Mothers’ satisfaction with breastfeeding is important for breastfeeding duration but rarely investigated in mothers of preterm infants. The aim of this study was to describe breastfeeding satisfaction and associated factors during the first year in mothers of preterm infants (gestational age < 37 weeks). This longitudinal cohort study, based on secondary analysis data from a randomized controlled trial, included 493 mothers of 547 preterm infants. Data on breastfeeding duration and satisfaction, parental stress and attachment were collected at 8 weeks post discharge, and at 6 and 12 months after birth. Breastfeeding satisfaction was measured by the Maternal Breastfeeding Evaluation Scale. Descriptive statistics and linear mixed effect models were used when analyzing the data. During the first 12 months breastfeeding satisfaction increased in the mean summary scores and points in the dimensions “role attainment” and “lifestyle and maternal body image”. In the dimension “infant growth and satisfaction”, there was an increase in mean points from 6 to 12 months after birth, but not between 8 weeks after discharge and 12 months after birth. The findings also showed that partial and no breastfeeding, higher parental stress, and infant gestational age < 32 weeks were associated with decreased breastfeeding satisfaction. Older maternal age and greater maternal attachment were associated with increased maternal breastfeeding satisfaction. There were no associations between maternal breastfeeding satisfaction and maternal educational level, parity, multiple birth, or maternal birth country other than Sweden, during the first 12 months after birth. Breastfeeding satisfaction was clearly associated with breastfeeding duration during the first year after birth. Breastfeeding satisfaction may be important to take into account when supporting breastfeeding and when designing interventions to support breastfeeding. Furthermore, these findings highlight the complexity of breastfeeding and emphasize the need for early and good support during neonatal care, so that mothers feel trust in themselves and their infant and in exclusive breastfeeding at discharge and in the first months thereafter. The randomized controlled trial was registered NCT01806480 with www.clinicaltrials.gov on 2013-03-07.

中文翻译：

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出院后母乳喂养的满意度和相关因素——一项针对早产儿母亲的纵向队列研究

母亲对母乳喂养的满意度对母乳喂养持续时间很重要，但很少在早产儿母亲中进行调查。本研究的目的是描述早产儿（胎龄 < 37 周）母亲在第一年的母乳喂养满意度和相关因素。这项纵向队列研究基于随机对照试验的二级分析数据，包括 547 名早产儿的 493 名母亲。在出院后 8 周以及出生后 6 个月和 12 个月收集有关母乳喂养持续时间和满意度、父母压力和依恋的数据。母乳喂养满意度是通过母亲母乳喂养评估量表来衡量的。分析数据时使用了描述性统计和线性混合效应模型。在前 12 个月内，母乳喂养满意度在“角色成就”和“生活方式和母亲身体形象”维度的平均总结得分和分数上有所增加。在“婴儿成长和满意度”维度中，平均分从出生后 6 个月到 12 个月有增加，但在出院后 8 周到出生后 12 个月之间没有增加。研究结果还表明，部分母乳喂养和不母乳喂养、父母压力较大以及婴儿胎龄 < 32 周与母乳喂养满意度降低有关。母亲年龄越大，母亲依恋程度越高，母亲母乳喂养的满意度越高。母亲母乳喂养满意度与母亲教育水平、产次、多胞胎或瑞典以外的母亲出生国家之间没有关联，在出生后的前 12 个月内。母乳喂养的满意度与出生后第一年的母乳喂养持续时间明显相关。在支持母乳喂养和设计支持母乳喂养的干预措施时，要考虑母乳喂养的满意度可能很重要。此外，这些发现强调了母乳喂养的复杂性，并强调在新生儿护理期间需要早期和良好的支持，以便母亲在出院时和之后的头几个月对自己和婴儿以及纯母乳喂养感到信任。随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 注册为 NCT01806480。在支持母乳喂养和设计支持母乳喂养的干预措施时，要考虑母乳喂养的满意度可能很重要。此外，这些发现强调了母乳喂养的复杂性，并强调在新生儿护理期间需要早期和良好的支持，以便母亲在出院时和之后的头几个月对自己和婴儿以及纯母乳喂养感到信任。随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 注册为 NCT01806480。在支持母乳喂养和设计支持母乳喂养的干预措施时，要考虑母乳喂养的满意度可能很重要。此外，这些发现强调了母乳喂养的复杂性，并强调在新生儿护理期间需要早期和良好的支持，以便母亲在出院时和之后的头几个月对自己和婴儿以及纯母乳喂养感到信任。随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 注册为 NCT01806480。以便母亲在出院时和之后的头几个月对自己和婴儿以及纯母乳喂养感到信任。随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 注册为 NCT01806480。以便母亲在出院时和之后的头几个月对自己和婴儿以及纯母乳喂养感到信任。随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 注册为 NCT01806480。