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三地、两父、一捐:非哺乳期复吸案例研究。

Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study.

机构信息

Centre for Breastfeeding Education and Research, London, UK.

出版信息

J Hum Lact. 2021 Nov;37(4):697-702. doi: 10.1177/0890334421999327. Epub 2021 Apr 22.

DOI:10.1177/0890334421999327
PMID:33887977
Abstract

INTRODUCTION

A woman was able to relactate 7 years after breastfeeding her children. She donated her expressed milk to her friends, a same-sex male couple, who had a child through surrogacy in the United States. She lived in London and shipped her milk to Hong Kong, where they lived. The infant thrived on the donated expressed milk received during the first 3 months of his life.

MAIN ISSUE

This case is unusual because the woman was not breastfeeding at the time, which would have made expressing easier, and she was not adopting. She consulted a National Childbirth Trust Breastfeeding Counsellor and an International Board Certified Lactation Consultant who helped her explore non-puerperal relactation protocols.

MANAGEMENT

Her plan started 6 months before the birth and included the use of domperidone, frequent expressing by hand and with a hospital-grade pump. A breastfeeding specialist physician made suggestions on the dosage of domperidone. She donated a total of 35.06 L. She had the full support of her partner and family.

CONCLUSION

Non-puerperal induced lactation and relactation offer ways to make human milk accessible to all infants, particularly those from LGBTQ+ families in which no parent is lactating, as was the case with the same-sex male couple participating in this study. It is essential to disseminate the knowledge and skills needed to support non-puerperal induced lactation and relactation among all healthcare professionals involved.

摘要

简介

一位女性在母乳喂养她的孩子 7 年后成功重新泌乳。她将自己挤出的母乳捐赠给了她的朋友,一对在美国通过代孕生育孩子的同性伴侣。她居住在伦敦,将母乳运往他们居住的中国香港。这名婴儿在生命的头 3 个月里靠接受捐赠的母乳茁壮成长。

主要问题

这个案例很不寻常,因为当时这位女性并没有在哺乳,这会使挤奶更容易,而且她也不是在收养。她咨询了英国国家生育信托基金会母乳喂养顾问和国际认证哺乳顾问,他们帮助她探索非产后泌乳方案。

管理

她的计划在孩子出生前 6 个月开始,包括使用多潘立酮、频繁手动和使用医院级别的泵进行挤奶。一位母乳喂养专家医生对多潘立酮的剂量提出了建议。她总共捐赠了 35.06 升母乳。她得到了伴侣和家人的全力支持。

结论

非产后诱导泌乳和重新泌乳为所有婴儿提供了获得母乳的途径,特别是对于那些没有母乳喂养的 LGBTQ+家庭的婴儿,就像参与这项研究的同性伴侣一样。至关重要的是,要向所有参与的医疗保健专业人员传播支持非产后诱导泌乳和重新泌乳所需的知识和技能。

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