"Factors associated with exclusive breastfeeding during postpartum in Lanzhou city, China: a cross-sectional study"

作者全名："Chen, Yuelu; Zhao, Yong; Wang, Wenling; Wang, Fengdi; Jiang, Huimin; Wang, Lianlian"

作者地址："[Chen, Yuelu; Wang, Fengdi; Jiang, Huimin; Wang, Lianlian] Chongqing Med Univ, Dept Reprod Hlth & Infertil, Affiliated Hosp 1, Chongqing, Peoples R China; [Chen, Yuelu; Wang, Fengdi; Jiang, Huimin; Wang, Lianlian] Chongqing Med Univ, Chongqing Key Lab Maternal & Fetal Med, Chongqing, Peoples R China; [Zhao, Yong] Chongqing Med Univ, Coll Publ Hlth & Management, Chongqing, Peoples R China; [Wang, Wenling] Gansu Prov Matern & Child Care Hosp, Perinatol Ctr, Lanzhou, Gansu, Peoples R China"

通信作者："Wang, LL (通讯作者)，Chongqing Med Univ, Dept Reprod Hlth & Infertil, Affiliated Hosp 1, Chongqing, Peoples R China.; Wang, LL (通讯作者)，Chongqing Med Univ, Chongqing Key Lab Maternal & Fetal Med, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001066246900001

JCR分区：Q2

影响因子：3

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：exclusive breastfeeding; risk factors; breastfeeding knowledge; China; postpartum

摘要："Aim Breastfeeding generates short-term and long-term benefits for both mother and child. Exclusive breastfeeding (EBF) is promoted in China for years, but its practice still lags far behind the international average, even among low- and middle- income countries. This study aimed to investigate factors associated with EBF during postpartum.Methods This study was conducted in a tertiary referral hospital in Gansu Province, Northwest China from October 2019 to April 2020. 3,738 postnatal women were finally included and each of them completed an elaborately designed questionnaire. Infant feeding patterns (EBF or not) and reasons for NEBF (non-exclusive breastfeeding) were collected. The feeding knowledge score was based on 17 questions in relation to breastfeeding. The total score ranges from 0 to 17. Higher score means better understanding about breastfeeding knowledge. Multivariate logistic regression models were used to determine associated factors of EBF during postpartum. A subgroup analysis was conducted to investigate the association between feeding knowledge score and exclusive breastfeeding.Results Six weeks after childbirth, 1891 mothers (50.6%) maintained EBF. Among the NEBF mothers, 57.01% (n = 1,053) of them stopped exclusive breastfeeding due to self-perceived lack of breast milk production. Factors associated with NEBF were higher maternal age, ethnic minorities and cesarean section. Protective factors of EBF included multipara, positive feeding attitude and high breastfeeding knowledge score. In subgroup analysis, we found the breastfeeding knowledge score had a significant impact on the mothers of Han nationality, underwent cesarean or natural delivery, both primiparous and multiparous, and those with positive attitude towards breastfeeding (p < 0.05).Conclusion We need a comprehensive and individualized framework of strategies to support children, mothers and their families. During puerperium, improving maternal knowledge of breastfeeding is beneficial to EBF practice. However, for ethnic minorities and those with less active breastfeeding attitudes, breastfeeding knowledge is of limited use, more researches are needed to explore the uncovered reasons, so that more personalized interventions could be developed for them."

基金机构：Discipline Cultivation Fund of the First Affiliated Hospital of Chongqing Medical University and Chongqing Social Science Planning Project [2017YBSH057]; Joint Program of the Chongqing Science and Technology Bureau and the Chongqing Health Commission [2021MSXM215]

基金资助正文：This project was funded by Discipline Cultivation Fund of the First Affiliated Hospital of Chongqing Medical University and Chongqing Social Science Planning Project (2017YBSH057) and Joint Program of the Chongqing Science and Technology Bureau and the Chongqing Health Commission (2021MSXM215).