Specific features of the formation of lactation in patients after very early premature birth
- Autores: Shafieva K.A.1, Malgina G.B.1, Pestryaeva L.A.1
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Afiliações:
- Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
- Edição: Nº 2 (2016)
- Páginas: 83-86
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247622
- DOI: https://doi.org/10.18565/aig.2016.2.83-86
- ID: 247622
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Resumo
Objective. To investigate the formation of lactation and the qualitative composition of breast milk in women after very early premature birth. Subjects and methods. Lactation was investigated in 57 patients. A study group included 33 patients after childbirth at 22-27 weeks’ gestation. A comparison group consisted of 24 patients who had delivered after full-term pregnancy. Results. In the study group, the daily amount of breast milk production on days 3-5 and 30 was 5 times lower than that in the comparison group. After childbirth at 22-27 weeks’ gestation, there was a reduction in the levels of total protein, albumin, lipids, glucose, and lactate, as well as changes in the electrolyte composition of breast milk, which aggravated by 30 days postpartum. Conclusion: The formation of lactation and its maintenance in women after very early premature birth calls for a package of measures to improve the quality of milk and to stimulate lactation.
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Sobre autores
Ksenia Shafieva
Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
Email: ksusha8707@rambler.ru
graduate student
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
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
Bibliografia
- Приказ МЗ РФ «О медицинских критериях рождения, форме документа о рождении и порядке его выдачи» от 27 декабря 2011 г. № 1687 Н. [Order of the Ministry of Healthcare and Social Development of the Russian Federation № 1687n from 27.12.2011 «On medical criteria for a birth, the form and issuance procedures of a birth certificate.» (in Russian)]
- Рюмина И.И., Нароган М.В., Грошева Е.В. Поддержание эффективной лактации при рождении недоношенного ребёнка. Неонатология: новости, мнения, обучение. 2015; 1: 56-62. [Rumina I.I., Narogan M. V., Grosheva E.V. Effective lactation maintaining in the feeding of premature infants Neonatology: news, views, training. 2015; 1: 56-62. (in Russian)]
- Сахарова Е.С., Кешишян Е.С., Алямовская Г.А. Особенности психомоторного развития глубоконедоношенных детей. Вестник современной клинической медицины. 2013; 6(6): 84-90. [Sakharova E.S., Keshishyan E.S., Alyamovskaya G.A. Characteristics of psychomotor development in preterm children. Vestnik sovremennoy klinicheskoy meditsinyi. 2013; 6(6): 84-90. (in Russian)]
- Mathur N.B., Dhingra D. Perceived breast milk insufficiency in mothers of neonates hospitalized in neonatal intensive care unit. Indian J. Pediatr. 2009; 76(10): 1003-6.
- Щербаков А.Ю., Си Юе. Особенности лактационной функции родильниц. Международный медицинский журнал. 2008; 4: 56-9. [Shcherbakov A.Y., Ue Si. Peculiarities of lactation function in puerpera. Mezhdunarodnyiy meditsinskiy zhurnal. 2008; 4: 56-59. (in Russian)]
- Грошева Е.В., Байбарина Е.Н., Дегтярев Д.Н., Ленюшкина А.А., Антонов А.Г., Рюмина И.И., Яковлева М.А. Оптимизация энтерального питания глубоко недоношенных новорождённых в условиях стационара. Акушерство и гинекология. 2012; 2: 57-61. [Grosheva E.V., Baibarina E.N., Degtyarev D.N., Lenyushkina A.A., Antonov A.G., Ryumina I.I., Yakovleva M.A. Optimization of enteral feeding in extremely premature neonatal infants in the hospital seeting. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2012; (2): 57-61. (in Russian)]
- Morgan J., Young L., McGuire W. Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants. Cochrane Database Syst. Rev. 2014; (12): CD001970.
- Романенко К.В., Аверин А.П., Киосов А.Ф., Гаева А.И., Богачёв Н.Ю. Особенности интенсивной нутритивной поддержки недоношенных детей в постреанимационном периоде и после выписки из стационара (часть 2). Педиатрическая фармакология. 2011; 8(5): 91-6. [Romanenko K.V., Averin A.P., Kiosov A.f., Gayeva A.I., Bogachev N.Y. Current approaches to feeding premature and low birth weight babies in the post-resuscitative period. Pediatricheskaya farmakologiya. 2011; 8(5): 91-96. (in Russian)]
- Мальцева Л.И., Фаттахова А.Р. Инфицированность, качественный состав грудного молока и особенности лактации у женщин с хронической урогенитальной инфекцией. Медицинский альманах. 2008; 4: 52-7. [Maltseva L.I., Fattahova A.R. Infection, qualitative composition of breast milk and peculiarities of lactation of women with chronic urogenital infection. Meditsinskiy almanah. 2008; 4: 52-57. (in Russian)]
- Underwood M.A. Human milk for the premature infant. Pediatr. Clin. North Am. 2013; 60(1): 189-207.
- Суржик А.В. Современные продукты для вскармливания недоношенных детей. Педиатрическая фармакология. 2012; 9(4): 106-11. [Surzhik A.V. Modern products for feeding premature infants. Pediatricheskaya farmakologiya. 2012; 4(9): 106-111 (in Russian)]
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