非常早产后牛奶表达模式和哺乳期结果的关系:一个队列研究
Ilana Levene1, Mary Fewtrell2, Maria A Quigley1
1Nuffield Department of Public Health, National Perinatal Epidemiology Unit, University of Oxford, Oxford, United Kingdom.
PloS one
|July 29, 2024
概括
经常挤出母乳,特别是每天6-8次,可显著增加非常早产婴儿的母亲的乳量. 先前与母乳养的经验也可以促进牛奶的产量,突出表达模式对于哺乳成功的重要性.
科学领域:
- 新生儿护理 新生儿护理
- 哺乳期科学 哺乳期科学
- 母婴健康 母婴健康
背景情况:
- 非常早产婴儿的母亲面临着母乳表达方面的挑战,这会影响婴儿的健康.
- 目前关于母乳表达的临床指南是基于婴儿的发育模式,而不是专门针对早产婴儿.
研究的目的:
- 分析母乳表达模式与非常早产婴儿母亲的哺乳期结果之间的关联.
主要方法:
- 132名孕期23+0至31+6周之间出生的婴儿的母亲参与了这项研究.
- 参与者在分娩后的前三周内记录了几个24小时的牛奶.
主要成果:
- 更高的表达频率与增加的24小时牛奶产量正相关.
- 对于一些母亲来说,每天表达6~7次足够,特别是那些先前有母乳养经验 (≥6个月) 的母亲.
- 在表达之间实现更短的间隔 (少于6小时) 与达到英国750克母乳的目标有关.
结论:
- 表达频率是确定非常早产婴儿母亲的乳量的一个关键因素.
- 支持每天表达≥8次的临床建议,但对于一些人来说,6-7次可能足够,特别是那些有先前经验的人.
- 尽量减少表达之间的时间间隔,而不是夜间表达本身,对于达到足够的牛奶量至关重要.
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