通过综合性心脏产科计划管理的患者的母乳养实践
Isabel C Collins1,2, Christina T Blanchard3, Ayamo Oben2,3
1Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL.
概括
在母亲心脏病患者中观察到在医院出院时母乳养的高率,这些患者在心脏-产科计划中得到管理. 然而,母乳养的支持至关重要,因为产后访问的比例大幅下降.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 孕产妇心脏病在怀孕和产后时面临着独特的挑战.
- 哺乳对母亲和婴儿都有显著的健康益处.
- 综合性心脏产科计划旨在优化对心脏病患者的孕妇的护理.
研究的目的:
- 为了评估母乳养的意图,排泄率,并在随访时继续母乳养.
- 将这些结果按孕产妇心脏病的严重程度分层 (mWHO功能类).
- 评估心脏-产科计划在支持高风险人群中母乳养方面的有效性.
主要方法:
- 147名患者的回顾性队列研究,在心脏-产科计划中管理.
- 纳入标准:与心脏分娩团队进行≥1次产前检查,并在UAB分娩.
- 评估结果:母乳养的意图,出院时的母乳养和产后访问时的母乳养,与mWHO I-II类和mWHO III-IV类进行比较.
主要成果:
- 在较不严重 (mWHO I-II) 和更严重 (mWHO III-IV) 的心脏病组之间,没有发现哺乳意图或出院/产后访问率的显著差异.
- 超过85%的患者在出院后被母乳养.
- 一个实质性的下降 (大约. 40%) 的母乳养率在产后访问中观察到.
结论:
- 在心脏和产科计划中管理的患有孕产妇心脏病的患者在出院时表现出高的母乳养率.
- 维持母乳养在分娩后的直接时期之外存在重大挑战.
- 加强产后支持策略对于维持心脏病患者母乳养至关重要.
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