泵:促进更公平哺乳结果的可行工具。

IF 2.5 3区 工程技术 Q2 BIOLOGY Yale Journal of Biology and Medicine Pub Date : 2024-03-29 eCollection Date: 2024-03-01 DOI:10.59249/MWYW7163
Deanna Nardella
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引用次数: 0

摘要

美国孕妇和婴儿的发病率和死亡率不断上升。母乳喂养是一项具有成本效益的干预措施,可降低导致夫妇发病和死亡的健康状况风险,包括心脏代谢疾病和婴儿猝死。来自死亡风险最高的种族/民族亚群的孕妇和婴儿的母乳喂养率也最低,这可能反映了世代社会经济边缘化及其对健康结果的影响。在母乳喂养率最低的群体中推广母乳喂养,可以改善健康风险最高的二人组的健康状况,促进更加公平、以人为本的哺乳结果。对于在社会经济方面被卫生和公共系统边缘化的家庭来说,在开始哺乳和哺乳期的持续时间方面存在着多重障碍。这些障碍包括缺乏带薪育儿假、获得母乳替代品补贴的机会增多,以及获得专业和非专业母乳喂养知识的机会减少。吸乳器有可能减少这些障碍,使所有有兴趣的夫妇都能更方便地进行母乳喂养。2012 年,《患者保护与平价医疗法案》(ACA)通过预防性服务授权,极大地扩展了吸乳器的使用范围,现在大多数美国家庭都可以使用一台吸乳器。尽管吸奶器在哺乳期妇女中的使用几乎无处不在,但有关如何以及何时适当使用吸奶器以优化母乳喂养效果的研究却少之又少。鉴于奶泵的广泛使用,以及对那些在实现个人母乳喂养目标方面面临最大障碍的家庭而言,促进公平的潜力,我们迫切需要围绕奶泵的使用制定政策、开展学术研究和开展教育。
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Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes.

Pregnant individuals and infants in the US are experiencing rising morbidity and mortality rates. Breastfeeding is a cost-effective intervention associated with a lower risk of health conditions driving dyadic morbidity and mortality, including cardiometabolic disease and sudden infant death. Pregnant individuals and infants from racial/ethnic subgroups facing the highest risk of mortality also have the lowest breastfeeding rates, likely reflective of generational socioeconomic marginalization and its impact on health outcomes. Promoting breastfeeding among groups with the lowest rates could improve the health of dyads with the greatest health risk and facilitate more equitable, person-centered lactation outcomes. Multiple barriers to lactation initiation and duration exist for families who have been socioeconomically marginalized by health and public systems. These include the lack of paid parental leave, increased access to subsidized human milk substitutes, and reduced access to professional and lay breastfeeding expertise. Breast pumps have the potential to mitigate these barriers, making breastfeeding more accessible to all interested dyads. In 2012, The Patient Protection and Affordable Care Act (ACA) greatly expanded access to pumps through the preventative services mandate, with a single pump now available to most US families. Despite their near ubiquitous use among lactating individuals, little research has been conducted on how and when to use pumps appropriately to optimize breastfeeding outcomes. There is a timely and critical need for policy, scholarship, and education around pump use given their widespread provision and potential to promote equity for those families facing the greatest barriers to achieving their personal breastfeeding goals.

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来源期刊
Yale Journal of Biology and Medicine
Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology
CiteScore
5.00
自引率
0.00%
发文量
41
期刊介绍: The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.
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