母乳养自我效能对婴儿体重和母乳养结果的影响
Aslı Okbay Güneş1, Nilgün Karadağ1, Güner Karatekin1
1Division of Neonatology, Department of Pediatrics, Health Sciences University, Zeynep Kamil Maternity and Children's Training and Research Hospital, İstanbul, Turkey.
Turkish archives of pediatrics
|September 22, 2023
概括
更高的母乳养成功 (BFS) 与更长的纯母乳养 (EB) 持续时间相关. 然而,更高的母乳养自效率 (BSE) 与较低的婴儿体重增加和六个月的百分位数变化有关.
科学领域:
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
- 儿童营养学 儿童营养学
背景情况:
- 母乳养自我效能 (BSE) 和母乳养成功 (BFS) 对婴儿养结果至关重要.
- 了解母亲的信心和婴儿的成长之间的关系对于公共卫生倡议至关重要.
- 以前的研究表明,母亲因素与婴儿体重增加之间存在联系,但BSE和BFS的具体作用需要进一步阐明.
研究的目的:
- 研究母乳养自我效能 (BSE) 和母乳养成功 (BFS) 对婴儿体重增加率的影响.
- 研究BSE和BFS对母乳养结果的影响,特别是纯母乳养 (EB) 持续时间.
- 分析产后六个月母亲的信心和婴儿生长参数之间的相关性.
主要方法:
- 在产后72小时内,使用母乳养自效率量表 (BSES-SF) 和LATCH量表评估了200个母婴二合一组.
- 产后六个月与母亲联系,以确定纯母乳养的持续时间和婴儿体重.
- 使用统计分析,包括相关性,来评估BSE,BFS和婴儿结局之间的关系.
主要成果:
- 在BSES-SF和LATCH分数之间观察到正相关性 (P = .0001).
- 六个月的纯母乳养 (EB) 率与BFS正相关 (r = 0.218,P = .004),但与BSE没有正相关 (r = 0.79,P = .297).
- 婴儿体重增加百分比和六个月体重百分比变化与BSE负相关 (r = -0.226,P = .003;r = -0.148,P = .049,分别),但与BSE无关.
结论:
- 较高的母乳养成功 (BFS) 与在前六个月的更长时间的纯母乳养 (EB) 相关.
- 提高母乳养自效率 (BSE) 意外地与婴儿体重增加百分比的较低增加和六个月体重百分比变化率的降低有关.
- 这些发现表明,母亲的信心,母乳养的成功和婴儿的成长之间存在复杂的相互作用,需要进一步研究这些关联的基础机制.
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