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产后12周足月儿喂养的预测因素。

Predictors of term infant feeding at week 12 postpartum.

作者信息

Hill Pamela D, Aldag Jean C

机构信息

Department of Maternal Child Nursing, College of Nursing, University of Illinois, Chicago, IL, USA.

出版信息

J Perinat Neonatal Nurs. 2007 Jul-Sep;21(3):250-5. doi: 10.1097/01.JPN.0000285816.44022.a3.

Abstract

As part of a large nonexperimental, prospective, longitudinal study, 97 breast-feeding mothers of healthy term singleton infants were queried via telephone at weeks 8-12 postpartum about their infant feeding method. At week 12, 71.1% of them provided mother's milk (MM), 16.5% provided artificial milk (AM) and MM, and 12.4% provided AM only. Logistic regression analysis identified the following predictors for risk of supplemental feedings with AM at week 12 postpartum: supplementation with AM at week 6, inadequate milk supply at week 6, frequency of breast stimulation less than 7.8 times daily at week 6. Milk output during weeks 1-6 was predictive of feeding type at week 12. Mothers who reported perceived inadequate milk supply (PIMS) at week 8 were more likely to provide AM at week 12 than mothers who did not report PIMS. Further research is needed to assist mothers of healthy term infants with sustaining their milk supply and assisting them with PIMS.

摘要

作为一项大型非实验性前瞻性纵向研究的一部分,在产后8至12周通过电话询问了97名健康足月儿单胎的母乳喂养母亲其婴儿喂养方式。在第12周时,71.1%的母亲提供母乳(MM),16.5%的母亲提供人工奶(AM)和母乳,12.4%的母亲仅提供人工奶。逻辑回归分析确定了产后第12周使用人工奶进行补充喂养风险的以下预测因素:第6周时使用人工奶补充、第6周时母乳供应不足、第6周时乳房刺激频率低于每日7.8次。第1至6周的奶量可预测第12周的喂养类型。在第8周报告感觉母乳供应不足(PIMS)的母亲在第12周比未报告PIMS的母亲更有可能提供人工奶。需要进一步研究来帮助健康足月儿的母亲维持母乳供应并帮助她们应对PIMS。

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