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Nursing Science 2025
初始行为及行为意向对剖宫产术后产妇纯母乳喂养的影响
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Abstract:
目的：探讨母乳喂养初始行为及行为意向对剖宫产术后1个月纯母乳喂养的影响。方法：采用一般资料调查表、修订版母乳喂养行为预测量表(BAPT)对青岛市某三甲医院剖宫产术后1个月的产妇进行调查。结果：回病房后立即启动母乳喂养、产后第一次母乳喂养成功、产后24小时顺利哺乳、住院期间使用配方奶等初始行为与纯母乳喂养呈相关性；logistic回归显示，消极态度、主观规范、知觉行为控制和剖宫产类型是喂养方式的独立影响因素。结论：未来的研究可通过建立纯母乳喂养的初始行为以及改善行为意向的各要素来提高剖宫产术后产妇纯母乳喂养率。
Objective: To investigate the effect of initiation and behavioral intention on exclusive breastfeeding one month after C-section. Methods: The demographic questionnaire, initiation and Modified Breastfeeding Attrition Prediction Tool (BAPT) were used to investigate the women who underwent C-section in a third-class a hospital in Qingdao from August to December 2019. Results: The initiated breastfeeding after returning to the ward, successful first breastfeeding, breastfed within 24 hours and the use of formula during hospitalization were correlated with exclusive breastfeeding. Logistic regression showed that negative attitude, subjective norms, practice control and cesarean section type were independent influencing factors of breastfeeding. Conclusion: Future studies can improve the rate of exclusive breastfeeding after C-section by establishing the initiation of exclusive breastfeeding and the elements of the intention to improve behavior.
| [1] | Boerma, T., Ronsmans, C., Melesse, D.Y., Barros, A.J.D., Barros, F.C., Juan, L., et al. (2019) Global Epidemiology of Use of and Disparities in Caesarean Sections. Obstetrical & Gynecological Survey, 74, 135-137. https://doi.org/10.1097/01.ogx.0000553986.21678.95 |
| [2] | Pierro, J., Abulaimoun, B., Roth, P. and Blau, J. (2016) Factors Associated with Supplemental Formula Feeding of Breastfeeding Infants during Postpartum Hospital Stay. Breastfeeding Medicine, 11, 196-202. https://doi.org/10.1089/bfm.2015.0091 |
| [3] | John, J.R., Mistry, S.K., Kebede, G., Manohar, N. and Arora, A. (2019) Determinants of Early Initiation of Breastfeeding in Ethiopia: A Population-Based Study Using the 2016 Demographic and Health Survey Data. BMC Pregnancy and Childbirth, 19, Article No. 69. https://doi.org/10.1186/s12884-019-2211-0 |
| [4] | Ayton, J.E., Tesch, L. and Hansen, E. (2019) Women’s Experiences of Ceasing to Breastfeed: Australian Qualitative Study. BMJ Open, 9, e026234. https://doi.org/10.1136/bmjopen-2018-026234 |
| [5] | 管远志. 剖宫产与儿童过敏性疾病[J]. 临床儿科杂志, 2010, 28(10): 995-997. |
| [6] | Zhang, F., Cheng, J., Yan, S., Wu, H. and Bai, T. (2019) Early Feeding Behaviors and Breastfeeding Outcomes after Cesarean Section. Breastfeeding Medicine, 14, 325-333. https://doi.org/10.1089/bfm.2018.0150 |
| [7] | Meedya, S., Fahy, K. and Kable, A. (2010) Factors That Positively Influence Breastfeeding Duration to 6 Months: A Literature Review. Women and Birth, 23, 135-145. https://doi.org/10.1016/j.wombi.2010.02.002 |
| [8] | Albokhary, A.A. and James, J.P. (2014) Does Cesarean Section Have an Impact on the Successful Initiation of Breastfeeding in Saudi Arabia? Saudi Medical Journal, 35, 1400-1403. |
| [9] | Al-Barwani, S. (2017) Employing the Theory of Planned Behavior to Predict Breastfeeding Intention and Intensity in Oman. Dissertation, University of North Carolina, 1. |
| [10] | Hyde, M.J., Mostyn, A., Modi, N. and Kemp, P.R. (2011) The Health Implications of Birth by Caesarean Section. Biological Reviews, 87, 229-243. https://doi.org/10.1111/j.1469-185x.2011.00195.x |
| [11] | Chantry, C.J., Dewey, K.G., Peerson, J.M., Wagner, E.A. and Nommsen-Rivers, L.A. (2014) In-Hospital Formula Use Increases Early Breastfeeding Cessation among First-Time Mothers Intending to Exclusively Breastfeed. The Journal of Pediatrics, 164, 1339-1345.e5. https://doi.org/10.1016/j.jpeds.2013.12.035 |
| [12] | Sakalidis, V.S., Williams, T.M., Hepworth, A.R., Garbin, C.P., Hartmann, P.E., Paech, M.J., et al. (2013) A Comparison of Early Sucking Dynamics during Breastfeeding after Cesarean Section and Vaginal Birth. Breastfeeding Medicine, 8, 79-85. https://doi.org/10.1089/bfm.2012.0018 |
| [13] | Smith, E.R., Hurt, L., Chowdhury, R., Sinha, B., Fawzi, W. and Edmond, K.M. (2017) Delayed Breastfeeding Initiation and Infant Survival: A Systematic Review and Meta-Analysis. PLOS ONE, 12, e0180722. https://doi.org/10.1371/journal.pone.0180722 |
| [14] | Boccolini, C.S., Carvalho, M.L., Oliveira, M.I.C. and Vasconcellos, A.G. (2011) Factors Associated with Breastfeeding in the First Hour of Life. Revista de Saúde Pública, 45, 69-78. |
| [15] | Widström, A., Lilja, G., Aaltomaa‐Michalias, P., Dahllöf, A., Lintula, M. and Nissen, E. (2010) Newborn Behaviour to Locate the Breast When Skin‐to‐Skin: A Possible Method for Enabling Early Self‐Regulation. Acta Paediatrica, 100, 79-85. https://doi.org/10.1111/j.1651-2227.2010.01983.x |
| [16] | 何仲, 吴丽军, 刘晓红. 计划行为理论及其在护理研究中的应用范例[J]. 护理学杂志, 2006(6): 70-72. |
| [17] | Zhang, Z., Zhu, Y., Zhang, L. and Wan, H. (2018) What Factors Influence Exclusive Breastfeeding Based on the Theory of Planned Behaviour. Midwifery, 62, 177-182. https://doi.org/10.1016/j.midw.2018.04.006 |
| [18] | Ayton, J.E., Tesch, L. and Hansen, E. (2019) Women’s Experiences of Ceasing to Breastfeed: Australian Qualitative Study. BMJ Open, 9, e026234. https://doi.org/10.1136/bmjopen-2018-026234 |
| [19] | Pagor, C. (2015) Breastfeeding: Myths and Misconceptions. Community Practitioner: The Journal of the Community Practitioners’ & Health Visitors’ Association, No. 7, 20-21. |
| [20] | Bai, D.L., Fong, D.Y.T., Lok, K.Y.W. and Tarrant, M. (2016) Relationship between the Infant Feeding Preferences of Chinese Mothers’ Immediate Social Network and Early Breastfeeding Cessation. Journal of Human Lactation, 32, 301-308. https://doi.org/10.1177/0890334416630537 |
| [21] | Mehrparvar, S. and Varzandeh, M. (2011) Investigation of Decreasing Causes of Exclusive Breastfeeding in Children below Six Months Old, in Kerman City during 2008-2009. Journal of Fasa University of Medical Sciences, 1, 45-52. |
| [22] | Karimi, Z., Mohebi, S., Afshar, N. and Gharlipour, Z. (2019) Factors Affecting Exclusive Breastfeeding: Theory of Planned Behavior. Journal of Research and Health, 9, 275-281. https://doi.org/10.29252/jrh.9.3.275 |
| [23] | Brown, A. and Jordan, S. (2012) Impact of Birth Complications on Breastfeeding Duration: An Internet Survey. Journal of Advanced Nursing, 69, 828-839. https://doi.org/10.1111/j.1365-2648.2012.06067.x |
| [24] | Prior, E., Santhakumaran, S., Gale, C., Philipps, L.H., Modi, N. and Hyde, M.J. (2012) Breastfeeding after Cesarean Delivery: A Systematic Review and Meta-Analysis of World Literature. The American Journal of Clinical Nutrition, 95, 1113-1135. https://doi.org/10.3945/ajcn.111.030254 |
| [25] | Hobbs, A.J., Mannion, C.A., McDonald, S.W., Brockway, M. and Tough, S.C. (2016) The Impact of Caesarean Section on Breastfeeding Initiation, Duration and Difficulties in the First Four Months Postpartum. BMC Pregnancy and Childbirth, 16, Article No. 90. https://doi.org/10.1186/s12884-016-0876-1 |
| [26] | Watt, S., Sword, W., Sheehan, D., Foster, G., Thabane, L., Krueger, P., et al. (2012) The Effect of Delivery Method on Breastfeeding Initiation from the Ontario Mother and Infant Study (TOMIS) III. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41, 728-737. https://doi.org/10.1111/j.1552-6909.2012.01394.x |
