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首页> 外文期刊>Public Health Nutrition >Exclusive and any breast-feeding rates of Pacific infants in Auckland: data from the Pacific Islands Families First Two Years of Life Study
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Exclusive and any breast-feeding rates of Pacific infants in Auckland: data from the Pacific Islands Families First Two Years of Life Study

机译：奥克兰太平洋地区婴儿的纯母乳喂养率和所有母乳喂养率：来自太平洋岛屿家庭生命最初两年研究的数据

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OBJECTIVES: To present current breast-feeding rates for Pacific infants resident in New Zealand. Reasons for the introduction of complementary liquid foods were also explored. DESIGN: A longitudinal study using hospital discharge summary records and maternal home interviews undertaken at 6 weeks, 12 and 24 months postpartum. Turnbull's non-parametric survival analysis was used to model exclusive breast-feeding rates. SETTING: Auckland, New Zealand. RESULTS: The cohort comprised 1376 infants at 6 weeks, 1223 infants at 12 months and 1142 infants at 24 months. Exclusive breast-feeding rates at hospital discharge, 6 weeks, 3 and 6 months postpartum were 84% (95% confidence interval (CI): 80-88%), 49% (95% CI: 43-55%), 37% (95% CI: 32-42%) and 9% (95% CI: 7-11%), respectively. Significant ethnic difference existed, with Samoan mothers having higher exclusive breast-feeding rates than Tongan mothers (P = 0.002). The percentage of infants receiving any breast milk at hospital discharge, 6 weeks, 12 and 24 months was 96% (95% CI: 94-97%), 95% (95% CI: 94-96%), 31% (95% CI: 28-34%) and 15% (95% CI: 13-17%), respectively. Again ethnic differences emerged. Common reasons cited for discontinuation of exclusive breast-feeding included uncertainty of breast milk supply (56%), problems with breasts (30%) and difficulties breast-feeding in work or educational environments (26%). However, 691 (50%) mothers sought no advice about their breast-feeding concerns within the first six weeks of life. CONCLUSIONS: Exclusive breast-feeding rates for Pacific infants are ethnically heterogeneous, have declined since the 1990s and fall short of the World Health Organization recommendations. The principal reasons cited for exclusive breast-feeding discontinuation echo those reported over a decade ago.
机译：目的：介绍目前居住在新西兰的太平洋婴儿的母乳喂养率。还探讨了引入补充性液态食品的原因。设计：采用产后总结记录和产后6周，12和24个月进行的产妇家庭访谈进行的纵向研究。特恩布尔的非参数生存分析用于模拟纯母乳喂养率。地点：新西兰奥克兰。结果：该队列包括6周时的1376例婴儿，12个月时的1223例婴儿和24个月时的1142例婴儿。出院后6周，3和6个月时的纯母乳喂养率分别为84％（95％置信区间（CI）：80-88％），49％（95％CI：43-55％），37％ （95％CI：32-42％）和9％（95％CI：7-11％）。存在明显的种族差异，萨摩亚母亲的纯母乳喂养率高于汤加母亲（P = 0.002）。在出院，6周，12和24个月时接受任何母乳的婴儿百分比分别为96％（95％CI：94-97％），95％（95％CI：94-96％），31％（95 ％CI：28-34％）和15％（95％CI：13-17％）。种族差异再次出现。停止纯母乳喂养的常见原因包括母乳供应不确定（56％），乳房问题（30％）以及在工作或教育环境中母乳喂养困难（26％）。但是，有691名（50％）母亲在生命的前六周内未就其母乳喂养问题寻求任何建议。结论：太平洋婴儿的纯母乳喂养率在种族上是异质的，自1990年代以来有所下降，未达到世界卫生组织的建议。提到完全停止母乳喂养的主要原因与十年前的报道相呼应。

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