纯母乳养的预测因素:系统审查和元分析
Mehri Kalhor1,2, Mansoureh Yazdkhasti3, Masoumeh Simbar4,5
1Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical sciences, Tehran, Iran.
International breastfeeding journal
|July 3, 2025
概括
母亲对母乳养益处的认识,支持,早期启动,教育和收入显著增加了纯母乳养 (EBF) 的几率. 改善这些因素可以提高健康婴儿的EBF成功率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 母乳是婴儿的最佳营养,但纯母乳养率受到各种因素的影响.
- 了解人口,社会,经济和临床预测因素对于改善母乳养成功至关重要.
- 本研究系统地审查和分析了影响EBF的关键因素.
研究的目的:
- 系统地审查和分析纯母乳养 (EBF) 的预测因素.
- 通过对观察性研究的元分析,确定与成功的EBF相关的因素.
主要方法:
- 2000年至2023年间发表的观察性研究的系统审查和元分析.
- 在多个数据库中进行搜索 (PubMed,科学网,PsycINFO等). 使用与母乳养预测因素相关的关键词.
- 使用纽卡斯尔-太华尺度进行数据提取和质量评估,并使用REML和异质性分析进行元分析.
主要成果:
- 包含70183名参与者的19项研究被纳入了元分析.
- 显著增加EBF几率的关键预测因素包括母亲对福利的认识 (2.70x),支持 (2.57x),早期启动 (<24h,1.85x),高等教育 (1.44x) 和收入.
- 其他因素,如自我效能,多对性,女婴的性别和正常的阴道分娩也显示出与EBF有显著的关联.
结论:
- 母亲意识,支持,早期开始母乳养,高等教育和改善的经济条件与EBF密切相关.
- 旨在加强孕产妇教育,社会支持和经济稳定的干预措施可以有效地提高EBF费率.
- 这些发现突出了通过纯母乳养促进最佳婴儿营养至关重要的可修改因素.
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