在早产婴儿中直接母乳养的预测因素
Manisha Mills1, Laurie Nommsen-Rivers2, Heather C Kaplan1,3
1Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
概括
新生儿重症监护室 (NICU) 中的直接母乳养 (DBF) 率受到哺乳支持,医院实践和母亲社会人口统计学的影响. 改善这些因素可以增强早产婴儿的DBF.
科学领域:
- 新生儿护理 新生儿护理
- 儿童营养学 儿童营养学
- 哺乳期科学 哺乳期科学
背景情况:
- 母乳是新生儿重症监护室 (NICU) 预产婴儿营养的黄金标准.
- 直接母乳养 (DBF) 对于持续的MOM供应至关重要,但影响早产婴儿DBF的因素尚不清楚.
研究的目的:
- 为了确定预测直接母乳养 (DBF) 在口服养开始时的因素.
- 确定在新生儿重症监护室 (NICU) 退院时预测DBF的因素.
主要方法:
- 对早产婴儿 (妊娠期≤32周) 的回顾性队列研究.
- 收集关于婴儿特征,母亲社会人口统计和医院/哺乳期支持实践的数据.
- 用于识别DBF结果的独立预测因素的物流回归模型.
主要成果:
- 64%的符合条件的婴儿启动了DBF,51%的婴儿在出院时是DBF.
- 社会人口统计学,新生儿重症监护室和哺乳支持因素显著影响了DBF启动和出院的结果.
- 发现类似的因素影响了哺乳支持本身的提供.
结论:
- 哺乳支持,NICU环境和社会人口统计学变量是DBF在早产婴儿成功的关键决定因素.
- 干预措施应侧重于优化哺乳支持,减轻偏差,并增加DBF实践的机会.
- 有针对性的策略可能会提高脆弱的早产人口的DBF率.
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