PDF(Pubmed)
Abstract：
BACKGROUND: We assessed the effect of different obstetric interventions and types of delivery on breastfeeding.
METHODS: A quantitative, cross-sectional study was carried out using an online questionnaire. Data collection was performed in 2021 in Hungary. We included biological mothers who had raised their at least 5-year-old child(ren) at home (N = 2,008). The questionnaire was completed anonymously and voluntarily. In addition to sociodemographic data (age, residence, marital status, education, occupation, income status, number of biological children, and anthropometric questions about the child and the mother), we asked about the interventions used during childbirth, and the different ways of infant feeding used. Statistical analysis was carried out using Microsoft Excel 365 and SPSS 25.0. Descriptive statistics, two-sample t tests, χ2 tests and ANOVA were used to analyse the relationship or differences between the variables (p < 0,05).
RESULTS: We found that in deliveries where synthetic oxytocin was used for both induction and acceleration, there was a higher incidence of emergency cesarean section. However, the occurrence of vaginal deliveries was significantly higher in cases where oxytocin administration was solely for the purpose of accelerating labour (p < 0.001).Mothers who received synthetic oxytocin also received analgesics (p < 0.001). Women giving birth naturally who used oxytocin had a lower success of breastfeeding their newborn in the delivery room (p < 0.001). Children of mothers who received obstetric analgesia had a higher rate of complementary formula feeding (p < 0.001). Newborns born naturally had a higher rate of breastfeeding in the delivery room (p < 0.001) and less formula feeding in the hospital (p < 0.001). Infants who were breastfed in the delivery room were breastfed for longer periods (p < 0.001). Exclusive breastfeeding up to six months was longer for infants born naturally (p = 0.005), but there was no difference in the length of breastfeeding (p = 0.081).
CONCLUSIONS: Obstetric interventions may increase the need for further interventions and have a negative impact on early or successful breastfeeding.
BACKGROUND: Not relevant.
METHODS: A quantitative, cross-sectional study was carried out using an online questionnaire. Data collection was performed in 2021 in Hungary. We included biological mothers who had raised their at least 5-year-old child(ren) at home (N = 2,008). The questionnaire was completed anonymously and voluntarily. In addition to sociodemographic data (age, residence, marital status, education, occupation, income status, number of biological children, and anthropometric questions about the child and the mother), we asked about the interventions used during childbirth, and the different ways of infant feeding used. Statistical analysis was carried out using Microsoft Excel 365 and SPSS 25.0. Descriptive statistics, two-sample t tests, χ2 tests and ANOVA were used to analyse the relationship or differences between the variables (p < 0,05).
RESULTS: We found that in deliveries where synthetic oxytocin was used for both induction and acceleration, there was a higher incidence of emergency cesarean section. However, the occurrence of vaginal deliveries was significantly higher in cases where oxytocin administration was solely for the purpose of accelerating labour (p < 0.001).Mothers who received synthetic oxytocin also received analgesics (p < 0.001). Women giving birth naturally who used oxytocin had a lower success of breastfeeding their newborn in the delivery room (p < 0.001). Children of mothers who received obstetric analgesia had a higher rate of complementary formula feeding (p < 0.001). Newborns born naturally had a higher rate of breastfeeding in the delivery room (p < 0.001) and less formula feeding in the hospital (p < 0.001). Infants who were breastfed in the delivery room were breastfed for longer periods (p < 0.001). Exclusive breastfeeding up to six months was longer for infants born naturally (p = 0.005), but there was no difference in the length of breastfeeding (p = 0.081).
CONCLUSIONS: Obstetric interventions may increase the need for further interventions and have a negative impact on early or successful breastfeeding.
BACKGROUND: Not relevant.
摘要：
背景：我们评估了不同产科干预措施和分娩类型对母乳喂养的影响。
方法：定量，横断面研究使用在线问卷进行.数据收集于2021年在匈牙利进行。我们包括在家中抚养至少5岁孩子的亲生母亲（N=2,008）。问卷是匿名和自愿填写的。除了社会人口统计数据(年龄，residence,婚姻状况,教育,职业,收入状况,亲生孩子的数量，以及关于孩子和母亲的人体测量问题)，我们询问了分娩过程中使用的干预措施，以及婴儿喂养的不同方式。使用MicrosoftExcel365和SPSS25.0进行统计学分析。描述性统计，双样本t检验，χ2检验和方差分析用于分析变量之间的关系或差异(p<0.05)。
结果：我们发现，在合成催产素用于诱导和加速的分娩中，急诊剖宫产的发生率较高。然而,在催产素给药仅仅是为了加速分娩的情况下,阴道分娩的发生率明显较高(p<0.001).接受合成催产素的母亲也接受了镇痛药（p<0.001）。使用催产素自然分娩的妇女在分娩室母乳喂养新生儿的成功率较低（p<0.001）。接受产科镇痛的母亲的孩子具有更高的补充配方喂养率（p<0.001）。自然出生的新生儿在分娩室的母乳喂养率较高（p<0.001），在医院的配方喂养率较低（p<0.001）。在分娩室母乳喂养的婴儿母乳喂养时间更长（p<0.001）。对于自然出生的婴儿，纯母乳喂养长达六个月（p=0.005）。但母乳喂养时间没有差异(p=0.081).
结论：产科干预可能会增加对进一步干预的需求，并对早期或成功母乳喂养产生负面影响。
背景：不相关。
方法：定量，横断面研究使用在线问卷进行.数据收集于2021年在匈牙利进行。我们包括在家中抚养至少5岁孩子的亲生母亲（N=2,008）。问卷是匿名和自愿填写的。除了社会人口统计数据(年龄，residence,婚姻状况,教育,职业,收入状况,亲生孩子的数量，以及关于孩子和母亲的人体测量问题)，我们询问了分娩过程中使用的干预措施，以及婴儿喂养的不同方式。使用MicrosoftExcel365和SPSS25.0进行统计学分析。描述性统计，双样本t检验，χ2检验和方差分析用于分析变量之间的关系或差异(p<0.05)。
结果：我们发现，在合成催产素用于诱导和加速的分娩中，急诊剖宫产的发生率较高。然而,在催产素给药仅仅是为了加速分娩的情况下,阴道分娩的发生率明显较高(p<0.001).接受合成催产素的母亲也接受了镇痛药（p<0.001）。使用催产素自然分娩的妇女在分娩室母乳喂养新生儿的成功率较低（p<0.001）。接受产科镇痛的母亲的孩子具有更高的补充配方喂养率（p<0.001）。自然出生的新生儿在分娩室的母乳喂养率较高（p<0.001），在医院的配方喂养率较低（p<0.001）。在分娩室母乳喂养的婴儿母乳喂养时间更长（p<0.001）。对于自然出生的婴儿，纯母乳喂养长达六个月（p=0.005）。但母乳喂养时间没有差异(p=0.081).
结论：产科干预可能会增加对进一步干预的需求，并对早期或成功母乳喂养产生负面影响。
背景：不相关。
