LATCH 评分用于识别和纠正母乳喂养问题-一项前瞻性观察研究。
LATCH Score for Identification and Correction of Breastfeeding Problems - A Prospective Observational Study.
机构信息
Neonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, Tamil Nadu.
Neonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, Tamil Nadu. Correspondence to: Dr Balakrishnan Rajaiah, Consultant, Neonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore 641 014, Tamil Nadu.
出版信息
Indian Pediatr. 2023 Jan 15;60(1):37-40. Epub 2022 Sep 22.
OBJECTIVE
To determine early breastfeeding problems using LATCH tool, and analyze the impact of breastfeeding supportive measures in improving LATCH score.
METHODS
This prospective study included all inborn term neonates born at our center between September, 2019 and March, 2020. Breastfeeding problems were identified by LATCH score at 6-12h after birth, and were addressed by the study team providing breastfeeding support, education and training to mothers. LATCH scores were reassessed at 24-48h.
RESULTS
Among 400 mother-infant dyads, 399 (99.7%) required support to position the neonate, 190 (47.5%) had poor latch and 52 (13%) had nipple problems during initial assessment. Breastfeeding supportive measures improved the LATCH score [median (IQR) 7 (5,8) vs 8 (8,8) at 6-12 and 24-48 hours, respectively; P <0.001], and reduced the number of mothers with LATCH score <8 [288 (72%) vs 63 (15.8%); P <0.001].
CONCLUSION
LATCH is a comprehensive yet simple tool to identify breastfeeding problems. Given the high incidence of breastfeeding problems during early postpartum period, systematic assessment of breastfeeding related problems using LATCH tool can help timely intervention and improvement in the breastfeeding technique.
目的
使用 LATCH 工具确定早期母乳喂养问题，并分析母乳喂养支持措施对改善 LATCH 评分的影响。
方法
本前瞻性研究纳入了 2019 年 9 月至 2020 年 3 月期间在我院出生的所有足月新生儿。通过 LATCH 评分在出生后 6-12 小时识别母乳喂养问题，并由研究小组通过提供母乳喂养支持、教育和培训来解决这些问题。24-48 小时时重新评估 LATCH 评分。
结果
在 400 对母婴中，399 例（99.7%）需要支持来安置新生儿，190 例（47.5%）有不良的衔乳情况，52 例（13%）在初次评估时有乳头问题。母乳喂养支持措施改善了 LATCH 评分[中位数（IQR）分别为 6-12 小时和 24-48 小时的 7（5，8）分和 8（8，8）分；P<0.001]，并减少了 LATCH 评分<8 的母亲数量[288 例（72%）比 63 例（15.8%）；P<0.001]。
结论
LATCH 是一种全面而简单的工具，可以识别母乳喂养问题。鉴于产后早期母乳喂养问题发生率较高，使用 LATCH 工具系统评估与母乳喂养相关的问题有助于及时干预和改善母乳喂养技术。
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