Ke LIU, Shuhan LONG, Shan MENG, et al. Application of donor human milk supporting system in assisting breast feeding of infants born to mothers with high-risk pregnancy[J]. Journal of Third Military Medical University, 2019, 41(22): 2212-2216.
DOI:
Ke LIU, Shuhan LONG, Shan MENG, et al. Application of donor human milk supporting system in assisting breast feeding of infants born to mothers with high-risk pregnancy[J]. Journal of Third Military Medical University, 2019, 41(22): 2212-2216. DOI: 10.16016/j.1000-5404.201906254.
Application of donor human milk supporting system in assisting breast feeding of infants born to mothers with high-risk pregnancy
To assess the effect of the donor human milk (DHM) supporting system in assisting breast feeding practices for mothers with high-risk pregnancy.
Methods
2
We retrospectively collected the data from 696 mothers (study group) with high-risk pregnancy utilizing the DHM supporting system following delivery in our hospital in 2018 and also from 691 mothers (control group) with high-risk pregnancy who did not use the supporting system following delivery in 2017. We analyzed the occurrence rates of breast distention at 3 d and delayed lactation at 72 h after delivery
weight loss of the infants
and the rates of exclusive breast feeding within 6 weeks after delivery between the 2 groups.
Results
2
Compared with those in the control group
the mothers in the study group showed significantly lower rates of delayed lactation (
P
<
0.01) and breast distention (13.07%
vs
22.87%
P
<
0.001) at 3 d after delivery
and had significantly higher rates of exclusive breast feeding at 1 d after the delivery (68.97%
vs
61.94%
P
=0.007)
on the day of discharge (67.96%
vs
45.88%
P
<
0.001) and at 6 weeks after delivery (57.90%
vs
40.96%
P
<
0.001). The infants in the study group had significantly lower body weight loss than those in the control group (158.82±72.99
vs
220.88±77.17 g
t
=15.385
P
<
0.001)
and the number of infants with body weight loss was also significantly lower in the study group than in the control group (
P
<
0.05).
Conclusion
2
The DHM supporting system can facilitate breast feeding of the infants born to mothers with high-risk pregnancy
and helps to lower the incidences of delayed lactation and breast distension of the mothers and reduce body weight loss of the infants.
关键词
Keywords
references
LÖNNERDAL B. Bioactive proteins in human milk: health, nutrition, and implications for infant formulas[J]. J Pediatr, 2016, 173(Suppl): S4-S9. DOI: 10.1016/j.jpeds.2016.02.070.
WANG H, WU J L. Status quo and countermeasures of breast-feeding for low birth weight infants in neonatal intensive care unit[J]. Chin J Obstet Gynecol Pediatr (Electron Ed), 2015, 11(1): 44-47.
GREGORY K E, CONNOLLY T C. Enteral feeding practices in the NICU: results from a 2009 neonatal enteral feeding survey[J].Adv Neonatal Care, 2012, 12(1): 46-55. DOI: 10.1097/ANC.0b013e3182425aab.
HANG S P, YU Z B, CHEN X H.The establishing and operating management guide of North America milk bank[J]. Chin J Appl Clin Pediatr, 2014, 29(23): 1838-1840.
刘喜红.母乳喂养的研究进展[J].中国当代儿科杂志, 2016, 18(10): 921-925.
LIU X H. Research advances in breast feeding[J]. Chin J Contemp Pediatr, 2016, 18(10): 921-925.
MENG S, LYU Y, WANG D, et al .The effect observation of postpartum breast distension improvement made by comprehensive nursing measures[J ] . Chongqing Med, 2017, 46(23): 3310-3311.
CHAPMAN D J, PÉREZ-ESCAMILLA R. Maternal perception of the onset of lactation is a valid, public health indicator oflactogenesis stage Ⅱ[J]. J Nutr, 2000, 130(12): 2972-2980. DOI: 10.1093/jn/130.12.2972.
NOMMSEN-RIVERS L A, CHANTRY C J, PEERSON J M, et al . Delayed onset oflactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding[J ] . Am J Clin Nutr, 2010, 92(3): 574-584. DOI: 10.3945/ajcn.2010.29192.
Child Health Care Group of Pediatrics Branch of Chinese Medical Association, Perinatal Medicine Branch of Chinese Medical Association, Matern al and Child Nutrition Branch of Chinese Nutrition Society, et al . Breast feeding promoting strategic guide(2018 edition)[J ] . Chin J Pediatr, 2018, 56(4): 261266.
HRUSCHKA D J, SELLEN D W, STEIN A D, et al . Delayed onset of lactation and risk of ending full breast-feeding early in rural Guatemala[J ] . J Nutr, 2003, 133(8): 2592-2599. DOI: 10.1093/jn/133.8.2592.
ZHENG X L, ZHANG Y, XU X F. The researching progress in affecting factors of delayed initiation of lactation and its intervention[J]. Chin J Nurs, 2014, 49(3): 340-344.
LI Q Y, LIU Q, LIU S D, et al . Breastfeeding status and relevant factors of 036 months infant in Chongqing[J ] . Chin J Child Heal Care, 2013, 21(11): 1222-1225.
LEE H C, KURTIN P S, WIGHT N E, et al . A quality improvement project to increase breastmilk use in very low birth weight infants[J ] . Pediatrics, 2012, 130(6): e1679- e1687. DOI: 10.1542/peds.2012-0547.