实施母乳喂养支持计划后足月和晚期早产儿初次住院期间婴儿配方奶粉使用的危险因素:一项来自三级医院的回顾性病例对照研究

S. Ganapathy, S. Buddhavarapu
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引用次数: 0

摘要

背景:在某些情况下,医院使用婴儿配方奶粉是不可避免的。我们探讨了为提高医院纯母乳喂养(EBF)率而实施的质量改进倡议的干预后阶段住院期间需要配方奶粉的高危人群。方法:对50例婴幼儿配方奶粉喂养组和200例纯母乳喂养组进行回顾性病例对照研究。有关产妇和新生儿细节的数据来自母乳喂养评估表和病例记录,这些数据是在项目期间前瞻性收集的。我们比较了两组的常见危险因素。结果:婴儿配方奶粉的使用与剖宫产、辅助生殖技术(ART)受孕、多胎妊娠、新生儿重症监护病房入院、胎龄小以及糖尿病母亲的婴儿之间存在很强的关联。首先,母乳喂养与医院发生EBF的可能性较高有关。在最后一个模型中,ART受孕、多胎妊娠和延迟开始母乳喂养是医院使用婴儿配方奶粉的有力预测因素。结论:1 h内开始母乳喂养可促进EBF。ART受孕和多胎妊娠仍然是配方奶粉使用的重要危险因素,社会、生理和遗传原因需要详细研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors for infant formula usage during the initial hospital stay in term and late pre-term neonates after implementation of a breastfeeding support program: A retrospective case–control study from a tertiary care hospital
Background: Infant formula usage in hospitals is inevitable in certain circumstances. We explored the high-risk groups who required formula during hospital stays during the post-intervention phase of a quality improvement initiative for improving exclusive breastfeeding (EBF) rates in hospitals. Methods: A retrospective and case–control study was conducted involving 50 cases of neonates who received infant formula and 200 control who were exclusively breastfed. Data regarding maternal and neonatal details were from breastfeeding assessment forms and case record which was collected prospectively during the program. We compared common risk factors between the two groups. Results: There was a strong association between infant formula usage and cesarean sections, assisted reproductive technology (ART) conceptions, multiple gestations, neonatal intensive care unit admissions, being small for gestational age, and being an infant of a diabetic mother. First-h breastfeeding was associated with a higher likelihood of EBF in the hospital. In the final model, ART conception, multiple gestations, and delayed initiation of breastfeeding were strong predictors of the use of infant formula in the hospital. Conclusion: Initiating breastfeeding within the 1st h promotes EBF. ART conception and multiple gestations remain strong risk factors for formula usage, the social, physiological, and genetic reasons for which will need to be studied in detail.
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