medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-2-26-31medsovet-2284Research ArticleНЕОНАТОЛОГИЯNEONATOLOGYПрофилактика и лечение гипогалактии. Роль лактогонных средствPREVENTION AND TREATMENT OF HYPOGALACTIA. THE ROLE OF LACTOGENIC AGENTSЖдановаС. И.ZhdanovaS. I.

Кандидат медицинских наук

PhD in medicine

Казанский государственный медицинский университет Минздрава РоссииРоссияKazan State Medical University of the Ministry of Health of RussiaRussian Federation201812022018022631Copyright © Жданова С.И., 20182018Жданова С.И.Zhdanova S.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2284

Главной причиной преждевременного завершения грудного вскармливания, по данным литературы, является гипогалактия, ее профилактика и лечение могут значительно продлить кормление грудью. В статье представлен опыт профилактики гипогалактии путем чтения лекций на курсах для беременных женщин в рамках антенатальной подготовки к родам, что привело к достоверным различиям в продолжительности грудного вскармливания: до 1,5 года кормили грудью 62% прослушавших лекции женщин и только 37% женщин, которые не посещали курсы по собственной инициативе (р < 0,001). Таким образом, антенатальная профилактика гипогалактии, информирование беременных о рекомендациях ВОЗ (частое прикладывание ребенка к груди, контакт «кожа к коже», ночные кормления и сцеживание) могут значительно продлить грудное вскармливание. Кроме того, может быть полезно применение лактогонных средств. В статье дан обзор современной информации об эффективности и применении в разных странах лактогонных средств, как травяных, так и фармакологических. Особое внимание уделено травам: фенхелю, анису, крапиве и тмину, входящим в состав травяного чая Лактафитол®, широко применяемого в России.

According to the literature, hypogalactia is the main reason for premature termination of breastfeeding. The prevention and treatment of hypogalactia can significantly prolong breastfeeding. The article describes the hypogalactia preventing practice by delivering the lecturing courses for pregnant women during antenatal classes and preparation for childbirth, which led to significant differences in the duration of breastfeeding: 62% of women who attended the lectures and only 37% of women who did not attend courses on their own initiative (p <0.001) were breastfeeding up to 1.5 years. Thus, antenatal prevention of hypogalactia, informing pregnant women about WHO guidelines (frequent breastfeeds, skin-to-skin contact, night feeding and expression of breast milk) can significantly prolong breastfeeding. In addition, the use of lactogenic agents can be useful. The article gives an overview of modern information on the efficacy and administration of lactogenic agents, both herbal and pharmacological in different countries. Special attention is paid to herbs: fennel, anise, nettle and cumin, which form a part of Lactaphytol® herbal tea that is widely used in Russia.

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The authors declare that there are no conflicts of interest present.