通过COVID-19大流行,母乳养的开始和持续时间,一个链接的人口层面的例行数据研究:出生在威尔士的队列2018-2021年
Hope Eleri Jones1, Mike J Seaborne2, Mohamed R Mhereeg2
1National Centre for Population Health and Wellbeing Research, Faculty of Medicine, Health & Life Science, Swansea University Medical School, Swansea, UK h.e.jones@swansea.ac.uk.
BMJ paediatrics open
|July 11, 2023
概括
打算母乳养的母亲在六个月内纯母乳养的可能性是27.6倍. 疫情期间母乳养率增加,意图是持续母乳养的最强预测因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 世界卫生组织 (WHO) 建议在婴儿出生后的前六个月内,专注于母乳养.
- 了解影响母乳养时间的因素对于婴儿健康至关重要.
- COVID-19 流行病可能影响了婴儿养习惯.
研究的目的:
- 调查大流行病对母乳养开始和持续时间的影响.
- 为了确定母乳养的意图是否与更长的纯母乳养期有关.
主要方法:
- 一项队列研究利用了在威尔士 (2018-2021) 连接,例行收集的医疗保健数据.
- 通过"母亲指标"数据集记录了母亲的母乳养意图.
- 用国家社区儿童健康出生和母乳养数据集分析了母乳养率.
主要成果:
- 意图母乳养显著增加了六个月独家母乳养的可能性 (OR 27.6,95% CI 24.9-30.7).
- 六个月的纯母乳养率在疫情前为16.6%,在2020年为20.5%.
- 母亲的母乳养意图保持相对稳定 (约. 10%的变化) 与调查数据相比.
结论:
- 在大流行期间,六个月的纯母乳养更为常见.
- 母亲的母乳养意图是六个月母乳养的最重要的预测因素.
- 有针对性的产前干预措施,以促进母乳养的动机,可以提高母乳养的持续时间.
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