在患有C型肝炎病毒感染的人群中,母乳养的开始,持续时间和相关因素
Jennifer L Grasch1, Jessica A de Voest, George R Saade
1Departments of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio, University of Texas Medical Branch, Galveston, Texas, Brown University, Providence, Rhode Island, MetroHealth Medical Center-Case Western Reserve University, Cleveland, Ohio, University of Alabama at Birmingham, Birmingham, Alabama, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, University of Utah Health Sciences Center, Salt Lake City, Utah, Columbia University, New York, New York, Boston Medical Center, Boston, Massachusetts, University of Pittsburgh, Pittsburgh, Pennsylvania, Duke University, Durham, North Carolina, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, University of Texas Health Science Center at Houston-Children's Memorial Hermann Hospital, Houston, Texas, Northwestern University, Chicago, Illinois, Stanford University, Stanford, California, University of Texas Southwestern Medical Center, Dallas, Texas, and University of Pennsylvania, Philadelphia, Pennsylvania; the George Washington University Biostatistics Center, Washington, DC; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
在患有C型肝炎病毒 (HCV) 病毒症的孕妇中,母乳养的开始率较低. 然而,私人保险与更高的启动率有关,这突出了感染HCV的母亲在婴儿养实践中的潜在差异.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在怀孕期间感染C型肝炎病毒 (HCV) 对婴儿养提出了独特的考虑.
- 虽然HCV不是母乳养的禁忌,但影响母乳养的因素需要进一步调查.
研究的目的:
- 描述怀孕中感染HCV的孕妇的母乳养行为.
- 确定与此群体开始母乳养相关的人口和临床因素.
主要方法:
- 对具有HCV血清阳性孕妇的多中心观察队列的二次分析.
- 基于HCV病毒病状况和保险类型的母乳养开始率和持续时间的比较.
- 单变量和多变量分析以确定相关因素.
主要成果:
- 579名参与者的62.5%开始母乳养,平均持续时间为1.4个月.
- 与未检测到的病毒载量 (71.9%) 相比,HCV病毒性与较低的母乳养开始率 (59.4%) 相关.
- 拥有私人保险的个人拥有更高的启动率 (80.0%),而不是那些有公共保险或没有保险的人 (60.1%).
结论:
- HCV病毒性,而不是HCV血清阳性本身,与减少开始母乳养有关.
- 保险状况对感染HCV的孕妇开始母乳养有重大影响.
- 调查结果强调需要有针对性的支持,以促进脆弱的HCV阳性人群的母乳养.
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