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支持欧洲新生儿重症监护病房中早产婴儿基于提示的母乳养的实践

Bente Silnes Tandberg^1,2, Hege Grundt³, Ragnhild Maastrup⁴

¹Department of Paediatric and Adolescent Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Vestre Viken HT, Post Box 800, Drammen, 3004, Norway. btandb@vestreviken.no.

International breastfeeding journal

|January 3, 2025

概括

欧洲的新生儿重症监护室 (NICU) 越来越多地支持基于提示的母乳养,例如皮肤与皮肤接触. 然而,在全面实施这些对婴儿的支持措施方面,仍然存在一些限制和挑战.

科学领域:

新生儿护理新生儿护理
婴儿营养婴儿营养
支持母乳养的支持

背景情况:

神经发育护理强调个性化方法来启动母乳养.
在新生儿重症监护室 (NICU) 支持基于提示的母乳养的证据有限.
这项研究旨在描述NICU中基于提示的母乳养的当前支持性做法.

研究的目的:

确定和描述欧洲新生儿重症监护室 (NICU) 中基于提示的母乳养的支持性实践.
探索皮肤接触,母乳养限制和家长支持的实施变化.

主要方法:

从2023年9月到10月,在欧洲NICU中进行了一项跨国在线调查.
该调查是通过Delphi轮开发的,评估了与皮肤接触,母乳养限制,父母信息和婴儿提示观察有关的做法.
从15个欧洲国家的105个新生儿单位收集了数据.

主要成果:

不到一半的NICU没有对皮肤与皮肤接触 (SSC) 的限制,49%的NICU在第一小时内启动了皮肤与皮肤接触.
68%的单位有母乳养限制,鼓励基于提示的养因月经后年龄而异.
只有不到一半的NICU有足够的工具来从输卵管过渡到母乳养,并采用各种方法来评估牛奶摄入量.

结论:

欧洲NICU利用SSC和早期母乳养启动等支持性实践,员工对于早产婴儿的提示性养至关重要.
在一些单位,SSC和母乳养的限制仍然存在.
需要进一步评估父母的经验和基于提示的养实践的实施策略.

关键词:

哺乳期哺乳期哺乳期基于蜂蜜的养方法新生儿重症监护室新生儿重症监护室新生儿重症监护病房新生儿重症监护病房一个早产的婴儿.

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