捐献者的挤奶习惯:我们能为极度早产儿建立母乳库吗?

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-26 DOI:10.1089/bfm.2024.0126
Mélissa Girard, Annie Janvier, Keith J Barrington, Geneviève Myhal, Christine St-Pierre, Diane Fournier, Marie-Claude Chouinard, Antoine Lewin, Christian Renaud
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引用次数: 0

摘要

背景:极早产儿通常会接受捐赠奶。后乳会在排乳后 3 分钟以上排出,由于其脂肪含量和热量密度较高,因此可能具有优势。捐献乳汁的表达习惯可能会影响乳汁成分,但尚未对此进行调查。本研究旨在评估献乳者的习惯和后奶表达的可行性。研究方法通过在线调查询问了魁北克省活跃的牛奶捐赠者的牛奶表达习惯,以及他们是否接受后奶捐赠。采用混合方法对答案进行了分析。调查结果显示在 181 名捐献者中,126 人完整填写了问卷(70%);57% 的人表示会在两次哺乳之间挤出捐献的母乳;15% 的人表示会在挤出另一侧乳房捐献的母乳的同时进行母乳喂养;12% 的人表示会用两侧乳房喂养婴儿,然后挤出捐献的母乳(后奶)。大多数受访者(66%)愿意改变大部分或全部习惯,为早产儿提供后奶。受访者在开放式回答中提到的主要主题是利他主义和对能够帮助他人的感激之情。但也有 15%的受访者对母乳表达的复杂性发表了意见,或认为增加复杂性可能会阻碍他们捐献母乳。结论:母乳表达方式多种多样,这可能会导致捐献者母乳成分的变化。大多数捐献者同意改变他们的挤奶习惯,转而捐献后奶,以帮助最脆弱的婴儿。关于改变挤奶建议会如何影响供体乳的供应和成分,还需要更多的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Donor Milk Expression Habits: Can we Favor Hindmilk Banking for Extremely Preterm Infants?

Background: Extremely preterm infants often receive donor milk. Hindmilk, which is released more than 3 minutes after letdown, could be advantageous due to its elevated levels of fat and calorie density. Donor milk expression habits may influence milk composition but have not yet been investigated. This study aims to assess the practices of milk donors and the feasibility of hindmilk expression. Methods: Active milk donors in Québec were questioned using an online survey about their milk expression habits and whether hindmilk donation would be acceptable to them. Answers were analyzed using mixed methods. Results: Of 181 donors, 126 fully completed the questionnaire (70%); 57% reported expressing donated milk between breastfeeds; 15% reported simultaneously breastfeeding while expressing donated milk from the other breast; 12% reported breastfeeding their baby on each breast, then expressing donated milk (hindmilk). The majority (66%) would be willing to change their habits most or all the time to provide hindmilk for preterm infants. The main themes invoked by respondents in open-ended answers were altruism and gratitude for being able to help others. However, 15% commented on the complexity of milk expression or that adding further complexity might discourage them from donating. Conclusions: Expression practices are variable, which may lead to variability in donor milk composition. Most donors would agree to change their expression habits in favor of giving hindmilk to help the most fragile infants. More information is needed on how changing recommendations for milk expression might impact the supply and composition of donor milk.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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