怀孕前高血压与母乳养时间之间的关联
Nourhan Mohamed1, Sravya Walker2, Ifa Abduljelil2
1Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA.
概括
妊娠前高血压 (HTN) 与更短的母乳养时间有关. 孕前HTN的妇女至少3个月不太可能母乳养,这凸显了对怀孕前护理干预的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 母婴健康 母婴健康
背景情况:
- 怀孕和母乳养期间的高血压 (HTN) 被研究,但孕前HTN对母乳养的影响尚不清楚.
- 这项研究调查了孕前HTN和母乳养时间之间的关联.
研究的目的:
- 检查妊娠前高血压与母乳养时间之间的关系.
- 要确定孕前高血压是否会影响至少3个月的母乳养的可能性.
主要方法:
- 利用了来自2016-2022年怀孕风险评估监测系统 (N=127,510) 的数据.
- 采用多变量逻辑回归和考克斯比例危险模型.
- 评估了母乳养的持续时间,主要结果是至少3个月的母乳养.
主要成果:
- 怀孕前HTN的女性在至少3个月内母乳养的比例明显较低 (66.1%vs71.6%).
- 怀孕前的HTN与至少3个月的母乳养几率较低有关 (aOR=0.86).
- 孕前HTN的妇女在3个月前停止母乳养的风险更高 (aHR=1.25).
结论:
- 怀孕前的高血压独立地与更短的母乳养时间有关.
- 在怀孕前的护理过程中识别和管理妊娠前的HTN可能会改善母乳养的结果.
- 对孕前HTN妇女的干预措施进行进一步的研究是有必要的,以支持母乳养.
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