Espy Kimberly Andrews, Senn Theresa E
Department of Family and Community Medicine, School of Medicine, Southern Illinois University, Carbondale, IL 62901-6503, USA.
Soc Sci Med. 2003 Oct;57(8):1421-8. doi: 10.1016/s0277-9536(02)00542-7.
The majority of epidemiological studies of breast feeding have been conducted in healthy, fullterm infant samples. Little is known about the incidence and correlates of breast milk feeding in preterm infants, particularly in those born outside of metropolitan areas. Therefore, hospital medical charts of 151 consecutively admitted preterm infants (</=34 weeks gestational age), in the US, were reviewed and daily feeding, maternal demographic, pregnancy, and infant medical condition information was recorded. About half of the preterm infant sample was fed breast milk, receiving at least one breast milk feeding per day for 44% of their hospital stay. Although maternal demographic variables were important predictors of breast milk feeding, perinatal medical condition of the infant played a unique role in feeding practices in preterm infants. Specific interventions could be targeted to families with preterm infants to modestly increase population breast feeding rates.
大多数关于母乳喂养的流行病学研究都是在健康的足月儿样本中进行的。对于早产儿母乳喂养的发生率及其相关因素知之甚少,尤其是那些在大都市地区以外出生的早产儿。因此,我们回顾了美国151例连续入院的早产儿(胎龄≤34周)的医院病历,并记录了每日喂养情况、母亲的人口统计学信息、妊娠情况以及婴儿的医疗状况信息。约一半的早产儿样本接受了母乳喂养,在其住院期间,有44%的时间每天至少接受一次母乳喂养。尽管母亲的人口统计学变量是母乳喂养的重要预测因素,但婴儿的围产期医疗状况在早产儿的喂养方式中起着独特的作用。可以针对有早产儿的家庭采取特定干预措施,以适度提高总体母乳喂养率。