先天性畸形婴儿母亲产前乳汁分泌纵向观察。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Nina A Juntereal, Donna T Geddes, Eileen T Lake, Diane L Spatz
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引用次数: 0

摘要

背景:对于先天性畸形婴儿的母亲来说,产前挤奶(AME),即在妊娠晚期用手挤奶,可以让母亲通过收集初乳为新生儿的护理做出贡献。然而,有关坚持产前挤奶和初乳量的研究却受到自我报告的限制。研究目的本研究考察了参与者在妊娠晚期是否能够遵守推荐的 AME 操作规程,以去除任何初乳并测量初乳量。材料与方法:采用前瞻性纵向观察设计。我们推荐的方案是,从妊娠 37 0/7 周到婴儿出生,每个乳房用手挤出 5 分钟,每次挤奶共 10 分钟,每 24 小时挤奶两次,以挤出任何初乳。产妇接受人工挤奶教育,填写挤奶记录,并尝试人工挤奶。研究小组核实了所有初乳量。研究结果19名妇女(10名无产科)参加了研究,其中13名(68%)怀有主要器官系统缺陷的婴儿,6名(32%)怀有先天性心脏缺陷的婴儿。大多数参与者(52.6%)完成了一半以上但少于全部的 AME 课程。7 名参与者(36.8%)完全坚持,每天完成两次 AME,直到入院。18 名参与者(94.7%)能够挤出母乳(80%-100% 的时间)。AME的24小时初乳量(中位数0.35毫升,四分位数间距[IQR] 0.065-0.845)和初乳总量(中位数3.99毫升,四分位数间距[IQR] 1.35-6.82)各不相同。结论在一小群患有先天性畸形的婴儿的妇女中,遵守推荐的方案是可行的,但因AME的次数而异。大多数妇女都能收集初乳,供将来喂养婴儿之用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Longitudinal Observation of Antenatal Milk Expression in Mothers of Infants with Congenital Anomalies.

Background: For mothers of infants with congenital anomalies, antenatal milk expression (AME), known as hand expression during late pregnancy, allows mothers to contribute to their newborn's care through colostrum collection. However, research is limited by self-report of AME adherence and colostrum volume. Objective: This study examined the ability of participants to adhere to a recommended protocol on AME for any removal and measurement of colostrum during late pregnancy. Materials and Methods: A prospective, longitudinal, observational design was used. Our recommended protocol involved hand expression of 5 minutes per breast for a total of 10 minutes for each AME session twice per 24 hours for any colostrum from 37 0/7 weeks gestation until birth. Women received AME education, completed milk logs, and attempted AME. The study team verified all colostrum volumes. Results: Nineteen women (10 nulliparous) participated, with 13 (68%) carrying infants with major organ system defects and 6 (32%) carrying infants with congenital heart defects. Most participants (52.6%) completed more than half but fewer than all AME sessions. Seven participants (36.8%) fully adhered, completing two AME sessions daily until hospital admission. Eighteen participants (94.7%) could remove milk (80-100% of the time). The 24-hour colostrum volume (median 0.35 mL, interquartile range [IQR] 0.065-0.845) and the total colostrum volume (median 3.99 mL, IQR 1.35-6.82) from AME varied. Conclusions: Among a small group of women of infants with congenital anomalies, adherence to a recommended protocol is feasible but varied by AME session frequency. Most women could collect colostrum for future infant feeding.

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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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