早产儿母亲过早终止纯母乳喂养的原因:一项前瞻性研究

IF 1.5 4区 医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-01-01 Epub Date: 2023-04-27 DOI:10.1097/JPN.0000000000000693
Diana Skaaning, Anne Brødsgaard, Hanne Kronborg, Anne Kyhnæb, Ole Pryds, Emma Carlsen
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引用次数: 0

摘要

目的:母亲对早产儿健康和生长的担忧会影响母乳喂养的持续时间:这项前瞻性观察研究评估了产妇对母乳供应不足的担忧是否与母乳中营养成分不足或婴儿发育不良有关。研究对 211 名早产儿的母亲进行了产后 6 个月的跟踪调查:结果:在 211 名婴儿中,有 156 名婴儿在产后 6 个月内没有按照建议进行纯母乳喂养。在这 156 名婴儿中,有 79 名婴儿因母亲担心母乳供应不足而终止母乳喂养。纯母乳喂养的婴儿与非纯母乳喂养的婴儿在母乳营养成分或婴儿生长方面没有差异:结论:母亲担心奶水供应不足是早产后终止纯母乳喂养的主要原因。对奶水供应不足的担忧与母乳中营养成分不足和婴儿发育不良无关:启示:应继续关注这一人群的母乳喂养支持。
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Maternal Reasons for Early Termination of Exclusive Breastfeeding in Premature Infants: A Prospective Study.

Purpose: Maternal concerns for health and growth in prematurely born infants affect the breastfeeding duration.

Method: This prospective observational study evaluated whether maternal concerns regarding insufficient milk supply were supported by inadequate nutrients in human milk or low infant growth. The study followed mothers of 211 premature born infants for 6 months after delivery.

Results: Of the 211 infants, 156 were not exclusively breastfed for the recommended 6 months after delivery. For 79 of these 156 infants, termination was due to maternal concerns regarding insufficient milk supply. There was no difference in human milk nutrients or infant growth when comparing infants who were exclusively breastfed with those who were not.

Conclusion: Maternal concern regarding insufficient milk supply was the primary explanation for termination of exclusive breastfeeding after premature delivery. Concerns regarding insufficient milk supply were not found associated with inadequate nutrients in the human milk, nor with low infant growth.

Implications: Breastfeeding support should remain in focus in this population.

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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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