监测新生儿体重会阻碍母乳喂养吗？
Does monitoring newborn weight discourage breast feeding?
作者信息
McKie A, Young D, MacDonald P D
机构信息
Neonatal Paediatric Dept, Southern General Hospital, Glasgow, UK.
出版信息
Arch Dis Child. 2006 Jan;91(1):44-6. doi: 10.1136/adc.2005.074484. Epub 2005 Oct 20.
BACKGROUND
A policy of regular neonatal weight monitoring was introduced to a geographically defined population in 2000. This was combined with targeted breast feeding support for infants reaching specified intervention thresholds.
AIMS
To look for evidence of compromise in breast feeding rates as a result of this policy change.
METHODS
Breast feeding rates at 10 days and 6 weeks were compared for this intervention population and two local non-intervention groups for the years 1999 and 2001. The data were analysed using Poisson regression analysis and the Z-test.
RESULTS
There was a 3.1% (95% CI 0.8% to 5.5%) rise in the deprivation corrected breast feeding rate at 6 weeks for the intervention population compared to an increase of 0.8% (95% CI -0.8% to 2.3%) for the combined control groups. Multivariate analysis showed that breast feeding rates were adversely influenced by deprivation, but were not significantly influenced by the intervention.
CONCLUSION
No evidence was found to support claims that regular monitoring of newborn weight adversely affects breast feeding rates.
背景
2000年，针对某一特定地理区域的人群实施了一项定期监测新生儿体重的政策。该政策还结合了为达到特定干预阈值的婴儿提供有针对性的母乳喂养支持。
目的
寻找因这一政策变化导致母乳喂养率受到影响的证据。
方法
比较了1999年和2001年该干预人群以及两个当地非干预组在出生10天和6周时的母乳喂养率。使用泊松回归分析和Z检验对数据进行分析。
结果
干预人群在6周时经贫困校正后的母乳喂养率上升了3.1%（95%置信区间为0.8%至5.5%），而对照组的综合上升率为0.8%（95%置信区间为-0.8%至2.3%）。多变量分析表明，母乳喂养率受到贫困的不利影响，但未受到该干预措施的显著影响。
结论
未发现证据支持定期监测新生儿体重会对母乳喂养率产生不利影响的说法。
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