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Difficulties in breastfeeding: ways to solve the problem

https://doi.org/10.21518/2079-701X-2021-11-7-13

Abstract

Introduction. Practical assistance of medical personnel to nursing women with difficulties in breastfeeding, joint search for solutions to the problem of hypogalactia contributes to the preservation of breastfeeding throughout the first year of a baby’s life.

Purpose of the study. The frequency and nature of lactation disorders in women in the first weeks and months of breastfeeding were studied.

Materials and methods. The attitude of women to various, including non-drug, methods of maintaining lactation was analyzed. The study was conducted following a survey of 58 women – patients of the perinatal center in the early postpartum period, 28 women whose children received breastfeeding/mixed feeding in the 1st year of life and 16 female employees of neonatological departments, whose children were also breastfed/mixed feeding in the 1st year of life. With women in groups 1 and 2 in the obstetric facility, there were talks about the benefits of breastfeeding and instructions on how to properly latch on the newborn to the breast. The respondents participated in the study only voluntarily.

Results and discussion. Revealed approximately the same nature of lactation disorders in all groups. The predominance of women with hypogalactia after preterm birth was noted; breastfeeding up to one and a half to two years was observed in 4% of young women without chronic somatic pathology after the first spontaneous birth. Respondents of groups 1 and 3 showed high awareness and greater adherence to non-drug correction of hypogalactia in the form of the use of herbal tea. At the same time, some of the respondents in group 2 showed low motivation to maintain breastfeeding and were skeptical about any way to maintain lactation. Among the surveyed respondents, 47% (48 women out of 102) used herbal tea for a long time (3–6 weeks or more). All of them characterized as an effective lactogonic agent, and also noted a calmer behavior of the child, a decrease in intestinal colic and an improvement in the quality of night sleep.

Conclusions. A data analysis of the survey of nursing mothers and women who had a breastfeeding experience showed that there is approximately the same pattern of lactation disorders regardless of the woman’s age, high or low awareness of breastfeeding issues.

About the Author

E. Z. Polyanina
Astrakhan State Medical University
Russian Federation

Ella Z. Polyanina, Cand. Sci. (Med.), Associate Professor of the Department of Pediatrics and Neonatology.

121, Bakinskaya St., Astrakhan, 414000



References

1. Zakharova I.N., Machneva E.B., Oblogina I.S. Breast milk is a living tissue! How to preserve breastfeeding? Meditsinskiy sovet = Medical Council. 2017;(19):24–29. (In Russ.) https://doi.org/10.21518/2079-701X-2017-19-24-29.

2. Ryumina I.I., Zubkov V.V. Effective lactation and expression of breast milk. Meditsinskiy sovet = Medical Council. 2019;(2):26–31. (In Russ.) https://doi.org/10.21518/2079-701X-2019-2-26-31.

3. Keshishyan E.S. Why is breastfeeding so important for a baby and how to maintain it? Meditsinskiy sovet = Medical Council. 2012;(12):112–117. (In Russ.) Available at: https://cyberleninka.ru/article/n/pochemu-takvazhno-dlya-rebenka-grudnoe-vskarmlivanie-i-kak-ego-sohranit/viewer.

4. Newburg D.S., He Y. Neonatal Gut Microbiota and Human Milk Glycans Cooperate to Attenuate Infection and Inflammation. Clinical Obstetrics and Gynecology. 2015;58(4):814–826. https://doi.org/10.1097/GRF.0000000000000156.

5. Ursova N.I. The significance of breastfeeding for the infant growth and development: a review. Almanakh klinicheskoi meditsiny= Almanac of Clinical Medicine. 2015;(42):23–37. (In Russ.) https://doi.org/10.18786/2072-0505-2015-42-23-37.

6. Gmoshinskaya M.V. Breastfeeding: the difficulties in organizing and their overcoming. Pediatricheskaya farmakologiya = Pediatric Pharmacology. 2012;9(4):70–72. (In Russ.) https://doi.org/10.15690/pf.v9i4.394.

7. Zhdanova S.I., Galimova I.R., Idiatullina A.R. Initiation of lactation - myth or reality? Neonatologiya: novosti, mneniya, obuchenie = Neonatology: News, Opinions, Training. 2017;(1):93–97. (In Russ). https://doi.org/10.24411/23082402-2017-00021.

8. Zakharova I.N., Machneva E.B. The history of breastfeeding of the peoples of the World. Meditsinskiy sovet = Medical Council. 2016;(16):14–21. (In Russ.) https://doi.org/10.21518/2079-701X-2016-16-14-21.

9. Zakharova I.N., Namazova- Baranova L.S. (eds.). Breast- feeding of children: a cultural- historical heritage. Moscow: Pediatr; 2017. 560 p. (In Russ.) Available at: http://www.spr-journal.ru/grudnoe-vskarmlivanie-detey-kulturno-istoricheskoe-nasledie/

10. Baibarina E.N., Degtyarev D.N. (eds.). Selected clinical recommendations on neonatology. Moscow: GEOTAR-Media; 2016. 240 p. (In Russ.) Available at: https://docplayer.ru/36299302-Izbrannye-klinicheskie-rekomendacii-poneonatologii-pod-redakciey-e-n-baybarinoy-d-n-degtyareva.html.

11. Petrova N.A., Treskina N.A., Koroleva A.K. Early manifestation of Allergy to cow’s milk protein in premature infants: clinical cases. Neonatologiya: novosti, mneniya, obuchenie = Neonatology: News, Opinions, Training. 2017;(3): 103–107. (In Russ.) https://doi.org/10.24411/2308-2402-2017-00045.

12. Zhdanova S.I. Prevention and treatment of hypogalactia. the role of lactogenic agents. Meditsinskiy sovet = Medical Council. 2018;(2):26–31. (In Russ.) https://doi.org/10.21518/2079-701X-2018-2-26-31.

13. Keshishyan E.S., Marhulia H.M., Balashova E.D. Hypogalactia and methods of its correction. Praktika pediatra = Pediatrician’s Practice. 2013;(2):44–48. (In Russ.) Available at: https://medi.ru/docplus/j01130323.pdf.

14. Zubkov V.V. Hypogalactia prevention and correction in lactating women. Meditsinskiy sovet = Medical Council. 2016;(12):138–140. (In Russ.) https://doi.org/10.21518/2079-701X-2016-12-138-140.

15. Ghasemi V., Kheirkhah M., Samani L.N. et al. The effect of herbal tea containing fennel seed on breast milk sufficiency signs and growth parameters of Iranian infants. Shiraz E Med J. 2014;15(4):e22262. Available at: https://sites.kowsarpub.com/semj/articles/20396.html.

16. Bazzano A.N., Hofer R., Thibeau S., Gillispie V., Jacobs M., Theall K.P. A Review of Herbal and Pharmaceutical Galactagogues for Breast- Feeding. Ochsner J. 2016;16:511–524. Available at: https://e-lactancia.org/media/papers/Galactogogos-OchsnerJ2016.pdf.


Review

For citations:


Polyanina EZ. Difficulties in breastfeeding: ways to solve the problem. Meditsinskiy sovet = Medical Council. 2021;(11):7-13. (In Russ.) https://doi.org/10.21518/2079-701X-2021-11-7-13

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)