关于早产婴儿母乳养的纵向研究:一个范围审查
Xin Jiang1, Lijing Ding2, Na Wu1
1Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
BMC pregnancy and childbirth
|July 9, 2025
概括
由于各种因素,早产婴儿的纯母乳养率在分娩后下降. 增强的适应性哺乳支持对于改善这一脆弱人群的母乳养结果至关重要.
科学领域:
- 新生儿营养新生儿营养
- 孕产妇和婴儿的健康
- 哺乳期支持 哺乳期支持
背景情况:
- 早产婴儿 (<37周妊娠期) 面临着独特的母乳养挑战.
- 在早产婴儿中,纯母乳养率需要持续评估和支持.
研究的目的:
- 评估早产婴儿的纯母乳养率.
- 确定影响这些母乳养实践的因素.
- 确定基于证据的干预措施,以加强哺乳支持.
主要方法:
- 根据Arksey和O'Malley (2005) 和PRISMA-ScR指南进行范围审查.
- 搜索了五个英语和三个中文数据库 (2023年9月).
- 包括纵向,队列和RCT (2013-2023) 关于母亲-早产婴儿二位数,重点关注符合世卫组织标准的纯母乳养.
主要成果:
- 十一项研究符合纳入标准.
- 在产后一年内观察到纯母乳养率的下降.
- 在分娩后早期 (技术,牛奶供应) 和晚些时候 (母婴因素,转移) 确定了挑战.
结论:
- 对于早产婴儿来说,母乳养的挑战是多因素的 (生理,社会,心理).
- 需要与婴儿发育和父母需求相一致的纵向,适应性哺乳支持.
- 未来的研究应该专注于多中心试验和机器学习来预测风险.
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