Qiu Mengfan, Hu Xiaojing
( 200032) School of Nursing, Fudan University, Shanghai 200032, China.
( 201102) Children's Hospital of Fudan University, Shanghai 201102, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 Nov 20;54(6):1306-1311. doi: 10.12182/20231160503.
A mother's breast milk is the best nourishing food for infants. No only does it provide sufficient nutrition, but it is also well suited to infants' immature digestive function, thus promoting their growth and organ maturation. A 6-month period of breastfeeding can provide infants with the necessary nutrients, energy, and fluids. The best feeding method is direct breastfeeding from the breast to an infant, yet the difficulties involved in breastfeeding should not be overlooked. Approximately 1/3 the mothers who are performing direct breastfeeding from the breast to an infant experience moderate or higher levels of feeding difficulties. Difficulties in direct breastfeeding from the breast to an infant can lead to decreased feeding efficiency, hamper the growth and development of infants, and affect the emotional communication between mothers and infants. At present, many relevant studies have focused on topics such as the mothers' psychology, family and social support, and the immature development of infants. However, little research has been done to investigate suck-swallow-breathe, a physiological mechanism that infants undertake during the process of direct breastfeeding from the breast to an infant. In this paper, we summarized published literature, research parameters, measurement instruments, and physical intervention methods of the suck-swallow-breathe mechanism in infants, aiming to facilitate the early identification of breastfeeding difficulties and the subsequently provision of early intervention measures and to promote the early identification of neurodevelopmental abnormalities and other developmental abnormalities in infants.
母乳是婴儿最好的营养食物。它不仅能提供充足的营养,还非常适合婴儿尚未发育成熟的消化功能,从而促进其生长和器官成熟。六个月的母乳喂养可为婴儿提供必要的营养、能量和液体。最佳喂养方式是直接母乳喂养,但母乳喂养中存在的困难也不容忽视。大约三分之一直接母乳喂养的母亲会经历中度或更严重的喂养困难。直接母乳喂养困难会导致喂养效率降低,阻碍婴儿的生长发育,并影响母婴之间的情感交流。目前,许多相关研究聚焦于母亲心理、家庭和社会支持以及婴儿发育不成熟等主题。然而,对于婴儿直接母乳喂养过程中所采用的吸吮-吞咽-呼吸这一生理机制,却鲜有研究。在本文中,我们总结了已发表的关于婴儿吸吮-吞咽-呼吸机制的文献、研究参数、测量工具和物理干预方法,旨在促进对母乳喂养困难的早期识别以及随后提供早期干预措施,并推动对婴儿神经发育异常和其他发育异常的早期识别。