探索母乳养的做法和障碍,在有和没有先天性心脏病的母亲
Fahad Abdulaziz Alrashed1, Saad M AlAngari2, Abdullah Awartani2
1Department of Medical Education, College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11472, Saudi Arabia.
Healthcare (Basel, Switzerland)
|December 30, 2025
概括
患有先天性心脏病 (CHD) 的母亲及其被诊断患有CHD的孩子开始和持续母乳养,类似于没有CHD的母亲. 母亲心血管疾病与其他健康因素有关,但并不妨碍母乳养的成功.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 哺乳为婴儿提供了显著的营养和免疫优势,特别是那些患有先天性心脏病 (CHD) 的婴儿.
- 了解患有心脏病和没有心脏病的母亲的母乳养实践和挑战,对于优化婴儿护理至关重要.
- 母亲的先天性心脏病在分娩后期可能会带来独特的健康考虑.
研究的目的:
- 确定患有心脏病的儿童的母亲之间母乳养的流行率,比较患有和没有母乳心脏病的儿童.
- 识别和比较患有心脏病和没有心脏病的母亲面临的常见母乳养障碍.
- 探索孕产妇心血管疾病和其他孕产妇/婴儿健康特征之间的关联.
主要方法:
- 在2025年1月至8月期间,在沙特阿拉伯进行了一项横截面研究.
- 一个经过验证的双语问卷收集了419名患有心脏病儿童的母亲的母亲,婴儿和母乳养因素的数据.
- 统计分析包括描述性统计,千二测试和赔率比率 (p < 0.05).
主要成果:
- 母亲心血管疾病 (15.8%) 与母亲年龄较大,家族病史,低出生体重和其他慢性疾病有关.
- 哺乳开始 (≈91%) 和持续时间在患有心脏病的母亲和没有心脏病的母亲之间没有显著差异.
- 患有心血管疾病的母亲报告母乳养障碍较少 (27.3%对43.1%) 并不经常引用疲劳/疼痛.
结论:
- 母亲心血管疾病与特定的遗传和围产期风险因素有关,但并不能本质上阻止成功的母乳养.
- 在患有心脏病和没有心脏病的母亲之间,母乳养的开始和持续时间是可比的,这挑战了关于母亲健康限制的假设.
- 这些发现强调了支持患有心脏病的母乳养母亲的重要性,并为沙特阿拉伯的医疗保健提供者提供了见解.
相关概念视频
Mitral Stenosis IV: Nursing Management
234
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
234
Mitral Regurgitation IV: Nursing Management
286
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
286
Heart Failure VII: Nursing Interventions
392
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
392
Cardiomyopathy VI: Nursing Management
289
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
289
Mitral Valve Prolapse III: Nursing Management
255
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
255
Cardiomyopathy VII: Pre and Post Operative Nursing Management
251
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
251


