在早产婴儿的母亲中,母乳产量变化
Christina Gomez-Juge1, Victoria Scarpelli1, Disha Yellayi2
1Division of Neonatal-Perinatal Medicine, Cohen Children's Medical Center of New York, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
概括
保持抽日志可以改善早产婴儿的母乳 (MOM) 产量. 早期牛奶表达频率和第7天的体积与持续的哺乳成功和更高的MOM供应相关.
科学领域:
- 新生儿护理 新生儿护理
- 哺乳期科学 哺乳期科学
- 母婴健康 母婴健康
背景情况:
- 早产婴儿的母亲面临着牛奶生产方面的挑战.
- 抽日志被用来刺激和监测哺乳效率.
- 关于人口统计差异和抽日志对早产婴儿牛奶供应的影响的研究有限.
研究的目的:
- 为了确定使用抽日志的母亲和不使用的母亲之间的人口统计差异.
- 评估使用抽木对母乳 (母乳) 量对早产婴儿养的影响.
- 检查早期牛奶表达模式和随后的牛奶量和MOM供应之间的相关性.
主要方法:
- 孕期≤32周或出生后48小时内≤1500克的婴儿的母亲的未来招生.
- 鼓励使用抽日志,收集有关母亲特征,表达模式和乳量 (第7天,第14天,第21天,第28天) 的数据.
- 婴儿数据,包括母乳养的百分比,通过图表审查收集.
主要成果:
- 使用抽日志的母亲在全时为婴儿提供了更高的MOM百分比 (p=0.017).
- 第一个星期的表达频率与第21天的牛奶量 (p=0.016) 和更高的MOM放出时的料 (p=0.03) 相相关.
- 第7天的牛奶量强烈预测了14日,21日和28日的后续牛奶量 (p<0.001).
结论:
- 抽日志的使用可能会对早产婴儿母乳的可用性产生积极的影响.
- 早期哺乳的指标,特别是抽动频率和第7天的牛奶量,对于预测长期哺乳成功至关重要.
- 支持在第一周持续抽的干预措施可以提高早产婴儿的母亲的哺乳期结果.
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