在新生儿重症监护室使用远程医疗技术进行熟练的哺乳支持
Melanie Leong1,2,3, Maria Obaid4,5, Maria Cristina Fernandez Ramos4,5
1Division of Neonatology, Maria Fareri Children's Hospital, Valhalla, New York, USA. mleong2@nymc.edu.
概括
远程哺乳显著改善了NICU母亲出院后的纯母乳养率. 接受远程医疗支持的母亲表现得更好,特别是那些先前接受过亲自哺乳咨询的母亲.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 远程医疗在医疗保健中的应用
- 哺乳期的支持和母乳养
背景情况:
- 新生儿重症监护室 (NICU) 的母亲在启动和维持母乳养方面遇到重大障碍.
- 现有的研究主要针对门诊哺乳支持,忽视了NICU特定干预措施.
- 本研究评估了远程哺乳对新生儿重症监护室毕业生母乳养结果的影响.
研究的目的:
- 评估远程哺乳在改善从NICU出院的婴儿母亲的母乳养结果方面的有效性.
- 为了比较母乳养率在实施远程哺乳计划之前和之后.
- 通过远程医疗的支持,识别影响成功母乳养的因素.
主要方法:
- 采用了回顾性研究设计来比较NICU母乳养结果.
- 母亲被分为两组:远程医疗前期 (面对面的支持) 和远程医疗 (退院后的电话咨询).
- 分析了两组分泌时纯母乳养的数据.
主要成果:
- 与远程医疗前组相比,远程医疗组在出院时纯母乳养的增加.
- 远程医疗队列中的婴儿在入院时接受任何配方奶粉养,在出院时完全母乳养方面有明显的改善.
- 接受至少一次亲自NICU哺乳咨询的母亲在出院时的纯母乳养率有了最大的改善.
结论:
- 这项研究验证了远程医疗作为一种可行的方法,以维持熟练的哺乳支持NICU母亲当面对面的咨询是有限的.
- 整合远程医疗确保持续获得哺乳专业知识,从而支持持续的母乳养率.
- 远程哺乳为NICU毕业生提供了一个可扩展的解决方案,以弥合哺乳支持连续性的差距.
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