挤出母乳养对预产婴儿母乳养时间的影响:系统性审查和元分析
Heidi Sze Lok Fan1, Daniel Yee Tak Fong2, Kris Yuet Wan Lok2
1College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
概括
清奶母乳养,无论是全部还是完全,都与停止母乳养的风险更高有关. 虽然很常见,但需要更多高质量的研究来证实这些发现.
科学领域:
- 围产期健康 围产期健康
- 婴儿营养 婴儿营养
- 哺乳期研究 哺乳期研究
背景情况:
- 母乳养实践正在转向更多地使用挤出的母乳.
- 关于母乳养和母乳养时间的先前研究已经产生了不一致的结果.
研究的目的:
- 为了确定任何和排他性的母乳养和母乳养持续时间之间的关联.
- 在健康的婴儿的父母中报告挤出母乳养的患病率.
主要方法:
- 在多个数据库中进行了系统的文献搜索,直到2023年12月.
- 包括英语观察性研究,报告表达的母乳养和母乳养结果.
- 数据使用危险比率 (HR) 和95%置信区间 (CI) 进行了综合分析,并通过I2统计评估异质性.
主要成果:
- 任何在产后3个月内奶的人,都会增加停止母乳养的风险 (HR 1.34).
- 在产后3个月和3个月以后,纯母乳养与分别增加43%和81%的停产风险有关.
- 81%的母乳养者报告表达了母乳养;31项研究中只有7项是高质量的.
结论:
- 很少有最近的,高质量的研究存在于抽出母乳养对母乳养时间的流行率和影响.
- 需要进一步进行严格的研究,才能充分理解母乳养对母乳养结果的作用.
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