Kalluri Nikita S, Melvin Patrice, Belfort Mandy B, Gupta Munish, Cordova-Ramos Erika G, Parker Margaret G
Department of Newborn Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Program for Patient Safety and Quality, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
J Perinatol. 2022 Jun;42(6):723-729. doi: 10.1038/s41372-021-01250-z. Epub 2021 Oct 29.
To examine associations of maternal primary language with neonatal intensive care unit (NICU) outcomes (mother's milk at discharge, necrotizing enterocolitis [NEC], late-onset sepsis, weight gain) DESIGN: We performed a retrospective cohort study of mother-infant dyads (<34 weeks' gestation) in 9 NICUs (1/2016-12/2019), examining associations of maternal language (English [ref], Spanish, Other) with NICU outcomes, adjusting for birth weight for gestational age z-score, race/ethnicity, maternal age, and clustering by hospital.
Among 1402 mothers, 85% spoke English, 7% spoke Spanish, and 7% spoke another language. Compared to English, infants with Spanish-speaking mothers had slower growth (-0.34 z-score units [-0.58, -0.10]). Infants with other non-English-speaking mothers had increased mother's milk at discharge (aOR 1.48 [1.18, 1.85]), NEC (aOR 1.43 [1.05, 1.95]), late-onset sepsis (aOR 2.84) [1.67, 4.83] and slower growth (-0.17 z-score units [-0.29, -0.05]).
After adjustments, preterm infants with non-English-speaking mothers had worse outcomes than infants with English-speaking mothers.
研究母亲的母语与新生儿重症监护病房（NICU）结局（出院时的母乳情况、坏死性小肠结肠炎[NEC]、晚发性败血症、体重增加）之间的关联。
我们对9个新生儿重症监护病房（2016年1月至2019年12月）中孕周小于34周的母婴二元组进行了一项回顾性队列研究，研究母亲语言（英语[参照组]、西班牙语、其他语言）与新生儿重症监护病房结局之间的关联，并根据胎龄出生体重z评分、种族/民族、母亲年龄进行调整，并按医院进行聚类分析。
在1402名母亲中，85%说英语，7%说西班牙语，7%说其他语言。与说英语的母亲相比，说西班牙语的母亲所生婴儿生长较慢（-0.34 z评分单位[-0.58，-0.10]）。说其他非英语语言的母亲所生婴儿出院时的母乳量增加（调整后比值比[aOR]为1.48[1.18，1.85]）、坏死性小肠结肠炎（aOR为1.43[1.05，1.95]）、晚发性败血症（aOR为2.84[1.67，4.83]）且生长较慢（-0.17 z评分单位[-0.29，-0.05]）。
调整后，母亲非英语母语的早产儿比母亲说英语的早产儿结局更差。
