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在34周之前入院患有严重孕前的妇女中,母乳养的预测因素

Sara J Grundy¹, Carmen M Avram², Jacquelyn Dillon¹

¹Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina.

American journal of perinatology

|March 26, 2024

概括

对于患有早期严重孕前的患者来说,吸烟与不开始母乳养有关. 年轻的母亲年龄和发病率与产后访问停止母乳养有关.

科学领域:

产科和妇科产科和妇科
新生儿健康新生儿健康
公共卫生公共卫生

背景情况:

严重的孕前 (sPREX) 给母亲和新生儿带来了重要的母乳养 (BF) 挑战.
早期发病的sPREX (怀孕34周之前) 可能会加剧这些BF困难,但数据有限.
了解影响这种高风险群体中BF的因素对于改善母婴结局至关重要.

研究的目的:

确定早期发病sPREX.患者在医院出院时BF发病率和产后访问时BF延续率.
确定与该人群中BF不启动和停止相关的特定人口和临床因素.

主要方法:

在34周妊娠前接受sPREX的妇女进行了一项回顾性队列研究.
收集和分析了人口,产前和分娩特征的数据.
普森回归被用来评估与BF不启动和停止相关的因素.

主要成果:

89.4%的患者在出院时开始使用BF;烟草使用与较低的启动率有关.
在产后6周,79.9%的患者继续患有BF.
年轻的孕产妇年龄 (<20岁) 和孕产妇发病率与BF停止有关.

结论:

怀孕期间的烟草使用是SPREX早期启动BF的重要障碍.
年轻的孕产妇年龄和孕产妇发病率与产后期停止治疗BF有关.
针对性BF支持策略对于患有已识别的风险因素的患者来说至关重要,以提高BF的成功.

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