独家母乳养在布朗克斯的成功和缺点
Julia Grande1, Jianyou Liu2, Sheri Nemerofsky3
1Medical Program, Albert Einstein College of Medicine, Bronx, New York.
American journal of perinatology
|July 14, 2023
概括
布朗克斯的独家母乳养 (EBF) 率在COVID-19大流行期间保持稳定,即使有更多高风险的新生儿. 需要进一步的研究来了解EBF的障碍和影响母婴双的医疗保健差异.
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:
- 在布朗克斯这样的城市环境中,独家母乳养 (EBF) 率历来一直低于最佳水平.
- 随着COVID-19大流行,产后期出现了重大干扰,影响了母婴二合体.
- 疫情对EBF率的长期影响,特别是对高风险人群的长期影响,仍然不清楚.
研究的目的:
- 为了调查COVID-19大流行对出生住院期间EBF率的影响.
- 在大流行之前和期间分析高风险城市患者群体的EBF趋势.
主要方法:
- 对2019年至2021年期间在城市医疗中心接收的新生儿进行了回顾性图表审查.
- 患者被分为流行病前和流行病前的队列.
- 收集的数据包括人口统计,母亲的并发病,住院时间,养方法和新生儿特征,EBF被定义为住院期间仅摄入母乳.
主要成果:
- 该研究包括630名大流行前和643名大流行期间的新生儿;队列具有类似的基线母性特征.
- 虽然流行病队列中患高风险新生儿的比例较高 (29.4%对比23.3%),而且获得哺乳顾问的机会较少 (24.0%对比53.2%),但EBF率没有显著差异.
- 总体EBF率为9.5%的流行前和11.4%的流行 (p=0.29);非高风险新生儿的率分别为12.2%和15.0% (p=0.22).
结论:
- 布朗克斯的EBF率在COVID-19大流行期间没有变化,尽管高风险新生儿的增加.
- 诸如获得哺乳咨询,母亲的种族,种族和语言等因素可能会影响EBF的结果,并需要进一步调查.
- 了解医疗保健差异对于解决易受伤害的城市人口中EBF障碍至关重要.
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