支持母乳养的干预措施:美国预防服务工作组的最新证据报告和系统审查
Carrie D Patnode1, Caitlyn A Senger1, Erin L Coppola1
1Kaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
支持母乳养的干预措施有效地提高了长达六个月的完全母乳养率. 进一步的研究应集中在所有养决策中提供一致的支持.
科学领域:
- 公共卫生
- 母婴健康
- 证据综合
背景情况:
- 哺乳干预措施旨在改善母乳养的开始,独占性和持续时间.
- 美国预防服务工作组 (USPSTF) 要求更新其建议的证据.
研究的目的:
- 系统地审查母乳养支持干预措施的益处和危害.
- 根据USPSTF2016年推的最新情况.
主要方法:
- 评估初级保健相关的哺乳支持干预措施的随机临床试验的系统审查.
- 通过2024年6月更新文献搜索,并通过2025年1月进行监视.
- 包括90项试验 (49,597名参与者) 的独立数据提取和批判性评估.
主要成果:
- 关于婴儿健康结果和母亲福祉的证据有限.
- 在任何母乳养 (RR 1.13) 和6个月的纯母乳养 (RR 1.46) 中发现了有益的关联.
- 与12个月的母乳养开始或持续时间没有显著的关联.
结论:
- 支持母乳养的干预措施有效地提高了长达6个月的母乳养率.
- 未来的努力应优先考虑为所有个人提供一致和可访问的支持.
- 综合证据支持促进母乳养的公共卫生战略.
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