Mother-infant interactions and infant intake during breastfeeding versus bottle-feeding expressed breast milk.

Mother-infant interactions and infant intake during breastfeeding versus bottle-feeding expressed breast milk.
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DOI:
10.1111/mcn.13185
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发表时间:
2021-10
影响因子:
3.4
通讯作者:
Lavond J
Lavond J
中科院分区:
医学3区
文献类型:
--
作者:
Ventura A;Hupp M;Lavond J

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与母乳喂养的婴儿相比,奶瓶喂养的婴儿体重快速增加的风险更高。很少有研究试图解开喂养模式,牛奶成分和相关的协变量喂养的相互作用和结果的影响。本研究的目的是比较直接母乳喂养与奶瓶喂养挤出的母乳对喂养相互作用的影响。婴儿<6个月的母亲(n = 47)参加了两次平衡喂养观察。母亲在一次访视期间直接从乳房(乳房条件)母乳喂养婴儿,在另一次访视期间用挤出的母乳(奶瓶条件)奶瓶喂养婴儿。随后,蒙面评分员使用护理儿童评估亲子互动喂养量表对视频进行编码。婴儿摄入量进行了评估。母亲自我报告的社会人口学特征,婴儿喂养模式(即每天从奶瓶喂养的百分比)和压力喂养方式的水平。在母乳和奶瓶条件下,母亲和婴儿的行为相似。奶瓶喂养百分比调节了条件对摄入量的影响(P = 0.032):与乳房条件相比,奶瓶喂养百分比越大,预测的摄入量越大。喂养方式的影响并不受产次或加压喂养方式的调节,但是,无论条件如何,多产母亲喂养婴儿多于多产母亲(P = 0.028),加压喂养方式与婴儿摄入量呈正相关(P = 0.045)。本研究的结果不支持喂养模式直接影响主要母乳喂养的母亲和婴儿的二元互动的假设,而是表明喂养经验和方式的受试者之间的差异预测了这一人群的喂养结果。
Bottle‐fed infants are at higher risk for rapid weight gain compared with breastfed infants. Few studies have attempted to disentangle effects of feeding mode, milk composition and relevant covariates on feeding interactions and outcomes. The objective of the present study was to compare effects of breastfeeding directly at the breast versus bottle‐feeding expressed breast milk on feeding interactions. Mothers with <6‐month‐old infants (n = 47) participated in two counterbalanced, feeding observations. Mothers breastfed their infants directly from the breast during one visit (breast condition) and bottle‐fed their infants expressed breast milk during the other (bottle condition). Masked raters later coded videos using the Nursing Child Assessment Parent–Child Interaction Feeding Scale. Infant intake was assessed. Mothers self‐reported sociodemographic characteristics, infant feeding patterns (i.e. percentage of daily feedings from bottles) and level of pressuring feeding style. Mother and infant behaviours were similar during breast and bottle conditions. Percent bottle‐feeding moderated effects of condition on intake (P = 0.032): greater percent bottle‐feeding predicted greater intake during the bottle compared with breast condition. Effects of feeding mode were not moderated by parity or pressuring feeding style, but, regardless of condition, multiparous mothers fed their infants more than primiparous mothers (P = 0.028), and pressuring feeding style was positively associated with infant intake (P = 0.045). Findings from the present study do not support the hypothesis that feeding mode directly impacts dyadic interaction for predominantly breastfeeding mothers and infants, but rather suggest between‐subject differences in feeding experiences and styles predict feeding outcomes for this population.
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发表时间: 2013-02
影响因子: 2.6
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发表时间: 2011-08-17
期刊: The international journal of behavioral nutrition and physical activity
影响因子: --
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DOI: 10.1093/ajcn/58.2.152
发表时间: 1993-08-01
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