根据分娩方式的母乳养开始和持续时间的变化:一项前性,基于人口的研究
Lindsay M Mallick1,2,3, Edmond D Shenassa1,2,4,5,6
1Maternal and Child Health Program, Department of Family Science, School of Public Health, University of Maryland, College Park, Maryland, USA.
概括
剖腹产,特别是计划的剖腹产,与减少母乳养的开始和更短的持续时间有关. 剖腹产的母亲可能需要额外的支持来实现他们的母乳养目标.
科学领域:
- 产科和妇科 产科和妇科
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 哺乳提供了显著的婴儿健康益处,但在高收入国家,母乳养率仍然低于最佳水平.
- 剖腹产 (剖腹产) 是哺乳的潜在障碍,但现有的研究存在局限性.
- 以前的研究往往缺乏对剖腹产和母乳养的一致定义,省略混因素,或未能使用适当的统计方法.
研究的目的:
- 严格检查分娩方式与母乳养开始和持续时间之间的关联.
- 通过使用可靠的统计模型和大量前性队列来解决先前研究的局限性.
主要方法:
- 分析了英国"千年队列研究"中14414个母婴对象的数据.
- 哺乳开始的多变量逻辑回归.
- 调整的加速失效时间生存模型,用于母乳养时间 (任意和不含).
主要成果:
- 与阴道分娩相比,计划性剖腹产与更低的母乳养开始几率有关 (OR:0.84).
- 无论是计划的还是计划外的剖腹产,都导致早些时候停止任何纯母乳养.
- 与阴道分娩相比,计划式剖腹产 (TR:0.75) 的效果比非计划式剖腹产 (TR:0.85) 的效果更强.
结论:
- 剖腹产,特别是计划的剖腹产,可能会阻碍母乳养的持续时间.
- 调查结果强调,需要针对那些打算母乳养的接受剖腹产的母亲提供有针对性的支持.
- 改进的支持策略可能有助于减轻剖腹产对母乳养结果的负面影响.
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