Effect of intraoperational reinfusion of blood on lactional function of parturients after operation of cesarean section

详细

Objective: To study the effect of intraoperational reinfusion on the onset and duration of lactation in parturient after an operation of cesarean section.

全文:

Methods: The main group included 15 patients who underwent intraoperational reinfusion of blood. Blood loss was 1109.0 +/- 129.9 ml. The controls consisted of 10 patients after cesarean section, blood loss of 700.0 +/- 106.0 ml, which was filled up with physiological, and plasma substitutional solutions of 880.0 +/-250.0 ml. The methods of determination the quantity of milk and prolactin per day were used for the assessment of lactational function of parturient of both groups in addition to the routine ones.

Results: Lactation of parturient after abdominal delivery is characterized by late and prolonged onset. In the use of plasma substitutional preparations, we noted a decrease of general protein by 20%), meanwhile after blood reinfusion it decreased by 10%. Anemia was found in 72% and 15%, respectively. There were no reliable differences in prolactin basal levels. Hypogalactia was detected in comparison it was 527 +/- 44 ml. The duration of breast-feeding was 1.3 +/- 0.5 months, in the group after intraoperational reinfusion it was 4.7 +/- 1.2 months.

Conclusion: Thus, we revealed a positive effect of intraoperational blood reinfusion in the quantity of breast milk and duration of lactation.