medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-11-39-44medsovet-2498Research ArticleЗДОРОВЫЙ РЕБЕНОКHEALTHY CHILDФормирование лактации на ранних этапах. Факторы риска и профилактика гипогалактииEstablishment of lactation at the early stages, risk factors and prevention of hypogalactiaЖдановаС. И.ZhdanovaS. I.

к.м.н., ассистент кафедры госпитальной педиатрии с курсом поликлинической педиатрии, врач-неонатолог отделения новорожденных детей ГАУЗ «Республиканская клиническая больница МЗРТ»

МалиновскаяЮ. В.MalinovskayaYu. V.

к.м.н., ассистент кафедры госпитальной педиатрии с курсом поликлинической педиатрии, ГАУЗ «Республиканская клиническая больница МЗРТ»

ЮнусоваЭ. Ф.YunusovaE. F.

студентка 6-го курса, ФГБОУ ВО «Казанский ГМУ» Минздрава России

ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииРоссияKazan State Medical University of the Ministry of Health of RussiaRussian Federation2018150720180113944Copyright © Жданова С.И., Малиновская Ю.В., Юнусова Э.Ф., 20182018Жданова С.И., Малиновская Ю.В., Юнусова Э.Ф.Zhdanova S.I., Malinovskaya Y.V., Yunusova E.F.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/2498

По данным литературы, наиболее распространенной причиной преждевременного окончания грудного вскармливания является гипогалактия. В статье описываются факторы риска развития гипогалактии в первые дни после родов, такие как кесарево сечение, раздельное пребывание матери и ребенка, низкая частота кормления в первые сутки жизни. Кроме того, наиболее частой причиной потери естественного вскармливания вследствие гипогалактии является применение искусственных смесей без медицинских показаний, особенно в первые дни после родов, когда закладываются основы успешной лактации. Медицинские показания к докорму, а также способы подачи докорма смесью, которые бы не подавили собственную лактацию матери, подробно рассматриваются в статье на основе рекомендаций Американской медицинской академии по грудному вскармливанию. Особое внимание уделено основным факторам формирования естественной лактации – раннее прикладывание к груди в течение первого часа жизни, длительный контакт ребенка с матерью «кожа к коже», частые кормления по требованию ребенка, рекомендованные Всемирной организацией здравоохранения (ВОЗ).

 

According to the literature, hypogalactia is the most common cause of early termination of breast-feeding. The article describes the risk factors for the development of hypogalactia in the first days after birth, such as cesarean section, motherchild separation, and the low frequency of newborn feeding in the first day of life. In addition, the use of formulas without medical indications, especially in the first days after birth, when the success lactation is being established, is the most common cause of termination of breastfeeding due to hypogalactia. Medical indications for supplementary feeding, as well as ways of feeding with a formula that would not suppress the mother’s own lactation, are discussed in detail in the article on the basis of the guidelines of the American Academy of Breastfeeding Medicine. Particular attention is paid to the main factors of the establishment of natural lactation: early application to the breast during the first hour of life, prolonged skin-toskin contact  between  mother  and  child, frequent feeding upon request of the child, recommended by the World Health Organization (WHO).

 

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