母婴共用床与增加母乳养有关:一个系统性审查
Rebecca L Wolf1,2, Iva Skobic1, Benjamin T Pope3
1Department of Health Promotion Sciences, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA.
概括
床上共享与大多数母亲增加母乳养有关. 然而,在美国的非洲裔美国女性中没有观察到这种关联,她们的整体母乳养率较低.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 婴儿睡眠安全 婴儿睡眠安全
背景情况:
- 分床,定义为婴儿与护理人员在同一表面上睡觉,是产后母亲的常见做法.
- 了解共用床和母乳养之间的关系对于旨在支持婴儿营养和母婴关系的公共卫生倡议至关重要.
研究的目的:
- 系统地审查现有关于0-12个月龄婴儿共享床和母乳养行为之间的联系的研究.
- 综合1993年至2022年间发表的定量和混合方法研究的发现.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 通过使用"有效公共卫生实践项目"质量评估工具对量化研究进行了研究质量评估.
- 纳入标准重点是研究床上共享作为独立变量和母乳养作为依赖变量.
主要成果:
- 24项研究符合纳入标准,包括11项纵向设计和13项横截面设计.
- 在73%的纵向研究和69%的横截面研究中发现了共享床和母乳养之间的显著积极关联.
- 在美国的非裔美国女性中,共享床和母乳养之间没有发现显著的关联.
结论:
- 共用床对大多数产后妇女来说,与增加母乳养时间和独占性有关.
- 医疗保健提供者应该教育母亲安全的床上共享实践,作为促进母乳养的潜在策略.
- 需要文化敏感的方法来解决不同人群的母乳养支持问题,包括美国的非裔美国女性.
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