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关于产妇对母婴同室设施偏好的观察

Observations on maternal preference for rooming-in facilities.

作者信息

Dharamraj C, Sia C G, Kierney C M, Parekh A, Harper R G, Weissman B

出版信息

Pediatrics. 1981 May;67(5):638-40.

PMID:7254992
Abstract

To determine the length of time mothers prefer their infants with them, 1,000 mothers at North Shore University Hospital (NSUH) and 435 mothers at Kings County Hospital (KCH) were asked postpartum whether they would prefer their infants with them every four hours for 1/2 hour for feeding or rooming-in with their infants during the daytime only or 24 hours a day. Approximately one third of the mothers at NSUH preferred rooming-in whereas approximately three quarters of the mothers at KCH preferred rooming-in. Significantly more mothers at KCH preferred 24-hour rooming-in than at NSUH. Factors such as primiparity, attendance at Lamaze classes, and breast-feeding were significantly associated with the mother's preference to room-in at NSUH, but there was no such association at KCH. This study suggests that: (1) the desire to room-in is not universal; (2) each institution must individualize rooming-in facilities according to the needs of the population; (3) although the demand for rooming-in varies, more mothers prefer rooming-in than there are accommodations presently available; and (4) factors that may be associated with rooming-in are not the same in all populations. It appears that it is as inappropriate to impose rooming-in as it is to deprive mothers of rooming-in.

摘要

为了确定母亲们希望婴儿与自己待在一起的时长,研究人员询问了北岸大学医院(NSUH)的1000名母亲以及国王郡医院(KCH)的435名母亲,产后她们是希望每四小时让婴儿与自己待在一起半小时以便喂奶,还是仅在白天让婴儿与自己同住,亦或是一天24小时都如此。NSUH约三分之一的母亲倾向于母婴同室,而KCH约四分之三的母亲倾向于母婴同室。KCH中希望24小时母婴同室的母亲明显多于NSUH。初产、参加拉玛泽分娩法课程以及母乳喂养等因素与NSUH母亲选择母婴同室的偏好显著相关,但在KCH则不存在这种关联。这项研究表明:(1)母婴同室的意愿并非普遍存在;(2)每个机构必须根据人群需求提供个性化的母婴同室设施;(3)尽管对母婴同室的需求各不相同,但希望母婴同室的母亲比目前现有的床位要多;(4)与母婴同室可能相关的因素在所有人群中并不相同。看来强制母婴同室和剥夺母亲母婴同室的权利一样不合适。

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