“蜂蜜与胡芦巴”和“胡芦巴”对母乳喂养成功率影响的比较研究：一项随机试验
A Comparative Study on the Effects of "Honey and Fenugreek" with "Fenugreek" on the Breastfeeding Success: A Randomized Trial.
作者信息
Simbar Masoumeh, Nazarpour Soheila, Mojab Faraz, Kholosi Badr Farahnaz, Khorrami Mobina, Jafari Torkamani Zahra, Alavi-Majd Hamid
机构信息
Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Evid Based Complement Alternat Med. 2022 Jun 23;2022:6048280. doi: 10.1155/2022/6048280. eCollection 2022.
OBJECTIVE
Herbal galactagogues are usually recommended to be sweetened with honey. Despite the high nutritious value of honey for lactating women and extensive studies on the effects of herbal galactagogues, no investigation was made to compare galactagogue effects of using herbal galactagogues with and without honey so far. The present study aimed to compare the effect of a combination of "honey and fenugreek" with "fenugreek" on breastfeeding success (BFS).
METHODS
This study is a triple-blind randomized clinical trial on 75 breastfeeding mothers referred to a Tehran-Iran health center. The participants were randomly divided into two intervention (fenugreek and honey users) and control (fenugreek users) groups. These women had infants of 1-5 months and had exclusive breastfeeding practice. Tools for data collection were (1) the personal and maternal-infant information, (2) the breastfeeding success, and (3) the complications questionnaires. Participants received 30 liquid drops, three times daily for four weeks. The BFS questionnaire was completed twice, before and 4 weeks after the intervention. The CONSORT checklist was followed.
RESULTS
Before and after comparison showed no significant difference in the BFS score in the "fenugreek" group, while there was a significant increase in the BFS score in the "honey and fenugreek" group (=0.035). Between groups, comparison demonstrated a significantly higher score of BFS in the intervention group than in the control group (=0.023). There were no significant differences between the two groups regarding the possible complications.
CONCLUSION
The combination of honey with fenugreek showed a significant effect on BFS, while there was no improvement in BFS after fenugreek only uses. Trial registration: the study was approved in the Iranian registry of clinical trials with IRCT ID: IRCT20120122008801N23 on 2019-12-30 (https://www.irct.ir/).
目的
草药催乳剂通常建议用蜂蜜调味。尽管蜂蜜对哺乳期妇女具有很高的营养价值，并且对草药催乳剂的效果进行了广泛研究，但迄今为止尚未进行任何研究来比较使用含蜂蜜和不含蜂蜜的草药催乳剂的催乳效果。本研究旨在比较“蜂蜜加葫芦巴”与“葫芦巴”组合对母乳喂养成功率（BFS）的影响。
方法
本研究是一项针对75名前往伊朗德黑兰健康中心的母乳喂养母亲的三盲随机临床试验。参与者被随机分为两个干预组（使用葫芦巴和蜂蜜的组）和对照组（仅使用葫芦巴的组）。这些妇女的婴儿年龄为1至5个月，并且采用纯母乳喂养方式。数据收集工具包括：（1）个人及母婴信息；（2）母乳喂养成功率；（3）并发症问卷。参与者每天服用30滴液体，持续四周，每天三次。在干预前和干预后4周分别完成BFS问卷。遵循CONSORT检查表。
结果
组内比较显示，“葫芦巴”组的BFS评分在干预前后无显著差异，而“蜂蜜加葫芦巴”组的BFS评分有显著提高（P = 0.035）。组间比较表明，干预组的BFS评分显著高于对照组（P = 0.023）。两组在可能出现的并发症方面无显著差异。
结论
蜂蜜与葫芦巴的组合对BFS有显著影响，而仅使用葫芦巴后BFS没有改善。试验注册：该研究于2019年12月30日在伊朗临床试验注册中心获得批准，注册号为IRCT20120122008801N23（https://www.irct.ir/）。
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