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支持母乳喂养的孕产保健实践:CDC 鼓励质量改进的努力。

Maternity care practices that support breastfeeding: CDC efforts to encourage quality improvement.

机构信息

Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.

出版信息

J Womens Health (Larchmt). 2013 Feb;22(2):107-12. doi: 10.1089/jwh.2012.4158.

DOI:10.1089/jwh.2012.4158
PMID:23398126
Abstract

Breastfeeding has important consequences for women's health, including lower risk of breast and ovarian cancers as well as type 2 diabetes. Although most pregnant women want to breastfeed, a majority encounter difficulties and are not able to breastfeed as long as they want. Routine maternity care practices can pose significant barriers to successful breastfeeding. To address these practices, CDC has taken on a number of initiatives to promote hospital quality improvements in how new mothers are supported to start breastfeeding. The CDC survey on Maternity Practices in Infant Nutrition and Care is a tool to educate hospitals on how their current practices compare to recommended standards. The Best Fed Beginnings program is working with 90 hospitals across the United States to achieve optimal care and create tools for future hospital changes. CDC-funded programs in numerous state health departments have created programs to instigate improvements across the state. These efforts have begun to show success, with significant hospital quality score increases seen between 2009 and 2011. In 2011, more hospitals were designated as Baby-Friendly than in any previous year.

摘要

母乳喂养对妇女健康有重要影响,包括降低乳腺癌和卵巢癌以及 2 型糖尿病的风险。尽管大多数孕妇都想母乳喂养,但大多数人在母乳喂养时都会遇到困难,无法满足自己的需求。常规的产妇护理实践可能会对成功母乳喂养造成重大障碍。为了解决这些问题,疾病预防控制中心采取了多项举措,以促进医院在如何支持新妈妈开始母乳喂养方面的质量改进。关于婴儿营养和护理的产妇护理实践调查是一种工具,可用于教育医院了解其当前实践与推荐标准的差异。最佳喂养开端计划正在与美国 90 家医院合作,以实现最佳护理并为未来医院的变革创造工具。疾病预防控制中心资助的多个州卫生部门的项目已经制定了在全州范围内进行改进的方案。这些努力已经开始取得成功,2009 年至 2011 年间,医院的质量评分显著提高。2011 年,被指定为“婴儿友好医院”的医院数量比以往任何一年都多。

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