媽媽對長期持續六個月母乳哺育認知與意願之研究以屏東市一地區醫院為例

目的: 許多研究發現，長期持續六個月母乳哺育是未來的趨勢。持續長期六個月母乳哺育對社會、在臨床及實證醫學上對母嬰健康促進都有價值。本研究欲探討媽媽對長期六個月母乳哺育的意願，期望未來可以提母乳哺育率。方法: 研究期間2011年3月30至2011年4月6日，在屏東市某婦產科/小兒科地區醫院蒐集問卷300份，有效問卷293份(97.6%)，以結構式問卷方式，依研究對象個人基本屬性、產前產後衛教之認知、支持系統之認知，影響媽媽長期持續六個月母乳哺育的因素分析。結果: 根據迴歸分析結果經濟來源來自「妻夫二人」與「丈夫」單一來源比較「夫妻二人」較不易長期持續≧6個月母乳哺育意願，(P<0.001)；嬰兒成長情形，每增加一分, 母乳哺育意願會下降45%，(P=0.001)。結論和建議: 經濟來源「夫妻二人」、「嬰兒成長情形」，都會影響媽媽長期六個月母乳哺育之意願。為了提昇長期母乳哺育率，政策可加強經濟來源「夫妻二人」、「嬰兒成長情形」的誘因，以鼓勵媽媽長期持續母乳哺育嬰兒。

關鍵字

母乳哺育；長期持續六個月母乳哺育；產前產後之衛教

並列摘要

Objective: Studies show that a lasting six months breastfeed presents clear in trend. It is valuable for mother herself to persist a long term (≧6 months) breastfeed not only for the health of mother and baby, but also benefits the whole society as well. This paper is studying the reasons that influencing the perception and willingness of mother to persist a long-term breastfeeding, in order to elevate the rates of percentage of probability of breastfeed in the future. Methods: This study took place on 30th of March to 6th of April 2011, the outpatient department of GYN&.OB of a local hospital in Pingtung city. A total of 300 questionnaires were given and collected. 293(97.6%) were responsed and valid for analysis. Under the four sections of questionnaire attribute of mother personal data, prenatal and postnatal counseling, supportive system, and the willingness of long term breastfeeding are applied to test the hypothesis and analysis the final result. Results: After logistic analysis, our study showed that 1), annually family income (by couple) rather than (by husband) statistically significant influencing the willingness to persist a long-term breastfeedomg (P<0.001); 2), Nevertheless, an oppositely decrease with 45% of willingness to breastfeed if growing at every point of babies’ condition in this outcome. (P=0.001). Conclusions: Authorities should strengthen and facilitate the hospitals in prenatal and postnatal counseling for breastfeeding, family income (by husband) are able to increase the percentage of willingness of mothers to long term (≧6 months) breastfeed.