Analysis of Factors Associated with Initiation and Duration of Breast-Feeding: A Study in Taitung Taiwan

母乳哺育之起始與持續期的相關因素之分析：在台東之研究

張瑞幸(Jui-Hsing Chang) ； 陳偉燾(Wai-Tao Chan)

《Acta Paediatrica Taiwanica》 44卷1期 (2003/02) Pp. 29-34

https://doi.org/10.7097/APT.200302.0029

摘要

在臺灣台東的一區域醫院的健兒門診，針對251對母嬰進行了嬰幼兒哺育方式之調查。以問卷的方式來瞭解影響母乳哺育之起始與持續時間的相關因素。大部分的母親(81.7%)在孩子出生後開始哺餵母乳，但只有20.7%的母親能够持續哺餵囀乳至少四個月。嬰兒的父新與祖父母贊同母乳哺育、産後病房與嬰兒室醫護人員的協助對母乳哺育的起始有正面的影響。嬰兒若在新生兒期因病住院、或是在台東地區最大的區域醫院出生，則其得到母乳哺的機會較低。職業婦女以及較高教育水凖的婦女少持續哺餵母乳至少四個月。在大於或等於四個月的嬰兒中，年紀越小的越少有機會得到至少四個月的母乳哺育。嬰兒父親對母乳哺育的贊同對長期的母乳哺育有正面的影響。
母乳哺育的仍需大力的推廣及支持。醫療工作人員應提供母親及嬰兒適當的協助；住院的新生兒及其家人應得到適當的關注與協助；將推廣母乳的對象擴及嬰兒的父親與祖父母也是相當重要的一環。尋求適當的方法鼓厲幷協助職業婦女使他們能在工作之餘持續哺餵母乳也是我們需要努力的方向。

關鍵字

母乳哺育 ； 母乳哺育之起始 ； 母乳哺育之持續期

並列摘要

Breast-feeding practices were studied in 251 mother-infants pairs at the well-baby clinic of a regional hospital in Taitung, Taiwan. A questionnaire was designed to elucidate factors influencing the initiation and duration of breast-feeding. Most of the mothers (81.7%) initiated breast-feeding after delivery, but only 2O.7°o continued nursing for at least 4 months. Factors positively associated with initiating breast-feeding were the approval of the baby’s father and grandparents and assistance from healthcare staff Infants who were hospitalized during neonatal period and those born in the largest regional hospital were less likely to be nursed. Women who were employed and those with a higher education level were less likely to breast-feed≥4 months. Among infants≥4 months old at the time of the study, those who were younger were less likely to have had at least 4 months of breast-feeding. The father's approval positively influenced the duration of breast-feeding.
There is still a need for active promotion of and support for breast-feeding. Healthcare workers should offer assistance, and particular attention should be paid to help families with hospitalized newborns. Including fathers and grandparents in discussions about breast-feeding is imperative. We must also develop ways to encourage and enable employed mothers to continue breast-feeding for longer periods.

並列關鍵字

breast-fee1ing ； initiation of breast-feeding ； duration of breast-feeding