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首页> 外文期刊>International breastfeeding journal >Reduced breastfeeding rates among obese mothers: a review of contributing factors, clinical considerations and future directions
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Reduced breastfeeding rates among obese mothers: a review of contributing factors, clinical considerations and future directions

机译：肥胖母亲的母乳喂养率降低：影响因素，临床考虑因素和未来方向的综述

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Maternal obesity is associated with significantly lower rates of breastfeeding initiation, duration and exclusivity. Increasing rates of obesity among reproductive-age women has prompted the need to carefully examine factors contributing to lower breastfeeding rates in this population. Recent research has demonstrated a significant impact of breastfeeding to reduce the risk of obesity in both mothers and their children. This article presents a review of research literature from three databases covering the years 1995 to 2014 using the search terms of breastfeeding and maternal obesity. We reviewed the existing research on contributing factors to lower breastfeeding rates among obese women, and our findings can guide the development of promising avenues to increase breastfeeding among a vulnerable population. The key findings concerned factors impacting initiation and early breastfeeding, factors impacting later breastfeeding and exclusivity, interventions to increase breastfeeding in obese women, and clinical considerations. The factors impacting early breastfeeding include mechanical factors and delayed onset of lactogenesis II and we have critically analyzed the potential contributors to these factors. The factors impacting later breastfeeding and exclusivity include hormonal imbalances, psychosocial factors, and mammary hypoplasia. Several recent interventions have sought to increase breastfeeding duration in obese women with varying levels of success and we have presented the strengths and weaknesses of these clinical trials. Clinical considerations include specific techniques that have been found to improve breastfeeding incidence and duration in obese women. Many obese women do not obtain the health benefits of exclusive breastfeeding and their children are more likely to also be overweight or obese if they are not breastfed. Further research is needed into the physiological basis for decreased breastfeeding among obese women along with effective interventions supported by rigorous clinical research to advance the care of obese reproductive age women and their children.
机译：母体肥胖与母乳喂养开始，持续时间和排他性的比率显着降低有关。育龄妇女肥胖率的上升促使需要仔细研究导致该人群母乳喂养率降低的因素。最近的研究表明，母乳喂养对降低母亲和子女肥胖的风险具有重大影响。本文使用母乳喂养和孕产妇肥胖的搜索词，回顾了1995年至2014年三个数据库的研究文献。我们回顾了有关降低肥胖妇女母乳喂养率的因素的现有研究，我们的发现可指导发展有希望的途径以增加脆弱人群的母乳喂养。主要发现涉及影响开始和早期母乳喂养的因素，影响后来母乳喂养和排他性的因素，增加肥胖妇女母乳喂养的干预措施以及临床考虑因素。影响早期母乳喂养的因素包括机械因素和II号泌乳发生延迟，我们已经对这些因素的潜在影响进行了严格分析。影响以后的母乳喂养和排他性的因素包括荷尔蒙失调，社会心理因素和乳腺发育不全。最近有几项干预措施试图增加肥胖妇女的母乳喂养持续时间，并取得不同程度的成功，我们介绍了这些临床试验的优缺点。临床考虑因素包括已发现可改善肥胖妇女母乳喂养发生率和持续时间的特定技术。许多肥胖妇女没有获得纯母乳喂养的健康益处，如果他们的孩子没有母乳喂养，他们的孩子也更有可能超重或肥胖。需要进一步的研究，以减少肥胖妇女的母乳喂养的生理基础，以及通过严格的临床研究支持的有效干预措施，以促进肥胖育龄妇女及其子女的护理。

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