Antenatal breastfeeding education (ANBE) is provided to all pregnant women attending Ministry of Health (MOH) clinics and some private health facilities in Malaysia, in line with the WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI). However, the 6 month exclusive breastfeeding prevalence remains relatively low in Malaysia, suggesting that there may be a gap between what is currently taught and what is received by the women. To determine how women perceived their ANBE experience in the first 8 weeks postpartum including what was useful and what they would like to have been included, sources of ANBE and infant feeding practices at the time of survey. Women during their first 8 weeks postpartum who attended MOH clinics in Penang State, Malaysia were surveyed using a self-administered questionnaire in April and May 2015. Categorical responses were presented as numbers and proportions while free text responses were compiled verbatim and categorised into themes. The perceptions of primiparous and multiparous women were compared. Multivariate logistic regression adjusted to known confounders was used to determine if ANBE was associated with exclusive breastfeeding at the time of survey. A total of 421 women completed the 15-item questionnaire (84% response rate) of which 282 were complete and available for analysis. Of these, 95% had received ANBE, majority (88%) from MOH clinics. Almost all women found it useful. However, there were areas both in the delivery (e.g. too short) and the content (e.g. nothing new) that were described as not useful; and areas they would like more coverage (e.g. milk expression, storage and overcoming low milk supply). The exclusive breastfeeding prevalence at the time of survey was 61%. ANBE was significantly associated with exclusive breastfeeding even after adjusting for confounders (adjusted odds ratio [aOR] 8.1, 95% confidence interval 1.7, 38.3). ANBE is widely implemented and perceived as useful and may be associated with exclusive breastfeeding. Our findings give insight into content that women would like more of and how delivery of ANBE could be improved, including individualized sessions and communicating at a suitable level and language. Future studies could focus on the quality of ANBE delivery.

中文翻译：

---

产后妇女对产前母乳喂养教育的看法：描述性调查

根据世卫组织/联合国儿童基金会爱婴医院倡议 (BFHI)，向所有在马来西亚卫生部 (MOH) 诊所和一些私人医疗机构就诊的孕妇提供产前母乳喂养教育 (ANBE)。然而，马来西亚 6 个月纯母乳喂养的流行率仍然相对较低，这表明目前教授的内容与妇女所接受的内容之间可能存在差距。为确定女性在产后前 8 周如何看待她们的 ANBE 体验，包括哪些有用以及她们希望包含哪些内容、ANBE 来源和调查时的婴儿喂养实践。2015 年 4 月和 5 月，在马来西亚槟城州 MOH 诊所就诊的产后前 8 周妇女接受了自我管理问卷调查。分类响应以数字和比例呈现，而自由文本响应则逐字编译并分类为主题。比较了初产妇女和经产妇女的看法。使用根据已知混杂因素调整的多变量逻辑回归来确定调查时 ANBE 是否与纯母乳喂养相关。共有 421 名女性完成了 15 项问卷（84% 的回复率），其中 282 名已完成并可供分析。其中，95% 的人接受了 ANBE，其中大部分 (88%) 来自 MOH 诊所。几乎所有女性都发现它很有用。然而，在交付（例如太短）和内容（例如没有新东西）方面都被描述为无用；以及他们想要更多覆盖的领域（例如挤奶、储存和克服牛奶供应不足的问题）。调查时纯母乳喂养的流行率为 61%。即使在调整了混杂因素后，ANBE 仍与纯母乳喂养显着相关（调整后的优势比 [aOR] 8.1，95% 置信区间 1.7、38.3）。ANBE 被广泛实施并被认为是有用的，并且可能与纯母乳喂养有关。我们的研究结果深入了解了女性更喜欢的内容以及如何改进 ANBE 的实施，包括个性化的会议以及以合适的水平和语言进行交流。未来的研究可以集中在 ANBE 交付的质量上。ANBE 被广泛实施并被认为是有用的，并且可能与纯母乳喂养有关。我们的研究结果深入了解了女性更喜欢的内容以及如何改进 ANBE 的实施，包括个性化的会议以及以合适的水平和语言进行交流。未来的研究可以集中在 ANBE 交付的质量上。ANBE 被广泛实施并被认为是有用的，并且可能与纯母乳喂养有关。我们的研究结果深入了解了女性更喜欢的内容以及如何改进 ANBE 的实施，包括个性化的会议以及以合适的水平和语言进行交流。未来的研究可以集中在 ANBE 交付的质量上。