与COVID-19流行病相关的工作流变化的影响对临床综合母乳养同行辅导员计划的影响
Fatima Sattar1, Ann E B Borders1,2,3, Lauren S Keenan-Devlin4,5
1University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Maternal and child health journal
|December 19, 2024
概括
哺乳期同行咨询中的COVID-19工作流变化没有对母乳养结果产生负面影响. 产后六周的母乳养实际上在疫情期间增加了.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健管理的管理
背景情况:
- 由于COVID-19大流行,医疗保健服务的快速工作流修改变得必要.
- 临床整合的母乳养同行咨询 (ci-BPC) 计划调整了服务以保持患者的支持.
- 这些适应对脆弱人群母乳养结果的影响仍然不清楚.
研究的目的:
- 为了确定ci-BPC计划中COVID-19相关的工作流变化是否影响了母乳养结果.
- 评估流行病引起的服务修改与在Medicaid注册患者中母乳养成功之间的关联.
主要方法:
- 一个回顾性图表回顾分析了三个时期的数据:疫情前 (2017年1月至2020年3月),疫情高峰期间 (2020年3月至2020年9月) 和疫情高峰后 (2020年9月至2021年5月).
- 统计分析 (ANOVA) 在三个时间点中比较了接触类型和母乳养结果 (启动,排他性,持续6周).
主要成果:
- 从疫情前到高峰期间,亲自产前咨询显著下降 (43.9%至8.2%).
- 产后6周的母乳养在高峰期队列 (67%至85%) 显著增加,与大流行前队列相比.
- 在产后6周,继续母乳养的情况在"高峰期"后队列 (74%) 恢复到基线水平.
结论:
- 在COVID-19期间,ci-BPC计划的工作流程的调整并没有导致更差的母乳养结果.
- 这项研究表明,经过修改的同行咨询服务可以在公共卫生危机期间维持甚至改善母乳养支持.
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