妊娠糖尿病の女性の母乳育児を支援する介入:体系的なレビューとメタ解析

Naema Alatawi^1,2, Rowena Ivers¹, Maria Mackay^1,3

¹University of Wollongong, New South Wales, Australia.

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

|February 17, 2026

まとめ

授乳介入は,妊娠糖尿病 (GDM) の女性にとって,母乳のみ授乳およびすべての授乳の割合を大幅に改善します. 教育と支援戦略は,この集団における成功的な母乳育児の結果の鍵です.

科学分野:

産婦人科と産婦人科を担当しています.
公衆衛生は公衆衛生である.
哺乳科学哺乳科学哺乳科学

背景:

妊娠中糖尿病 (GDM) は,妊娠中に流行しています.
GDMは,授乳の開始と期間が短いことと関連しています.
GDMを患っている母乳育児の母親にとって,支援的な介入は極めて重要です.

研究の目的:

GDMの女性に対する授乳支援介入の効果を評価する.
様々な介入の種類と,母乳育児の成果への影響に関する証拠をまとめること.

主な方法:

2000年から2024年までの間に発表された研究の体系的レビュー.
主要なデータベース (PubMed, CINAHL, MEDLINE, Scopus, CENTRAL) で実施された検索.
バイアスの品質とリスクは,JBIチェックリストとRoB2.0を使用して評価されました.

主要な成果:

18件の研究では,教育,ライフスタイル,準備の介入が検討されました.
介入により,6週 (OR2.23),3-4ヶ月 (OR2.05),および6ヶ月 (OR2.41) での完全授乳が改善されました.
また,出生時および6ヶ月後に授乳した乳児の改善率も観察されました.

結論:

教育的,支援的,文化的に調整された介入は,GDMの女性の授乳に肯定的な影響を及ぼします.
効果的な母乳育児支援には,インタラクティブなコミュニケーションが不可欠です.
証拠は,GDMに対する標的の授乳介入の実施を支持しています.

キーワード:

授乳授乳授乳カウンセリング・カウンセリング妊娠中の糖尿病妊娠中の糖尿病干渉の介入とは,干渉の介入である.

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