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探讨 COVID-19 大流行期间夏威夷母乳喂养的挑战和机遇。

Exploring Challenges and Opportunities for Breastfeeding in Hawai'i During the COVID-19 Pandemic.

机构信息

University of Hawai'i at Mānoa, Honolulu, HI.

Nest For Families, Kealakekua, HI.

出版信息

Hawaii J Health Soc Welf. 2021 Oct;80(10 Suppl 2):25-29.

PMID:34704065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8538114/
Abstract

Increasing exclusive breastfeeding rates is an established public health strategy to reduce chronic disease and protect infants from illness. The role of breastfeeding in addressing health disparities takes on new significance as the COVID-19 pandemic has disproportionately impacted some communities in Hawai'i, and those with chronic conditions face increased risk of hospitalization and death. However, there are myriad policy, systemic, and environmental barriers that make it difficult for parents to breastfeed, some of which have been exacerbated by the COVID-19 pandemic. This editorial discusses the importance of breastfeeding in reducing chronic disease, reviews the status of breastfeeding in Hawai'i, explores the challenges parents face in breastfeeding their infants, especially in the time of COVID-19, and presents opportunities for improved access to lactation care to reduce health disparities.

摘要

增加纯母乳喂养率是一项既定的公共卫生策略,旨在减少慢性病并保护婴儿免受疾病的影响。母乳喂养在解决健康差异方面的作用具有新的意义,因为 COVID-19 大流行不成比例地影响了夏威夷的一些社区,而那些患有慢性病的人面临着住院和死亡的风险增加。然而,存在着无数的政策、系统和环境障碍,使得父母难以进行母乳喂养,其中一些障碍因 COVID-19 大流行而加剧。本社论讨论了母乳喂养在减少慢性病方面的重要性,回顾了夏威夷母乳喂养的现状,探讨了父母在母乳喂养婴儿方面面临的挑战,特别是在 COVID-19 期间,并提出了改善获得哺乳护理的机会,以减少健康差异。

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本文引用的文献

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Implementation of Hospital Practices Supportive of Breastfeeding in the Context of COVID-19 - United States, July 15-August 20, 2020.在 COVID-19 大流行背景下实施支持母乳喂养的医院实践 - 美国,2020 年 7 月 15 日至 8 月 20 日。
MMWR Morb Mortal Wkly Rep. 2020 Nov 27;69(47):1767-1770. doi: 10.15585/mmwr.mm6947a3.
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Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support.COVID-19 期间母乳喂养的体验:对未来实际和情感支持的启示。
Matern Child Nutr. 2021 Jan;17(1):e13088. doi: 10.1111/mcn.13088. Epub 2020 Sep 23.
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Clinical and immunologic features among COVID-19-affected mother-infant pairs: antibodies to SARS-CoV-2 detected in breast milk.新型冠状病毒肺炎感染母婴对的临床和免疫学特征:母乳中检测到抗严重急性呼吸综合征冠状病毒2抗体
New Microbes New Infect. 2020 Sep;37:100752. doi: 10.1016/j.nmni.2020.100752. Epub 2020 Sep 1.
4
Perspectives and Experiences of Obstetricians Who Provide Labor and Delivery Care for Micronesian Women in Hawai'i: What Is Driving Cesarean Delivery Rates?夏威夷为密克罗尼西亚女性提供分娩护理的产科医生的观点和经验:是什么导致了剖宫产率的上升?
Qual Health Res. 2020 Dec;30(14):2291-2302. doi: 10.1177/1049732320942484. Epub 2020 Aug 1.
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Prevalence of Selected Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings in Hawai'i.夏威夷急性护理环境中儿童、青少年和年轻成人的部分慢性疾病患病率。
Prev Chronic Dis. 2020 Jul 23;17:E67. doi: 10.5888/pcd17.190448.
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Antibodies in the breast milk of a maternal woman with COVID-19.COVID-19 产妇母乳中的抗体。
Emerg Microbes Infect. 2020 Dec;9(1):1467-1469. doi: 10.1080/22221751.2020.1780952.
7
A Call for Addressing Barriers to Telemedicine: Health Disparities during the COVID-19 Pandemic.呼吁消除远程医疗障碍:新冠疫情期间的健康差异
Psychother Psychosom. 2021;90(1):64-66. doi: 10.1159/000509000. Epub 2020 Jun 4.
8
COVID-19 Special Column: COVID-19 Hits Native Hawaiian and Pacific Islander Communities the Hardest.新冠疫情特别专栏:新冠疫情对夏威夷原住民和太平洋岛民社区影响最为严重。
Hawaii J Health Soc Welf. 2020 May 1;79(5):144-146.
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Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis.合并症会增加新冠肺炎患者的风险吗:来自荟萃分析的证据。
Aging (Albany NY). 2020 Apr 8;12(7):6049-6057. doi: 10.18632/aging.103000.
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Maternal Race Trends in Early Infant Feeding Patterns in Hawai'i Using Newborn Metabolic Screening-Birth Certificate Linked Data 2008-2015.利用2008 - 2015年新生儿代谢筛查与出生证明关联数据对夏威夷早期婴儿喂养模式中的产妇种族趋势进行研究
Hawaii J Health Soc Welf. 2020 Feb 1;79(2):42-50.