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首页> 外文期刊>Midirs midwifery digest >Telephone-based support prolongs breastfeeding duration in obese women: a randomized trial
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Telephone-based support prolongs breastfeeding duration in obese women: a randomized trial

机译：基于电话的支持延长了肥胖女性的母乳喂养时间：一项随机试验

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Background: Obese women often have difficulties breastfeeding.Objective: We evaluated whether telephone-based support could increase the duration of breastfeeding in obese women and, thereby, reduce offspring growth. Design: We recruited 226 dyads of obese mothers and their singleton, healthy, term infants. The women were randomly assigned to 6 mo of breastfeeding support or standard care controls. At 6 mo, there were 207 dyads in the study; 105 dyads received support, and 102 dyads were control subjects. One International Board Certified Lactation Consultant carried out the intervention, which was based on structured interviews and consisted of encouraging telephone calls.Results: The support group breastfed exclusively for a median of 120 d (25th-75th percentiles: 14-142 d) compared with 41 d (3-133 d) for control subjects (P = 0.003). Any breastfeeding was maintained for a median of 184 d (92-185 d) for the support group compared with 108 d (16-185 d) for control subjects (P = 0.002). Support increased the adjusted ORs for exclusive breastfeeding at 3 mo and the ratios for partial breastfeeding at 6 mo to 2.45 (95% Cl: 1.36,4.41; P = 0.003) and 2.25 (95% Cl: 1.24,4.08; P = 0.008, respectively). Although the duration of exclusive breastfeeding was inversely associated with infant weight (3 = -4.39 g/d; 95% Cl: -0.66, -8.11 g/d; P = 0.021) and infant length at 6 mo (p = -0.012 cm/d; 95% Cl: -0.004, -0.02 cm/d; P = 0.004), the breastfeeding support did not achieve a significant effect on infant growth at 6 mo (n = 192).Conclusions: Telephone-based advisory support was very effective in prolonging breastfeeding in obese mothers who often terminate the breastfeeding of their infants prematurely. A longer duration of breastfeeding may decrease risk of noncommunicable diseases in these infants.
机译：背景：肥胖妇女经常难以母乳喂养。目的：我们评估了电话支持是否可以增加肥胖妇女的母乳喂养时间，从而减少后代的生长。设计：我们招募了226双肥胖的母亲及其单身，健康的足月婴儿。这些妇女被随机分配至6个月的母乳喂养支持期或标准护理对照组。在6 mo时，研究中有207个二元组。 105个双胞胎获得了支持，而102个双胞胎为对照组。一名国际委员会认证的哺乳期顾问进行了干预，该干预基于结构化访谈，并包括鼓励电话通话。结果：该支持小组仅母乳喂养了120 d（25-75％百分位数：14-142 d），对照组为41 d（3-133 d）（P = 0.003）。支持组的任何母乳喂养均维持在184 d（92-185 d）的中位数，而对照组为108 d（16-185 d）（P = 0.002）。支持将3个月纯母乳喂养的调整后OR值和6个月纯母乳喂养的比例提高至2.45（95％Cl：1.36,4.41; P = 0.003）和2.25（95％Cl：1.24,4.08; P = 0.008，分别）。尽管纯母乳喂养的时间与婴儿体重（3 = -4.39 g / d; 95％Cl：-0.66，-8.11 g / d; P = 0.021）和婴儿在6 mo时的长度呈负相关（p = -0.012 cm / d; 95％Cl：-0.004，-0.02 cm / d; P = 0.004），母乳喂养对6mo婴儿的生长没有显着影响（n = 192）。在肥胖母亲中，母乳喂养对延长母乳喂养非常有效，这些母亲经常提前终止婴儿的母乳喂养。较长的母乳喂养时间可以降低这些婴儿患非传染性疾病的风险。

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