Breastfeeding After Spinal Cord Injury: A Systematic Review of Prevalence and Associated Complications.

IF 2.4 Q1 REHABILITATION

Topics in Spinal Cord Injury Rehabilitation Pub Date : 2025-01-01 Epub Date: 2025-02-14 DOI:10.46292/sci24-00035

Andrei Krassioukov, Amanda H X Lee, Stacy Elliott, Teri Thorson, Nathan Agon-Chen, Gavin Naicker, Matthew Querée, Janice Eng

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引用次数: 0

Abstract

Background: Breastfeeding can be a vital component for maternal and infant health, but successful breastfeeding may be especially difficult for mothers with spinal cord injury (SCI). No reliable research on prevalence or complications associated with breastfeeding for mothers with SCI currently exists.

Methods: Our systematic review aimed to answer the following: (1) What are the breastfeeding rates in women after SCI? (2) What are the rates and nature of postpartum complications reported by women with SCI in conjunction with breastfeeding?

Results: Ten studies were included; the reported rates at which women with SCI were able to breastfeed varied widely, ranging from 11% to 100%. Generally speaking, women with higher-level SCI (above T6) were less likely to breastfeed and would breastfeed less frequently than women with lower-level SCI and less frequently than women without SCI. Complications reported included problems with the let-down reflex, autonomic dysreflexia, and a higher incidence of postpartum depression in women with SCI.

Conclusion: More research on mothers with SCI is needed, especially matched-control research comparing mothers with and without SCI on successful breastfeeding and associated complications.

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脊髓损伤后母乳喂养：患病率和相关并发症的系统回顾。

背景：母乳喂养是母婴健康的重要组成部分，但对于脊髓损伤（SCI）的母亲来说，成功的母乳喂养可能尤其困难。目前还没有关于脊髓损伤母亲母乳喂养的患病率或并发症的可靠研究。方法：本系统综述旨在回答以下问题：(1)脊髓损伤后妇女的母乳喂养率是多少？(2)脊髓损伤妇女在母乳喂养的同时报告的产后并发症的发生率和性质是什么？结果：纳入10项研究；报道的脊髓损伤妇女能够母乳喂养的比率差别很大，从11%到100%不等。一般来说，重度脊髓损伤（T6以上）的女性母乳喂养的可能性较小，母乳喂养的频率低于重度脊髓损伤的女性，也低于非重度脊髓损伤的女性。报道的并发症包括下丘脑反射问题、自主神经反射障碍和脊髓损伤妇女产后抑郁症的高发生率。结论：需要对脊髓损伤母亲进行更多的研究，特别是对有无脊髓损伤母亲成功母乳喂养及相关并发症的配对对照研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Spinal Cord Injury Rehabilitation REHABILITATION-

CiteScore

3.20

自引率

3.40%

发文量

期刊介绍： Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning