母乳库支持系统在高危产妇母乳喂养中的应用

刘可; 龙书函; 孟珊; 王丹

doi:10.16016/j.1000-5404.201906254

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母乳库支持系统在高危产妇母乳喂养中的应用

临床医学 | 更新时间：2026-01-09

- 母乳库支持系统在高危产妇母乳喂养中的应用
- Application of donor human milk supporting system in assisting breast feeding of infants born to mothers with high-risk pregnancy
- 第三军医大学学报 2019年41卷第22期页码：2212-2216
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院妇产科
- 作者简介：
  
  [王丹，E-mail:swh_wang@163.com WANG Dan, E-mail:swh_wang@163.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201906254
  中图分类号： R174.4;R197.38;R715
- 收稿：2019-06-29，
  
  修回：2019-07-31，
  
  纸质出版：2019-11-30
- 稿件说明：
移动端阅览
刘可, 龙书函, 孟珊, 等. 母乳库支持系统在高危产妇母乳喂养中的应用[J]. 第三军医大学学报, 2019,41(22):2212-2216.

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.
刘可, 龙书函, 孟珊, 等. 母乳库支持系统在高危产妇母乳喂养中的应用[J]. 第三军医大学学报, 2019,41(22):2212-2216. DOI： 10.16016/j.1000-5404.201906254.

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.

摘要

目的

研究母乳库捐献母乳(donor human milk，DHM)喂养支持系统应用于高危妊娠产妇母乳喂养的效果。

方法

回顾性调查2017年1月至2017年12月于我科住院分娩的691例高危妊娠产妇(对照组)以及应用DHM喂养支持系统后的2018年1月至2018年12月696例高危妊娠产妇(研究组)临床资料，对两组产妇于术后3 d乳胀发生率、术后72 h泌乳延迟发生率、新生儿体质量下降幅度、术后6周纯母乳喂养率等指标进行比较。

结果

与对照组比较，研究组泌乳延迟发生率降低(

0.01)，产后3 d发生胀乳率也明显降低(13.07%

22.87%，

0.001)；研究组产后1 d、出院当天、产后6周纯母乳喂养率高于对照组(68.97%

61.94%，

=0.007；67.96%

45.88%，

0.001；57.90%

40.96%，

0.001)；研究组新生儿体质量下降幅度明显低于对照组[(158.82±72.99)

(220.88±77.17)g，

=15.385，

0.001

]

，新生儿体质量下降人数也低于对照组(

0.05)。

结论

DHM喂养支持系统能够促进高危产妇母乳喂养，可降低泌乳延迟及乳胀发生率，降低新生儿体质量下降幅度，适合在临床推广。

Abstract

Objective

To assess the effect of the donor human milk (DHM) supporting system in assisting breast feeding practices for mothers with high-risk pregnancy.

Methods

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

Compared with those in the control group

the mothers in the study group showed significantly lower rates of delayed lactation (

0.01) and breast distention (13.07%

22.87%

0.001) at 3 d after delivery

and had significantly higher rates of exclusive breast feeding at 1 d after the delivery (68.97%

61.94%

=0.007)

on the day of discharge (67.96%

45.88%

0.001) and at 6 weeks after delivery (57.90%

40.96%

0.001). The infants in the study group had significantly lower body weight loss than those in the control group (158.82±72.99

220.88±77.17 g

=15.385

0.001)

and the number of infants with body weight loss was also significantly lower in the study group than in the control group (

0.05).

Conclusion

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.

王华, 伍金林.新生儿重症监护室中低出生体质量儿的母乳喂养现状分析及对策[J].中华妇幼临床医学杂志(电子版), 2015, 11(1): 44-47.

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.

韩树萍, 余章斌, 陈小慧. 2013年北美母乳库的建立和运行管理指南[J].中华实用儿科临床杂志, 2014, 29(23): 1838-1840.

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.

孟珊, 吕瑶, 王丹, 等.综合护理措施对改善产后乳胀的效果观察[J].重庆医学, 2017, 46(23): 3310-3311.

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.

中华医学会儿科学分会儿童保健学组, 中华医学会围产医学分会, 中国营养学会妇幼营养分会, 等.母乳喂养促进策略指南(2018版)[J].中华儿科杂志, 2018, 56(4): 261266.

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.

郑晓龙, 章瑶, 徐鑫芬.泌乳启动延迟影响因素及其干预的研究进展[J].中华护理杂志, 2014, 49(3): 340-344.

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.

李青颖, 刘琴, 刘舒丹, 等.重庆市0~36月龄婴幼儿母乳喂养现状及其影响因素分析[J].中国儿童保健杂志, 2013, 21(11): 1222-1225.

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.

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