直接母乳养:预测因素和可能对非常早产婴儿神经发育的影响
Carlo Dani1, Caterina Coviello2, Martina Ciarcià2
1Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy; Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence, Florence, Italy.
Early human development
|August 21, 2024
概括
直接母乳养非常早产的婴儿更有可能与年长的母亲,更高的牛奶摄入量,和更大的婴儿体重增加. 然而,它没有影响24个月校正年龄的认知得分.
科学领域:
- 新生儿护理 新生儿护理
- 婴儿营养 婴儿营养
- 发育儿科 发育儿科
背景情况:
- 直接母乳养对非常早产婴儿的重要性被低估了.
- 关于这群人直接母乳养的预测因素和结果的研究有限.
研究的目的:
- 确定在出院时直接母乳养的预测因素,用于怀孕32周以下或1500克以下的婴儿.
- 评估直接母乳养对24个月校正年龄的婴儿神经发育的影响.
主要方法:
- 72名非常早产婴儿的回顾性队列研究 (2018年7月至2019年12月).
- 婴儿分为直接母乳养 (n=42) 和非直接母乳养 (n=30) 的分组.
- 通过逻辑回归分析分析了母亲和婴儿的特征.
主要成果:
- 母亲年龄,住院期间母乳摄入量和婴儿体重z-score在出院时积极预测直接母乳养.
- 出院时直接母乳养与24个月校正年龄的认知分数没有显著的相关性.
结论:
- 较年长的母乳年龄,较高的母乳消费量和较大的婴儿体重增加与更高的直接母乳养率有关.
- 在这个队列中,直接母乳养似乎不会在24个月的校正年龄影响认知发育.
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