Infants of mothers with persistent nipple pain exert strong sucking vacuums

被引：40

作者：

McClellan, H. L. ^{[1
]}

Geddes, D. T. ^{[1
]}

Kent, J. C. ^{[1
]}

Garbin, C. P. ^{[1
]}

Mitoulas, L. R. ^{[2
]}

Hartmann, P. E. ^{[1
]}

机构：

[1] Univ Western Australia, Sch Biomed Biomol & Chem Sci, Crawley, WA 6009, Australia

[2] Medela AG, Med Technol, Baarn, Netherlands

来源：

ACTA PAEDIATRICA | 2008年 / 97卷 / 09期

关键词：

breastfeed; infant; lactation; pain; sucking behaviour;

D O I：

10.1111/j.1651-2227.2008.00882.x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Aim: The objective of this study was to determine whether infants of mothers experiencing persistent nipple pain exerted very strong intraoral vacuums during a breastfeed. Methods: Thirty mothers experiencing persistent pain during breastfeeding (Pain group; infants aged 49.4 +/- 35.5 days) were compared to 30 successfully breastfeeding mothers (Control group; infants aged 55.0 +/- 22.7 days). Infant intraoral vacuums were measured via a small milk-filled tube taped alongside the nipple and connected to a pressure transducer. Milk intake was measured using the test weigh method. Results: Infants in the Pain group applied significantly stronger baseline (-90.8 +/- 54.5 vs. -56.4 +/- 31.4 mmHg, p = 0.004), peak (-214.3 +/- 60.5 vs. 163.2 +/- 62.4 mmHg, p = 0.002) and pause vacuums (-104.8 +/- 67.9 vs. -45.8 +/- 30.3 mmHg, p < 0.001). Despite similar active sucking times (377.5 +/- 175.2 vs. 349.4 +/- 184.0 sec, p = 0.554) the mean milk intake was significantly lower for infants of mothers with nipple pain (41.6 +/- 31.3 vs. 70.7 +/- 30.7 g, p = 0.001). Conclusion: Infants of breastfeeding mothers experiencing persistent nipple pain applied significantly higher vacuum to the breast during breastfeeding despite assistance with positioning and attachment from a lactation consultant. Further investigation into the cause of the abnormally high vacuums is essential to develop successful interventions for these mother-infant dyads.

引用

页码：1205 / 1209

页数：5

共 20 条

[11] Volume and frequency of breastfeedings and fat content of breast milk throughout the day [J].

Kent, JC ;

Mitoulas, LR ;

Cregan, MD ;

Ramsay, DT ;

Doherty, DA ;

Hartmann, PE .

PEDIATRICS, 2006, 117 (03) :E387-E395

[12]

Livingstone VH, 1996, CAN FAM PHYSICIAN, V42, P654

[13] Changes in sucking performance from nonnutritive sucking to nutritive sucking during breast- and bottle-feeding [J].

Mizuno, K ;

Ueda, A .

PEDIATRIC RESEARCH, 2006, 59 (05) :728-731

[14] THE LET-DOWN REFLEX IN HUMAN LACTATION [J].

NEWTON, M ;

NEWTON, NR .

JOURNAL OF PEDIATRICS, 1948, 33 (06) :698-704

[15]

Prieto CR, 1996, J REPROD FERTIL, V108, P69, DOI 10.1530/jrf.0.1080069

[16]

Prieto CR, 1999, J REPROD FERTIL, V115, P193, DOI 10.1530/jrf.0.1150193

[17] Breast-feeding, pain and infection [J].

Thomassen, P ;

Johansson, VA ;

Wassberg, C ;

Petrini, B .

GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 1998, 46 (02) :73-74

[18]

Wilde CJ, 1998, BIOCHEM SOC SYMP, P81

[19] Breastfeeding duration in mothers who express breast milk: A cohort study [J].

Win N.N. ;

Binns C.W. ;

Zhao Y. ;

Scott J.A. ;

Oddy W.H. .

International Breastfeeding Journal, 1 (1)

[20]

Woolridge M W, 1986, Midwifery, V2, P172, DOI 10.1016/S0266-6138(86)80042-0

← 1 2 →