Hill Pamela D, Aldag Jean C, Demirtas Hakan, Naeem Villian, Parker Noah P, Zinaman Michael J, Chatterton Robert T
College of Nursing, University of Illinois at Chicago, Illinois 61265, USA.
Biol Res Nurs. 2009 Apr;10(4):340-9. doi: 10.1177/1099800409331394. Epub 2009 Feb 17.
The present study was designed to compare milk production and hormone responses (prolactin [PRL], oxytocin [OT]) and to determine associations of hormone levels with milk production in mothers of preterm (PT) and term (TM) infants during the first 6 weeks postpartum. Mothers of PT infants (n = 95) were all pump dependent; mothers of TM infants (n = 98) were all feeding their infant at breast. Mothers of nonnursing PT infants produced less milk over time compared to mothers of TM infants. A higher proportion of PT mothers had lower basal PRL levels compared with TM mothers. PRL and frequency of breast stimulation combined positively influenced milk production in PT mothers. OT levels were higher in PT versus TM mothers, but OT was not related to milk production. Further study is warranted regarding interventions to enhance milk production, particularly in pump-dependent mothers of PT infants.
本研究旨在比较早产(PT)和足月(TM)婴儿母亲的产奶量和激素反应(催乳素[PRL]、催产素[OT]),并确定产后前6周激素水平与产奶量之间的关联。PT婴儿的母亲(n = 95)均依赖吸奶器;TM婴儿的母亲(n = 98)均采用母乳喂养。与TM婴儿的母亲相比,非母乳喂养的PT婴儿的母亲随着时间推移产奶量更少。与TM母亲相比,更高比例的PT母亲基础PRL水平较低。PRL和乳房刺激频率对PT母亲的产奶量有积极的综合影响。PT母亲的OT水平高于TM母亲,但OT与产奶量无关。有必要进一步研究提高产奶量的干预措施,特别是对于依赖吸奶器的PT婴儿的母亲。