Jonas W, Nissen E, Ransjö-Arvidson A-B, Wiklund I, Henriksson P, Uvnäs-Moberg K
Division for Reproductive and Perinatal Health Care, Department of Women and Child Health, Karolinska Institute, Stockholm, Sweden.
Breastfeed Med. 2008 Jun;3(2):103-9. doi: 10.1089/bfm.2007.0031.
The benefits of breastfeeding for infants are well known. Recently data have started to emerge showing that breastfeeding may also induce positive effects in the mother. This study aimed to investigate the pattern of maternal blood pressure before, during, and after a breastfeed 2 days postpartum. Additionally, blood pressure during the following 25-week breastfeeding period was investigated.
Sixty-six primiparae with normal deliveries were consecutively recruited. Blood pressure was measured at -5, 10, 30, and 60 minutes in connection with a morning breastfeed. Thirty-three women continued to measure blood pressure before and after breastfeeding for 25 weeks.
Blood pressure fell significantly in response to breastfeeding 2 days after birth. The fall in systolic and diastolic blood pressure amounted to 8.8 (SD = 11.00) and 7.7 (SD = 9.3) mm Hg, respectively. During the 25-week follow-up period a significant fall of basal blood pressure (systolic, df = 3, F = 7.843, p < 0.001; diastolic, df = 3, F = 5.453, p = 0.002) was observed. The total fall in systolic and diastolic blood pressure amounted to a mean of 15 (SD = 10.4) mm Hg and 10 (SD = 9.7) mm Hg, respectively. In addition, blood pressure fell significantly in response to individual breastfeeding sessions during the entire observation period.
In conclusion, both systolic and diastolic blood pressures fall during a breastfeeding session, and pre-breastfeeding blood pressure decreases during at least the first 6 months of a breastfeeding period in a homelike environment. This study lends further support to the health-promoting effects of breastfeeding.
母乳喂养对婴儿的益处众所周知。最近有数据开始表明,母乳喂养可能也会对母亲产生积极影响。本研究旨在调查产后2天母乳喂养前、中、后的母亲血压模式。此外,还对接下来25周母乳喂养期内的血压进行了调查。
连续招募了66例顺产初产妇。在早晨母乳喂养时,分别于-5分钟、10分钟、30分钟和60分钟测量血压。33名女性继续在母乳喂养前后测量血压,持续25周。
出生后2天,母乳喂养时血压显著下降。收缩压和舒张压分别下降了8.8(标准差=11.00)和7.7(标准差=9.3)毫米汞柱。在25周的随访期内,观察到基础血压显著下降(收缩压,自由度=3,F=7.843,p<0.001;舒张压,自由度=3,F=5.453,p=0.002)。收缩压和舒张压的总下降量分别平均为15(标准差=10.4)毫米汞柱和10(标准差=9.7)毫米汞柱。此外,在整个观察期内,每次母乳喂养时血压均显著下降。
总之,母乳喂养期间收缩压和舒张压均会下降,并且在类似家庭环境的母乳喂养期至少前6个月内,母乳喂养前的血压会降低。本研究进一步支持了母乳喂养对健康的促进作用。