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ID 113123
タイトル別表記
Factors associated with the continuation of breastfeeding
著者
富安, 俊子 The University of Tokushima
キーワード
basic conditioning factors
breastfeeding
3months after delivery
limitation factors
資料タイプ
学術雑誌論文
抄録
Study Purpose : The purpose of this study was to calculate the degree of the influences of factors affecting the discontinuation of breastfeeding until 1 month after delivery on that until 3 months after delivery, and to identify indicators of the discontinuation of breastfeeding until3months.
Methods : The subjects were 60 mothers who delivered a single infant and initiated breastfeeding in an early puerperal stage after full-term vaginal delivery.
As possible indicators of breastfeeding until 3 months after delivery, 3 breast morphological factor variables(“nipple morphological abnormalities : flat nipples, true inverted nipples, and large nipples ≥17 mm in diameter”, “nipple fissures”, and “mammary gland tissue thickness ≤21 mm”)and5factors (bleeding volume at delivery, birth weight, the absence of breastfeeding in the last child, a smoking habit, and the absence of breastfeeding at discharge)were surveyed.
The 8 factors were surveyed at the time of puerperal discharge. The continuation of breastfeeding 3 months after delivery was ascertained by telephone.
The degree of the influences of each factor on the milk feeding form was analyzed by Fisher’s exact method and logistic regression analysis.
Results and conclusion
Factors affecting the milk feeding form 3 months after delivery
Among the 8 possible factors leading to the discontinuation of breastfeeding, the absence of breastfeeding at discharge(Fisher p=0.003)alone compared with its presence resulted in mixed/ bottlefeeding 3 months after delivery. The odds ratio of each factor in the mother/child was 1.931 for the thickness of mammary gland tissue, 1.677 for bleeding volume at delivery, 2.502 for the absence of breastfeeding in the last child, and 7.337 for the absence of breastfeeding at discharge. By logistic regression analysis, only the absence of breastfeeding at discharge was correlated with mixed/bottlefeeding 3 months after delivery(odds ratio, 7.337 ; p=0.017).
These results suggest that the absence of breastfeeding at discharge is an indicator of the discontinuation of breastfeeding until 3 months after delivery.
掲載誌名
The Journal of Nursing Investigation
ISSN
13483722
24342238
cat書誌ID
AA11937122
出版者
徳島大学医学部
5
1
開始ページ
12
終了ページ
17
並び順
12
発行日
2006-09-30
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系