母婴同室新生儿在院期间添加配方奶与其出生后6月龄喂养方式的关联性研究

doi:10.11852/zgetbjzz2021-0302

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (12): 1351-1354.DOI: 10.11852/zgetbjzz2021-0302

母婴同室新生儿在院期间添加配方奶与其出生后6月龄喂养方式的关联性研究

江欣, 江会

同济大学附属第一妇婴保健院,上海 201206

收稿日期:2021-03-03 修回日期:2021-05-28 发布日期:2021-12-09
通讯作者: 江会,E-mail:jianghui@51mch.com
作者简介:江欣(1985-),女,上海人,主管护师,硕士学位,主要研究方向为母乳喂养及产科护理。
基金资助:
上海市科学技术委员会科普项目(19DZ2306400)

Association between formula addition during hospitalization of room-in new borns and their feeding patterns at 6 months of age

JIANG Xin, JIANG Hui

Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine, Shanghai 201206, China

Received:2021-03-03 Revised:2021-05-28 Published:2021-12-09
Contact: JIANG Hui, E-mail:jianghui@51mch.com

摘要/Abstract

摘要： 目的调查产妇分娩住院期间为新生儿添加配方奶对其产后6个月喂养方式的影响,为规范婴儿住院期间配方奶的添加管理提供科学依据。方法本次研究为前瞻性队列研究,以上海市某妇产科专科医院常规体检的产妇为基线人群,婴儿在院期间添加配方奶作为暴露因素,调查2020年1—3月在院期间372名母婴的人口学资料及配方奶添加情况,以出院时、产后42天、3月龄及6月龄婴儿的喂养方式为结局指标。同时,将住院期间添加配方奶作为自变量,产后6月婴儿母乳喂养结局作为因变量,通过Logistic回归分析调查住院期间配方奶添加与产后喂养方式的关联。结果 131名婴儿在住院期间添加过配方奶,Logistic回归分析结果显示,在控制混杂因素后住院期间配方奶添加增加了产后6月纯母乳喂养失败的风险(OR=2.110,95%CI:1.194~3.729,P＜0.05)。结论住院期间配方奶添加情况不乐观,将影响产后6月龄婴儿的纯母乳喂养率,产科医务工作者应予以高度重视,严格执行加奶指征,对住院期间配方奶添加实施科学监督和管理。

关键词: 母婴同室, 新生儿, 配方奶添加, 产后, 队列研究

Abstract: Objective To investigate the effect of complementary formula on feeding patterns at 6 months of age, in order to provide scientific reference for standardizing the management of adding formula during hospitalization. Methods A prospective cohort study was conducted. Methods A prospective cohort study was conducted.The demographic data of 372 mothers and infants in Shanghai First Maternity and Infant Hospital from January to March 2020 were collected as the baseline, and formula addition was as the exposure factor during hospitalization.The feeding patterns of infants at discharge, 42 days postpartum, 3 months of age and 6 months of age were used as outcome indicators.Meanwhile, the formula complementary during hospitalization was considered as an independent variable, and the breastfeeding outcome of 6 months postpartum infants was used as a dependent variable.Logistic regression was used to analyze the association between formula complementary during hospitalization and postpartum feeding patterns. Results A total of 131 infants had formula added during hospitalization.Logistic regression analysis showed that the formula complementary during hospitalization increased the risk factor for exclusive breastfeeding failure at 6 months postpartum(OR=2.110, 95%CI:1.194-3.729,P＜0.05). Conclusions The situation of formula addition during hospitalization is not optimistic, which will affect the exclusive breastfeeding rate of 6-month-old infants after delivery.Obstetric medical staff should attach great importance to it, strictly implement the indications of milk addition, and scientifically supervise and manage the formula complementary during hospitalization.

Key words: room-in, newborn, complementary formula, postpartum, cohort study

中图分类号:

R174.4

江欣, 江会. 母婴同室新生儿在院期间添加配方奶与其出生后6月龄喂养方式的关联性研究[J]. 中国儿童保健杂志, 2021, 29(12): 1351-1354.

JIANG Xin, JIANG Hui. Association between formula addition during hospitalization of room-in new borns and their feeding patterns at 6 months of age[J]. Chinese Journal of Child Health Care, 2021, 29(12): 1351-1354.

参考文献

[1] 马素红.不同喂养方式对早产儿和低出生体重儿出院后生长发育和内环境的影响[J].中国临床医生杂志, 2017, 7(32):115-117.
[2] 周莉莉.母乳喂养护理干预对足月分娩产妇泌乳量的影响观察[J].吉林医学, 2020, 41(2):494-496.
[3] Walsh V, Brown JVE, Askie LM, et al.Nutrient-enriched formula versus standard formula for preterm infants[J].Cochrane Database Syst Rev,2019,7(7):CD004204.
[4] 世界卫生组织.促进婴幼儿合理喂养[EB/OL](2017)[2019-2-20].http://www.who.int/nutrition/topics/infant feeding/zh/.
[5] Azad MB, Nickel NC, Bode L,et al.Breastfeeding and the origins of health: Interdisciplinary perspectives and priorities[J].Matern Child Nutr,2021,17(2):13109.
[6] Patnode CD, Henninger ML, Senger CA, et al.Primary care interventions to support breastfeeding: updated evidence report and systematic review for the US preventive services task force[J].JAMA, 2016, 316(16):1694-1705.
[7] Bass JL, Gartley T, Kleinman R.Outcomes from the centers for disease control and prevention 2018 breastfeeding report card: public policy implications[J].J Pediatr,2020,3(218):16-21.
[8] Ballesta-Castillejos A, Gómez-Salgado J, Rodríguez-Almagro J,et al.Development and validation of a predictive model of exclusive breastfeeding at hospital discharge: retrospective cohort study-science direct[J].Int J NursStud, 2021,117.doi:10.1016/j.ijnurstu.2021.103898.
[9] 李雪朋,赵金珍,郝桂兰,等.131例产妇住院期间纯母乳喂养状况调查分析[J].首都食品与医药,2018,25(15):10-12.
[10] 管慧.以家庭为中心的赋能教育对初产妇母乳喂养行为干预的效果评价[D].合肥:安徽医科大学, 2016
[11] 赵旻.北京地区初产妇母乳喂养自我效能及其影响因素的研究[D].北京:北京协和医学院,2008.
[12] Urashima M, Mezawa H,Mai O,et al.Primary prevention of cow's milk sensitization and food allergy by avoiding supplementation with cow's milk formula at birth: a randomized clinical trial[J].JAMA Pediatr,2019,173(12):1137-1145.
[13] 赵宏,刘美丹,米阳.晚孕期孕妇纯母乳喂养意愿及影响因素分析[J].中国妇幼健康研究,2019,30(8):936-940.
[14] 丁婷婷,罗碧如.妊娠期母乳喂养意愿及其影响因素研究进展[J].中华现代护理杂志,2018,24(2):230-234.
[15] 徐雪芬,胡引,丁晓燕.品管圈在提高护士对母婴同室新生儿非医嘱添加配方奶干预成功率的效果评价[J].中国实用护理杂志,2017,33(33):2594-2597.
[16] Lu AS, Harrison CM.Formula feeding results in better growth and weight gain compared to donor breast milk in preterm and low birthweight infants, with a greater risk innecrotising enterocolitis[J].Arch Dis Child Educ Pract Ed,2020,105(6):381-382.
[17] 黄俊美.婴儿早期喂养方式对12月龄内婴儿生长发育的影响[D].武汉:华中科技大学,2017.
[18] 祝琴, 唐艳, 田策,等.基于共同养育理论的母乳喂养干预方案在初产妇早期母乳喂养中的应用效果[J].中华现代护理杂志, 2021, 27(4):457-463.

母婴同室新生儿在院期间添加配方奶与其出生后6月龄喂养方式的关联性研究

Association between formula addition during hospitalization of room-in new borns and their feeding patterns at 6 months of age

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