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母乳喂养对产后一个月母亲血压的影响。

Influence of breastfeeding on maternal blood pressure at one month postpartum.

机构信息

Department of Disability and Health, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan.

出版信息

Int J Womens Health. 2012;4:333-9. doi: 10.2147/IJWH.S33379. Epub 2012 Jul 11.

Abstract

BACKGROUND

The benefits of breastfeeding for improved health and developmental outcomes in mothers and their infants have been widely recognized. The purpose of the present study was to assess whether feeding modes influence maternal blood pressure at one month postpartum.

METHODS

The pregnancy charts of 407 women who delivered at a birthing center in rural Japan between August 1998 and September 2007 were analyzed. The criteria for inclusion were low-risk, full-term pregnancy (duration, 37-42 weeks) resulting in spontaneous vaginal deliveries, intrapartum hemorrhage < 500 mL, and a healthy infant (Apgar score ≥ 8 at one minute).

RESULTS

The subjects were classified into three groups based on feeding modes. The proportion of each mode was 28.3% in the breastfeeding group, 56.5% in the mixed-feeding group, and 15.2% in the formula-feeding group. The systolic blood pressure (SBP) in mothers at one month postpartum for each feeding mode was 118.4 ± 8.7 mmHg in the breastfeeding group, 120.6 ± 9.3 mmHg in the mixed-feeding group, and 122.0 ± 9.9 mmHg in the formula-feeding group. SBP at one month postpartum in the breastfeeding group was significantly lower than that in the other groups. No significant differences were observed in diastolic blood pressure in the three groups at one month postpartum.

CONCLUSION

Breastfeeding resulted in lower SBP in mothers at one month postpartum compared with those using other feeding modes, thus indicating an effect of breastfeeding on maternal blood pressure.

摘要

背景

母乳喂养对母婴健康和发育的益处已得到广泛认可。本研究旨在评估喂养方式是否会影响产后一个月的产妇血压。

方法

分析了 1998 年 8 月至 2007 年 9 月在日本农村一家生育中心分娩的 407 名妇女的妊娠图表。纳入标准为低风险、足月妊娠(持续时间 37-42 周)、自发性阴道分娩、产时出血 <500mL 和健康婴儿(1 分钟时 Apgar 评分为≥8)。

结果

根据喂养方式将受试者分为三组。母乳喂养组、混合喂养组和配方奶喂养组的比例分别为 28.3%、56.5%和 15.2%。产后一个月时,母乳喂养组母亲的收缩压(SBP)为 118.4±8.7mmHg,混合喂养组为 120.6±9.3mmHg,配方奶喂养组为 122.0±9.9mmHg。母乳喂养组产后一个月的 SBP 明显低于其他两组。三组产妇产后一个月的舒张压无显著差异。

结论

与其他喂养方式相比,母乳喂养可使产妇产后一个月的 SBP 降低,表明母乳喂养对产妇血压有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/3410704/044932af7c2b/ijwh-4-333f1.jpg

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