新生儿低血糖和30天母乳养结果之间的关联在患有2型糖尿病的孕妇中
Daniella Rogerson1, Marni Jacobs2, Minhazur Sarker1
1University of California San Diego Department of Obstetrics Gynecology & Reproductive Sciences, La Jolla, United States.
American journal of perinatology
|March 10, 2026
概括
新生儿低血糖症对糖尿病母亲的母乳养率没有影响. 这项研究发现,在产后30天,在患有或没有低血糖症的婴儿中,完全,部分或完全没有母乳养的情况没有差异.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 内分泌学 在内分泌学.
背景情况:
- 妊娠期糖尿病与较低的母乳养率有关,原因包括乳腺发育延迟和婴儿早期分离等因素.
- 新生儿低血糖症可能被认为是开始母乳养的障碍,特别是当与早期低乳供应相结合时.
研究的目的:
- 评估新生儿低血糖症与孕期糖尿病母亲母乳养结果之间的关联.
- 为了确定新生儿低血糖症是否会影响30天产后完全,部分或完全没有母乳养的患病率.
主要方法:
- 一项随机对照试验的二次分析,该试验涉及2型糖尿病患者.
- 包括活生生的新生儿,其母亲打算母乳养,并且有可用的新生儿低血糖数据.
- 在产后30天评估了母乳养的结果,使用一个问卷.
主要成果:
- 在患有低血糖和没有低血糖的新生儿之间,不母乳养 (35%对37%),纯母乳养 (18%对13%) 或部分母乳养 (47%对50%) 的流行率没有显著差异.
- 这一发现甚至在接受新生儿重症监护室 (NICU) 的新生儿子组中也保持一致.
- 停止母乳养的时间相似,平均为2.62.8周,无论低血糖状态如何.
结论:
- 新生儿低血糖症没有影响糖尿病母亲30天产后母乳养的患病率.
- 这项研究表明,新生儿低血糖症并不是这一群体开始或继续母乳养的重大障碍.
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