Righard L, Alade M O
Birth. 1992 Dec;19(4):185-9. doi: 10.1111/j.1523-536x.1992.tb00399.x.
We investigated the prognostic value of sucking technique (faulty vs correct) during the first week after birth in relation to the long-term success of breastfeeding. At discharge from the maternity ward, 82 healthy mother-infant pairs were observed for assessment of breastfeeding technique and followed for four months by regular telephone checkups. Correct sucking technique was defined as the infant having a wide-open mouth, with the tongue under the areola, and expressing milk from the breast by slow, deep sucks; faulty technique was defined as superficial nipple sucking. The study population was divided into three groups: one in which faulty sucking technique was corrected when observed (n = 29), one with faulty but uncorrected technique (n = 25), and a control group with a correct technique (n = 28). At the four-month follow-up assessment, the faulty but uncorrected group was characterized by a greater proportion of mothers with breastfeeding problems and early cessation of breastfeeding than the other two groups. Regular use of a pacifier (> 2 hrs/day) was more common among those with breastfeeding problems.
我们调查了出生后第一周的吸吮技巧(错误与正确)对母乳喂养长期成功的预后价值。在产妇病房出院时,观察了82对健康的母婴,以评估母乳喂养技巧,并通过定期电话检查随访四个月。正确的吸吮技巧定义为婴儿张大嘴巴,舌头位于乳晕下方,并通过缓慢、深沉的吸吮从乳房挤出乳汁;错误的技巧定义为浅尝乳头。研究人群分为三组:一组在观察到错误吸吮技巧时进行了纠正(n = 29),一组有错误但未纠正的技巧(n = 25),以及一组技巧正确的对照组(n = 28)。在四个月的随访评估中,有错误但未纠正的组中,母乳喂养有问题和过早停止母乳喂养的母亲比例高于其他两组。母乳喂养有问题的人群中,经常使用安抚奶嘴(> 2小时/天)的情况更为常见。