만성 B형 간염 산모들의 모유수유에 대한 인식조사

Abstract

Purpose: Breastfeeding should be recommended for infants born to mothers with chronic hepatitis B Infection after postexposure prophylaxis. However, high proportion of these mothers are reluctant to engage in breastfeeding in Korea. This survey was taken to identify the cause of that reluctance.

Methods: Questionnaires were given to mothers with chronic hepatitis B infection who were registered at the ’Hepatitis BPerinatal Transmission Prevention Program’ operated by Korea Center for Disease Control and Prevention. They visited a community health center for blood sample collection and signed a consent paper. The questionnaires were sent to the mothers.

Results: Among 839 mailed questionnaires, 114 were returned marked ’address unknown’. The overall reply rate was 17%(n=125). Among responders, 52% (n=62) were breastfeeding and 48% (n=60) were formula-feeding. The most influential factor for breastfeeding was the mother’s own decision (75%) and the obstetrician’s recommendation (17%). For formulafeeding mothers, their decisions were influenced by obstetricians (57%), and by their own thinking (28%). The relationship between breastfeeding and perinatal prophylaxis failure was recognized as 45% ‘related’ and 50% ‘not-related’. A total of 91% of breastfeeding mothers replied that they will breast-feed again. Among formula-feeding mothers, 78% answered that they will breast-feed if they were known that ‘there is no direct relationship between breastfeeding and perinatal prophylaxis failure’.

Conclusion: Despite the fact that there is no direct relationship between breastfeeding and perinatal prophylaxis failure, many were reluctant to breast-feed. Healthcare professionals have influence over the mothers for decision making. It will be necessary to educate healthcare personnel so that they can make a conceptual change as well as to promote the fact to the general public.