在新罕布什尔州出生队列研究中,母乳养时间的预测因素
Kathryn A Crawford1,2, Lisa G Gallagher3, Emily R Baker4
1Environmental Studies Program, Middlebury College, 276 Bicentennial Way, Middlebury, VT, 05753, USA. kcrawford@middlebury.edu.
Maternal and child health journal
|June 3, 2023
概括
大多数婴儿开始母乳养,但很少有人继续养6个月或更长时间. 较高的母亲年龄,教育和婚姻与更好的母乳养结果有关,而吸烟和肥胖与较差的结果有关.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 哺乳为婴儿和分娩人员提供了显著的健康优势,降低了慢性疾病的风险.
- 美国儿科学会建议在6个月内专用母乳养,并将固体食物延长到2年.
- 美国的母乳养率低于推水平,区域和人口统计数据有显著差异.
研究的目的:
- 为了检查从健康的,满期怀孕中母乳养的开始和持续时间,分娩人-婴儿对.
- 确定影响母乳养结果的社会人口和健康因素.
主要方法:
- 来自新罕布什尔州出生队列研究 (2010-2017年) 的1176例健康,满期怀孕的分析.
- 通过产前和产后问卷和医疗记录抽象收集的数据.
- 修改Poisson和多变量线性回归用于评估影响母乳养开始和持续时间的因素.
主要成果:
- 96%的婴儿开始母乳养.
- 6个月的纯母乳养为29%,12个月的任何母乳为28%.
- 与母乳养结果的积极关联包括更高的母亲年龄,教育,平等,婚姻,过度的妊娠体重增加和分娩时的晚期妊娠年龄. 吸烟,肥胖和剖腹产与消极相关.
结论:
- 尽管发病率很高,但母乳养的持续时间远远低于公共卫生建议.
- 干预措施对于支持产妇延长母乳养时间至关重要.
- 解决母亲教育,吸烟和肥胖等因素可能会改善母乳养的结果.
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