中度和晚期早产儿 2 个月时的母乳喂养：群组随机对照试验 2 个月随访的启示

PEC innovation Pub Date : 2024-09-19 DOI:10.1016/j.pecinn.2024.100345

Amanda M. Moe , Meredith L. Brockway , Deborah A. McNeil , Arfan R. Afzal , Karen M. Benzies

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引用次数: 0

摘要

目的人乳（HM）是婴儿的最佳营养；早产儿的人乳喂养持续时间较短。护理干预措施可增加早产儿在新生儿重症监护室出院后的人奶喂养。我们比较了艾伯塔省家庭综合护理（FICare）与标准护理对 2 个月大早产儿 HM 喂养的影响。方法我们对 455 名婴儿及其母亲进行了分组随机对照试验的随访，数据与婴儿 2 个月的公共健康检查相关联。结果与标准护理相比，艾伯塔省家庭护理中心的母亲不太可能提供纯母乳喂养（EHM）或无母乳喂养（NHM）。EHM和Non-EHM之间没有群体差异。受过高等教育、正在休产假或有工作的母亲更有可能提供超急诊护理。出院时接受超母乳喂养的婴儿更有可能在 2 个月大时继续母乳喂养。出院时母亲母乳喂养自我效能较高，与EHM的可能性较大相关。结论阿尔伯塔省家庭医疗保健计划与2个月大时的EHM喂养无关。创新不同的因素预测了三种HM喂养类别，表明需要个性化的喂养支持。Trial Registration.ClinicalTrials.gov Identifier NCT02879799，2016年8月26日回顾性注册。

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Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up

Objective

Human milk (HM) is the optimal nutrition for infants; preterm infants demonstrate shorter HM feeding duration. Care interventions may increase HM feeding among preterm infants after NICU discharge. We compared Alberta Family Integrated Care (FICare) versus Standard Care on HM feeding in preterm infants at age 2 months.

Methods

We conducted a follow-up of a cluster randomized controlled trial of 455 infants and their mothers with data linked to the infant's 2-month public health visit. We used partial proportional odds to model group differences and factors associated with feeding type: exclusive HM (EHM), Non-EHM, or no HM (NHM).

Results

Compared to Standard Care, mothers in Alberta FICare were less likely to provide EHM versus NHM. There was no group difference between EHM and Non-EHM. Mothers with higher education who were on maternity leave or employed were more likely to provide EHM. Infants who received EHM at discharge were more likely to continue at age 2 months. Higher maternal breastfeeding self-efficacy at discharge was associated with a greater likelihood of EHM.