Department of Obstetrics and Gynecology, Washington University, Saint Louis, Missouri.
Saint Louis University School of Medicine, Saint Louis, Missouri.
Am J Perinatol. 2024 May;41(7):842-852. doi: 10.1055/a-1787-7576. Epub 2022 Mar 3.
Mothers of preterm infants face unique challenges in establishing milk supply. We hypothesized that daily meditation practice while pumping would increase milk volume.
This was a randomized control trial examining the effect of meditation on the breastmilk supply of women delivering preterm infants. The meditation group engaged in daily use of a mindfulness-focused meditation app in addition to routine lactation support. The primary outcome was mean breastmilk volume on the infant's nineth day of life. Secondary outcomes included use of lactation-promoting behaviors, continuation of breastfeeding, and measures of mental health and breastfeeding self-efficacy by validated questionnaires. In addition to the intention to treat analysis, a per protocol analysis examined the association of frequent meditation with these breastfeeding and mental health outcomes.
A total of 60 women were analyzed. Mean milk volume was 647.1 ± 467.8 mL in the meditation group and 514.9 ± 393.5 mL in the routine care group ( = 0.27). Median number of pumping sessions was 7 (interquartile range [IQR] 5-8) in the meditation group, compared to 6 (IQR 4-7) in the routine care group ( = 0.11). Other lactation-promoting behaviors, breastfeeding continuation, and questionnaire scores were similar.Adjusting for confounders, we found an increase in breastmilk production of 223.2 mL (95% CI 98.8-347.5, = 0.001) and in pumping episodes by 0.93 (95% CI 0.16-1.70, = 0.020) associated with frequent meditation. Skin-to-skin contact was increased to 100% ( = 0.006) among women who meditated seven or more times. Adjusted odds of a clinically significant Edinburgh Postnatal Depression Scale score of >9 was 0.057 (95% CI 0.0014-0.711, = 0.023) with frequent meditation.
Breastmilk production was similar in mothers practicing meditation compared to those receiving routine lactation support. For women engaging in frequent mediation, there may be an effect in establishing breastmilk supply and reduction of depression symptoms.
· Breastmilk is not increased for neonatal intensive care unit (NICU) moms asked to engage in meditation.. · Maternal mental health is not improved among NICU moms asked to meditate.. · However, higher-frequency meditation is associated with increased milk volume and lower odds of high scores on depression screening..
早产儿的母亲在建立母乳供应方面面临着独特的挑战。我们假设，在泵奶时进行每日冥想练习会增加奶量。
这是一项随机对照试验，研究了冥想对早产儿母亲母乳供应的影响。冥想组除了常规的哺乳支持外，还每天使用专注于正念的冥想应用程序。主要结局是婴儿出生第九天的平均母乳量。次要结局包括使用促进哺乳的行为、继续母乳喂养，以及通过经过验证的问卷评估心理健康和母乳喂养自我效能的措施。除了意向治疗分析外，还进行了一项方案分析，以研究频繁冥想与这些母乳喂养和心理健康结局的关联。
共有 60 名女性进行了分析。冥想组的平均奶量为 647.1±467.8mL，常规护理组为 514.9±393.5mL（ = 0.27）。冥想组中位泵奶次数为 7 次（四分位距 [IQR] 5-8），常规护理组为 6 次（IQR 4-7）（ = 0.11）。其他促进哺乳的行为、继续母乳喂养以及问卷评分相似。调整混杂因素后，我们发现频繁冥想与母乳产量增加 223.2mL（95%CI 98.8-347.5， = 0.001）和泵奶次数增加 0.93 次（95%CI 0.16-1.70， = 0.020）相关。进行冥想的女性中，皮肤接触增加到 100%（ = 0.006）。调整后的 Edinburgh Postnatal Depression Scale 评分>9 的临床显著评分的优势比为 0.057（95%CI 0.0014-0.711， = 0.023）。
与接受常规哺乳支持的母亲相比，进行冥想的母亲的母乳产量没有增加。对于经常进行冥想的女性，可能会对建立母乳供应和降低抑郁症状产生影响。
· 要求接受冥想的新生儿重症监护病房（NICU）妈妈增加母乳量，但效果不明显。· 要求接受冥想的 NICU 妈妈改善心理健康状况，效果不明显。· 然而，更高频率的冥想与增加奶量和降低抑郁筛查高得分的几率有关。
