住院婴儿母亲母乳喂养的早期泵频和达到奶量。
Early pumping frequency and coming to volume for mother's own milk feeding in hospitalized infants.
机构信息
Duke University Hospital, Department of Pediatrics, Division of Neonatology, Durham, NC, USA.
出版信息
J Perinatol. 2023 May;43(5):629-634. doi: 10.1038/s41372-023-01662-z. Epub 2023 Apr 10.
OBJECTIVE
To identify daily pumping frequencies associated with coming to volume (CTV: producing > 500 milliliters of milk per day by postnatal day 14) for mothers of infants in the neonatal intensive care unit (NICU).
STUDY DESIGN
We compared demographics and daily pumping frequencies for mothers who did and did not experience CTV.
RESULTS
Of 427 mothers who produced milk, 201 (50.1%) experienced CTV. Race, insurance, delivery type and birthweight were associated with CTV. For mothers who experienced CTV, average pumping episodes increased daily, stabilizing at 5 pumping episodes per day by postnatal day 5 (5 × 5). Women who experienced CTV were also more likely to have pumped between 0100 and 0500 (AM pumping). In multivariable analysis birthweight, 5 × 5 and AM pumping were each independently associated with CTV.
CONCLUSION
Supporting mothers of NICU infants to achieve 5 or more daily pumping sessions by postnatal day 5 could improve likelihood of achieving CTV.
目的
确定新生儿重症监护病房（NICU）中婴儿的母亲每天达到产奶量（CTV：产后第 14 天每天产奶量超过 500 毫升）的泵奶频率。
研究设计
我们比较了经历和未经历 CTV 的母亲的人口统计学特征和每天的泵奶频率。
结果
在 427 位产奶的母亲中，有 201 位（50.1%）经历了 CTV。种族、保险、分娩方式和出生体重与 CTV 有关。对于经历 CTV 的母亲，平均泵奶次数每天增加，到产后第 5 天稳定在每天 5 次（5×5）。经历 CTV 的女性也更有可能在 0100 到 0500（上午）之间泵奶。多变量分析表明，出生体重、5×5 和上午泵奶与 CTV 均独立相关。
结论
支持 NICU 婴儿的母亲在产后第 5 天达到每天 5 次或更多的泵奶次数可能会增加达到 CTV 的可能性。
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