Narayanan I, Mehta R, Choudhury D K, Jain B K
Moolchand Kharaiti Ram Hospital, Lajpat Nagar, New Delhi, India.
Arch Dis Child. 1991 Feb;66(2):241-4. doi: 10.1136/adc.66.2.241.
A simple method to promote the use of human milk and subsequent breast feeding in low birthweight infants was evaluated in 32 babies. In the 'intervention' group (n = 16; mean (SD) weight 1559 (228) g and length of gestation 33.2 (1.8) weeks), infants were allowed to suckle at the breast when their general condition permitted after as much milk as possible had been expressed, and were then given the full required feeds by tube. Full breast feeding was started as soon as the infant could suck adequately. Sixteen control infants (mean (SD) weight 1605 (198) g and length of gestation 34.1 (2.4) weeks), were breast fed in the conventional manner only after it had been established that they could suck well; until then they received all their feeds by tube. After discharge the mean (SD) periods of exclusive and total breast feeding were longer in the group that had received the intervention (3.7 (1.3) and 5.1 (2.2) months, respectively) than among the controls (1.9 (0.6) and 3.3 (1.9) months, respectively). This 'intervention' method helps to promote milk formation, provides sucking experience for low birthweight infants without interfering with their nutritional intake and consequent weight gain, and encourages subsequent breast feeding with its well recognised advantages.
在32名低体重婴儿中评估了一种促进人乳使用及后续母乳喂养的简单方法。在“干预”组（n = 16；平均（标准差）体重1559（228）g，妊娠时长33.2（1.8）周）中，当婴儿的一般状况允许且尽可能多地挤出乳汁后，允许他们在乳房上吸吮，然后通过管子给予所需的全部喂养。一旦婴儿能够充分吸吮，就开始完全母乳喂养。16名对照婴儿（平均（标准差）体重1605（198）g，妊娠时长34.1（2.4）周），仅在确定他们能够很好地吸吮后才以传统方式进行母乳喂养；在此之前，他们通过管子接受所有喂养。出院后，接受干预的组中纯母乳喂养和完全母乳喂养的平均（标准差）时长分别为3.7（1.3）个月和5.1（2.2）个月，均长于对照组（分别为1.9（0.6）个月和3.3（1.9）个月）。这种“干预”方法有助于促进乳汁分泌，为低体重婴儿提供吸吮体验，而不干扰其营养摄入及随之而来的体重增加，并鼓励后续母乳喂养及其诸多公认的益处。
