糖尿病使怀孕复杂的个体的产前母乳表达率调查:探索知识,感知,经验和表达的牛奶量
Sarah Mess1, Anna Palatnik1, Erwin Cabacungan2
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin.
American journal of perinatology
|May 9, 2024
概括
糖尿病患者的产前母乳表达 (ABE) 在存在保留时导致较低的牛奶量. 尽管面临挑战,但ABE仍然被认为是有益的,突出了改善教育和支持的必要性.
科学领域:
- 生殖医学 生殖医学
- 内分泌学 在内分泌学.
- 哺乳期科学 哺乳期科学
背景情况:
- 产前母乳表达 (ABE) 提供了诸如减少配方奶粉使用和提高母乳养成功等好处.
- 然而,对牛奶供应的负面经验和焦虑可能导致停止母乳养,特别是在特定人群中.
- 孕期或孕前糖尿病患者可能会与ABE有独特的挑战和经验.
研究的目的:
- 评估妊娠或孕期糖尿病患者关于ABE的知识,态度和现实世界的经验.
- 评估对ABE的保留对产前表示的总牛奶量的影响.
- 为了比较对ABE有或没有保留的个体之间的母亲和婴儿结果.
主要方法:
- 在接受了ABE培训的妊娠或孕期糖尿病患者的方便样本中,使用5分利克尔特尺度进行了调查.
- 在调查前评估知识和感知,在调查后测量经验.
- 一项回顾性研究分析了母亲和婴儿的结果;使用适当的测试进行了统计比较 (Wilcoxon,Mann-Whitney,chi-square,Fisher的确切).
主要成果:
- 61%的参与者对ABE表示保留,经历了更多的疼痛,并报告了更少的哺乳支持.
- 有保留的个体表达了明显较低的平均总ABE体积 (7mL对21mL).
- 两组人都对ABE实用程序的态度有所改善,但对困难的看法保持不变.
结论:
- 关于ABE的保留与妊娠或孕期糖尿病患者的产前乳量减少有关.
- 尽管存在挑战,但ABE被认为是有益的,这强调了需要量身定制的干预和支持.
- 加强教育和支持至关重要,以解决这些问题的问题,并改善该群体的ABE体验.
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