母乳育児を支援するプライマリーケア介入:米国予防サービスタスクフォースの最新証拠報告と体系的レビュー
Carrie D Patnode1, Michelle L Henninger1, Caitlyn A Senger1
1Kaiser Permanente Research Affiliates Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
JAMA
|October 27, 2016
まとめ
授乳支援の介入により 授乳のみの割合が増加します システムレベルでの介入と 母親の健康への影響について より多くの研究が必要です
科学分野:
- 公衆衛生
- 証拠 に 基づく 医学
- 母親と子供の健康
背景:
- 米国では乳幼児の授乳開始率が高く,授乳のみが6ヶ月で実施される割合は低い.
- 専門組織は,約6ヶ月間,母乳のみを授乳することを推奨しています.
研究 の 目的:
- 授乳介入の利益と害に関する証拠を体系的に検討する.
- 推奨事項を更新する米国予防サービスタスクフォースを支援する.
主な方法:
- ランダム化臨床試験と前後試験の体系的レビュー
- 複数のデータベース (MEDLINE,PubMedなど) で検索 2008年から2016年にかけての英語教育について
- 乳児の初等保健に関する介入を評価した52件の研究 (66,757人の参加者) が含まれた.
主要な成果:
- 個別レベルの母乳育児の介入は,様々な期間における母乳のみの授乳率の増加と関連していました.
- 授乳率は14. 1%から18. 4%まで増加した.
- 哺乳開始と有意な関連は見つかりませんでした. システムレベルの介入と害に関する証拠は限られています.
結論:
- 最新の証拠は 母乳育児支援の介入が 母乳育児率を高めることを確認しています
- システムレベルの介入が母乳育児と子供の健康に与える影響については,さらなる研究が必要である.
- 母親の健康への影響と介入の害に関する証拠は限られている.
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