Investigation And Analysis Of Breastfeeding In South Lake Community Of Changchun

Objective:To investigate breastfeeding in South Lake community of Changchun, andanalyze the factors that may affect breastfeeding, in order to provide theoreticalguidance for strengthening breastfeeding education.Methods:Two hundred and fifty-eight mothers and their single healthy full-term infantswith normal weight (fr.2500g to4000g) and without congenital disease wereselected from South Lake community health centers between April2013to April2014. All the mothers selected were asked to fill in the breastfeeding questionnaireincluding the information below: age of mother, marital status, education of parents,occupation of parents, salary, gender of infants, the mode of delivery, hospital ofantenatal examination, nursing, time to open the milk, statutory maternity leave,feeding guidance from caregivers, and pregnant women accepting breastfeedingknowledge in prenatal check, the importance of infant feeding knowledge,confidence in breastfeeding, whether breastfeeding can meet the nutritional needs of4month old infant the reaction of family members on breastfeeding, breastfeedingaffecting mothers’ figure, effects of breastfeeding on mothers’ health, effects ofbreastfeeding on infant health, the reason of nonexclusive breastfeeding, the weight,height, head circumference of3(or6) month infant and so on. According to thefeeding way we divided all the infants into three groups: exclusive breastfeeding,mixed feeding and artificial breastfeeding. Information were collected and analyzedby Logistic regression. A p value of<0.05was considered significant.Results:1.The object of study in generalA total of258women was enrolled, which the population of exclusivebreastfeeding accounted for50.8percent of (131/258), mixed feeding accounted for 43.0%(111/258), artificial feeding accounted for6.2%(16/258).2.Analysis of the general factors that affect breast feedingThe analysis of general factors that may affect breastfeeding showed that age ofmother, marital status, occupation of parents, salary, gender of infants have nodifferences (P>0.05). While education level of mothers in exclusively breastfeedinggroup was significantly higher, rate of statutory maternity leave that mothers got issignificantly higher (90.84%(119/131),（P<0.01).3.Social psychological factors affecting breastfeeding analysisSocial factors analysis showed that7factors including infant feedingknowledge, confidence in breastfeeding, the reaction of family members onbreastfeeding, the influence of mother’s body and health, whether breastfeeding canmeet the nutritional needs of4month old infant, the reaction of family members onbreastfeeding, the influence of mother’s body and health, the influence of baby’shealth were significantly differ between each group (P <0.01).4.Prenatal nursing knowledge learning effects on postpartum feeding wayThe proportion of pregnant women receiving prenatal education in exclusivebreastfeeding group was significantly higher than that in non-exclusively breastfedgroup (P <0.01), the proportion of pregnant women in breastfeeding group aware ofbreastfeeding knowledge was significantly higher than that of the non-exclusivebreastfeeding group (P <0.001).5.The single factors affecting breastfeeding Logistic regression analysisLogistic regression analysis showed that there are9factors that may affect therate of exclusive breastfeeding: the mode of delivery (eutocia, OR=3.285，95%CI=1.807~5.97, midwifery,OR=4.692,95%CI=2.338~9.416), statutory maternityleave (OR=10.083，95%CI=4.963~20.484),feeding guidance from caregivers(OR=2.808,95%CI=1.323~5.963),time to open the milk,(60m,OR=0.939,95%CI=0.500~1.765;120m,OR=0.634,95%CI=0.333~1.207;>120m,OR=0.106,95%CI=0.029~0.387), confidence in breastfeeding(OR=557.917，95%CI=74.232~4193.237),breastfeeding affecting mothers’ figure（OR=3.363,95%CI=1.898~5.958）, effects of breastfeeding on infant health（OR=13.831，95%CI=6.801~28.129）, effects ofbreastfeeding on mothers’ health（OR=8.338，95%CI=4.632~15.009）, and pregnantwomen accepting breastfeeding knowledge in prenatal check （OR=6.348，95%CI=3.585~11.239）, etc.6．Many factors affecting breastfeeding Logistic regression analysisMultivariate Logistic regression analysis showed that there were6factors:statutory maternity leave（OR=16.802，95%CI=4.607~61.279）, feeding guidancefrom caregivers （OR=6.008，95%CI=1.156~31.224）. time to open the milk(60m,OR=0.97,95%CI=0.216~4.346;120m,OR=0.552,95%CI=0.139~2.193;>120m,OR=0.048,95%CI=0.006~0.376）, Confidence in breastfeeding（OR=866.813，95%CI=88.489~8491.076）,breastfeeding affecting mothers’ figure（OR=6.198，95%CI=1.809~21.239）, and effects of breastfeeding on infant health（OR=12.070，95%CI=2.846~51.187）.7．The exclusive breastfeeding cause analysisThe reason for the non-exclusive breastfeeding showed, the most commonreason is less milk (53.54%(68/127)), followed by work (51.97%(66/127)).Compared with exclusive breastfeeding group at3months and6months of age,weight and height values of artificial feeding group were significantly lower (P<0.05). The incidence of anemia of exclusive breastfeeding group was significantlylower than artificial feeding group (P=0.004).8.The influence of different feeding ways on infant growth and developmentThe body weight, body length and head circumference of three-month-old andsix-month-old babies with different feeding ways were detected. The results showedthat exclusive breastfeeding group compared with the mixed feed, artificial feedinggroup were no statistical difference of three indicators when the baby was burnt (P>0.05); The baby weight and body length of three-month-old and six-month-oldbabies in artificial feeding group were lower than that in the pure breastfeedinggroup.(P <0.05); But there was no significant difference between the mixed feedinggroup and pure breastfeeding group.(P>0.05). There was no significant difference between the pure breastfeeding group and the mixed feeding group, artificial groupabout the head circumference of the three-month-old and six-month-old babies.(P>0.05).9.The influence of different feeding ways of6months babies anemiaThe incidence of anemia in three groups of different feeding ways ofsix-month-year old babies were determined, the results showed the incidence ofanemia in artificial feeding group was18.75%at birth six months, significantlyhigher than0.76%in the pure breastfeeding group (Fisher exact test, P=0.004), theincidence of anemia in mixed feeding group was3.60%, with no significantdifference in the pure breastfeeding group.(Fisher exact test, P=0.182).Conclusions:1. The community survey of exclusive breastfeeding rate of50%；2. The factors affecting the rate of exclusive breastfeeding include socialfactors, psychological factors and biomedical factors; where maternalmental state, education of breastfeeding knowledge are the main factors;3. Non exclusive breastfeeding for the most common reason for milk quantity islittle, followed by work4. Non-exclusive breastfeeding can significantly affect the growth and healthof babies.