新生儿重症监护病房的母乳喂养政策和实践是否因爱婴医院倡议的实施情况而有所不同?

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI:10.1089/bfm.2024.0015
Alexandria Richter, Sarah Gonzalez-Nahm, Sara Benjamin-Neelon
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引用次数: 0

摘要

背景:爱婴医院倡议(BFHI)由世界卫生组织和联合国国际儿童紧急基金于 1991 年发起,旨在促进和支持医院内的母乳喂养。之前的研究已经评估了爱婴医院倡议与母乳喂养之间的关联,但对新生儿重症监护病房(NICU)的政策和实践进行研究的证据有限,而这些政策和实践反过来又可能影响母乳喂养。目标:本分析旨在评估 BFHI 是否与美国样本医院新生儿重症监护室的母乳喂养政策和措施相关。调查方法我们向全美各地区 1285 家医院(其中 817 家为 BFHI,468 家为非 BFHI)的管理者发送了一份横向调查问卷,以评估医院是否在新生儿重症监护室实施了母乳喂养支持政策和措施。通过皮尔逊卡方检验和费雪精确检验来评估 BFHI 状态与所报告的 6 项母乳喂养政策和 11 项母乳喂养实践之间的关联。结果:在所有 259 位受访者中(爱婴医院:68/102 [67%];非爱婴医院:73/157 [47%]),爱婴® 身份与在新生儿重症监护室采取特定母乳喂养措施有显著关联(67% 对 47%,p = 0.001)。与非爱婴医院相比,更多的爱婴医院(90% 对 75%,p = 0.026)报告对母亲的奶量进行评估,并向新生儿父母宣传母乳喂养的医疗益处(91% 对 75%,p = 0.012)。然而,在其他母乳喂养政策和实践方面,不同的 BFHI 医院并无差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do Breastfeeding Policies and Practices in Neonatal Intensive Care Units Differ by Baby-Friendly Hospital Initiative Status?

Background: The Baby-Friendly Hospital Initiative (BFHI) was launched in 1991 by the World Health Organization and United Nations International Children's Emergency Fund to promote and support breastfeeding within hospitals. Prior studies have assessed the associations between BFHI and breastfeeding, but there is limited evidence examining the policies and practices in neonatal intensive care units (NICUs) that, in turn, may influence breastfeeding. Objective: The goal of this analysis was to assess whether BFHI status was associated with breastfeeding policies and practices in NICUs in a sample of U.S.-based hospitals. Methods: A cross-sectional survey was sent to hospital administrators at 1,285 facilities (817 BFHI and 468 non-BFHI) throughout all regions of the United States and assessed whether hospitals were implementing breastfeeding support policies and practices in NICUs. Pearson's chi-squared and Fisher's exact tests were performed to assess associations between BFHI status and reported 6 breastfeeding policies and 11 breastfeeding practices. Results: Among all 259 respondents (BFHI: 68/102 [67%], non-BFHI: 73/157 [47%]), Baby-Friendly® status was significantly associated with having specific breastfeeding practices in the NICU (67% versus 47%, p = 0.001). More BFHI compared with non-BFHI hospitals reported assessing milk supply of mothers (90% versus 75%, p = 0.026) and communicating the medical benefits of breastfeeding (91% versus 75%, p = 0.012) to new parents. There were, however, no differences by BFHI status in the other breastfeeding policies and practices.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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