McPeak Katie E, Sandrock Deborah, Spector Nancy D, Pattishall Amy E
aDepartment of Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania bDepartment of Pediatrics, Division of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Curr Opin Pediatr. 2015 Feb;27(1):138-44. doi: 10.1097/MOP.0000000000000185.
The present article addresses recent research related to three important determinants of newborn health: postpartum depression, teenage parents and their offspring, and breast-feeding.
Postpartum depression can impact the entire family unit, and fathers may be affected more than previously recognized. Teenage mothers and their infants are at risk of a number of poor physical and mental health outcomes. New research continues to support the benefits of breast-feeding infants, and hospitals have adopted policies to improve breast-feeding rates.
Recognizing both maternal and paternal depression during outpatient visits is key to family well-being, as well as to infant development and attachment. Pediatric providers should address the unique emotional, socioeconomic, educational, and health needs of teen mothers. Hospital implementation of evidence-based policies may increase the number of mothers who are successful in establishing breast-feeding, and pediatric healthcare providers should be prepared to support mothers of breast-feeding infants.
本文探讨了与新生儿健康的三个重要决定因素相关的近期研究：产后抑郁、青少年父母及其子女以及母乳喂养。
产后抑郁会影响整个家庭单元，父亲可能比之前认为的受到更大影响。青少年母亲及其婴儿面临多种身心健康不良后果的风险。新的研究继续支持母乳喂养婴儿的益处，医院也已采取政策提高母乳喂养率。
在门诊就诊时识别出母亲和父亲的抑郁情绪，对于家庭幸福以及婴儿的发育和情感依恋至关重要。儿科医疗服务提供者应关注青少年母亲独特的情感、社会经济、教育和健康需求。医院实施基于证据的政策可能会增加成功建立母乳喂养的母亲数量，儿科医疗服务提供者应做好准备为母乳喂养婴儿的母亲提供支持。
