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Association between Delayed Lactogenesis ¥± and Early Milk Volume among Mothers of Preterm Infants

Asian Nursing Research 2019³â 13±Ç 2È£ p.93 ~ 98
KMID : 1022320190130020093
 ( Yu Xiurong ) - Binzhou Medical University Hospital Department of Gynecology & Obstetrics

 ( Li Jianhua ) - Binzhou Maternal and Child Health Care Center Department of Women and Child Health Care
 ( Lin Xiangyun ) - Binzhou Medical University Hospital Department of Gynecology & Obstetrics
 ( Luan Dandan ) - Weihai Education Bureau Department of Health Education

Abstract

Purpose: This study aimed to evaluate the effect of delayed lactogenesis ¥± on early milk volume in mothers expressing milk for their preterm infants.

Methods: 142 mothers with preterm infants participated in a longitudinal cohort study, the milk volumes over 14 days postpartum between mothers with delayed lactogenesis ¥± (¡Ã 72 hours) and mothers with non-delayed lactogenesis ¥±(< 72 hours) were compared using Wilcoxon's rank sum tests.

Results: The prevalence of delayed lactogenesis¥± among mothers of preterm infants was 36.0% (36/100). There existed negative correlations between the onset of lactogenesis ¥± and the daily milk volumes( rs = ?0.525¡­?0.354, p = .002 ¡­ p < .001). The milk volumes in every 24-hour of the 14 days postpartum in delayed group were significantly less than that in non-delayed group (p = .002 ¡­ p < .001). After controlling for the covariates, pregnancy-induced hypertension syndrome, delayed expression initiation, shorter daily sleeping time were found to be the risk factors for delayed lactogenesis ¥±.

Conclusion: Delayed lactogenesis ¥± was associated with lower milk volume in early postpartum period. Women who were at risk for delayed lactogenesis ¥± need targeted interventions and additional support during pregnancy and postpartum.
KeyWords

lactation, milk, human, premature birth
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