初始养方法,WIC提供的哺乳支持和在城市儿科初级保健实践中母乳养的持续时间
Alana Engelbrecht1, Lauren Gruffi2, Michael Silver3
1SUNY Downstate College of Medicine Brooklyn, Brooklyn, NY, USA. alana.engelbrecht1@gmail.com.
Journal of community health
|July 16, 2024
概括
整合哺乳支持显著影响母乳养时间. 早期配方奶粉的引入与更短的母乳养有关,这凸显了对产前支持的需要. 进一步的研究应该探索同行辅导员干预的其他好处.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 孕产妇健康 孕产妇健康
背景情况:
- 哺乳为母亲和婴儿提供了许多健康益处.
- 缺乏服务的人群经常面临障碍,无法获得哺乳支持服务.
- 儿科实践可以整合哺乳支持,以改善婴儿养结果.
研究的目的:
- 调查母乳养同行辅导员 (BFPC) 整合和母乳养时间之间的关联.
- 研究初始婴儿养方法 (IFM) 对母乳养时间的影响.
- 评估BFPC干预措施在城市儿科初级保健环境中的有效性.
主要方法:
- 追溯队列研究将BFPC支持的二与不支持的二相匹配.
- 对于初始婴儿养方法的奇平方测试,BF持续时间的t测试和ANOVA进行比较.
- 分析了获得BFPC支持的111个二和222个对照二.
主要成果:
- 在BFPC支持和对照组之间,初始养方法没有显著差异.
- 2,4,6个月的纯母乳养率在初始配方养或混合养的婴儿中明显较低,相比于纯母乳养的婴儿 (p < 0.001).
- 最初的婴儿养方法与任何纯母乳养的持续时间有显著的关联 (p < 0.001).
结论:
- 早期配方奶粉的引入与母乳养的持续时间有负面联系.
- 产前母乳养支持可能是延长母乳养时间的最佳选择.
- 虽然BFPC整合在本研究中没有显示与BF持续时间的直接关联,但其他好处需要进一步调查.
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