在新生儿重症监护病房促进母乳养公平
Keadrea Wilson1, Bhuvaneshwari Jagadesan1, Karis Browder1
1Department of Pediatrics, Division of Neonatology, University of Tennessee Health Science Center, Memphis, Tennessee.
NeoReviews
|February 28, 2025
概括
母乳提供了许多好处,但持续母乳养具有挑战性,在不同种族,种族和年龄组中观察到显著差异. 了解影响母乳供应的成本和因素对于解决这些不平等问题至关重要.
科学领域:
- 人类哺乳和婴儿营养
- 公共卫生和婴儿养方面的差异.
- 新生儿重症监护室 (NICU) 的支持系统.
背景情况:
- 母乳对终身婴儿和早产婴儿都有广泛的益处.
- 尽管支持母乳养的政策取得了进展,但持续提供母乳仍然是一个挑战.
- 在母乳养率和人类牛奶消费方面存在显著的种族,种族和年龄相关差异.
研究的目的:
- 探索新生儿重症监护室 (NICU) 中母乳养不平等的潜在驱动因素.
- 分析影响母乳供应的个人和机构因素.
- 了解与母乳养和母乳供应相关的固有成本.
主要方法:
- 进行了案例审查,以检查母乳养经验.
- 分析的重点是确定导致母乳供应不平等的因素.
- 探索个人和机构层面对母乳养时间和独家性的影响.
主要成果:
- 开始母乳养的比例很高,但持续的供给在分娩后6个月和1年显著下降.
- 非西班牙裔黑人婴儿和年轻母亲 (20-29岁) 的母乳养率较低.
- 边缘化的种族和民族群体,包括非西班牙裔黑人和美国原住民出生时体重非常低的婴儿,在出院时表现出较低的母乳患病率.
结论:
- 在产后早期的持续母乳养是具有挑战性的,需要有针对性的干预措施.
- 解决母乳供应差异需要理解和减轻个人和机构障碍.
- 对影响母乳养的成本和系统因素进行进一步的研究对于促进平等获得母乳的机会至关重要.
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