怀孕和母乳养实践中的母亲福祉:ROLO研究的发现
Cara A Yelverton1, Aisling A Geraghty1, Eileen C O'Brien1
1Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.
American journal of perinatology
|August 14, 2023
概括
怀孕期间母亲的幸福感并不能预测母乳养的成功. 诸如母亲的年龄和教育水平等因素,而不是情绪低落,是幸福感和母乳养结果的关键预测因素.
科学领域:
- 围产期健康 围产期健康
- 母亲的福祉 母亲的福祉
- 婴儿营养 婴儿营养
背景情况:
- 低情绪在围产期普遍存在,可能会影响母乳养.
- 成功母乳养是一个关键的公共卫生问题.
- 了解母乳养的预测因素对于母婴健康至关重要.
研究的目的:
- 调查怀孕期间母亲福祉与随后的母乳养实践之间的联系.
- 识别潜在的障碍或促进母乳养开始和持续时间的因素.
主要方法:
- 一项涉及610名女性的随机对照试验的二次分析.
- 用世界卫生组织的5项福利指数来衡量自我报告的福利.
- 采用了奇方位,独立的t测试和多重/逻辑回归分析来评估关联并根据年龄,BMI和教育等混因素进行调整.
主要成果:
- 孕产妇的幸福度平均为58.2%,其中25%的孕妇在头三个月内感到幸福度很低.
- 未经调整的分析显示,高福利和纯母乳养之间存在联系,但经过调整后,这并不显著.
- 确定母亲的年龄和教育水平,而不是幸福感,是幸福感和母乳养结果的重要预测因素.
结论:
- 在调整了混因素后,怀孕期间母亲的幸福感与母乳养实践没有显著的关联.
- 母亲的年龄和教育水平似乎是对母亲的福祉和母乳养结果更有影响的因素.
- 怀孕期间情绪低落可能不是直接阻碍母乳养开始或持续时间的障碍.
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