主要性,3级肥胖,打算母乳养和开始母乳养
Leandro Cordero1, Michael R Stenger1, Bradley J Needleman2
1Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States of America.
PloS one
|April 29, 2025
概括
孕产妇和新生儿的并发症阻碍了那些打算专门母乳养的肥胖母亲开始母乳养. 解决这些疾病是提高母乳养成功率的关键.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 公共卫生 公共卫生
背景情况:
- 3级肥胖症在分娩期间给孕妇带来了独特的挑战.
- 绝大多数 (77%) 的这些妇女打算专门母乳养 (BF).
- 关于影响BF在这个特定人口群体中的成功因素的数据有限.
研究的目的:
- 为了确定与母乳养成功或失败相关的围产期变量.
- 分析原发性妇女的结果,这些妇女患有3级肥胖症,打算专门母乳养.
主要方法:
- 追溯队列研究的设计.
- 纳入标准:患有3级肥胖症的初生产妇,在怀孕34周或更长的时间内生下没有重大发育不良的活单子.
- 对产前养意向与排泄养状况的分析.
主要成果:
- 在打算使用专用BF的女性中,38%的女性获得了专用BF (EBF),41%的女性获得了任何BF (ABF),21%的女性获得了配方奶粉 (FF).
- 在EBF组的妊娠糖尿病,慢性高血压,严重的孕前,剖腹产,早产,新生儿低血糖和NICU入院率较低.
- 公共卫生保健援助,非洲裔美国人种族,孕前,剖腹产,新生儿低血糖症,早产和NICU入院预测BF启动失败.
结论:
- 孕产妇和新生儿疾病是实现纯母乳养意图的重大障碍,主要是患有3级肥胖症的孕产妇.
- 解决这些健康并发症对于支持这一高风险群体的母乳养启动和成功至关重要.
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