促进母乳养的结构化计划改善了出院时非常早产婴儿的发病率
Silvia Perugi1, Martina Ciarcià1, Caterina Coviello1
1Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy.
Acta paediatrica (Oslo, Norway : 1992)
|March 4, 2024
概括
促进母乳养 (PROBREAST) 计划显著增加了非常早产婴儿的母乳养率. 排放时的纯母乳养改善了神经发育,但没有阻碍这个脆弱人群的增长.
科学领域:
- 新生儿护理 新生儿护理
- 儿童营养学 儿童营养学
- 公共卫生干预措施 公共卫生干预
背景情况:
- 非常早产的婴儿 (怀孕32周以下或1500克以下出生) 面临着独特的食挑战.
- 哺乳与改善婴儿健康结果有关.
- 结构化的计划可以提高高风险新生儿的母乳养开始和持续时间.
研究的目的:
- 评估促进母乳养 (PROBREAST) 计划对非常早产婴儿母乳养率的影响.
- 评估出院时的养类型与出院后的母乳养之间的关系.
- 检查纯母乳养,产后生长和神经发育之间的相关性.
主要方法:
- 一项比较性队列研究,比较在PROBREAST实施前和之后的婴儿.
- 收集的数据是关于在出院和出院后的母乳养率.
- 在经过校正的年龄段对纯母乳养,生长 (体重z分) 和神经发育结果 (认知分) 之间的相关性进行分析.
主要成果:
- 在PROBREAST组显示出显著更高的排放时纯母乳养率 (42%对16%,p<0.001).
- 出院时的纯母乳养与出院时的体重z-score有负相关性,但在12个月或24个月的校正年龄时没有.
- 在24个月校正年龄时,观察到纯母乳养和认知分数之间存在正相关性.
结论:
- 一个结构化的母乳养促进计划有效地提高了非常早产婴儿的母乳养率.
- 排放时的纯母乳养支持非常早产婴儿的神经发育的改善.
- 普罗布雷斯特计划表明,在不影响这一群体增长的情况下,可以实现纯母乳养.
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