Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Perinatol. 2024 Nov;44(11):1560-1566. doi: 10.1038/s41372-024-02139-3. Epub 2024 Oct 7.
To describe breastfeeding-supportive practices in U.S. maternity hospitals with advanced neonatal care units (ANCU).
Using 2022 mPINC data, we calculated the percent of hospitals reporting (1) breastfeeding-supportive practices for "most" (≥80%) mother-baby dyads in ANCUs, by hospital demographic characteristics and (2) infant receipt of mother's own milk or donor milk at any time while in the ANCU, by ANCU level.
More than 90% of hospitals reported that "most" mothers (≥80%) were advised on some breastfeeding-supportive practices. Fewer hospitals reported that "most" mothers expressed milk within one hour of birth (37%) or that kangaroo care was practiced for "most" eligible newborns (63%). Receipt of mother's own milk varied by unit level and state.
Breastfeeding-supportive practices requiring the technical competency of healthcare providers (e.g., early milk expression, kangaroo care) are less likely to be implemented in ANCU settings compared to practices centered around providing advice or education.
描述具有先进新生儿护理单元 (ANCU) 的美国产科医院的母乳喂养支持实践。
使用 2022 年 mPINC 数据，我们根据医院人口统计学特征计算了报告（1）在 ANCUs 中“大多数”（≥80%）母婴对母乳喂养支持实践的医院比例，以及（2）婴儿在 ANCUs 中任何时候接受母亲自己的奶或捐赠奶的比例，按 ANCU 级别划分。
超过 90%的医院报告称，“大多数”母亲（≥80%）接受了一些母乳喂养支持实践方面的建议。报告称“大多数”母亲在分娩后一小时内挤奶（37%）或“大多数”符合条件的新生儿接受袋鼠护理（63%）的医院较少。接受母亲自己的奶的情况因单位级别和州而异。
与提供建议或教育为中心的实践相比，需要医疗保健提供者技术能力的母乳喂养支持实践（例如，早期挤奶、袋鼠护理）在 ANCUs 环境中不太可能实施。
