支持母乳喂养的初级保健行为咨询干预措施：美国预防服务工作组推荐声明
Primary Care Behavioral Counseling Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement.
作者信息
Nicholson Wanda K, Silverstein Michael, Wong John B, Chelmow David, Coker Tumaini Rucker, Davis Esa M, Fernandez Alicia, Gibson Ericka, Jaén Carlos Roberto, Krousel-Wood Marie, Lee Sei, Rao Goutham, Ruiz John M, Stevermer James, Tsevat Joel, Underwood Sandra Millon, Wiehe Sarah
机构信息
George Washington University, Washington, DC.
Brown University, Providence, Rhode Island.
出版信息
JAMA. 2025 May 6;333(17):1520-1526. doi: 10.1001/jama.2025.3650.
IMPORTANCE
The association between breastfeeding and health benefits in children has been previously well established; health benefits have also been found for women who breastfeed. However, breastfeeding rates in the US are relatively modest; as of 2021, 59.8% of infants at age 6 months are breastfed and 27.2% of infants at that age are exclusively breastfed.
OBJECTIVE
The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on the benefits and harms of primary care behavioral counseling interventions to support breastfeeding.
POPULATION
Adolescents and adults who are pregnant or postpartum, and their infants and children.
EVIDENCE ASSESSMENT
The USPSTF concludes with moderate certainty that primary care behavioral counseling interventions to support breastfeeding have a moderate net benefit.
RECOMMENDATION
The USPSTF recommends providing interventions or referrals, during pregnancy and after birth, to support breastfeeding. (B recommendation).
重要性
母乳喂养与儿童健康益处之间的关联此前已得到充分证实；母乳喂养对女性也有益处。然而，美国的母乳喂养率相对较低；截至2021年，6个月大婴儿的母乳喂养率为59.8%，该年龄段纯母乳喂养的婴儿比例为27.2%。
目的
美国预防服务工作组（USPSTF）委托进行了一项系统评价，以评估初级保健行为咨询干预措施支持母乳喂养的益处和危害的证据。
人群
怀孕或产后的青少年和成年人及其婴儿和儿童。
证据评估
USPSTF有中等把握得出结论，即初级保健行为咨询干预措施支持母乳喂养有中等净效益。
建议
USPSTF建议在孕期和产后提供干预措施或转诊服务以支持母乳喂养。（B级推荐）
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