在BMI>25的妇女中提供多组分围产期母乳养支持:The Latch On多中心随机试验
Sharleen L O'Reilly1,2, Catherine McNestry1, Denise McGuinness3
1UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.
BJOG : an international journal of obstetrics and gynaecology
|February 12, 2024
概括
哺乳支持计划在分娩后3个月没有显著增加母乳养率,对于BMI超过25的女性来说. 对所有打算母乳养的母亲来说,全面的教育和支持仍然至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
背景情况:
- 较高的体重指数 (BMI) 与开始和维持母乳养的挑战有关.
- 多元干预旨在提供全面的支持,以改善母乳养结果.
研究的目的:
- 评估多组分母乳养支持干预对产后3个月母乳养患病率的有效性.
- 专注于怀孕前BMI大于25kg/m2的女性.
主要方法:
- 在爱尔兰的四个产妇中心进行了一项多中心随机对照试验.
- 招募了225名BMI≥25kg/m2的初婚女性及其支持性伴侣.
- 这项干预包括产前教育,产后评估和哺乳顾问的支持,长达6周.
主要成果:
- 产后3个月母乳养的发病率在干预组为68.7%,在对照组为62.1% (OR 1.33,95% CI 0.72-2.46,p=0.36).
- 在任何时间点都没有观察到母乳养率的显著差异.
- 对照组的女性更有可能获得私人哺乳顾问的支持 (45.3%对23.5%,p=0.02).
结论:
- 这项干预措施并没有对产后3个月母乳养患病率产生显著影响.
- 在对照组中观察到母乳养率高于预期.
- 继续强调全面的母乳养教育和支持对所有母亲至关重要.
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