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现场和随叫随到护士对两种不同医院环境中纯母乳喂养的影响：一项前瞻性观察队列研究。

The effect of on-site and on-call nurse on exclusive breastfeeding in two different hospital settings: a prospective observational cohort study.

机构信息

Neonatology and Neonatal Intensive Care Unit, Ecclesiastical General Hospital F. Miulli, Acquaviva Delle Fonti, Italy.

Section of Neonatology and Neonatal Intensive Care Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", Bari, Italy.

出版信息

Ital J Pediatr. 2024 Sep 17;50(1):180. doi: 10.1186/s13052-024-01743-5.

DOI:10.1186/s13052-024-01743-5
PMID:39289749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409777/
Abstract

BACKGROUND

Exclusive breastfeeding during postpartum hospitalization is very important for ensuring the success of breastfeeding at home. The aim of the study is to determine if the on-site nurse in rooming in improves exclusive breastfeeding ratio.

METHODS

We conducted a prospective observational cohort study to evaluate exclusive breastfeeding during the first three months of life in two Neonatology Units in the South of Italy with different hospital settings: Ente Ecclesiastico Miulli of Acquaviva delle Fonti with on-site nurse h24 (on-site group) and Policlinico of Bari with nurse available on call h24 from Neonatology Unit (on-call group).

RESULTS

A total of 564 mother-baby dyads were admitted from 3 January to 31 March 2018 (299 in on-site group and 265 in on-call group). In the overall population, exclusive breastfeeding rate was 76.4% at 90-days, confirming the role of nurse and rooming in, independently of modality of setting. Considering the way of delivery, in infants from cesarean section there were higher rates for exclusive breastfeeding at 30 and 90 days of life in on-site group.

CONCLUSIONS

We can assume that the presence of a nurse h24 could better identify breastfeeding problems. Our study suggests the role of on-site nurse during rooming in to encourage exclusive breastfeeding until three months of life in mothers who underwent caesarean section.

摘要

背景

产后住院期间的纯母乳喂养对于确保在家母乳喂养的成功非常重要。本研究旨在确定母婴同室时的现场护士是否能提高纯母乳喂养率。

方法

我们进行了一项前瞻性观察队列研究，评估了意大利南部两个新生儿科单位（阿夸瓦维拉丰泰的密乌利教会机构，有 24 小时现场护士；巴里综合医院，有 24 小时随叫随到的新生儿科护士）在生命的头三个月内纯母乳喂养的情况。

结果

共有 564 对母婴于 2018 年 1 月 3 日至 3 月 31 日入住（现场组 299 例，随叫随到组 265 例）。在总体人群中，90 天的纯母乳喂养率为 76.4%，证实了护士和母婴同室的作用，独立于设置方式。考虑到分娩方式，在剖宫产婴儿中，现场组在 30 天和 90 天的纯母乳喂养率更高。

结论

我们可以假设，24 小时有护士在场可以更好地识别母乳喂养问题。我们的研究表明，母婴同室时现场护士的作用可以鼓励剖宫产后母亲进行纯母乳喂养，直到三个月大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/a6ca11d6f60e/13052_2024_1743_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/1b0ab9b2a154/13052_2024_1743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/87bbdb885aaf/13052_2024_1743_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/a6ca11d6f60e/13052_2024_1743_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/1b0ab9b2a154/13052_2024_1743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/87bbdb885aaf/13052_2024_1743_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa4/11409777/a6ca11d6f60e/13052_2024_1743_Fig3_HTML.jpg

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本文引用的文献

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Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study.芬兰妇产医院产科病房工作人员对纯母乳喂养的认知：一项横断面研究。
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Perinatal and newborn care in a two years retrospective study in a first level peripheral hospital in Sicily (Italy).西西里岛（意大利）一家一级基层医院的两年回顾性研究：围产期和新生儿护理。
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