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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Evaluation of an office protocol to increase exclusivity of breastfeeding
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Evaluation of an office protocol to increase exclusivity of breastfeeding

机译：评估增加母乳喂养独家性的办公室规程

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OBJECTIVE: The purpose of this study was to determine whether implementing a program based on a clinical protocol affects breastfeeding rates within a pediatric primary care setting. Increasing breastfeeding rates is an important public health initiative identifi ed by multiple agencies. METHODS: The Academy of Breastfeeding Medicine (ABM) clinical protocol ("The Breastfeeding-Friendly Physician's Office, Part 1: Optimizing Care for Infants and Children") was used as a template for the provision of breastfeeding services within a pediatric primary care clinic. There were 757 mother-infant pairs included in the study. A retrospective before-and-after study design was used. Data collection points included the hospital stay, the newborn visit, and the 2-, 4-, and 6-month health maintenance visits. The 2 groups were compared to estimate the protocol's effectiveness as a method of increasing breastfeeding rates. RESULTS: The results of this evaluation were positive for exclusive breastfeeding, with group comparisons showing a statistically significant increase in exclusive breastfeeding rates at all 5 time points. CONCLUSIONS: Our diverse patient population within a pediatric practice had increased initiation rates and exclusive breastfeeding rates after implementation of the ABM's breastfeeding-friendly protocol. Families who receive care in a pediatric primary care setting that has implemented the ABM clinical protocol may have increased rates of exclusive breastfeeding.
机译：目的：本研究的目的是确定实施基于临床方案的计划是否会影响儿科初级保健机构中的母乳喂养率。提高母乳喂养率是多个机构确定的一项重要的公共卫生计划。方法：母乳喂养学院（ABM）的临床方案（“母乳喂养友好的办公室，第1部分：优化婴儿和儿童的护理”）被用作在儿科初级保健诊所提供母乳喂养服务的模板。研究中包括757对母婴。使用回顾性的前后研究设计。数据收集点包括住院，新生儿访视以及2、4和6个月的健康维护访视。比较两组，以评估方案作为提高母乳喂养率的方法的有效性。结果：本次评估的结果显示纯母乳喂养为阳性，组间比较显示，在所有5个时间点，纯母乳喂养率均有统计学意义的提高。结论：在实施ABM的母乳喂养友好方案后，我们的儿科实践中的不同患者群体增加了开始率和纯母乳喂养率。在已经执行ABM临床规程的儿科初级保健机构中接受护理的家庭，纯母乳喂养的比例可能会增加。

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