通过FreshRx改善母亲健康和分娩结果:一种食物是药物的干预措施
Dan Ferris1, Stephen Roll1, Jin Huang2
1Brown School at Washington University in St. Louis, St. Louis, MO, USA.
American journal of health promotion : AJHP
|April 26, 2024
概括
食品是药物计划可以改善母亲和婴儿的健康. FreshRx计划减少了粮食不安全和孕产妇抑郁症,导致更好的分娩结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 营养科学 营养科学
背景情况:
- 粮食不安全严重影响母亲和婴儿的健康,特别是在弱势群体.
- 怀孕和产后时期是干预以减轻长期健康后果的关键窗口.
- 婴儿死亡率高,出生体重低和早产需要在密苏里州圣路易斯等地区采取创新方法.
研究的目的:
- 评估一项旨在减少粮食不安全,孕产妇压力,抑郁,焦虑,早产和低出生体重的食品药物干预措施 (FreshRx).
- 评估以怀孕为重点的食品为药物计划对关键母亲和婴儿健康指标的影响.
- 确定饥饿救济组织和产科部门之间的协作方法的有效性.
主要方法:
- 在FreshRx计划中采用了前后干预研究设计.
- 参与者 (N=125) 是怀孕24周以下的孕妇,说英语,在医疗补助计划中注册,从产科诊所招募.
- 关键措施包括美国家庭粮食安全调查,爱丁堡产后抑郁量表,出生体重和妊娠年龄,使用单臂前后分析进行分析.
主要成果:
- 与区域平均水平相比,参与者实现了更高的平均妊娠年龄 (38.2周) 和出生体重 (6.7磅).
- 产后评估显示,在完成者中,孕产妇抑郁率 (13%,P < .01) 显著降低.
- 基线数据显示参与者中存在高水平的粮食不安全 (67.0%) 和显著的抑郁症状 (34.7%).
结论:
- 食品为药的干预措施显示出作为提高分娩和孕产妇健康结果的高效和有效策略的希望.
- 新鲜Rx计划展示了将营养支持与临床护理相结合的潜力,以提高母亲和婴儿的福祉.
- 这种方法提供了一个公平的途径来解决由粮食不安全加剧的健康差异.
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