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首页> 外文期刊>Journal of women’s health >Preventive Health Application to Increase Breastfeeding
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Preventive Health Application to Increase Breastfeeding

机译：预防性健康申请增加母乳喂养

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Background: Mother-infant dyads are not meeting recommended breastfeeding goals. There is lack of consensus regarding any program's ability to increase breastfeeding duration to meet the recommended guidelines, and effective strategies are needed moving forward to help families meet those goals. Primary prevention utilizing consistent visits with lactation professionals with a group of new mothers may efficiently address this care gap. Methods: Mother-infant dyads attending a newborn care clinic for 6 weeks received feeding assessment and standard-of-care guidance from an Internationally Board-Certified Lactation Consultant (IBCLC). Regression analysis was completed with outcome variables "exclusive direct breastfeeding" (EDB) and "any breastfeeding" (AB) at 6 weeks postpartum (PP) and odds ratios were calculated. Results: The number and timing of IBCLC visits was correlated with EDB at 6 weeks PP. Maternal/infant dyads seen at day 3 had 2.5 times higher odds of EDB at 6 weeks than those not receiving IBCLC standard-of-care feeding assessment. Dyads seen at days 3 and 14 had 3.4 times higher odds of EDB than those with less follow-up. Bottle use correlated with decreased odds of AB at 6 weeks PP; similarly, dyads seen only at day 14 PP had decreased odds of EDB. When looking at timing of the first involvement, dyads seen at 3 days had higher odds of EDB than dyads first seen at day 14 PP. Conclusions: This primary prevention strategy of early minimal intervention using an IBCLC increased the odds of EDB and AB at 6 weeks PP. These data support the conclusion that early feeding assessment the first 2 weeks PP with an IBCLC may increase breastfeeding at 6 weeks PP.
机译：背景：母婴二元不符合推荐的母乳喂养目标。有关任何方案增加母乳喂养持续时间的能力缺乏共识，以满足建议的准则，并且需要有效的战略，以帮助家庭达到这些目标。利用与一群新母亲的哺乳专业人士使用一致的预防可以有效地解决这种护理差距。方法：参加新生儿护理诊所的母婴二元6周接收来自国际董事会认证的哺乳顾问（IBCLC）的饲养评估和护理标准指导。回归分析用结果变量“独家直接母乳喂养”（EDB）和“任何母乳喂养”（AB）计算，并计算出几个母乳（PP）和差异比率。结果：IBCLC访问的数量和时间与EDB在6周PP相关。在第3天看到的孕产妇/婴儿二元的EDB在6周内比未接受IBCLC标准喂养评估的含量高2.5倍。在第3天和第14天看到的二元的二元的态度率高3.4倍，而不是较少随访的人。瓶子使用与AB的差异减少6周PP;类似地，仅在第14天PP看到的二元减少了EDB的几率。在查看第一次受累的时间时，3天看到的Dyads在第14天第14天首次出现的二元患者的含量较高。结论：使用IBCLC的早期介入的这种初级预防策略增加了6周PP的EDB和AB的几率。这些数据支持结论，早期喂养评估与IBCLC的前2周PP可能会在6周PP增加母乳喂养。

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