Ponnapakkam Tulasi, Ravichandran Anisha, Bradford Elease, Tobin Gregory, Gensure Robert
Ochsner J. 2008 Fall;8(3):146-50.
Breast-feeding imparts many benefits to both mothers and infants. Because of these numerous recognized benefits, there has been an effort to increase breast-feeding rates nationwide; increasing breast-feeding rates was one of the goals of the U.S. Department of Health and Human Services' Healthy People 2010 initiative. This study examined the breast-feeding rate at the Ochsner Clinic Foundation by conducting a retrospective chart review of patients aged 0-12 months who visited any branch of the Ochsner hospital system. Our results indicate that the rate of initiation of breast-feeding for children followed at the Ochsner Clinic Foundation is 66.3%. However, as breast-feeding rates rise, there is concern that there may be a resurgence of rickets, a disease caused by the deficiency of vitamin D. Currently the American Academy of Pediatrics recommends that exclusively breast-fed infants receive vitamin D supplementation starting within the first 2 months of life. We have therefore initiated a clinical trial to determine whether vitamin D supplementation is required to prevent rickets in breast-fed children. In the course of conducting this study, we have gathered additional data regarding the patterns of breast-feeding and of vitamin D supplementation for babies born at Ochsner.
母乳喂养对母亲和婴儿都有诸多益处。鉴于这些众多已被认可的益处，全国范围内一直在努力提高母乳喂养率；提高母乳喂养率是美国卫生与公众服务部“健康人民2010”倡议的目标之一。本研究通过对奥克斯纳医院系统各分支机构就诊的0至12个月大患者进行回顾性病历审查，来考察奥克斯纳诊所基金会的母乳喂养率。我们的结果表明，在奥克斯纳诊所基金会接受随访的儿童中，母乳喂养开始率为66.3%。然而，随着母乳喂养率的上升，人们担心佝偻病可能会再度出现，佝偻病是一种由维生素D缺乏引起的疾病。目前，美国儿科学会建议纯母乳喂养的婴儿在出生后2个月内开始补充维生素D。因此，我们启动了一项临床试验，以确定母乳喂养的儿童是否需要补充维生素D来预防佝偻病。在开展这项研究的过程中，我们收集了有关奥克斯纳出生婴儿的母乳喂养模式和维生素D补充模式的更多数据。
