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针刺催乳:案例研究。

Stimulation of Lactation Using Acupuncture: A Case Study.

机构信息

Department of Gynecology and Obstetrics, University Medicine of Greifswald, Germany.

Department of Anesthesiology, University Medicine of Greifswald, Germany.

出版信息

J Hum Lact. 2022 Aug;38(3):559-563. doi: 10.1177/08903344221078802. Epub 2022 Feb 21.

Abstract

INTRODUCTION

Breastfeeding is a recognized preferred method of infant feeding; however, for many women, difficulties in breastfeeding result in termination before the recommended period of time. Acupuncture is suggested to be a promising option to treat lactation insufficiency and enhance the production of maternal milk.

MAIN ISSUE

We have reported the case of a woman with lactation insufficiency due to Caesarean section and congenital unilateral invaginated nipple. Milk production started on the 3rd day following delivery. The newborn was not provided with any food or fluids other than mother's milk. At 5 days of life, the newborn required long feeding periods and lost 4% of his birth weight, with the participant reporting lactation insufficiency described by the perception of inadequate milk production.

MANAGEMENT

Despite the implementation of conventional measures to improve lactation, the difficulties in breastfeeding persisted. Acupuncture was tried on Day 6 of life, and enhanced milk production was observed, which could be measured as the volume of residual milk extracted using the breast pump each time after the newborn achieved satiety. After acupuncture treatment there was an augmentation of maternal milk production from both breasts and successful lactation.

CONCLUSION

This case study provides information that might be useful for prospective investigation of acupuncture's efficacy in women with lactation insufficiency.

摘要

引言

母乳喂养是公认的首选婴儿喂养方式;然而,对于许多女性来说,母乳喂养困难导致她们在推荐的时间之前停止母乳喂养。针灸被认为是一种有前途的治疗哺乳不足和增加母乳产量的方法。

主要问题

我们报告了一例因剖宫产和先天性单侧内陷乳头导致哺乳不足的妇女。产后第 3 天开始产奶。新生儿除了母乳外没有接受任何食物或液体。在出生后第 5 天,新生儿需要长时间喂奶,体重下降了 4%,参与者报告说出现了哺乳不足,表现为感觉母乳不足。

治疗

尽管采取了常规措施来改善哺乳,但母乳喂养的困难仍然存在。在新生儿出生后第 6 天尝试了针灸,观察到产奶量增加,可以通过每次新生儿吃饱后用吸奶器吸出的剩余奶量来衡量。针灸治疗后,双侧乳房的母乳产量增加,哺乳成功。

结论

本病例研究提供了一些信息,可能对前瞻性研究针灸治疗哺乳不足妇女的疗效有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e5/9329742/bf581e9afe51/10.1177_08903344221078802-fig1.jpg

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