Clinical Nutrition & Lactation Services, Children's Hospital of Orange County (CHOC), Orange, California, USA.
Nursing Research and Innovation, Children's Hospital of Orange County (CHOC), Orange, California, USA.
Breastfeed Med. 2024 Apr;19(4):291-300. doi: 10.1089/bfm.2023.0278. Epub 2024 Mar 27.
To evaluate the impact of acupuncture as part of a traditional Chinese medicine (TCM) treatment plan on lactation and maternal well-being in pump-dependent mothers of hospitalized neonates during the first 30 days after delivery. This single-center study was conducted in a level IV regional neonatal intensive care unit with access to integrative health services. Sixty-six mothers were prospectively enrolled in two nonparallel groups: (1) Standard lactation support and (2) standard lactation support augmented with acupuncture. Daily pump volumes were documented. Participants completed a quality-of-life (QOL) survey at baseline and neonatal day of life 30. A linear model was constructed, adjusting for increased milk production over time. Acupuncture was associated with increased milk production at all time points: Day 10 ( = 0.0002), day 14 ( < 0.0001), day 21 ( < 0.0001), and day 30 ( < 0.0001). Acupuncture was associated with an increase in three of five QOL components: psychological/child's health ( = 0.0006), family/friend relationship ( = 0.0006), and health/functioning ( = 0.02). Mothers receiving acupuncture reported enhanced milk supply and improved QOL. The limited sample size restricts the broad applicability of the results; nonetheless, this study paves the way for further research on the advantages of merging Eastern and Western treatments to enhance human lactation.
评价针灸作为中医(TCM)治疗方案的一部分,对分娩后 30 天内住院新生儿泵依赖母亲的哺乳和产妇健康的影响。这项单中心研究在一家提供综合健康服务的四级区域新生儿重症监护病房进行。66 名母亲被前瞻性地纳入两个非平行组:(1)标准哺乳支持;(2)标准哺乳支持加针灸。每天记录泵奶量。参与者在基线和新生儿第 30 天完成生活质量(QOL)调查。构建了一个线性模型,根据随时间增加的产奶量进行调整。针灸在所有时间点都与产奶量增加相关:第 10 天( = 0.0002),第 14 天( < 0.0001),第 21 天( < 0.0001),和第 30 天( < 0.0001)。针灸与五个 QOL 组成部分中的三个增加有关:心理/孩子的健康( = 0.0006),家庭/朋友关系( = 0.0006),和健康/功能( = 0.02)。接受针灸的母亲报告说,母乳供应增加,生活质量提高。样本量有限限制了结果的广泛适用性;尽管如此,这项研究为进一步研究合并东方和西方治疗方法以增强人类哺乳的优势铺平了道路。