交付方式对母乳养开始和延续的影响:前性队列研究
İlke Özer Aslan1,2, Mustafa Törehan Aslan3,4, Nebibe Can5
1Department of Obstetrics and Gynecology, Faculty of Medicine, Tekirdağ Namık Kemal University, Tekirdağ 59030, Türkiye.
剖腹产暂时延迟了母乳养的开始. 然而,如果母乳养得到支持,在产后一个月,母乳养的成功与阴道分娩相美.
科学领域:
- 产科和妇科
- 新生儿健康
- 哺乳科学
背景情况:
- 与阴道分娩相比,剖腹产与延迟开始母乳养有关.
- 这可能会影响婴儿健康.
- 影响母乳养结果的母性因素需要检查.
研究的目的:
- 为了比较分娩方式 (阴道,计划剖腹产,紧急剖腹产) 对母乳养的开始和延续的影响.
- 检查影响母乳养结果的母亲因素.
- 使用布里斯托尔母乳养评估工具 (BBAT) 评估母乳养的有效性.
主要方法:
- 对338对母婴进行前性观察研究.
- 在出生时进行BBAT评估,以及分娩后的1,3,6个月.
- 组织面试以记录继续母乳养和补充配方.
主要成果:
- 阴道分娩的母亲在一个小时内开始母乳养的频率 (85. 5%) 比计划 (57. 9%) 或紧急剖腹产 (64. 9%) 的母亲 (p < 0. 001).
- 最初的BBAT分数因分娩方式而异,但在分娩后的一个月内趋同 (p > 0. 05).
- 在所有分娩组中,六个月后继续母乳养的比例很高 (94. 4- 95. 2%).
结论:
- 交付方式对母乳养的开始有暂时的影响.
- 在适当的哺乳支持下,剖腹产产后的母亲在一个月内获得了类似的母乳养结果.
- 婴儿友好医院倡议 (BFHI) 的做法对于公平的母乳养成功至关重要.
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