欧洲不同地区和新生儿单位极低出生体重儿母乳喂养率的差异：MOSAIC 队列研究结果。
Variations in breastfeeding rates for very preterm infants between regions and neonatal units in Europe: results from the MOSAIC cohort.
机构信息
INSERM U953, Epidemiological Research Unit on Perinatal Health and Women's and Infants' Health, 16 Avenue Paul-Vaillant Couturier, 94807 Villejuif, France.
出版信息
Arch Dis Child Fetal Neonatal Ed. 2011 Nov;96(6):F450-2. doi: 10.1136/adc.2009.179564. Epub 2010 Jun 10.
OBJECTIVES
To compare breastfeeding rates at discharge for very preterm infants between European regions and neonatal units, and to identify characteristics associated with breast feeding using multilevel models.
METHODS
Population-based cohort of 3006 very preterm births (22-31 weeks of gestation) discharged home from neonatal units in eight European regions in 2003.
RESULTS
Breastfeeding rates varied from 19% in Burgundy to 70% in Lazio, and were correlated with national rates in the entire newborn population. Women were more likely to breast feed if they were older, primiparous and European; more premature, smaller and multiple babies or those with bronchopulmonary dysplasia were breast fed less. Variations across regions and neonatal units remained statistically significant after adjusting for maternal, infant and unit characteristics.
CONCLUSION
It is possible to achieve high breastfeeding rates for very preterm infants, but rates varied widely across regions and neonatal units throughout Europe.
目的
比较欧洲各地区和新生儿病房极低出生体重儿出院时的母乳喂养率，并使用多水平模型确定与母乳喂养相关的特征。
方法
本研究为基于人群的队列研究，纳入了 2003 年在欧洲 8 个地区的新生儿病房出院的 3006 例极早产儿（胎龄 22-31 周）。
结果
母乳喂养率从勃艮第的 19%到拉齐奥的 70%不等，且与整个新生儿人群的全国母乳喂养率相关。如果母亲年龄更大、初产妇、欧洲裔；婴儿更早产、更小、是多胎或患有支气管肺发育不良，则母乳喂养的可能性更大。调整了母亲、婴儿和单位特征后，各地区和新生儿病房之间的差异仍具有统计学意义。
结论
为极低出生体重儿实现高母乳喂养率是可能的，但在整个欧洲，各地区和新生儿病房的母乳喂养率差异很大。
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