实施语言一致的,文化定制的住院患者哺乳计划
Nikita S Kalluri1,2, Elena Padilla-Garza2, Tessa Kehoe2
1Department of Pediatrics, UMass Chan Medical School, Worcester, Massachusetts.
JAMA network open
|March 7, 2025
概括
"Mama Sana"计划改善了西班牙裔父母的母乳养率和哺乳支持. 这种文化定制的方法可能有助于减少围产期护理方面的差异.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 哺乳期支持 哺乳期支持
背景情况:
- 哺乳提供了广泛的好处,但种族和民族差异仍然存在.
- "Mama Sana"计划是一个双语,文化定制的倡议,旨在解决这些母乳养不平等问题.
- 了解此类计划的影响对于改善母婴健康结果至关重要.
研究的目的:
- 为了评估Mama Sana计划的有效性.
- 为了比较 Mama Sana 中西班牙裔参与者与历史对照组之间的哺乳支持和母乳养结果.
- 评估该计划在减少母乳养差异方面的潜力.
主要方法:
- 一项队列研究,将Mama Sana组 (2022年1月至2023年9月) 与历史控制组 (2019年7月至2021年12月) 进行比较.
- 哺乳支持由一名双语,认证的哺乳辅导员提供.
- 结果包括出院时和分娩后6周的纯母乳养,以及出院时和分娩后6周的任何母乳养. 在统计分析中,使用了二次测试.
主要成果:
- 玛玛·萨纳组在医院出院时 (98.3%对91.7%) 和分娩后6周 (79.4%对64.1%) 的任何母乳养率显着更高.
- 参与"Mama Sana"计划的参与者更有可能接受住院哺乳咨询 (62.3%vs44.6%) 和语言一致的支持 (100%vs20.3%).
- 虽然母乳养在出院时的比例在Mama Sana组略高 (20.6%与16.1%相比),但这种差异在统计学上并不显著.
结论:
- 玛玛·萨纳计划,其语言一致和文化定制的方法,与改善的哺乳支持和某些母乳养结果有关.
- 这些发现表明,文化定制的围产期护理计划可以有效地促进健康公平.
- 该计划展示了作为一个有价值的战略,以减少在西班牙裔分娩父母之间母乳养不平等的潜力.
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