晚期早产新生儿:母乳养和补充养实践
Ieva Dijokienė1, Raminta Žemaitienė1, Dalia Stonienė1
1Department of Neonatology, Faculty of Medicine, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania.
Children (Basel, Switzerland)
|April 27, 2024
概括
晚期早产婴儿 (LPIs) 的成功母乳养与阴道分娩,皮肤接触,早期入室和早期开始母乳养有关. 所有LPI的蔬菜补充食始于5个月左右.
科学领域:
- 新生儿护理 新生儿护理
- 儿童营养学 儿童营养学
- 哺乳期科学 哺乳期科学
背景情况:
- 在34周至36周之间出生的晚期早产婴儿 (LPIs) 需要特别的注意才能获得最佳的发育.
- 了解影响LPI哺乳成功的因素对于公共卫生倡议至关重要.
- 这种脆弱群体的补充养做法需要进一步调查.
研究的目的:
- 确定与晚期早产婴儿 (LPIs) 成功哺乳相关的关键因素.
- 探索LPIs中补充养启动的时间和模式.
- 分析LPIs中各种因素和母乳养结果之间的相关性.
主要方法:
- 一项前性队列研究,涉及222名婴儿出生在34+0到36+6周的妊娠年龄.
- 随访至12个月大,检查母乳养的开始,持续时间,独家性和补充养时间.
- 使用奇二测试来确定相关性 (p < 0.05) 的统计分析.
主要成果:
- 在34+0+6妊娠年龄组 (p < 0.001) 观察到哺乳开始的显著延迟.
- 36+0+6组在出院时显示出更高的纯母乳养率 (p < 0.001).
- 没有发现纯母乳养时间和妊娠年龄之间的相关性;补充养大约在5个月左右开始,首先引入蔬菜.
结论:
- 阴道分娩,皮肤接触,早期入室,并在2小时内母乳养有助于LPIs更早开始和更长时间的母乳养.
- 这些因素对于提高晚期早产婴儿的母乳养成功至关重要.
- 早期引入蔬菜作为第一个补充食品是LPIs的常见做法.
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