High Risk Black Infants Need Their Mother's Milk MMEP

高风险黑人婴儿需要母乳 MMEP

基本信息

批准号：
6899047
负责人：
DONNA A DOWLING
金额：
$ 23.18万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-08-12 至 2008-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6899047
关键词：
African American breast feeding clinical research disease /disorder proneness /risk health disparity human subject low birth weight infant human mother child interaction racial /ethnic difference

项目摘要

DESCRIPTION (provided by applicant): Low-birth-weight, high-risk African-American (AA) infants do not receive the best possible nutrition. AA has the lowest rate of the initiation of breastfeeding (provision of mother's milk) when compared to white and Hispanic infants and also the highest rate of preterm and low-birth-weight infants when compared to all other racial and ethnic groups. Consequently, the infants who would benefit the most from the immuniologic and nutritional benefits of mother's milk are the least likely to receive it. The purpose of this study is to reduce this racial disparity by testing the strongest possible intervention, the Mother's Milk Education Program (MMEP). MMEP combines two interventions, which alone have increased initiation of breastfeeding for AA mothers. The first is a specific lactation program (Meier, 2003), which consists of an ongoing program of education, support and involvement of the mother in the infant's care. The second component is Kangaroo Care, where the mother holds her infant skin-to-skin between her breasts for as long as she wishes. In this study Kangaroo Care will be given four times a week. The specific aims of this pilot study are to: (1) increase the initiation and duration of provision of mother's milk by AA mothers of hospitalized infants; (2) increase the proportion of feedings that are mother's milk in AA hospitalized infants; (3) determine the effect of MMEP on infant growth, and (4) establish the feasibility of the protocol for a more definitive study. The design is a quasi-experimental cohort study with the comparison group (n =30) studied first, followed by the intervention group (n = 30). Purposive sampling will be used insure that the sample is 100% AA. Mothers in the comparison group receive routine care. Mothers in the intervention (MMEP) group receive intensive ongoing education related to the provision of mother's milk, and will meet with a peer counselor and a lactation consultant two times a week. Measurements of initiation and duration of lactation, proportion of feedings that are mother's milk and infant growth will be obtained at 1, 2,3 & 4 weeks post-birth and at 40 weeks corrected age. The significance of this study is the long-term goal of improving health of high-risk infants by increasing the initiation and duration of breastfeeding, as proposed by Healthy People 20 JO for a population where the rates of breastfeeding have been inadequate.

描述（由申请人提供）：低出生体重、高风险的非裔美国人 (AA) 婴儿没有获得最佳的营养。与白人和西班牙裔婴儿相比，AA 人群开始母乳喂养（提供母乳）的比例最低，与所有其他种族和族裔群体相比，早产儿和低出生体重婴儿的比例也最高。因此，最能从母乳的免疫和营养益处中获益的婴儿却是最不可能获得母乳的。本研究的目的是通过测试最强有力的干预措施——母乳教育计划（MMEP）来减少这种种族差异。 MMEP 结合了两种干预措施，仅这两种干预措施就增加了 AA 母亲开始母乳喂养的机会。第一个是特定的哺乳计划（Meier，2003），其中包括持续的教育、支持和母亲参与婴儿护理的计划。第二个组成部分是袋鼠式护理，母亲可以根据自己的意愿将婴儿肌肤接触地抱在乳房之间。在这项研究中，袋鼠护理每周进行四次。本试点研究的具体目的是：（1）增加住院婴儿的 AA 母亲提供母乳的开始时间和持续时间； (2) 增加AA住院婴儿母乳喂养的比例； (3) 确定 MMEP 对婴儿生长的影响，以及 (4) 确定该方案的可行性以进行更明确的研究。该设计是一项准实验性队列研究，首先研究对照组（n = 30），然后研究干预组（n = 30）。将采用有目的的抽样来确保样品为 100% AA。对照组的母亲接受常规护理。干预 (MMEP) 组的母亲接受与提供母乳相关的强化持续教育，并将每周两次与同伴辅导员和哺乳顾问会面。将在出生后 1、2、3 和 4 周以及 40 周校正年龄时测量哺乳开始和持续时间、母乳喂养比例以及婴儿生长情况。这项研究的意义在于通过增加母乳喂养的开始时间和持续时间来改善高危婴儿的健康这一长期目标，正如 Healthy People 20 JO 针对母乳喂养率不足的人群所提出的那样。