Department of Gynecology & Obstetric, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Gynecology and Obstetrics, Shiraz University of Medical Science, Shiraz, Iran.
J Matern Fetal Neonatal Med. 2022 Jul;35(13):2464-2468. doi: 10.1080/14767058.2020.1786518. Epub 2020 Jul 13.
The aim of this study was to compare the breastfeeding outcome between those who conceived via assisted reproduction techniques (ART) and those who had spontaneous conception.
This case-control study was conducted during a 2-year period between 2014 and 2016 in a tertiary healthcare center in Tehran, capital of Iran. We included a total number of 80 women with ATR conception and 81 women with spontaneous conception. The two study groups were matched regarding the age, parity and the gestational age. Those with contraindication of breastfeeding and history of psychiatric disorders were excluded. The breastfeeding outcome was measured using a structured-based interview and the results were compared between the two study groups.
The exclusive breastfeeding was significantly higher in spontaneous conception ( < .001). The duration of the breastfeeding was significantly higher in those with spontaneous conception ( < .001). In the same way, the exclusive breastfeeding within the first week was significantly higher in the spontaneous conception group ( = .002). The ATR conception was associated with higher bad feeling during the breastfeeding ( < .001), higher breastfeeding dysfunction ( < .001) and higher experience with difficult breastfeeding ( < .001). The return of the work after 3 months was significantly higher in spontaneous conception ( = .004).
The results of this study demonstrate that ATR conception is associated with worse breastfeeding outcome determined by lower rate of exclusive breastfeeding and higher rate of breastfeeding dysfunction and bad feeling during breastfeeding.
本研究旨在比较辅助生殖技术（ART）受孕和自然受孕的母乳喂养结果。
这是一项在 2014 年至 2016 年期间在伊朗首都德黑兰的一家三级保健中心进行的病例对照研究。我们共纳入了 80 名接受辅助生殖技术受孕的妇女和 81 名自然受孕的妇女。两组研究对象在年龄、产次和胎龄方面相匹配。排除了有母乳喂养禁忌证和精神病史的患者。采用基于结构的访谈来衡量母乳喂养结果，并比较两组研究对象的结果。
自然受孕组的纯母乳喂养率明显更高（<0.001）。自然受孕组的母乳喂养持续时间明显更长（<0.001）。同样，自然受孕组的第一周纯母乳喂养率明显更高（=0.002）。辅助生殖技术受孕与母乳喂养时感觉更差（<0.001）、母乳喂养功能障碍更高（<0.001）和母乳喂养困难体验更高（<0.001）相关。自然受孕组的 3 个月后重返工作岗位的比例明显更高（=0.004）。
本研究结果表明，辅助生殖技术受孕与母乳喂养结果较差相关，表现为纯母乳喂养率较低，母乳喂养功能障碍和母乳喂养时感觉更差的发生率较高。
