调查分娩疼痛与停止母乳养之间的关联
Nadia Azlan Ayuby1, Mei Qi Ang2, Rehena Sultana3
1Department of Women's Anesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.
Scientific reports
|December 29, 2024
概括
高度的分娩疼痛,较低的教育程度和某些医疗干预措施与停止母乳养有关. 有针对性的支持可以帮助母亲达到建议的母乳养持续时间.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产期心理学 围产期心理学
背景情况:
- 持续母乳养至6个月为母亲带来了挑战.
- 关于产痛对停止母乳养的影响的证据有限.
- 产前心理因素和产后干预措施可能会影响母乳养的持续时间.
研究的目的:
- 调查分娩疼痛经历,产后干预和产前心理脆弱性与停止母乳养之间的关联.
- 确定导致早期停止母乳养的关键因素.
- 为母亲提供有针对性的支持策略,以优化母乳养成功.
主要方法:
- 在新加坡一家三级医院进行的临床试验的二次分析.
- 从参与者收集的数据,电子记录以及产前/产后调查 (6-10周).
- 多变量回归分析用于确定与停止母乳养的独立关联.
主要成果:
- 教育水平较低,糖尿病,产科并发症,人工膜破裂与催产素诱导,较年轻的孕产妇年龄,以及更高的分娩疼痛分数独立地与停止母乳养有关.
- 停止母乳养的预测模型的AUC为0.72.
- 23.2%的妇女在产后6-10周内停止母乳养.
结论:
- 更高的分娩疼痛,以及特定的产后干预和产前脆弱性,与停止母乳养有关.
- 风险分层可以识别需要增强母乳养支持的母亲.
- 优化母乳养结果需要解决母亲的疼痛经历和其他促成因素.
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