母乳喂养的社会预测因素以及干预措施对早产儿母乳喂养的影响:纵向研究。

IF 1.5 Q3 NURSING
European Journal of Midwifery Pub Date : 2023-12-20 eCollection Date: 2023-01-01 DOI:10.18332/ejm/174125
Michaela Abrmanová, Iva Brabcová, Valérie Tóthová, Martin Červený
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引用次数: 0

摘要

导言:母乳喂养对母亲和婴儿有多方面的益处,包括促进早产儿的神经发育和免疫功能。然而,要了解影响早产儿母乳喂养的独特因素还需要更多的研究。本研究旨在确定早产儿母乳喂养的主要社会预测因素,并评估特定干预措施对早产儿产后头六个月喂养方式的效果:2020年1月至2023年1月,捷克共和国Ceske Budejovice医院新生儿科对201名早产儿进行了前瞻性、单中心、纵向研究。研究采用了 STROBE 指南:研究结果表明,在婴儿出生后的头六个月内,母乳喂养向奶瓶喂养和配方奶粉喂养过渡。母乳喂养的显著社会预测因素包括家庭中的孩子数量、母亲的婚姻状况和住房性质。某些干预措施对母乳喂养的概率有显著影响,这些措施包括母婴之间立即的皮肤接触以及在婴儿出生后半小时内开始喂养营养品:这些数据强调,社会预测因素和护理干预措施对早产儿产后头六个月的母乳喂养有很大影响。通过考虑影响母乳喂养的社会经济因素的综合护理模式,可有效遏制早产儿健康结果的不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social predictors of breastfeeding and the impact of interventions on breastfeeding of preterm infants: A longitudinal study.

Introduction: The multifaceted benefits of breastfeeding for mothers and infants include enhanced neurodevelopment and immune function in preterm infants. However, more research is needed to understand the unique factors affecting breastfeeding practices in preterm infants. This study aimed to identify key social predictors of breastfeeding in preterm infants and assess the effectiveness of specific interventions on their feeding practices during the first six months postpartum.

Methods: A prospective, monocentric, longitudinal study involving a cohort of 201 preterm infants was executed at the Neonatology Department, Ceske Budejovice Hospital, Czech Republic, from January 2020 to January 2023. The STROBE guidelines were used.

Results: The study results elucidated a transition from breastfeeding to bottle feeding and formula within the infants' first six months. Notable social predictors of breastfeeding encompassed factors such as the number of children in the household, the mother's marital status, and the nature of housing. Certain interventions, including immediate skin-to-skin contact between mother and child, and initiation of nutritive feeding within the first half-hour post-birth, significantly influenced the probability of breastfeeding.

Conclusions: The data underscored that social predictors and nursing interventions substantially shape the breastfeeding practices of preterm infants during the first six months postpartum. Inequities in health outcomes among premature infants can be effectively curbed through comprehensive care models that account for socioeconomic factors influencing breastfeeding.

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来源期刊
European Journal of Midwifery
European Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
2.20
自引率
15.80%
发文量
65
审稿时长
16 weeks
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