关于裂 palatus 的儿童母乳养障碍的调查
Amber D Shaffer1, Hannah Piston2, Marina V Rushchak1
1Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
概括
乳裂 (CP) 的婴儿的母亲面临着母乳养 (BMF) 的障碍. 有针对性的支持,包括咨询和乳房抽,在这个人群中显著增加了BMF率.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 公共卫生 公共卫生
背景情况:
- 母乳养 (BMF) 对婴儿提供了显著的健康益处.
- 嘴巴裂口 (CP) 的婴儿可能会遇到独特的食挑战,可能会影响BMF速率.
- 了解障碍和支持对于优化脆弱婴儿群体的BMF至关重要.
研究的目的:
- 确定障碍物和优先考虑支持,以提高婴儿母乳养 (BMF) 率.
- 为了比较婴儿口腔裂口 (CP) 和口腔完整的婴儿的母亲之间的BMF经验.
- 为了研究社会经济因素和婴儿的BMF持续时间之间的关联CP.
主要方法:
- 在一家三级儿童医院对204名0-3岁儿童的母亲进行了调查研究.
- 参与者包括患有CP的婴儿的母亲 (n=102) 和一个口腔完好无损的对照组 (n=102).
- 调查问题涵盖了兄弟姐妹的养历史,母亲的教育和母乳养/抽经验.
主要成果:
- 与对照组相比 (73.5%),直接母乳养在CP组中较少 (46.1%),更多的CP母亲建议不要母乳养.
- 两组之间的BMF启动率相似 (77.5%),但在CP组中持续BMF到6个月的比例较低 (23.1%vs.28.9%).
- 在CP组中,产后咨询,接受吸乳器,家庭支持,先前的BMF经验和母亲教育显著增加了BMF的几率.
结论:
- 患有CP的婴儿的母亲在实现持续的母乳养方面遇到重大障碍.
- 对于患有CP的母亲的婴儿,关键支持包括产后咨询,获得吸乳器和家庭支持.
- 整合早期养专家和提供乳房使用教育对于改善CP婴儿的BMF至关重要.
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