过早生育是否会缓解母乳养的头生儿和第二生儿之间的关联?
Krupa Trivedi1, Purva Trivedi2, Felicia Branch1
1Brody School of Medicine at East Carolina University, Greenville, NC, USA.
概括
母乳养第一个孩子会提高第二个孩子的几率,即使是早产. 克服早期母乳养的挑战有利于后来的孩子,无论早产.
科学领域:
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
- 围产期流行病学 围产期流行病学
背景情况:
- 过早出生的婴儿经历了母乳养的挑战,影响了开始和持续时间.
- 过早产妇对随后的婴儿母乳养行为的影响尚不清楚.
研究的目的:
- 调查第一个或第二个孩子的早产如何缓和先前的母乳养经验和随后的母乳养结果之间的关系.
- 为了确定早产对第二次出生后母乳养的开始和持续时间的影响.
主要方法:
- 使用国家家庭增长调查数据 (2011-2019) 的回顾性队列研究.
- 包括6031个年龄在18-49岁之间的个人,至少有两个单独生育的活产.
- 分析了第二胎婴儿的母乳养开始和持续时间,评估了第一胎婴儿母乳养经验和早产之间使用多变量逻辑回归的相互作用.
主要成果:
- 第一个孩子的母乳养经验显著增加了第二个孩子开始母乳养的几率 (OR=16.98).
- 当第一个或第二个孩子早产时,这种关联会减弱,尽管相互作用术语并不显著.
- 过早生育并没有显著缓解第一胎母乳养经验和第二胎母乳养持续时间之间的关联.
结论:
- 支持初生婴儿开始母乳养,可以提高后代婴儿母乳养的可能性.
- 这些对母乳养开始的积极影响不论第一个还是第二个孩子是早产的,都会持续下去.
- 解决原发性个体的障碍是改善多胎母乳养结果的关键.
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