一家军队医院在 COVID-19 期间开始母乳喂养。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2025-01-16 DOI:10.1093/milmed/usae321
Heather L Hutchins-Wiese, Shawndra Powell, Olivia Ford, Trimble Spitzer
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引用次数: 0

摘要

导言母乳与积极的短期和长期健康结果有关。妇女选择母乳喂养受到个人、社会、健康和经济因素的影响。COVID-19 大流行主要在 2020 年的最初几个月影响了医疗保健服务、非紧急医疗保健服务和家庭生活方式。本研究旨在确定在全球大流行期间,军队医疗系统中的女性母乳喂养率是否有所不同:这是一项横断面图表回顾研究。我们汇编了一家军事医疗中心在 2019 年和 2020 年 3 月至 8 月期间的所有分娩事件健康记录。在 2,737 个母婴二人组中,有 1,463 个符合完整的纳入标准,我们对其进行了分析,以确定分娩年份、母婴特征和初始喂养方式之间的关联。研究结果已获得大学和医疗中心机构审查委员会的批准:母乳喂养开始率与分娩年份之间无明显关联(X2(1) = 2.898,P = .089)。在逻辑回归模型中,一些母婴特征与喂养方式有明显关联,并因分娩年份而异。黑人妇女开始母乳喂养的几率是白人妇女的 1.9 倍;这种差异在 2020 年变得更加明显。多胎产妇、剖腹产产妇和较早孕龄(32-37 周)的产妇开始母乳喂养的可能性较低。分娩年份不同,模型也不同,只有黑人和剖腹产对 2020 年的整体模型有显著影响。产妇年龄、军人身份、军衔、婚姻状况、分娩并发症和婴儿性别与喂养方式无关:结论:如果将 2020 年的母乳喂养率与前一年的母乳喂养率进行比较,COVID-19 大流行期间的总体母乳喂养率并无差异。在军事中心接受护理的妇女中,种族、分娩方式、胎次和孕龄与母乳喂养率有关。
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Lactation Initiation During COVID-19 at a Single Military Hospital.

Introduction: Human milk is associated with positive short- and long-term health outcomes. Women's choice to breastfeed is influenced by personal, social, health, and economic factors. The COVID-19 pandemic impacted health care delivery, non-emergent health care services, and family lifestyles, primarily in the early months of 2020. The aim of this study was to determine if breastfeeding initiation rates differed during a global pandemic among women in the military health care system.

Materials and methods: This was a cross-sectional chart review study. We compiled all birthing event health records from March to August in 2019 and 2020 from a single military medical center. Of the 2,737 maternal-infant dyads available, 1,463 met complete inclusion criteria and were analyzed to determine associations between delivery year, maternal and infant characteristics, and initial feeding methods. Institutional research approvals were obtained from the university and medical center institutional review boards.

Results: There was no significant association between breastfeeding initiation rates and delivery year (X2(1) = 2.898, P = .089). Some maternal and infant characteristics significantly associated with the feeding method in the logistic regression model and differed by delivery year. Black women were 1.9 times less likely to initiate breastfeeding compared to White women; this disparity became more pronounced in 2020. Multiparous mothers, those who gave birth via cesarean section, and those at earlier gestational ages (32-37 weeks) were less likely to initiate breastfeeding. Models differed by delivery year, with only Black race and cesarean birth significantly impacting the overall model in 2020. Maternal age, military status, military rank, marital status, birth complications, and infant gender were not associated with the feeding method.

Conclusions: Overall breastfeeding initiation rates did not differ during the COVID-19 pandemic when rates in 2020 were compared to those in the year prior. Race, birth method, parity, and gestational age were associated with breastfeeding initiation rates in women cared for at military centers.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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