The Effect of Interactive Web-Based Monitoring on Breastfeeding Exclusivity, Intensity, and Duration in Healthy, Term Infants After Hospital Discharge
The Effect of Interactive Web-Based Monitoring on Breastfeeding Exclusivity, Intensity, and Duration in Healthy, Term Infants After Hospital Discharge
复制标题
DOI：
10.1016/j.jogn.2015.12.001
复制
发表时间：
2016-03-01
影响因子：
1.8
通讯作者：
King, Demetra
中科院分区：
文献类型：
--
作者：
Ahmed, Azza H.;Roumani, Ali M.;King, Demetra
目的：为了确定基于网络的交互式母乳喂养监测系统是否增加了母乳喂养的持续时间，排他性和强度作为主要结果，并减少了产后抑郁症的症状作为次要结果。设计：双臂，随机对照试验。设置：美国中西部的三家医院。参与者：出院前招募了一百四十一（141）对母婴。方法：产后妇女被随机分配到对照组或干预组。对照组的妇女（n = 57）遵循标准的医院协议，而干预组的妇女（n = 49）可以访问在线交互式母乳喂养监测系统，并被提示记录30天的母乳喂养和婴儿产出数据。一个后续的在线调查发送到两组在1，2，3个月，以评估母乳喂养的结果和产后depress.Results：对于母亲和婴儿，有两组之间的人口统计学没有显着差异。出院时两组母乳喂养结果无显著差异（p = .707）。在1、2和3个月时，两组母乳喂养结果存在显著差异（分别为p = 0.027、p <0.001和p = 0.002）。干预组的成员在1、2和3个月时有更高的纯母乳喂养率。到第三个月结束时，84%的干预组母乳喂养，而对照组为66%。两组产后抑郁症状评分在1、2和3个月时均下降（对照组：分别为4.9 +/- 3.9、4.3 +/- 4.9和3.2 +/- 3.9;干预组：分别为4.7 +/- 4.5、3.0 +/- 3.4和2.8 +/- 3.6）。然而，在1，2和3个月（p = 0.389，0.170，和0.920，分别）组之间没有显着差异为depression.Conclusion：基于Web的交互式母乳喂养监测系统可能是一个很有前途的干预措施，以改善母乳喂养的持续时间，排他性和强度。
Objective: To determine whether a Web-based interactive breastfeeding monitoring system increased breastfeeding duration, exclusivity, and intensity as primary outcomes and decreased symptoms of postpartum depression as a secondary outcome.Design: Two-arm, randomized controlled trial.Setting: Three hospitals in the Midwestern United States.Participants: One hundred forty one (141) mother-newborn dyads were recruited before discharge.Methods: Postpartum women were randomly assigned to the control or intervention groups. Women in the control group (n = 57) followed the standard hospital protocol, whereas women in the intervention group (n = 49) were given access to an online interactive breastfeeding monitoring system and were prompted to record breastfeeding and infant output data for 30 days. A follow-up online survey was sent to both groups at 1, 2, and 3 months to assess breastfeeding outcomes and postpartum depression.Results: For mothers and infants, there were no significant differences in demographics between groups. No significant differences in breastfeeding outcomes were found between groups at discharge (p = .707). A significant difference in breastfeeding outcomes was found between groups at 1, 2, and 3 months (p = .027, p < .001, and p =.002, respectively). Members of the intervention group had greater exclusive breastfeeding rates at 1, 2, and 3 months. By the end of the third month, 84% of the intervention group was breastfeeding compared with 66% of the control group. Postpartum-depression symptom scores decreased for both groups at 1, 2, and 3 months (control group: 4.9 +/- 3.9, 4.3 +/- 4.9, and 3.2 +/- 3.9, respectively; intervention group: 4.7 +/- 4.5, 3.0 +/- 3.4, and 2.8 +/- 3.6, respectively). However, there was no significant difference between groups at 1, 2, and 3 months (p = .389, .170, and .920, respectively) for depression.Conclusion: The Web-based interactive breastfeeding monitoring system may be a promising intervention to improve breastfeeding duration, exclusivity, and intensity.