Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
J Hum Lact. 2009 Nov;25(4):412-9. doi: 10.1177/0890334409340776. Epub 2009 Jul 14.
This study identified maternal and infant characteristics predicting human milk (HM) feeding in very low birth weight (VLBW) infants whose mothers (n = 184) participated in a study of lactation counseling and initiated milk expression. Data were collected prospectively, by maternal interview and medical record review. During hospitalization, 159 (86%) infants received at least 50% HM proportion of feedings in the first 2 weeks of life, and 114 (62%) received some HM until the day of hospital discharge. Analysis showed plan to breastfeed was the strongest predictor of initiation and duration of HM feeding. Greater than 12 years of education, respiratory distress syndrome, Apgar score >6, and female gender were significant predictors, and no perinatal hypertensive disorder, white race, and mechanical ventilation were marginal predictors of HM feeding. Women with a high-risk pregnancy should be provided education about the benefits of breastfeeding for infants who are likely to be born prematurely.
本研究确定了产妇和婴儿的特征，这些特征可以预测接受母乳喂养的极低出生体重（VLBW）婴儿，其母亲（n = 184）参与了一项关于母乳喂养咨询和启动泌乳的研究。数据通过产妇访谈和病历回顾进行前瞻性收集。在住院期间，159 名（86%）婴儿在前 2 周的生命中至少接受了 50%的母乳喂养比例，114 名（62%）婴儿在住院期间接受了一些母乳喂养。分析表明，母乳喂养计划是启动和持续母乳喂养的最强预测因素。受教育程度大于 12 年、呼吸窘迫综合征、Apgar 评分>6 分和女性是显著预测因素，而无围产期高血压疾病、白人种族和机械通气是母乳喂养的边缘预测因素。对于可能早产的婴儿，高危妊娠的妇女应接受有关母乳喂养益处的教育。
