Castrucci Brian C, Hoover Kathleen L, Lim Suet, Maus Katherine C
Texas Department of State Health Services, Austin, TX 78613, USA.
Am J Health Promot. 2007 May-Jun;21(5):410-5. doi: 10.4278/0890-1171-21.5.410.
To assess the association between the presence of international board-certified lactation consultant (IBCLC) services at a delivery hospital and the breastfeeding practices of women whose infants required neonatal intensive care unit (NICU) admission.
Cross-sectional study using population-level data.
Philadelphia, Pennsylvania.
2132 infants admitted to the NICU.
Breastfeeding at hospital discharge was measured with the question, "Is the infant being breastfed?" Delivery hospitals were dichotomized as to the presence or absence of an IBCLC on staff
Logistic regression was used to assess the relationship between breastfeeding at discharge and the presence of an IBCLC at the delivery facility while adjusting for maternal characteristics and birth outcomes.
Among mothers of infants admitted to the NICU, breastfeeding rates among mothers who delivered at hospitals with an IBCLC were nearly 50% compared with 36.9% among mothers who delivered at hospitals without an IBCLC. The adjusted odds of breastfeeding initiation prior to hospital discharge were 1.34 (95% confidence interval = 1.03, 1.76) times higher for women who delivered at a facility with an IBCLC.
To increase breastfeeding rates among the NICU population, these findings support the need for universal availability of IBCLCs at delivery facilities that have NICUs.
评估分娩医院提供国际认证泌乳顾问（IBCLC）服务与婴儿需要入住新生儿重症监护病房（NICU）的女性的母乳喂养情况之间的关联。
使用人群水平数据的横断面研究。
宾夕法尼亚州费城。
2132名入住NICU的婴儿。
通过“婴儿是否正在接受母乳喂养？”这一问题来衡量出院时的母乳喂养情况。分娩医院根据是否有IBCLC工作人员分为两类。
使用逻辑回归评估出院时的母乳喂养与分娩机构中IBCLC的存在之间的关系，同时对产妇特征和出生结局进行调整。
在入住NICU的婴儿的母亲中，在设有IBCLC的医院分娩的母亲的母乳喂养率接近50%，而在没有IBCLC的医院分娩的母亲的母乳喂养率为36.9%。在设有IBCLC的机构分娩的女性在出院前开始母乳喂养的调整后优势比高出1.34倍（95%置信区间 = 1.03, 1.76）。
为提高NICU人群的母乳喂养率，这些研究结果支持在设有NICU的分娩机构普遍配备IBCLC的必要性。
