Institute of Pulmonology, Hadassah University Hospital and Hadassah-Hebrew University Medical School, Jerusalem, Israel.
School of Public Health and Community Medicine, Hadassah University Hospital and Hadassah-Hebrew University Medical School, Jerusalem, Israel.
Sci Rep. 2018 Apr 26;8(1):6588. doi: 10.1038/s41598-018-24636-0.
The influence of feeding position of the infant in the pathogenesis of ear and airway diseases has not been well established. We investigated the influence of instructing mothers to feed their 3-month old infants with their head in an upright position on ear and respiratory morbidity during a one-year follow-up. Mothers of 88 infants were instructed by trained nurses to feed their infants with their head in upright position (intervention group). The control group consisted of 75 mothers of infants of similar socioeconomic background who fed their infants without special instructions. Both groups were followed at Maternal-Child-Health clinics. Feeding position was evaluated at the beginning and the end of the twelve-month study, and parent reported morbidity data of both groups were evaluated at every 3-month's follow-up meeting. Infants from the intervention group were fed at a more upright head position. Parameters of parent reported morbidity evaluated as area under the curve were significantly lower in infants from the intervention group concerning ear diseases, respiratory diseases, prolonged fever episodes, need of bronchodilator inhalations and antibiotic courses compared to the control group. Instructing mothers to feed infants with their head in upright position was accompanied with less morbidity and treatment burden.
婴儿喂养姿势对耳部和气道疾病发病机制的影响尚未得到充分证实。我们研究了在为期一年的随访中，指导母亲将 3 个月大的婴儿以头部直立的姿势喂养，对耳部和呼吸道发病率的影响。88 名婴儿的母亲在经过培训的护士的指导下，将婴儿以头部直立的姿势进行喂养（干预组）。对照组由 75 名具有类似社会经济背景的婴儿的母亲组成，她们没有接受特殊指导来喂养婴儿。两组均在母婴健康诊所进行随访。在 12 个月的研究开始和结束时评估喂养姿势，并在每 3 个月的随访会议上评估两组的父母报告发病率数据。干预组的婴儿采用更直立的头部姿势进行喂养。与对照组相比，干预组婴儿的父母报告发病率评估参数（曲线下面积）在耳部疾病、呼吸道疾病、发热时间延长、需要支气管扩张剂吸入和抗生素疗程方面显著较低。指导母亲以头部直立的姿势喂养婴儿可降低发病率和治疗负担。
