在波多黎各的风伊尔玛和玛丽亚之后,母乳养和相关的产妇护理实践的变化
Katherine Kortsmit1, Beatriz Salvesen von Essen1, Erica Anstey2
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
概括
在风期间,母乳养率增加,突出了支持性产妇护理的重要性. 诸如早期的皮肤接触和房间内接触等做法促进了独家母乳养,而配方奶粉的礼物阻碍了它.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 哺乳对婴儿健康至关重要,特别是在自然灾害期间,当卫生和饮用水的准入受到损害时.
- 波多黎各经历了风伊尔玛和玛丽亚,需要对受灾人口的母乳养实践进行检查.
研究的目的:
- 调查分娩期间医院住院和产后3个月纯母乳养期间产妇护理实践之间的关联.
- 在不同风暴露时间段的背景下分析这些关联.
主要方法:
- 利用了2017-2019年波多黎各怀孕风险评估监测系统数据,来自2,448名母亲.
- 将受访者分为四个风暴露时期:风前,急性风,早期恢复和长期恢复.
- 检查了产妇护理实践与完全母乳养之间的关联,整体和按时间段.
主要成果:
- 在急性风期间,与风前时期相比,3个月的纯母乳养在急性风期间更高 (aPR: 1.43).
- 支持性做法,如在第一个小时内母乳养 (aPR范围:1.51-1.92) 和住房 (aPR范围:1.50-2.58),与纯母乳养有积极的关联.
- 收到配方奶粉礼品包与纯母乳养有负面关联 (aPR范围:0.22-0.54).
结论:
- 产妇护理实践显著影响母乳养行为,即使在自然灾害期间和之后.
- 保持早期启动和入室等支持性做法对于促进灾难环境中的母乳养至关重要.
- 干预措施应侧重于支持这些做法,以改善灾后的母乳养结果.
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