The Current Status And Influencing Factors Of Breast-feeding Within 12 Months Of Infants With Mother-to-infant Blocking Of Hepatitis B In Zhengzhou City

ObjectiveThis study is to investigate the breastfeeding status of HBsAg-positive infants delivered in five tertiary general hospitals in Zhengzhou from June 2015 to June 2016 and to analyze the factors affecting breastfeeding.MethodsThis study was a descriptive study.Five tertiary general hospitals in Zhengzhou City were selected for the purpose of sampling.During the period from June 2015 to June 2016,324 HBsAg positive mothers gave birth to infants who had been blocked after birth.With self-designed questionnaires,inquiries of hospital medical records and telephone interviews,we learned that the status of infants with mother-to-child interruption of hepatitis B during in the 1 week,1,2,4,6,8,10,12 months respectively and the influencing factors were analyzed.SPSS21.0 was used to analyze the proportion of breast-feeding in all questionnaires.The data in the first month were divided into three groups according to pure breast-feeding,mixed feeding and artificial feeding.The single-factor regression analysis was carried out for each statistical factor,and the multivariate logistic regression analysis was carried out for the significant influencing factors,and the influencing factors on the feeding mode were obtained.Results1.This study selected 387 samples.In the process of telephone contact,324 valid questionnaires were obtained due to the change of telephone number,refusal to answer or unclear answer,and the response rate was 83.7%.The youngest age of the subjects was 23 years old and the oldest was 38 years old.The average age of the subjects was(29.24±3.13)years old.2.Breastfeeding status:Within a week,the number of artificial feeding and breastfeeding was not much different.After one month,the main method was artificial feeding.With the extension of the month,the number of exclusively breastfeeding was less and less,and the proportion of artificial feeding increased.The breastfeeding rate of infants was 62.1%in 1 week,62%in 1 month,58%in 2 months,57.7%in 4 months,56.4%in 6 months,56.2%in 8 months,55.6%in 10 months,51.3%in 12 months and 34.5%in 13 months.Baby 1 week of exclusive breastfeeding rate was 38.6%,1 month was 37.3%,36.4%for 2 months,4 months is 35.5%,23.1%for 6 months.3.Single factor analysis showed that there was no significant difference of registered residence,parity and gender in the influencing factors of breast-feeding within the first month(χ2=3.39,P=184;χ2=1.15,P=0.886;χ2=0.57,P=0.75);There were significant differences in the mode of delivery,education,occupation,whether participated in breast-feeding lectures,hepatitis B five tests,attitude towards breast-feeding by herself,the attitudes of breastfeeding by family members,especially husbands,doctors and nurses(x2=9.94,P=0.041;x2=20.5,P<0.01;χ2=20.27,P=0.027;χ2=12,P<0.01;χ2=26.28,P<0.01;χ2=9.94,P=0.041;χ2=9.94,P=0.041;χ2=9.94,P=0.041;χ2=9.94,P=0.041).4.Logistic regression analysis showed that educational background,five tests of hepatitis B,whether support breast-feeding by herself,whether doctors support breast-feeding,whether nurses support breast-feeding were the factors affecting breast-feeding in the first month.Educational background,support for breastfeeding by nurses,doctors and herself are protective factors of breastfeeding.Three big positive of hepatitis B is a risk factor of breastfeeding.5.The main reason why hepatitis B mothers choose artificial feeding directly is that they are unwilling to breastfeed(66.7%)or their families oppose it(14.9%).The main reason for mixed feeding within 6 months was insufficient milk(70.4%).About 22.2%of hepatitis B mothers thought that they could not feed their babies after work and chose to add dairy substitutes.Conclusions1.Breast-feeding rate of mother-to-child hepatitis B interruption infants is low,far from meeting the requirements of China’s child development outline.2.High education of HBV mothers,support for breastfeeding by nurses,doctors and herself are protective factors of breastfeeding,and can can increase breastfeeding rate of HBV mothers.Three big positive of hepatitis B will reduce the breastfeeding rate of hepatitis B women.3.Their unwillingness to breastfeed is the main reason why hepatitis B mothers choose artificial feeding.Lactation deficiency is the main reason why hepatitis B mothers change from breastfeeding to mixed feeding.