Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, North Carolina, USA.
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA.
Breastfeed Med. 2023 Jun;18(6):449-461. doi: 10.1089/bfm.2022.0130. Epub 2023 May 4.
To conduct a secondary data analysis of how changes in smoking and drinking during pregnancy impact status of any breastfeeding and breastfeeding duration in a national cohort. A cross-sectional study was conducted using Pregnancy Risk Assessment Monitoring System (PRAMS) data between 2009 and 2017 ( = 334,203). Univariate and multivariate analyses were conducted on the status of any breastfeeding and breastfeeding duration. A dose-dependent inverse relationship was found in which women who smoked the same or more or resumed smoking during pregnancy showed the lowest likelihood and shortest duration of breastfeeding, followed by reduced smokers, quitters, and nonsmokers. Women with a history of alcohol use were significantly more likely to breastfeed compared with women without a history of alcohol use. The profile of smoking change during pregnancy impacts the likelihood and duration of breastfeeding in a dose-dependent and inverse manner. No such relationship was found with drinking change during pregnancy. Significant public health efforts should focus on implementing and sustaining evidence-based interventions for prenatal smoking cessation and educating providers and maternal populations on the adverse effect of postpartum alcohol exposure.
对全国队列中妊娠期间吸烟和饮酒变化如何影响任何母乳喂养和母乳喂养持续时间进行二次数据分析。 本研究采用 2009 年至 2017 年期间妊娠风险评估监测系统（PRAMS）的数据进行了横断面研究（ = 334,203）。对任何母乳喂养和母乳喂养持续时间的状况进行了单变量和多变量分析。结果发现，吸烟量相同或更多或在怀孕期间重新吸烟的女性母乳喂养的可能性最低，母乳喂养持续时间最短，其次是减少吸烟、戒烟和不吸烟的女性。有饮酒史的女性母乳喂养的可能性明显高于没有饮酒史的女性。怀孕期间吸烟变化的情况以剂量依赖和反向的方式影响母乳喂养的可能性和持续时间。怀孕期间饮酒变化没有发现这种关系。应大力开展公共卫生工作，重点实施和维持基于证据的产前戒烟干预措施，并教育提供者和产妇人群注意产后酒精暴露的不良影响。
