过重对母乳养的意图,开始和持续时间的影响
Meghan R Crimmins1,2, Megan Hand3, Hallie Samuel1
1Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA.
概括
孕产妇的肥胖和抑郁症状会对母乳养时间产生负面影响. 对患有抑郁症状的超重母亲进行有针对性的产前干预可以改善母乳养的结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 婴儿营养 婴儿营养
背景情况:
- 哺乳是最佳的婴儿养方法,但目标往往无法实现.
- 母亲过重和心理健康问题可能会阻碍母乳养的成功.
- 对于高BMI或精神症状女性的护理差异需要调查.
研究的目的:
- 检查母亲体重状况与母乳养的意图和持续时间之间的关联.
- 调查心理健康症状在这种关系中的调解作用.
- 为改善母乳养结果提供有针对性的产前干预信息.
主要方法:
- 按BMI (正常,超重,肥胖) 分类母亲的长度研究.
- 在怀孕第12周和第36周进行了母乳养意图和心理健康问卷 (例如,贝克抑郁症清单).
- 使用统计分析,包括威尔科克森测试,比例测试,考克斯回归和线性回归.
主要成果:
- 较高的母乳肥胖与较低的母乳养意图和持续时间有关.
- 增加母乳养意图与更长的母乳养时间相关.
- 抑郁症症状调解了母亲体重状况对母乳养意向的负面影响.
结论:
- 孕产妇的体重状况和产前心理健康是相互关联的因素,对母乳养产生负面影响.
- 即使是亚临床抑郁症得分也会影响母乳养的结果.
- 建议采取治疗超重和抑郁症状的产前干预措施,以提高母乳养的成功率.
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