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研究生:陳琇麗
研究生(外文):CHEN,HSIU-LI
論文名稱:產後六個月內純母乳哺育影響因素之探討-以台灣地區母嬰親善醫療院所生產婦女為例
論文名稱(外文):Factors associated with exclusive breastfeeding at six months postpartum:women delivered at the baby-friendly hospitals in Taiwan
指導教授:盧玉嬴盧玉嬴引用關係
指導教授(外文):LU,YU-YING
口試委員:郭素珍劉介宇
口試委員(外文):GUO,SU-CHENLIU,CHIEH-YU
口試日期:2018-01-24
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:助產及婦女健康照護系護理助產研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:86
中文關鍵詞:產後婦女母嬰親善醫療院所母乳哺育率母乳哺育信心
外文關鍵詞:Postpartum womenBaby-friendly hospitalBreastfeeding rateMaternal self-confidence
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中文摘要
目的:
本研究旨在探討於母嬰親善醫療認證醫療院所生產婦女於產後6個月內持續純母乳哺育的情形,以及探討不同社會人口因素、生產相關因素、母嬰親善政策及母乳哺育信心對於產後婦女在住院期間、出院後1、2、4、6個月內純母乳哺育的影響,作為未來提供護產人員協助產後婦女維持純母乳哺育及醫療照護機構推廣產婦持續母乳哺育政策的參考。
研究方法:
本研究採次級資料分析研究法(secondary data research analysis),運用國立臺北護理健康大學盧玉嬴助理教授在2013年6月至2014年3月進行之國民健康署承辦計劃案研究「母嬰親善醫療院所實施主動式出院後電話諮商對產婦持續哺育母乳之有效性探討」(採購案號:C1011014-102)之收集的資料庫進行次級資料分析。原始研究調查為實驗性研究,本研究採用控制組的統計數據進行次級資料分析,計劃案研究中共收取8家親善醫療院所內生產,符合收案條件、意願參與之產婦,共942位進入該研究(實驗組:472位及控制組:470位),此研究使用470位控制組的資料為研究對象,進行次級資料分析。
研究對象為:足月單胞胎生產產婦、生產週數≧37週、新生兒出生體重≧2500公克、無任何嚴重影響母乳哺育之新生兒或產後合併症,經研究人員說明研究目的取得研究對象同意後,使用隨機分派方式將研究對象分至實驗組及控制組,透過結構式問卷採電話方式收集研究對象於住院期間、出院後一個月、二個月、四個月、六個月內純母乳哺育情形。本研究資料以SPSS 22.0版,進行資料建檔、描述性統計及推論性統計分析,基本人口學資料部分以敘述性統計分析,以t-檢定檢測(控制變項為連續變項尺度者)、卡方檢定(控制變項為非連續變項尺度者)兩組資料的差異性進行資料分析。
研究結果:
研究結果顯示,產後1個月、產後2個月、產後4個月、產後6個月之純母乳哺育的比例,分別為40.7%、33.5%、29.2%、16.4%。結果指出,產後6個月內與純母乳哺育率顯著相關的影響因素包括:在產後1個月有教育程度、家庭月收入、住院期間母乳哺育方式及自覺母乳哺育信心分數;產後2個月有醫療體系(醫院與診所)差異、教育程度、家庭月收入、住院期間母乳哺育方式、產前接受母乳哺育指導及自覺母乳哺育信心分數;產後4個月有醫療體系、教育程度、住院期間母乳哺育方式及自覺母乳哺育信心分數;產後6個月有教育程度、住院期間母乳哺育方式及住院期間感受醫療人員母乳支持程度。
結論與建議:
臺灣地區產後婦女六個月內之純母乳哺育率仍有待持續推動之必要性,針對本研究主要發現提出建議的措施包括:落實產前哺乳教育,住院期間親子同室執行,鼓勵家人支持母乳哺育、提供促進母乳哺育自我效能之介入措施,並針對教育程度及家庭收入低、非於地區醫院以上生產之婦女族群,加強出院後居家社區資源與轉介服務以提升純母乳率。
關鍵字:
產後婦女、母嬰親善醫療院所、母乳哺育率、母乳哺育信心

Abstract
Purpose:The aim of this study are to discuss factors that influenced women who delivered in a breastfeeding friendly hospital to continue breastfeeding at least for 6 months, and investigate the different factors (that include the different social sectors, peripartum events, breastfeeding policies and confidence levels) among lactating mothers that prompt them to continue breastfeeding during hospitalization, 1, 2, 4, and 6 months after delivery. The results can then serve as a reference guide to obstetrical medico-nursing members in encourage and assist postpartum women to continue breastfeeding; and help administrators to formulate policies towards this aspect.
Methods:The study, utilizing the 2013 to 2014 database in National Health Agency sponsored National Taipei University of Nursing and Health Science assistant professor Yu-Ying Lu's 'Evaluation of the effectiveness of telephone consultation on continuing breastfeeding by mothers who delivered in breastfeeding friendly institutions using telephone consultation' research paper, for secondary data.
The previous survey study is experimental in nature, while this research is a case control study. It involved 8 breastfeeding friendly institutions and included a total of 942 subjects (470 in the control group and 472 in the study group).
This research subjects included mothers with singletons, who carried their pregnancy to term (> 37 weeks), and delivered babies with birth weight > 2500gm with no peripartum complication nor infants with conditions where breastfeeding is impossible. These subjects have fully understood the objectives of this study, signed consent form to be enrolled thereof, be assigned randomly to either study or control group and be asked to complete structured questionnaires by telephone while still confined in delivery institutions, 1, 2, 4 and 6 months after discharge.
All data had been computed with SPSS version 22.0 utilizing descriptive analysis for demography, inferential analysis, t-test for controlled variables used as continuous variable, and chi-square when controlled variables are used as discontinuous variables.
Results:Results showed that the breastfeeding rate for first month, second month, fourth month and sixth month after delivery are 40.7%, 33.5%, 29.2% and 16.4%. Factors that show statistical significant relationship between breastfeeding rate and breastfeeding less than 6 months after delivery included : (1) for 1st month postpartum, educational level attained, family income, mode of milk feeding during admission and self confidence towards breastfeeding; (2) for 2nd month, differences in institution where subjects delivered (hospitals vs. maternity clinics), educational attainment, family income, mode of breastfeeding while admitted, prenatal education regarding breastfeeding and maternal self confidence toward breastfeeding; (3) for 4th month, institutional differences, educational attainment, mode of milk feeding during admission and maternal self confidence; (4) for 6th month, educational attainment, mode of milk feeding during admission and support from medico-nursing team.
Conclusion And Recommendation:There is a need to continue promoting the importance of continuous pure breastfeeding during the first 6 months after delivery in Taiwan. Based on the result of this study, we recommend: (1) offering prenatal education regarding breastfeeding; (2) offering chance for “rooming in” during admission; (3) encouraging more family support towards breastfeeding; (4)introducing better breastfeeding interventions; (5) strengthening home services and referral system for those with low educational level and indigent families and those who delivered in maternity clinics to help promote breastfeeding.
KeyWords: Postpartum women、Baby-friendly hospital、Breastfeeding rate、Maternal self-confidence.

目錄
致謝…………………………………………………………………… Ⅰ
中文摘要………………………………………………………… Ⅱ-Ⅲ
英文摘要…………………………………………………………………… Ⅳ-Ⅴ
目錄……………………………………………………………… Ⅵ-Ⅷ
圖目錄………………………………………………………………… Ⅸ
表目錄………………………………………………………………… Ⅹ
第一章 緒論…………………………………………………………… 1
第一節 研究動機及重要性……………………………………… 1
第二節 研究目的………………………………………………… 4
第三節 研究問題………………………………………………… 4
第四節 研究假設………………………………………………… 4
第五節 名詞解釋………………………………………………… 5
第二章 文獻探討……………………………………………………… 6
第一節 母乳的重要性與好處…………………………………… 6
第二節 母乳哺育現況……………………………………………12
第三節 影響純母乳哺育的相關因素……………………………15
第三章 研究方法………………………………………………………24
第一節 研究概念架構……………………………………………24
第二節 研究設計…………………………………………………25
第三節 研究對象…………………………………………………25
第四節 研究工具…………………………………………………26
第五節 研究步驟…………………………………………………27
第六節 資料統計與分析方法……………………………………28
第七節 研究倫理…………………………………………………29
第四章 研究結果………………………………………………………31
第一節 研究對象於人口學、產科因素、醫療環境因素之分佈狀
況…………………………………………………………31
第二節 研究對象於住院期間自覺母乳哺育信心的程度………34
第三節 研究對象於住院期間、產後1、2、4、6個月母乳哺育
方式之變化情形…………………………………………36
第四節 研究對象於人口學、產科因素、醫療環境因素與住院期
間自覺母乳哺育信心之差異性檢 …………………… 38
第五節 研究對象於人口學、產科因素、醫療環境因素、自覺母
乳哺育信心與產後1、2、4、6個月哺育母乳率之差異
檢定分析…………………………………………………41
第五章 討論……………………………………………………………53
第一節 母乳哺育的趨勢變化……………………………………53
第二節 產後6個月內與持續哺乳的相關影響因素………… 56
第六章 結論、建議及研究限制…………………………………… 63
第一節 結論…………………………………………………… 63
第二節 應用建議及研究限制………………………………… 64
參考資料……………………………………………………………… 66
中文部分………………………………………………………… 66
西文部分………………………………………………………… 70
附件…………………………………………………………………… 80
附件一…………………………………………………………… 81
附件二…………………………………………………………… 83
附件三…………………………………………………………… 85


參考資料
一、中文部分
王淑芳(2013).母乳哺育諮詢門診成效探討.助產雜誌,55,28-36。
王雅婷、王秀禾、吳素錦、鄭于芳、廖紋玲(2014).產婦選擇哺餵方式及其
相關因素之探討.若瑟醫護雜誌,8(1),5-16。
朱桂慧、戴承杰、簡莉盈(2005).住院期間母乳哺餵率與醫療機構因子的相
關性·護理雜誌,52(6),40-47.doi: 10.6224/JN.52.6.40
行政院衛生署國民健康局(2011,無日期).母乳哺育率及其相關影響因素探
討研究三年計畫報告.2012年10月22日取自
http://www.bhp.doh.gov.tw/breastfeeding/02qna_01.htm
李鳳雪 (2007).初產婦母乳哺餵行為及相關因素之探討.未發表碩士論文,台
北:國立台北護理學院醫護教育研究所。
李鳳雪、王國明、高毓秀(2012).初產婦背景因素對母乳哺餵經驗與自我效
能之影響.助產雜誌,54,56-67。
何惠娟(2009).影響產婦住院期間實施親子同室支相關因素探討.未發表碩
士論文,台北:國立台北護理學院護理助產研究所。
林玥礽(2009).母嬰親善醫院對產婦哺餵方式影響相關因素探討-以某區域教
學醫院為例.未發表的碩士論文,雲林:國立雲林科技大學健康產業管理研究所。
林秀珍、陳美玉、廖美南、蘇淑芳(2002).母乳哺餵作業改善.新台北護理
期刊,4 (1),115-126。doi:10.6540/NTJN.2002.1.010。
林桂美(2008).母嬰親善措施與台灣地區母乳哺育之相關性.未發表碩士論文
,台北:國立台北護理學院護理助產研究所。
林雯瑤(2012).國家教育研究院雙語詞彙、學術名詞暨辭書資訊網·圖書館學
與資訊科學大辭典(106,5月25日).橫斷面研究.取自
http://terms.naer.edu.tw/detail/1678832/
洪秋萍(1997).探討衛教手冊與電話訪談對母乳哺餵知識、態度及母乳哺餵
期的影響.高雄醫學院護理學研究所碩士論文,未出版,高雄市。
施靜儀(2007).台灣地區已婚婦女哺育嬰兒之方式及其相關因素研究.未發
表的碩士論文,台中:亞洲大學健康管理研究所。
胡蓮珍、曾雅玲 (2015).支持策略對哺餵母乳之成效-系統性文獻回顧.澄清
醫護管理雜誌,11(1),56-63。
高美華、林育靜、陳治平(2012).周產期母乳措施對住院期間純母乳哺餵方
式之成效.助產雜誌,54,P44 - 55。
涂嘉玲(2016).比較不同坐月子地點之產後婦女母育信心與壓力知覺之差異性
探討.未發表碩士論文,台北:國立台北護理學院護理助產研究所。
郭素珍、高美玲、高千惠、鄭博仁、林寬佳、吳祥鳳(2006).94年度促進民
眾健康照護品質計劃—婦女接受生產實務之評估及改進(行政院衛生署
研究計劃編號: DOH-94-NH-10).台北:行政院衛生署。
陳素娟(2011).衛生單位女性員工於職場持續哺餵母乳的相關因素與其預測
因子.高雄醫學大學護理學研究所碩士論文,未出版,高雄市。
陳淑娟 (2004).比較職業婦女與家庭主婦的哺餵型態、知識、態度及其相關因
素.未發表碩士論文,台北:國立台北護理學院護理研究所。
陳琇麗、楊如玉(2012 )‧產後六個月持續純母乳哺餵之改善方案‧領導護理,
13(4),91–102。
許淳森、高美玲、陳昭惠(2002).九十一年度台灣地區醫療院所母嬰親善醫
院評鑑結果分析報告.衛生署國民健康局。
詹佳樺(2011).探討產後持續六個月母乳哺餵之相關因子研究.陽明大學臨
床暨社區護理研究所,未出版,台北市。
董旭英、黃儀捐(2000).次級資料研究法.臺北:弘智出版。
愛嬰醫院香港協會(2017).母乳餵哺的好處·取自
https://www.babyfriendly.org.hk/zh/benefits-of-breastfeeding-zh/
廖茂宏、林羡咪、湯淑貞、楊文惠、程詩茹、鄧森文(2016).以服務知覺差
異探討母嬰親善措施對產婦純母乳哺育意向之影響.醫務管理期刊,
17(2),97-114。
蔡至涵(2015).影響母乳哺育持續率相關因素探討.慈濟大學醫學院護理學
系護理研究所碩士論文,未出版,花蓮。
蔡至涵、彭台珠、賴惠玲、王淑芳(2016).執行親子同室的相關因素探討.
榮總護理,33(3),P283 - 292。
劉介宇、洪永泰、莊義利、陳怡如、翁文舜、劉季鑫、梁賡義(2006).台灣
地區鄉鎮市區發展類型應用於大型健康調查抽樣設計之研究.健康管理學
刊,4(1),1-22。
衛生福利部國民健康署(2012).「母乳哺育-掌握過去、規劃未來」~母乳一
指通~·https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1132&pid=2455
衛生福利部國民健康署(2015).母乳哺育率下降,國健署呼籲落實母嬰親
善措施·取自
https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1135&pid=2881
衛生福利部國民健康署(2017).母乳哺育推行現況.取自
https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=506&pid=463
盧玉嬴(2014).母嬰親善醫療院所實施主動式出院後電話諮商對產婦持續
哺育母乳之有效性探討.衛生福利部國民健康署102年度委託計畫成果
報告(C1011014-102)。
鍾淑珍(2003).系統性護理指導對母親哺乳知識、態度及哺乳率影響之探討
(未出版之碩士論文),國立台灣大學醫學院護理研究所,台北市。
戴世娟(2007).影響苗栗縣婦女母乳哺育之相關因素探討 ·苗栗縣衛生局論
文,苗栗。
醫策會評鑑組(2007).2007 年母嬰親善醫療院所認證作業介紹.醫療品質雜
誌,1(5),92-93。
二、西文部分
American Academy of Pediatrics. (2012). Breastfeeding and the use of human milk.
Pediatrics, 129(3), 600 -603 .
Agho, K. E., Dibley, M. J., Odiase, J. I., Ogbonmwan, S. M. (2011). Determinants of
exclusive breastfeeding In Nigeria .BMC Pregnancy and Childbirth, 11(2)
doi:10.1186/1471-2393-11-2
Amitay, E. L., & Keinan-Boker, L. (2015). Breastfeeding and Childhood Leukemia
Incidence: A Meta-anaiysis and Systematic Review. American Medical
Association Pediatrcs , 169(6), e151026. doi
10.1001/jamapediatrics.2015.1025
Arwa,.M.H., Shafei,E. and John,R.L .(2014).Determinants of Exclusive Breastfeeding
and Introduction of Complementary foods in Rural Egyptian Communities. Glob
Journal Health Sci. ,6(4),236–244. doi: 10.5539/gjhs.v6n4p236
Asemahagn, M. A. (2016). Determinants of exclusive breastfeeding practices among
mothers in azezo district, northwest Ethiopia, International Breastfeeding
Journal, 11(22)
Asfaw, M. M., Argaw, M. D. & Kefene, Z. K. (2015). Factors Associated with
Exclusive Breastfeeding Practice in Debre Berhan District, Central Ethiopia.
International Breastfeeding Journal, 10(23), 1-9. doi: 10.1186/s13006-015-
0049-2. eCollection 2015.
Assarian, F., Moravveji, A., Ghaffarian, H., Eslamian, R., Atoof, F. (2014). The
association of postpartum maternal mental health with breastfeeding status of
mothers: a case-control study. Iranian Red Crescent Medical Journal,
16(3):e14839. doi:10.5812/ircmj.14839.
Babita, Kumar, N., Singh, M., Malik, J. S., & Kalhan, M. (2014). Breastfeeding
reduces breast cancer risk: a case-control study in north India.
International Journal of Preventive Medicine, 5(6), 791-795.
Badr, L. K. (2005). Further psychometric testing and use of the maternal confidence
questionnaire.Issues in Comprehensive Pediatric Nursing, 28(3), 163-174.
Barton, S. J. (2001). Infant feeding practices of low-income rural mother. American
Joumal of Maternal Child Nursng, 26(2), 93-97.
Biancuzzo, M. (2003). Factors influencing successful Breastfeeding.In
M.Biancuzzo Breastfeeding,(Ed.), Breastfeeding the newborn:Clinical
strategies for Nurses,2,35-52.St Louis,MO:Mosby.
Bilenko, M. D., Ghosh, R., Levy, A., Deckelbaum, R. J.,& Fraser, D. (2008). Partial
breastfeeding protects Bedouin infants from infection and morbidity:
prospective cohort study. Asia Pacific Journal of Clinical Nutrition, 17
(2): 243-249
Binns, C.W., & Lee, M . K. (2014). Exclusive breastfeeding for six months : the
WHO six months recommendation in the Asia Pacific Region. Asia Pacific
Journal of Clinical Nutrition, 23(3) , 344-350.
Blyth, R., Creedy, D. K.,Dennis, C. L., Moyle,W.,Pratt,J.,&De Vries,S.M(2002).Effect
of maternal confidence on breastfeeding duration:An application of breastfeeding
self-efficacy theory Brith,29(4),278-284.
Brandt, K. A., Andrews, C. M., & Kvale, J. (1998). Mother-infant interaction and
breastfeeding outcome 6 weeks after birth. Journal of Obstetric, Gynecologic, &
Neonatal Nursing, 27(2), 169-174.
Brown, C. R., Dodds, L., Attenborough, R., Bryanton, J., Rose, A. E., Flowerdew, G.,
Langille, D., Lauzon, L., Semenic, S. (2013). Rates and determinants of
exclusive breastfeeding in first 6 months among women in Nova Scotia: a
population based cohort study. Canadian Medical Association Journal Open1 (1) E9-E17.
Burns, N., & Grove, S. K. (1993). The practice of nursing research: conduct, critique,
and utilization (2nd ed.). MI: Saunders.
Chezem, J., C., Feiesen, C. & Bottcher, J. (2003). Breastfeeding Knowledge,
breastfeeding confidence,and Infant feeding plans:Effects on actual
feeding practices.Journal of Obstetric,Gynecologic,and Neonatal
Nursing, 32,40-47.
Chiou, S. T., Chen, L. C., Yeh, H., Wu, S. R., & Chien, L. Y. (2014). Early
skin-to-skin contact, rooming-in, and breastfeeding: Acomparison of the
2004 and 2011 nationalsurveys in Taiwan. Birth, 41(1), 33-38.
doi:10.1111/birt.12090
Cope, M. B., Allison, D. B. (2008). Critical review of the World Health Organization's
(WHO) 2007 report on 'evidence of the long-term effects of breastfeeding:
systematic reviews and meta-analysis' with respect to obesity. Obesity
Reviews, 9(6): 594-605. doi: 10.1111/j.1467-789X.2008.00504.x.
Cottaneo,A.E.,& Buzzetti,R.(2001).Effect on rates of breast feeding of training for
Baby Friendly Hospital Initiative.British Medical Journal,323 (7325),1358-1362.
Dennis, C. L. (2003). The breastfeeding self-efficacy scale:Psychometric assessment
of the short form.Journal of Obstetric,Gynecologic,& Neonatal
Nursing, 32(6), 734-744.
El-Shafei, A. M., Labib, J. R. (2014). Determinants of Exclusive Breastfeeding
And Introduction of Complementary foods in Rural Egyptian Communities.
Global Journal of Health Science, 6(4), 236–244. doi:
10.5539/gjhs.v6n4p236
Fox, R., McMullen, S., & Newburn, M. (2015). UK women's experiences of
breastfeeding and additional breastfeeding support: A qualitative study of
baby cafe services. BioMed Central Pregnancy Childbirth, 15(147), 1-12.
doi: 10.1186/s12884-0150581-5
Fulhan, J., Collier, S., & Duggan, C. (2003). Update on pediatric
nutriation:Breastfeeding, infant nurtrition,and growth.Current Opinion in
Pediatric, 15(3), 323-332.
Gdalevich, M., Mimouni, D., Mimouni, M. (2001). Breast-feeding and the risk of
bronchial asthma in childhood: A systematic review with meta-analysis of
rospective studies. Journal of Pediatrics, 139(2): 261-6
Healthy people 2020. (2017,nd.). 2020 objectives of increase the proportion of infants
who are breastfed. Retrieved fromhttp:www.healthypeople.gov/2020/topics-
objectives/topic/maternal-infant-and-child-health/objectives.
Heck,K.E.,Schoendorf,K.C.,Chavez,G.F.,& Braveman,P.(2003).Does postpartum
length of stay affect breastfeeding duration?A population-based study.Birth
Issues in Perinata Care,30(3),153-159.
Hoyer ,S., Horvat ,L.(2000).Successful breast-feeding as a result of a health
Education programme for mothers . Journal Advanced Nursing,32(5),1158-67.
Jara-Palacios, M. A., Cornejo, A. C., Pelaez, G. A., Verdesoto, J. Galvis, A. A. (2015).
Prevalence and determinants of exclusive breastfeeding among adolescent
mothers from Quito,Ecuador: a cross-sectional study.International Breastfeeding
Journal, 10:33 DOI: 10.1186/s13006-015-0058-1
Klement, E., Cohen, R.V., Boxman, J., Joseph, A., Reif, S. (2004). Breastfeeding and
Risk of inflammatory bowel disease: a systematic review with meta-
analysis, American Journal of Clinical Nutrition, 80(5): 1342-52.
Kogan, M. D., Singh, G. K., Dee, D. L., Belanoff, C., Grummer-Strawn, L. M. (2008).
Multivariate analysis of state variation in breastfeeding rates in the United
States. American journal of public health, 98(10): 1872-80. doi:
10.2105/AJPH.2007.127118.Epub 2008Aug 13.
Ko, Y. L. (2002). Applying social marketing to promote breastfeeding.The Journal of
Nursing, 49, 70-74 (in Chineses).
Kramer, M. S., Kakuma, R. (2012). Optimal duration of exclusive
breastfeeding(review). Cochrane Database System Review.
15(8):CD003517. doi: 10.1002/14651858.CD003517.pub2
Kroeger, M., Smith, L. J. (2004). Impact of Birthing Practices on Breastfeeding:
Protecting the Mother and Baby Continuum. Sudbury, Massachusetts: Jones and
Bartlett Publishers, 2003: pp. 197-8. (ISBN 0-7637-2481-5)
Lau, Y., Htun, T. P., Tam, W. S., Klainin-Yobas, P. (2016). Efficacy of e-technologies
In improving breastfeeding outcomes among perinatal women: a meta-
analysis.Maternal & Child Nutrition, 12(3): 381-401. (21p)
Lenja, A., Demissie, T., Yohannes, B., Yohannis, M. (2016). Determinants of
Exclusive breastfeeding practice to infants aged less than six months in Offa
district, Southern Ethiopia: a cross-sectional study.International Breastfeeding
Journal, 11(32) DOI: 10.1186/s13006-016-0091-8
Lin, J.R., Tzeng, M.S., Kao, M.D., Yang, Y.H., Pan, W.(2011). Practice to introduce
complementary foods to infants in Taiwan- changes from 1997 to 2008.
Asia Pacific Journal of Clinical Nutrition, 20(2): 337-345.
Machado,M.C., Assis, K.F., Oliveira, F.C., Ribeiro,A.Q., Araujo, R.M., Cury, A.F.,
Priore, S.E.,Franceschini, S.C.(2014). Determinants of the exclusive
Breastfeeding abandonment- NCBIhttps://www.ncbi.nlm.nih.gov/pubmed/26039402 –
Rev Saude Publica.,48(6): 985–994.doi:10.1590/S0034-8910.2014048005340
Ma, H., Bernstein, L., Pike, M. C., & Ursin, G. (2006). Reproductive factors and
breast cancer risk according to joint estrogen and progesterone receptor
status: a meta-analysis of epidemiological studies. Breast Cancer Research,
8(4), R43. Doi:10.1186/bcr1525
Matias, S. L., Nommsen-Rivers, L. A., Dewey, K. G. (2012). Determinants of
Exclusive breastfeeding in a cohort of primiparous periurban peruvian mothers.
Journal of Human Lactation, 28(1): 45-54.
Martin, R. M., Kramer, M. S., Patel, R., Rifas-Shiman, S.L., Thompson, J., Yang, S.,
Vilchuck, K., Bogdanovich, N., Hameza, M., Tilling, K., Oken, E. (2017).
Effects of Promoting Long-term, Exclusive Breastfeeding on Adolescent
Adiposity, Blood Pressure, and Growth Trajectories: A Secondary Analysis
of a Randomized Clinical Trial. American Medical Association
Pediatrcs, 1(5): e170698. doi: 10.1001/
Meyer, D. E., & de Oliverira, D. L. (2003). Breastfeeding policies and the production
of motherhood :A historical-cultural approach. Nursing Inquiry, 10(1), 11-18.
Mikiel-Kostyra, K., Mazur, J., & Boltruszko, I. (2002). Effect of early skin-to-skin
contact after delivery on duration of breastfeeding:A prospective cohort
study.Acta Paediatrica, 91(12), 1301-1306.
Mulusew .A.A.(2016). Determinants of exclusive breastfeeding practices among
mothers in azezo district, northwest Ethiopia, International Breastfeeding
Journal ,11(22).
National Health Service,NHS (2017). Benefits of breastfeeding
http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/benefits-breastfeeding.aspx
Ogbo, F. A., Eastwood, J., Page, A., Arora, McKenzie, A., Jalaludin, B., Tennant, E.,
Miller, E., Kohlhoff, J., Noble, J., Chaves, K., Jones, J.M., Smoleniec, J.,
Chay, P., Smith, B., Oei, J. L., Short, K., Collie, L., Kemp, L., Raman, S.,
Woolfenden, S., Clark, T., Blight, V., Eapen, V. (2017). Prevalence and
determinants of cessation of exclusive breastfeeding in the early postnatal
period in Sydney, Australia. International Breastfeeding Journal, 4(
8); 12:16. doi: 10.1186/s13006-017-0110-4.
Oliveira, I. B., Leal, L. P., Coriolano-Marinus, M. W., Santos, A. H., Horta, B. L.,
Pontes, C. M. (2017). Meta-analysis of the effectiveness of educational
interventions For breastfeeding promotion directed to the woman and her social
network.Journal of Advanced Nursing , 73(2): 323-335. (13p)
Onah,S., Osuorah,D., Ebenebe, J., Ezechukwu, C., Ekwochi, U., & Ndukwu, I.
(2014). Infant feeding practices and maternal socio-demographic factors that
Influence practice of exclusive breastfeeding among mothers in Nnewi
South-East Nigeria:a cross-sectional and analytical study. International
BreastfeedingJournal, 9(1), 1-18.
Pechlivani, F., Vassilakou, T., Sarafidou, J., Zachou, T., Anastasiou, C.A., Sidossis,
L.S. (2005). Prevalence and determinants of exclusive breastfeeding during
hospital stay in the area of Athens, Greece. Acta Paediatr, 94(7): 928-34.
Perez-Escamilla, R., Martinez, L., Segura-Perez, S. (2016). Impact of the Baby-
Friendly Hospital Initiative on breastfeeding and child health outcomes: a
systematic review.Matern Child Nutrition, 12(3): 402-17. doi:
10.1111/mcn.12294.
Prior, E., Santhakumaran, S., Gale, C., Philipps, L. H., Modi, N., Hyde, M. J. (2012).
Breastfeeding after cesarean delivery: a systematic review and meta-
Analysis Of world literature. American Journal of Clinical
Nutrition, 95(5): 1113-35. doi:10.3945/ajcn.111.030254.
Rozga, M., Benton, P., Kerver, J., Olson, B. (2014). Determinants of exclusive
breastfeeding cessation in a peer counseling breastfeeding support program
for low-income women (1016.4).The FASEB Journal, 28(1)
Saffari, M., Pakpour, A. H., and Chen, H . (2017). Factors influencing exclusive
breastfeeding among Iranian mothers: A longitudinal population-based
study.Health Promot Perspect, 7(1): 34–41.
Sankar, M. J., Sinha, B., Chowdhury, R., Bhandari, N., Taneja, S., Martines, J., Bahl,
R. (2015). Optimal breastfeeding practices and infant and child mortality: a
systematic review and meta-analysis. Acta Paediatrica, 104(467): 3-13.
(11p)
Scoccianti, C., Key, T. J., Anderson, A. S, Armaroli, P., Berrino, F., Cecchini, M.
, Romieu, I. (2015). European Code against Cancer 4th Edition:Breastfeeding
and cancer.Cancer Epidemiol.doi:10.1016/j.canep.2014.12.007
Sharma, A. J., Dee, D. L., & Harden, S. M. (2014). Adherence to breastfeeding
guidelines and maternal weight 6 years after delivery. Pediatrics, 134 Suppl
1 , S42-49.Epidemiol, 30 (5), 439–449.
Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S.,
Rollins, N., Bahl, R., Bhandari, N. (2015). Interventions to improve
breastfeeding outcomes:a systematic review and meta-analysis. Acta
Paediatr, 104(467): 114-34. doi: 10.1111/apa.13127.
Tampah-Naah, A. M., and Kumi-Kyereme, A., (2013). Determinants of
exclusive breastfeeding among mothers in Ghana: a cross-sectional study.
International Breastfeeding Journal, 8( 13). doi: 10.1186/1746-4358-8-13
Tan, .K.L. (2011). Factors associated with exclusive breastfeeding among infants
under six months of age in peninsular Malaysia. International Breastfeeding
Journal, 6(2), 2-7. doi: 10.1186/1746-4358-6-2
Thomson, J. L., Tussing-Humphrey, L. M., Goodman, M. H., Landry, A. S, Olender
,S. E. (2017) Low rate of initiation and short duration of breastfeeding in a
Maternal and infant home visiting project targeting rural, Southern, African
American women. International Breastfeeding Journal, 12(15).
Thurman, S. E., Allen, P. J. (2008). Integrating lactation consultants into primary
health care services: are lactation consultants affecting breastfeeding success?
Journal of Pediatric Nursing ,34(5): 419-25.
Townsend, S. (1992). The new contraceptive method of breastfeeding.Baby friendly
news.Network, 13(2), 4-9。
UNICEF. (2016). Adopting optimal feeding practices is fundamental to a child’s
survival, growth and development, but too few children benefit . Retrieved
from Research on UNICEF website http://data.unicef.org/nutrition/iycf.htmlVerduci, E., Banderali, G.,
Barberi, S., Radaelli, G., Lops, A., Betti, F., Giovannini, M.
(2014). Epigenetic effects of human breast milk.Nutrients, 6(4),1711-1724.doi:
10.3390/nu6041711
Wang, S. F. & Chen, C. H. (2008). Related factors in using a free breastfeed- ing
Hotline service in Taiwan. Journal of Clinical Nursing, 17(7) , 949-56.
World Health Organization (WHO). (1981). International code of marketing of
breastmilk substitutes. Geneva, Switzerland: Author.
World Alliance for Breastfeeding Action:WABA (2009). World Breastfeeding
Week. CARE's World Breastfeeding Week Activities 2009
Breastfeeding: A Vital Emergency Response. Are you ready? , from
http://www.worldbreastfeedingweek.net/wbw2009/worldwide_09.htm
World Health Organization & The United Nations Children’s Fund. [WHO &
UNICEF] (2009). Baby-friendly hospital initiative: Revised, updated and
expanded for integrated care. Geneva, Switzerland: Author.
World Health Organization. (2011). Exclusive breastfeeding for six months best for
babies everywhere: Author. Retrieved May,01, 2017, from
http://www.who.int/mediacentre/news/statements/2011/breastfeeding_201101
15/en/
World Health Organization. (2013). Up to what age can a baby stay well nourished by
just being breastfed? Retrieved from http://www.who.int/features/qa/21/en/
World Alliance for Breastfeeding Action:WABA (2016) .World Breastfeeding Week
Breastfeeding: A key to Sustainable Development , from
http://worldbreastfeedingweek.org/2016/
World Health Organization. (2017). Global Data Bank on Infant and Young Child
Feedinghttp://www.who.int/nutrition/databases/infantfeeding/countries/usa.
pdf?ua=1World Health Organization. (2017). Global Targets 2025
Breastfeeding http://www.who.int/nutrition/global-target-2025/en/
Yang, B., Chuang, H., & Chen, R. F. (2011). Sialylated galactosides of human milk as
inhibitors of enterovirus 71 and A (H1N1) 2009 influenza infections . Poster
sessionpresented at the First International Conference on the Glycobiology
of Human Milk Oligosaccharides, Tivoli Hotel, Copenhagen, Denmark.
Yalcin, S. S., Berde, A. S., Yalcin, S. (2016). Determinants of Exclusive Breast
Feeding In sub-Saharan Africa: A Multilevel Approach. Paediatr Perinat
Epidemiol, 30(5): 439-49. doi: 10.1111/ppe.12305.
Zhao, J., Zhao, Y., Du, M., Binns, C.W., Lee, A. H. (2017). Maternal education and
breastfeeding practices in China: A systematic review and meta-analysis.
Midwifery, 27(50): 62-71. doi: 10.1016/j.midw.2017.03.011.



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