坚持和流行程度的因素:俄罗斯母亲在线调查结果(第2部分)

Q4 Medicine

Pediatriya - Zhurnal im G.N. Speranskogo Pub Date : 2023-04-21 DOI:10.24110/0031-403x-2023-102-2-65-71

S. Ukraintsev, D. Ovsyannikov, E. Schepkina

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引用次数: 0

摘要

该研究的目的是确定母乳喂养(BF)普及率不足的原因，并根据在2020-2022年分两个阶段对婴儿出生后6个月的母亲进行的在线调查中获得的数据，确定提高俄罗斯母乳喂养(BF)普及率的方法。1981名来自不同年龄段的母亲参与了这项研究，她们生活在人口在10万到100万之间的俄罗斯城市。对影响BF患病率的因素进行了研究。对母亲的社会人口状况数据进行了分析，并在产前诊所进行了怀孕期间的观察。结果发现:产后母乳喂养时间(p=0.005)、妇产医院多次用婴儿配方奶粉补充喂养(p<0.001)、母亲对婴儿补充配方奶粉的态度(p=0.005)对排他性BF患病率有统计学显著负相关影响;“平静”vs“消极”(p<0.001)，母亲在妇产医院住院期间对母乳分泌不足的印象(p<0.001)，缺乏母亲关于母乳量可能暂时减少的咨询(p=0.022)以及增加母乳量的方法(p<0.001)。较晚从妇产医院出院(第5天至第7天vs.第3天，p=0.005)以及在婴儿补充了婴儿配方奶粉后，母亲出院时对母乳喂养需求的信心(p<0.001)也有负面影响。影响门诊阶段母乳喂养可能性的主要因素是当地新生儿医生/儿科医生在妇产医院用婴儿配方奶粉补充喂养后没有尝试将儿童送回BF (p<0.001)。结论:考虑到调查期间获得的数据，提出了有助于提高俄罗斯BF患病率的建议。

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FACTORS INFLUENCING ADHERENCE TO AND PREVALENCE OF BREASTFEEDING: RESULTS OF AN ONLINE SURVEY OF MOTHERS IN RUSSIA (PART 2)

The purpose of the research was to identify the reasons for the insufficient prevalence of breastfeeding (BF), to determine the ways to increase the prevalence of BF in Russia based on the data obtained during an online survey of mothers of infants in the first 6 months of life, which was conducted in two stages in 2020-2022. 1981 mothers from different age groups living in Russian cities with population from 100 thousand to 1 million and more participated in the study. Factors influencing the prevalence of BF were studied during the research. The analysis of data concerning the socio-demographic status of mothers and their observation during pregnancy in the antenatal clinic was carried out. Results: it was found out that the prevalence of exclusive BF was statistically significantly negatively affected by the period of breastfeeding after childbirth (p=0.005), repeated supplementary feeding with an infant formula in the maternity hospital (p<0.001), mother’s attitude to the fact of supplementing the infant with the formula (p=0.005): “calm” vs. “negative” (p<0.001), mother’s impression of insufficient lactation during the stay in the maternity hospital (p<0.001), lack of counseling of the mother about a possible temporary decrease in breast milk (BM) volume (p=0.022) as well as of the ways to increasing the BM volume (p<0.001). The later discharge from the maternity hospital (on the 5th to 7th days vs. on the 3rd day, p=0.005) as well as the mother’s confidence in the need for breastfeeding upon discharge from the maternity hospital after the child had been supplemented with an infant formula (p<0.001) also had negative impact. The main factor affecting the likelihood of breastfeeding at the outpatient stage was the absence of attempts by a local neonatologist/pediatric physician to returning the child to BF after supplementary feeding with an infant formula in the maternity hospital (p<0.001). Conclusion: recommendations are given that can contribute to increasing the prevalence of BF in Russia taking into consideration the data obtained during the survey.

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来源期刊

Pediatriya - Zhurnal im G.N. Speranskogo Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

150

期刊介绍： Journal “Pediatria” named after G.N. Speransky (the official short names of the Journal are “Journal «Pediatria»,” “Pediatria,” and “«Pediatria,» the Journal”) is the oldest Soviet-and-Russian (in the Russian Federation, the CIS and former Soviet Union) scientific and practical medical periodical assigned for pediatricians that is published continuously since May, 1922, and distributed worldwide. Our mission statement specifies that we aim to the ‘raising the level of skills and education of pediatricians, organizers of children’s health protection services, medicine scientists, lecturers and students of medical institutes for higher education, universities and colleges worldwide with an emphasis on Russian-speaking audience and specific, topical problems of children’s healthcare in Russia, the CIS, Baltic States and former Soviet Union Countries and their determination with the use of the World’s best practices in pediatrics.’ As part of this objective, the Editorial of the Journal «Pediatria» named after G.N. Speransky itself adopts a neutral position on issues treated within the Journal. The Journal serves to further academic discussions of topics, irrespective of their nature - whether religious, racial-, gender-based, environmental, ethical, political or other potentially or topically contentious subjects. The Journal is registered with the ISSN, - the international identifier for serials and other continuing resources, in the electronic and print world: ISSN 0031-403X (Print), and ISSN 1990-2182 (Online). The Journal was founded by the Academician, Dr. Georgiy Nestorovich SPERANSKY, in May, 1922. Now (since 1973) the Journal bears his honorary name.