在COVID-19期间在单一军事医院启动哺乳期
Heather L Hutchins-Wiese1, Shawndra Powell1, Olivia Ford1
1School of Health Sciences, Eastern Michigan University, Ypsilanti, MI 48130, USA.
Military medicine
|June 25, 2024
概括
在COVID-19大流行期间,母乳养率保持稳定. 然而,在军事医疗保健机构中,根据种族,出生方式和妊娠年龄观察到启动的差异.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 母乳为婴儿提供了显著的短期和长期健康益处.
- 哺乳决定受到个人,社会,健康和经济因素的复杂相互作用的影响.
- COVID-19大流行给医疗保健和家庭生活带来了前所未有的挑战.
研究的目的:
- 调查COVID-19大流行期间母乳养开始率是否发生变化.
- 为了比较疫情前和期间在军事医疗保健系统中母乳养的开始.
主要方法:
- 来自军事医疗中心的出生记录的横截面图表审查.
- 分析了2019年3月至8月和2020年的1463个母婴二位数.
- 统计分析以确定分娩年,母亲/婴儿特征和养方法之间的关联.
主要成果:
- 在2019年和2020年之间,整体母乳养开始率没有显著差异.
- 与白人女性相比,黑人女性开始母乳养的可能性较低,这一差异在2020年扩大.
- 与较低的母乳养开始相关的因素包括黑人种族,剖腹产,多夫多妻制和较早的妊娠年龄 (32-37周).
结论:
- 总体而言,母乳养启动率在这个军事人群中没有受到COVID-19大流行的显著影响.
- 开始母乳养的显著差异仍然存在,并且在某些情况下扩大了,特别是在种族和出生方式方面.
- 母亲的种族,出生方式,平价和妊娠年龄仍然是影响军事医疗机构开始母乳养的关键因素.
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