Roosita Katrin, Ma'rifah Bahriyatul, Nurdin Naufal Muharam, Anwar Faisal
Department of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia.
Department of Nutrition, Faculty of Health Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia.
Korean J Fam Med. 2022 Jan;43(1):56-62. doi: 10.4082/kjfm.20.0224. Epub 2022 Jan 20.
Galohgor nutraceutical lactation cookies (NLC) contain polyherbal which is believed and consumed by postpartum mothers of Sundanese Ethnic in Indonesia to increase breast milk production. This study was aimed to analyze the effects of NLC cookies on breast milk volume and lactose concentrations of postpartum mothers.
The experimental study with post-controlled design was conducted. Twenty eligible mother-infant pairs were enrolled and divided into two groups. They were randomly assigned to receive NLC (n=9) or original cookies (ORC, n=11). Each subjects consumed 4 pieces/d of NLC which containing 1 g galohgor nutraceutical powder/ pieces or ORC (without galohgor nutraceutical powder), for 14 days intervention period since the first day of giving birth. The measurement of breast milk production was carried out by baby weighing method using SECA 334 digital baby scale (SECA, Hamburg, Germany). A high-performance liquid chromatography method was used to determine lactose concentrations in breast milk. Data were analyzed by parametric Independent T-test or the nonparametric Mann-Whitney U-test and adjusted analysis of covariance.
NLC significantly increased (P<0.05) breast milk production, as shown by average breast milk volume of NLC compared to ORC, i.e., 557.0 (95% confidence interval [CI], 497.3-616.6) mL/d vs. 435.9 (95% CI, 382.3-489.6) mL/d. This result was supported by lactose concentration in breast milk of mothers who consumed NLC significantly higher (P<0.05), compared to ORC, i.e., 6.03% (95% CI, 5.66%-6.40%) vs. 5.18% (95% CI, 4.85%-5.51%).
NLC which containing galohgor nutraceutical can be recommended to increase breast milk volume and lactose concentration in the early postpartum period.
加洛戈尔营养哺乳期饼干（NLC）含有多种草药成分，印度尼西亚巽他族的产后母亲认为食用该饼干有助于增加母乳产量。本研究旨在分析NLC饼干对产后母亲母乳量和乳糖浓度的影响。
采用实验性研究，采用后对照设计。招募了20对符合条件的母婴对，并分为两组。她们被随机分配接受NLC（n = 9）或原味饼干（ORC，n = 11）。自分娩第一天起，每位受试者每天食用4片含1克加洛戈尔营养粉/片的NLC或ORC（不含加洛戈尔营养粉），为期14天的干预期。采用德国汉堡赛多利斯公司的SECA 334数字婴儿秤通过婴儿称重法测量母乳产量。采用高效液相色谱法测定母乳中的乳糖浓度。数据采用参数独立t检验或非参数曼-惠特尼U检验以及协方差调整分析。
与ORC相比，NLC显著增加了（P < 0.05）母乳产量，即NLC的平均母乳量为557.0（95%置信区间[CI]，497.3 - 616.6）mL/d，而ORC为435.9（95% CI，382.3 - 489.6）mL/d。食用NLC的母亲母乳中的乳糖浓度显著高于（P < 0.05）ORC，即6.03%（95% CI，5.66% - 6.40%）对5.18%（95% CI，4.85% - 5.51%），这一结果支持了上述结论。
含加洛戈尔营养成分的NLC可推荐用于增加产后早期的母乳量和乳糖浓度。
