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为了解母乳喂养状况及影响因素 ,并对爱婴医院质量进行评估 ,提出干预措施以实现 2 0 0 0年母乳喂养率达 80 %的目标 ,对湖北省不同地区 4～ 6个月婴儿母乳喂养情况进行调查。结果 :湖北省 4～ 6个月婴儿纯母乳喂养率为 76 .0 % ,其中城市 44 .4% ,农村 91.2 % ,爱婴医院出生的婴儿 4～ 6个月纯母乳喂养率为 6 4.8%。根据 L ogistic回归分析各影响因素依次为 :婴儿独睡 ,爱婴医院出生 ,未进行家庭访视 ,产后不知寻求帮助 ,访视次数少 ,母亲认为母乳喂养不好 ,家庭收入高 ,父亲文化程度高 ,窒息 ,难产 ,父亲年龄≥ 35岁等。建议 :1将城市作为工作的重点 ,家庭收入高、文化程度高及丈夫年龄≥ 35岁者为母乳喂养高危人群 ;2提高围产保健质量 ,减少难产、窒息的发生 ;3产后访视至少 5次 ,并为母亲及其家庭提供帮助 ;4放宽乡、镇级卫生院创建爱婴医院的硬件要求 ,重点放在医务人员知识更新、健康教育及母乳喂养技巧
In order to understand the status and influencing factors of breastfeeding, evaluate the quality of baby-friendly hospitals and propose interventions to achieve the goal of breast-feeding rate of 80% in the year of 2004. Breastfeeding for 4-6 months in different areas of Hubei Province Investigate the situation. Results: The exclusive breastfeeding rate of infants from 4 to 6 months in Hubei Province was 76.0%, of which 44.4% in urban areas and 91.2% in rural areas. The pure breastfeeding rate of infants born in baby-friendly hospitals for 4 to 6 months was 68.8% . According to L ogistic regression analysis, the influencing factors were as follows: baby sleeping alone, baby-friendly hospital born, no family visit, unknown help after childbirth, few visits, mother considered poor breastfeeding, high family income and father’s educational level High, suffocation, dystocia, father’s age ≥ 35 years old and so on. Recommendations: 1 The city as the focus of work, families with high income, high education and husband age ≥ 35 years of age for breast-feeding at-risk groups; 2 improve perinatal health care quality, reduce the incidence of dystocia, suffocation; 3 postnatal visit at least 5 And provide assistance to mothers and their families; 4 relax the hardware requirements for township hospitals and township hospitals to create baby-friendly hospitals, with a focus on medical staff knowledge updates, health education and breastfeeding skills