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妊娠期体重增加与乳糖发生延迟之间的关联II:系统性审查和元分析

Zhongyan Cao¹, Meiling Huang², Yun Chen²

¹The Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, People's Republic of China.

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

|July 4, 2024

概括

过度的孕期体重增加 (GWG) 与乳腺发育II的延迟和减少纯母乳养率有关. 过度GWG的妇女面临这些哺乳挑战的更高风险.

科学领域:

产科和妇科产科和妇科
哺乳期和母乳养研究
孕产妇和胎儿医学孕产妇和胎儿医学

背景情况:

孕期体重增加 (GWG) 是妊娠结果的一个关键因素.
GWG与乳糖生成II (DOL II) 的开始之间的关联仍然存在争议.
了解这种联系对于支持成功母乳养至关重要.

研究的目的:

系统地评估GWG与DOL II的比率之间的关系.
评估不同的GWG类别如何影响母乳养的开始和持续时间.
为产前和产后护理指南提供基于证据的见解.

主要方法:

进行了包括248515名女性在内的16项研究的综合元分析.
从10个电子数据库提取到2023年5月的数据.
随机效应模型被用来计算DOL II和停止母乳养的合并几率比率.

主要成果:

过度的GWG显著增加了DOL II的风险 (OR = 1.28,95% CI: 1.15-1.43).
怀孕前超重/肥胖妇女过度GWG和体重不足妇女过度GWG的风险明显更高 (ORs分别为3.01和3.32).
过度GWG的妇女在产后一个月内更有可能停止纯母乳养 (OR = 0.82,95% CI:0.80-0.85).

结论:

过度的GWG会对乳发性II开始的时间产生负面影响.
较高的GWG与更高的绝对母乳养产后停止的可能性有关.
对适当的GWG的建议可能是优化母乳养成功的关键.

关键词:

母乳养哺乳期母乳养乳腺发育的延迟开始.这是一个元分析.体重增加体重增加

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