NICU 中患有重大先天性外科畸形的婴儿中，亲代自身母乳喂养的流行情况和模式。

Prevalence and patterns of gestational parent's own milk feeds among infants with major congenital surgical anomalies in the NICU.

机构信息

University of Pittsburgh School of Nursing, Department of Health Promotion & Development, Pittsburgh, PA, USA.

St. Louis Children's Hospital, Washington University School of Medicine, Department of Pediatrics, St Louis, MO, USA.

出版信息

J Perinatol. 2021 Dec;41(12):2782-2788. doi: 10.1038/s41372-021-01176-6. Epub 2021 Jul 30.

DOI:10.1038/s41372-021-01176-6

PMID:34331003

Abstract

OBJECTIVE

To describe the prevalence and patterns of gestational parent's own milk (GPOM) feedings among infants undergoing major surgery during their neonatal intensive care unit (NICU) admission.

STUDY DESIGN

We analyzed de-identified electronic medical records of all infants admitted to a regional NICU 2014-2015 who underwent surgery for a gastrointestinal, cardiac, or other major organ system defect(s).

RESULTS

Of 79 infants, 85% received any GPOM during the NICU hospitalization. The median proportion of GPOM feeds was 66%. There was a trend toward decreassing proportions of GPOM with progressive months in NICU. The rate of any and exclusive GPOM feeds at NICU discharge was 49% and 29%, respectively. Infants who had a GI anomaly were more likely than infants with a cardiac anomaly to be discharged from NICU receiving GPOM.

CONCLUSION

Barriers to the exclusive and continued provision of GPOM in this population require further study and intervention.

摘要

目的

描述新生儿重症监护病房（NICU）住院期间接受重大手术的婴儿中，亲代自身母乳（GPOM）喂养的流行情况和模式。

研究设计

我们分析了 2014 年至 2015 年期间在一个区域性 NICU 住院并因胃肠道、心脏或其他主要器官系统缺陷而接受手术的所有婴儿的匿名电子病历。

结果

在 79 名婴儿中，85%在 NICU 住院期间接受了任何形式的 GPOM 喂养。GPOM 喂养的中位数比例为 66%。随着 NICU 时间的推移，GPOM 的比例呈逐渐下降趋势。NICU 出院时接受任何形式和完全 GPOM 喂养的比例分别为 49%和 29%。患有胃肠道异常的婴儿比患有心脏异常的婴儿更有可能从 NICU 出院时接受 GPOM 喂养。