Neifert M R
HealthONE Alliance Lactation Program, Rose Medical Center, Denver, Colorado, USA.
Pediatr Clin North Am. 2001 Apr;48(2):273-97. doi: 10.1016/s0031-3955(08)70026-9.
Although successful breastfeeding confers compelling advantages to infants and mothers, inadequate breastfeeding can result in critical infant failure-to-thrive and hypernatremic dehydration. Potential catastrophic infant outcomes can occur when enthusiastic promotion of breastfeeding outpaces necessary support services and management. Such cases often involve underlying maternal and infant breastfeeding risk factors, made deadly by parental and professional misconceptions and knowledge deficits or health care system failures. An early follow-up visit a few days after discharge allows at-risk infants to be identified before they lose excessive weight and at a time when intervention can easily correct most breastfeeding problems before they become complicated by insufficient milk. Those who enthusiastically promote breastfeeding for its many health benefits must confront the reality of breastfeeding failure and implement necessary changes in medical education and support services to foster successful outcomes in breastfed infants.
尽管成功母乳喂养能给婴儿和母亲带来诸多显著益处，但母乳喂养不足可能导致婴儿严重发育不良和高钠血症脱水。当对母乳喂养的大力推广超过了必要的支持服务和管理时，就可能出现潜在的灾难性婴儿后果。此类情况往往涉及潜在的母婴母乳喂养风险因素，因父母和专业人员的误解、知识欠缺或医疗保健系统故障而变得致命。出院后几天进行早期随访，可在有风险的婴儿体重过度减轻之前将其识别出来，并且此时进行干预能够在大多数母乳喂养问题变得因乳汁不足而复杂化之前轻松纠正这些问题。那些积极推广母乳喂养以获取其诸多健康益处的人必须面对母乳喂养失败的现实，并在医学教育和支持服务方面做出必要改变，以促进母乳喂养婴儿取得成功结果。
