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唐氏综合征患儿的母乳喂养

Breastfeeding in children with down syndrome.

作者信息

Rodríguez Alejandra Ochoa, de la Puente Silvestre García, Arizmendi Karla Adney Flores, Robledo Tania Tonantzin Vargas

机构信息

Down Syndrome Clinic, Instituto Nacional de Pediatría, Ciudad de México, México.

Chair Department of Research Methodology, Instituto Nacional de Pediatría, Ciudad de México, México.

出版信息

BMC Pediatr. 2025 May 31;25(1):437. doi: 10.1186/s12887-024-05363-0.

DOI:10.1186/s12887-024-05363-0
PMID:40448052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12125852/
Abstract

INTRODUCTION

Babies with Down syndrome (DS) present physical characteristics that can make breastfeeding difficult, including hypotonia of the muscles of the oral cavity and pharynx which can create problems with sucking and swallowing. Breastfeeding has proven beneficial for babies, and it is recommended to be exclusive for the first 6 months. However, babies born with DS have a higher probability of not being breastfed.

OBJECTIVE

Describe the frequency and characteristics of breastfeeding in children with DS at the National Institute of Pediatrics, Mexico City.

RESULTS

The mothers reported that 98% of their babies had received mother's milk at least once and that 64% had received infant formula in the first three days of life. The median duration of breastfeeding was three months; 32.4% of the babies were exclusively breastfed for 6 months. Risk factors for not being breastfed were problems with sucking, swallowing, and not providing feeding on demand, as well as improper technique.

CONCLUSIONS

Only 32% of babies were exclusively breastfed, for various reasons.

摘要

引言

患有唐氏综合征(DS)的婴儿具有一些可能导致母乳喂养困难的身体特征,包括口腔和咽部肌肉张力减退,这可能会导致吸吮和吞咽问题。事实证明,母乳喂养对婴儿有益,建议在头6个月进行纯母乳喂养。然而,患有唐氏综合征的婴儿未进行母乳喂养的可能性更高。

目的

描述墨西哥城国家儿科研究所中患有唐氏综合征儿童的母乳喂养频率和特征。

结果

母亲们报告称,98%的婴儿至少接受过一次母乳,64%的婴儿在出生后的头三天接受过婴儿配方奶粉。母乳喂养的中位持续时间为三个月;32.4%的婴儿纯母乳喂养了6个月。未进行母乳喂养的风险因素包括吸吮、吞咽问题、未按需喂养以及喂养技巧不当。

结论

由于各种原因,只有32%的婴儿进行了纯母乳喂养。

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本文引用的文献

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Barriers to promoting breastfeeding in primary health care in Mexico: a qualitative perspective.墨西哥初级卫生保健中促进母乳喂养的障碍:质性研究视角
Front Nutr. 2024 Jan 9;10:1278280. doi: 10.3389/fnut.2023.1278280. eCollection 2023.
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Breastfeeding is associated with the intelligence of school-age children in Mexico.母乳喂养与墨西哥学龄儿童的智力有关。
Matern Child Nutr. 2023 Oct;19(4):e13534. doi: 10.1111/mcn.13534. Epub 2023 May 23.
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Breastfeeding: crucially important, but increasingly challenged in a market-driven world.母乳喂养:至关重要,但在市场经济驱动的世界中,面临越来越多的挑战。
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The Benefits of Breastfeeding on Child Intelligence, Behavior, and Executive Function: A Review of Recent Evidence.母乳喂养对儿童智力、行为和执行功能的益处:近期证据综述。
Breastfeed Med. 2023 Mar;18(3):172-187. doi: 10.1089/bfm.2022.0192. Epub 2023 Feb 7.
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The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review.产前母乳喂养教育对产后母乳喂养率的影响:系统评价。
Midwifery. 2023 Mar;118:103579. doi: 10.1016/j.midw.2022.103579. Epub 2022 Dec 14.
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Mothers of children with down syndrome: A qualitative study of experiences of breastfeeding and breastfeeding support.唐氏综合征患儿的母亲:母乳喂养及其支持的体验质性研究。
Scand J Caring Sci. 2022 Dec;36(4):1156-1164. doi: 10.1111/scs.13088. Epub 2022 May 18.
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Cranial-Vertebral-Maxillary Morphological Integration in Down Syndrome.唐氏综合征中颅骨-椎体-上颌骨的形态整合
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Implementation of Breastfeeding Policies at Workplace in Mexico: Analysis of Context Using a Realist Approach.墨西哥职场母乳喂养政策的实施:基于现实主义方法的背景分析。
Int J Environ Res Public Health. 2022 Feb 17;19(4):2315. doi: 10.3390/ijerph19042315.
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Can I breastfeed my baby with Down syndrome? A scoping review.我可以用母乳喂养患有唐氏综合征的宝宝吗?一项范围综述。
J Paediatr Child Health. 2021 Dec;57(12):1866-1880. doi: 10.1111/jpc.15765. Epub 2021 Sep 29.
10
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Clin Nutr ESPEN. 2021 Aug;44:458-462. doi: 10.1016/j.clnesp.2021.03.023. Epub 2021 Apr 15.