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支持母乳养的初级保健干预措施:美国预防服务工作组建议声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
许多母亲在6个月后停止母乳养. 建议在怀孕期间和分娩后进行干预,以支持母乳养的持续时间,并改善母婴健康结果.
科学领域:
- 公共卫生
- 预防医学
- 母婴健康
背景情况:
- 哺乳对儿童的健康有很大的益处.
- 美国近一半的母亲在产后6个月内停止母乳养.
- 年轻和处于社会经济劣势的母亲在母乳养率上存在差异.
研究的目的:
- 更新2008年美国预防服务工作组 (USPSTF) 关于促进母乳养的初级保健干预措施的建议.
- 评估干预措施对母乳养开始,持续时间和独家性的有效性.
- 审查母乳养干预措施对儿童和母亲健康结果的影响.
主要方法:
- 对母乳养支持干预措施的证据进行系统审查.
- 包括有关专业支持,同行支持和正规教育的研究.
- 评估干预的有效性和潜在的危害.
主要成果:
- 包括专业支持,同行支持和教育在内的干预措施有效地改变了母乳养行为.
- 这些干预措施的危害极小.
- 支持母乳养的干预措施带来了适度的净益.
结论:
- USPSTF建议在怀孕期间和产后实施干预措施以支持母乳养.
- 为改善母乳养时间和健康状况,建议所有母亲采取这些干预措施.
- 一个"B"的建议意味着高程度的确定性,即净收益是中等到实质性的.
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