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母乳喂养3个月大婴儿出现乳房发育和阴道出血的可能原因:母体食胎盘行为

Maternal Placentophagy as a Possible Cause of Breast Budding and Vaginal Bleeding in a Breast-Fed 3-Month-Old Infant.

作者信息

Stambough Kathryn, Hernandez Angela, Gunn Sheila, Adeyemi-Fowode Oluyemisi

机构信息

Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

出版信息

J Pediatr Adolesc Gynecol. 2019 Feb;32(1):78-79. doi: 10.1016/j.jpag.2018.09.005. Epub 2018 Sep 20.

Abstract

BACKGROUND

Placentophagy, or the practice of placental consumption, has grown in popularity over the past decade. Although advocates endorse prevention of postpartum depression, increased breast milk production, reduction in postpartum bleeding, and provision of nutrients postpartum, scientific studies have failed to show benefit. No studies have explored the effect of placental hormone consumption on the hypothalamic-pituitary-ovarian axis of the offspring.

CASE

We present a case of vaginal bleeding and breast budding in a 3-month-old infant whose mother was exclusively breastfeeding. Maternal history was notable for placentophagy. Upon discontinuation of consuming encapsulated placenta, the infant's vaginal bleeding resolved.

SUMMARY AND CONCLUSION

Our case raises concerns regarding placentophagy and infant endocrine function. More research is needed to assess maternal and infant exogenous estrogen exposure with maternal placental consumption.

摘要

背景

胎盘食疗法,即食用胎盘的行为,在过去十年中越来越流行。尽管支持者认为它能预防产后抑郁症、增加母乳分泌、减少产后出血并在产后提供营养,但科学研究并未显示出其益处。尚无研究探讨食用胎盘激素对后代下丘脑 - 垂体 - 卵巢轴的影响。

病例

我们报告一例3个月大纯母乳喂养婴儿出现阴道出血和乳房发育的病例。母亲有胎盘食疗法的病史。停止食用封装的胎盘后,婴儿的阴道出血症状消失。

总结与结论

我们的病例引发了对胎盘食疗法与婴儿内分泌功能的担忧。需要更多研究来评估母亲食用胎盘时母婴外源性雌激素的暴露情况。

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