晚期早产儿和足月新生儿在新生儿重症监护病房的直接母乳喂养频率以及母亲在 6 个月时的母乳供应情况。一项回顾性队列研究。
Direct breastfeeding frequency of late preterm and term infants in the neonatal intensive care unit and availability of mother's own milk at six months of age. a retrospective cohort study.
机构信息
Department of Neonatology, Cleveland Clinic Children's Hospital, Cleveland, OH, USA.
Department of Childbirth Education, Cleveland Clinic, Cleveland, OH, USA.
出版信息
J Perinatol. 2024 Sep;44(9):1307-1311. doi: 10.1038/s41372-024-01972-w. Epub 2024 Apr 27.
BACKGROUND
Mother's Own Milk (MOM) reduces the risk of complications in premature infants. Breastfeeding rates for late preterm and term infants in the neonatal intensive care unit (NICU) are significantly lower than that of breastfed healthy term newborns at 6 months of age.
DESIGN
This was a retrospective cohort study of neonates born at 34 weeks 0 days or later. Infants who were directly breastfed in the NICU and were discharged on breast milk were included. Logistic regression modeling was used to determine the significance of association.
RESULTS
171 mother-infant dyads were included. After adjusting for confounders, the number of breastfeeding attempts during the NICU stay was significantly associated with the availability of MOM at six months of age (p = 0.003, 95% CI 1.02 to 1.14).
CONCLUSION
This study is the first to show an association between the number of direct breastfeeding attempts in the NICU and availability of MOM at six months of age.
背景
母乳（MOM）可降低早产儿并发症的风险。与 6 月龄母乳喂养的健康足月新生儿相比，新生儿重症监护病房（NICU）中晚期早产儿和足月儿的母乳喂养率明显更低。
设计
这是一项对 34 周 0 天或以上出生的新生儿进行的回顾性队列研究。纳入直接在 NICU 母乳喂养并出院时接受母乳喂养的婴儿。采用逻辑回归模型确定关联的显著性。
结果
共纳入 171 对母婴对。在调整混杂因素后，NICU 住院期间的母乳喂养尝试次数与 6 月龄时 MOM 的供应情况显著相关（p=0.003，95%CI 1.02 至 1.14）。
结论
本研究首次表明 NICU 中直接母乳喂养尝试次数与 6 月龄时 MOM 的供应情况之间存在关联。
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