为什么要强调产后早期抽血? 在依赖的母亲中达到体积的关键窗口及其对早产婴儿出院时养方法的预测价值
Yue Peng1, Yongqi Liang1, Xiaoke Jiang2
1School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China.
概括
产前婴儿的母亲应该在产后3-7天之间专注于抽奶,以达到足够的牛奶量 (达到体积). 产后第8天的早期牛奶量可以预测出院时婴儿养的结果.
科学领域:
- 新生儿护理 新生儿护理
- 哺乳期科学 哺乳期科学
- 母婴健康 母婴健康
背景情况:
- 母婴分离给早产婴儿的母亲带来了哺乳期的挑战.
- 获得足够的牛奶量 (即将达到量,CTV) 对于成功的母乳养和婴儿营养至关重要.
研究的目的:
- 为了确定临界窗口来体积 (CTV) 在早产婴儿的依赖的母亲.
- 分析与未能实现CTV相关的风险因素.
- 为了评估产后产奶量表达的婴儿养方法在出院时的预测值.
主要方法:
- 一项前性观察性研究,涉及88名早产婴儿母亲的哺乳日记.
- 统计分析包括后勤回归,时间序列分析,斯皮尔曼相关性和K原型集群分析.
- 接收器操作特征 (ROC) 曲线评估了牛奶量对养结果的预测能力.
主要成果:
- 超过51%的母亲没有达到CTV.
- 没有CTV的独立风险因素包括非计划的抽,较低的抽频率/体积 (1-7天) 和双边体积差异.
- 产后3-7天被确定为CTV的关键窗口,在此期间的抽动行为与以后的牛奶量有积极的相关性.
- 在第8天的产后早期乳量显著预测出院时的婴儿养方法 (AUC=0.831).
结论:
- 在早产婴儿的母亲中,实现足够的牛奶量至关重要的窗口是产后3-7天.
- 在这个窗口中优化抽频率和体积对于成功哺乳是必不可少的.
- 产后第8天的牛奶量提供了婴儿在出院时的婴儿养结果的早期和可靠预测.
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