李静,周菲菲,高广云,周天纯,王娜.孕晚期BAPT得分对产妇产后六个月停止母乳喂养行为的影响[J].上海护理,2023,23(2):
孕晚期BAPT得分对产妇产后六个月停止母乳喂养行为的影响
Analysis of the influence of BAPT score late in pregnancy on maternal cessation of breastfeeding at 6 months postpartum
DOI:
中文关键词:  母乳喂养  断奶预测量表  影响因素
英文关键词:breastfeeding  breastfeeding attrition prediction tool  influence factors
基金项目:复旦大学护理科研基金(FNF201927)
作者单位E-mail
李静 复旦大学附属妇产科医院产科 10211170014@fudan.edu.cn 
周菲菲 复旦大学附属妇产科医院产科  
高广云 复旦大学附属妇产科医院产科  
周天纯 复旦大学护理学院  
王娜 复旦大学附属妇产科医院产科 nawang16@fudan.edu.cn 
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中文摘要:
      目的 分析、评价孕晚期断奶预测量表(Breastfeeding Attrition Prediction Tool,BAPT)得分对产后早期停止母乳喂养行为影响,为相关干预措施的制订和实施提供依据。方法 采用前瞻性观察性研究,选取2019年6-10月在上海市某妇产科医院进行产检的孕妇为研究对象370例,随访至产后6个月。分别于建卡时、孕晚期32-36周,使用一般资料问卷和断奶预测量表(The Breastfeeding Attrition Prediction Tool,BAPT)BAPT进行问卷调查,并在产后7-12个月采用电话随访母乳喂养情况。 结果 最终纳入数据分析的328例研究对象中产后6个月断奶率为23.2%。计划母乳喂养的产妇消极母乳喂养情绪量表(Negative Breastfeeding Sentiment,NBS)得分最低,而积极母乳喂养情绪量表(Positive Breastfeeding Sentiment,PBS)和母乳喂养控制量表(Breastfeeding Control Scale,BFC)得分最高;不同母乳喂养持续时间计划BAPT得分有统计学差异。多因素分析显示BAPT相关得分与产后6个月断奶行为无关,而丈夫吸烟和婴儿出生时添加配方奶显著增加产妇产后6个月断奶的风险(OR=2.325,95%CI:1.156-4.678, P=0.018;OR=3.887,95%CI:2.147-7.035,P<0.001)。结论 医疗机构可针对相关因素提供干预措施,进一步减少产后早期断奶率,促进母婴健康。
英文摘要:
      Objectives The aim of this study was to analyze and evaluate the impact of the Breastfeeding Attrition Prediction Tool (BAPT) score in late pregnancy on the behavior of stopping breastfeeding early postpartum,and to provide a basis for the formulation and implementation of related interventions. Methods Participants were selected from June to October 2019 in a maternity hospital in Shanghai. A total of 370 cases of pregnant women were included when they had their first prenatal care. At initial prenatal visit, 32-36 gestational weeks and 7-12 months postpartum, we use questionnaires to collect information on maternal characteristics, BAPT scales and breastfeeding related information. Outcomes Finally, 328 cases were included for data analysis. The rate of weaning at six months was 23.2%. Women who planned to breastfeed had the lowest NBS scores, while PBS and BFC scores were higher than those who planned to mixed feeding and formula feeding. There were statistically significant differences in BAPT scores among women with different breast-feeding duration plans. Multivariate analysis showed that husbands smoking and formula adding at birth significantly increased the risk of breastfeeding cessation at 6 months postpartum with OR=2.325, 95%CI:1.156-4.678,P=0.018 and OR=3.88,95%CI:2.147-7.035,P<0.001, respectively. Conclusion Medical institutions can provide interventions targeted at relevant factors to further reduce early postpartum weaning rates and promote maternal and infant health.
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