Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry.

Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry.
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单心室先天性心脏病婴儿的母乳喂养和母乳喂养模式:国家儿科心脏病质量改进合作登记处的人口研究。

DOI:
10.1089/bfm.2023.0036
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发表时间:
2023
期刊:
Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
影响因子:
--
通讯作者:
McKechnie,AnneChevalier
McKechnie,AnneChevalier
中科院分区:
--
文献类型:
--
作者:
Elgersma,KristinM;Spatz,DianeL;Fulkerson,JayneA;Wolfson,Julian;Georgieff,MichaelK;Looman,WendyS;Shah,KavishaM;Uzark,Karen;McKechnie,AnneChevalier

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引言:患有单心室(SV)先天性心脏病(CHD)的婴儿接受分期手术和/或基于导管的姑息治疗,通常会遇到喂养困难和生长不良。在这一人群中,对母乳喂养或直接母乳喂养知之甚少。目的:确定(1)SV CHD婴儿的母乳喂养和母乳喂养患病率,以及(2)新生儿第1阶段缓解(S1 P)出院时的BF是否与第2阶段缓解(S2 P; 14 -6个月)的任何母乳喂养相关。材料和方法:使用(1)患病率的描述性统计量和(2)针对多个变量(例如,早产、保险、住院时间)来检查早期BF/后期HM喂养。结果:参与者包括来自68个地点的2,491名婴儿。HM患病率范围从S1 P前的49.3%任何/41.5%排除到S2 P时的37.1%任何/7.0%排除。直接BF范围从S1 P前的16.1%任意/7.9%排除到S2 P放电时的9.2%任意/3.2%排除。各研究中心的患病率各不相同;例如,S1 P前任何HM的患病率为0-100%。S1 P出院时BF的婴儿在S2 P时出现任何HM(比值比= 4.11,95%置信区间[CI] = 2.79- 6.07,p < 0.001)和排他性HM(1.85,95%CI 1.03- 3.30,p = 0.039)的几率更大。结论:SV CHD婴儿HM和BF的患病率较低,并随着时间的推移而下降。S1 P放电时的直接BF与S2 P时任何HM的几率增加相关。广泛的差异表明,特定地点的做法影响喂养结果。HM和BF的患病率在这一人群中是次优的,需要确定支持性的机构实践。
Introduction:Infants with single-ventricle (SV) congenital heart disease (CHD) undergo staged surgical and/or catheter-based palliation and commonly experience feeding challenges and poor growth. Little is known about human milk (HM) feeding or direct breastfeeding (BF) in this population.Aim:To determine (1) HM and BF prevalence for infants with SV CHD, and (2) whether BF at neonatal stage 1 palliation (S1P) discharge is associated with any HM at stage 2 palliation (S2P; ∼4–6 months old).Materials and Methods:Analysis of the National Pediatric Cardiology Quality Improvement Collaborative registry (2016–2021) using (1) descriptive statistics for prevalence, and (2) logistic regression adjusted for multiple variables (e.g., prematurity, insurance, length of stay) to examine early BF/later HM feeding.Results:Participants included 2,491 infants from 68 sites. HM prevalence ranged from 49.3% any/41.5% exclusive before S1P to 37.1% any/7.0% exclusive at S2P. Direct BF ranged from 16.1% any/7.9% exclusive before S1P to 9.2% any/3.2% exclusive at S2P discharge. Prevalence varied among sites; for example, 0–100% any HM before S1P. Infants BF at S1P discharge had greater odds of any HM (odds ratio = 4.11, 95% confidence interval [CI] = 2.79–6.07,p< 0.001) and exclusive HM (1.85, 95% CI 1.03–3.30,p= 0.039) at S2P.Conclusions:The prevalence of HM and BF for infants with SV CHD was low and declined over time. Direct BF at S1P discharge was associated with increased odds of any HM at S2P. Wide variation suggests that site-specific practices impact feeding outcomes. HM and BF prevalence are suboptimal in this population, and identification of supportive institutional practices is needed.
DOI: 10.1016/j.jnn.2021.05.003
发表时间: 2021-06
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DOI: 10.1111/j.1651-2227.2009.01605.x
发表时间: 2010
期刊: Acta Pædiatrica
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