"在医院出院后的头几天,母乳养的专属性,困难和支持:一项相关研究"
Jaana Lojander1, Anna Axelin1, Hannakaisa Niela-Vilén1
1Department of Nursing Science, 20014 University of Turku, Finland.
European journal of obstetrics, gynecology, and reproductive biology
|February 27, 2024
概括
适当的医院内母乳养支持,包括避免补充牛奶,促进纯母乳养,并减少困难. 第一次母亲需要额外的支持来克服挑战并提高母乳养的成功.
科学领域:
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 全球母乳养率仍然低于最佳水平,这凸显了在产后早期需要有效支持的迫切需要.
- 婴儿友好医院倡议旨在加强医疗保健机构内的母乳养支持.
- 这项研究调查了影响母乳养专属性和婴儿友好医院出院后困难的因素.
研究的目的:
- 检查与早期产后期纯母乳养和母乳养困难相关的因素.
- 评估医院内母乳养支持的充分性和母亲对支持的偏好.
- 确定成功开始母乳养和在出院后继续母乳养的预测因素.
主要方法:
- 一项相关研究涉及80名母乳在芬兰婴儿友好医院出院后的两周内.
- 通过半结构化问卷收集的数据,包括人口,产科和母乳养相关的信息.
- 统计分析包括描述性统计和多变量二进制物流回归.
主要成果:
- 81%的母亲在出院后实现了纯母乳养;然而,在医院接受补充牛奶的婴儿的非纯母乳养几率明显更高 (aOR 16.5).
- 39%的母亲经历了母乳养困难,而初始母乳养的母亲的几率增加 (aOR 3.41).
- 足够的住院产后母乳养支持与母乳养困难的几率降低有关 (aOR 0.16).
结论:
- 医院内母乳养支持,特别是避免非医疗补充剂,对于成功的纯母乳养和减少困难至关重要.
- 初生母需要有针对性的支持,以有效地应对母乳养的挑战.
- 医院出院后改善母乳养支持准入的及时性对于持续的母乳养成功至关重要.
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