Timing and intensity of lactation support influences NICU discharge on maternal milk.

IF 2.3 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Chloe Salzmann, Evan Cross, Ke Yan, Jian Zhang, Erwin Cabacungan, T Hang Nghiem-Rao, Alicia Sprecher
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引用次数: 0

Abstract

Objective: We evaluated maternal and infant factors that influence lactation success within the neonatal intensive care unit (NICU) and the impact of early lactation support.

Study design: This was a retrospective cohort study of 862 maternal-infant dyads admitted to the NICU. The relationship between lactation support and discharge home receiving mother's own milk (MOM) was examined after adjusting for demographic and clinical covariates.

Result: Infants whose mothers who had 4-6 lactation visits within the first 14 days were 8.93 times more likely to discharge receiving MOM (95% CI 4.86-16.40, P < 0.05). Infants born to mothers who were White, primiparous, partnered, had private insurance, and with higher household incomes were more likely to discharge receiving MOM.

Conclusion: At least 4 lactation visits within the first 2 weeks postpartum increases the likelihood of infant discharge on MOM. Hospitals should provide adequate access to lactation consultants to account for this need.

哺乳支持的时间和强度影响新生儿重症监护病房出院对母乳的影响。
目的:评估影响新生儿重症监护病房(NICU)泌乳成功的母婴因素以及早期泌乳支持的影响。研究设计:这是一项回顾性队列研究,纳入了入住NICU的862对母婴。在调整了人口统计学和临床协变量后,检验了哺乳支持与出院后接受母乳(MOM)的关系。结果:母亲在产后14天内进行4-6次泌乳访视的婴儿接受MOM出院的可能性为8.93倍(95% CI 4.86 ~ 16.40, P)。结论:产后2周内至少进行4次泌乳访视可增加婴儿接受MOM出院的可能性。医院应提供充分的哺乳顾问,以满足这一需求。
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来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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