{"title":"早产儿母亲的早期奶表达及其对奶量的影响。","authors":"Elisheva Rosner, Eleanor Hall, Marianne Garland","doi":"10.1097/NCQ.0000000000000889","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Early breast milk expression helps establish lactation and increase milk production.</p><p><strong>Local problem: </strong>In mothers of infants admitted to this neonatal intensive care unit (NICU), 63% met target milk volumes on day 7 and 43% on day 14 postpartum.</p><p><strong>Methods: </strong>A pre/post quasi-experimental design was used.</p><p><strong>Interventions: </strong>Breast milk expression was initiated within 6 hours of delivery.</p><p><strong>Results: </strong>A total of 69 mothers were included (34 baseline; 35 post-implementation). Time to first milk expression decreased from 9.21 to 7.97 hours, P = .381. Milk volumes increased by 16.9% on day 7 (402.29 mL to 470.11 mL, P = .358) and 5.18% at 14 days postpartum (618.15 mL to 650.17 mL, P = .778).</p><p><strong>Conclusions: </strong>Initiation of milk expression within 6 hours of delivery may positively impact milk production among mothers of premature infants.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early Milk Expression for Mothers of Premature Infants and Its Impact on Milk Volumes.\",\"authors\":\"Elisheva Rosner, Eleanor Hall, Marianne Garland\",\"doi\":\"10.1097/NCQ.0000000000000889\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Early breast milk expression helps establish lactation and increase milk production.</p><p><strong>Local problem: </strong>In mothers of infants admitted to this neonatal intensive care unit (NICU), 63% met target milk volumes on day 7 and 43% on day 14 postpartum.</p><p><strong>Methods: </strong>A pre/post quasi-experimental design was used.</p><p><strong>Interventions: </strong>Breast milk expression was initiated within 6 hours of delivery.</p><p><strong>Results: </strong>A total of 69 mothers were included (34 baseline; 35 post-implementation). Time to first milk expression decreased from 9.21 to 7.97 hours, P = .381. Milk volumes increased by 16.9% on day 7 (402.29 mL to 470.11 mL, P = .358) and 5.18% at 14 days postpartum (618.15 mL to 650.17 mL, P = .778).</p><p><strong>Conclusions: </strong>Initiation of milk expression within 6 hours of delivery may positively impact milk production among mothers of premature infants.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000889\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000889","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景：早期母乳表达有助于建立泌乳和增加产奶量。局部问题：在该新生儿重症监护病房（NICU）的婴儿母亲中，63%在产后第7天达到目标产奶量，43%在产后第14天达到目标产奶量。方法：采用前后准实验设计。干预措施：在分娩6小时内开始母乳表达。结果：共纳入69名母亲(34名基线；35实现后)。初乳时间由9.21小时缩短至7.97小时，P = 0.381。产后第7天产奶量增加16.9% (402.29 mL至470.11 mL, P = 0.358)，产后第14天产奶量增加5.18% （618.15 mL至650.17 mL, P = 0.778）。结论：在分娩6小时内开始泌乳可能会对早产儿母亲的泌乳量产生积极影响。
Early Milk Expression for Mothers of Premature Infants and Its Impact on Milk Volumes.
Background: Early breast milk expression helps establish lactation and increase milk production.
Local problem: In mothers of infants admitted to this neonatal intensive care unit (NICU), 63% met target milk volumes on day 7 and 43% on day 14 postpartum.
Methods: A pre/post quasi-experimental design was used.
Interventions: Breast milk expression was initiated within 6 hours of delivery.
Results: A total of 69 mothers were included (34 baseline; 35 post-implementation). Time to first milk expression decreased from 9.21 to 7.97 hours, P = .381. Milk volumes increased by 16.9% on day 7 (402.29 mL to 470.11 mL, P = .358) and 5.18% at 14 days postpartum (618.15 mL to 650.17 mL, P = .778).
Conclusions: Initiation of milk expression within 6 hours of delivery may positively impact milk production among mothers of premature infants.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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