A LACTATIONAL FUNCTION REHABILITATION SYSTEM IN WOMEN AFTER EXTREMELY PRETERM LABOR


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Objective. To evaluate the effectiveness of introducing a system for prevention of impairments in the formation of lactational function in women after extremely preterm labor (EPL). Subjects and methods. A study group consisted of 20 patients who had given birth to their babies at 24-27/6weeks of pregnancy and received lactational function rehabilitation. A comparison group included 20 patients after EPL without rehabilitation. A control group comprised 20 patients after term labor. The methods involved a lactation diary and breast milk biochemical tests at day 30 after childbirth. Results. In the women who had received a set of rehabilitation after EPL, the volume of breast milk and the levels of total protein, albumin, lipids, glucose, and lactate were significantly higher and the electrolyte composition was better than in those who had not. According to its qualitative characteristics, the breast milk composition in puerperas with rehabilitation after EPL is similar to that in those after term labor. Conclusion. Lactational function rehabilitation after EPL is required to create optimal conditions for the successful care of extremely premature newborns.

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作者简介

Ksenia Shafieva

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: ksusha8707@rambler.ru
graduate student Ekaterinburg 620028, Repina str. 1, Russia

Galina Malgina

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: galinamalgina@mail.ru
MD, ScD, Deputy Director (Scientific Director) of Institute Ekaterinburg 620028, Repina str. 1, Russia

Lyudmila Pestryaeva

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: pestryaeval@yandex.ru
PhD, head of research department of biochemical research methods Ekaterinburg 620028, Repina str. 1, Russia

Maria Mystafina

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: Maria_Fedosova@mail.ru
researcher, neonatologist of the department of pathology of newborn and premature children Ekaterinburg 620028, Repina str. 1, Russia

Svetlana Zacharova

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

MD, Professor, ScL Ekaterinburg 620028, Repina str. 1, Russia

Elena Shiryaeva

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: 48924@mail.ru
PhD, head of the Department of pathology of newborns and premature babies № 1 Ekaterinburg 620028, Repina str. 1, Russia

Natalia Pepelyaeva

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: nataliapepelyaewa@yandex.ru
PhD, head of the obstetric Department Ekaterinburg 620028, Repina str. 1, Russia

参考

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