在印度的奥迪沙州,剖腹产和母乳养开始之间的关联:一个母亲固定效应分析
Smita1, Nathan Franz2,3,4, Diane Coffey3,4
1Amity Institute of Social Sciences, Amity University, Noida, Uttar Pradesh, India.
PloS one
|February 12, 2024
概括
印度的剖腹产数量正在上升,增加了婴儿延迟开始母乳养的风险. 这项研究发现,与阴道分娩的婴儿相比,剖腹产产的婴儿明显更有可能经历延迟的母乳养.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 在印度,剖腹产产率显著增加,在2005年至2015年期间几乎翻了一番.
- 这种增长需要了解与此相关的对母亲和婴儿的健康影响,特别是关于婴儿养的做法.
研究的目的:
- 为了调查剖腹产和延迟开始母乳养之间的联系,在印度的奥迪沙州.
- 为了控制混因素,通过比较通过不同的出生方式与同一母亲出生的兄弟姐妹.
主要方法:
- 来自奥迪沙州年度健康调查 (2007-2011) 的人口级,纵向数据的分析.
- 利用母亲固定效应来比较通过阴道和剖腹产产生的兄弟姐妹之间的母乳养结果.
- 采用普通最小平方线性概率模型来估计剖腹产产生的影响.
主要成果:
- 在不控制母性因素的情况下,剖腹产与延迟开始母乳养的14个百分点的增加有关.
- 在应用了母亲固定效应后,剖腹产仍然与延迟开始母乳养的11个百分点的增加显著相关.
- 这些发现强调了剖腹产和延迟母乳养之间的持续联系,即使考虑到母亲的特征.
结论:
- 剖腹产是延迟开始母乳养的重要危险因素.
- 这些发现强调了在剖腹产分娩率上升的背景下,解决母乳养挑战的重要性.
- 建议进行进一步的研究,以探索剖腹产对母乳养结果和婴儿健康的更广泛影响.
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