Srivastava Shetanshu, Pandey Nidhika, Shukla Arvind Kumar
Department of Pediatrics, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, IND.
Department of Pediatrics, Rama Medical College and Research Centre, Kanpur, IND.
Cureus. 2024 Dec 9;16(12):e75413. doi: 10.7759/cureus.75413. eCollection 2024 Dec.
Relactation is the process of re-establishing breastfeeding after stopping or after a period of little breastfeeding. The study aimed to assess the Relactation Supportive Program (RSP)'s efficacy in sustaining breastfeeding and to determine the impact of RSP on breastfeeding initiation, timing, and correlation with the lactation gap.
A prospective observational study was done with 60 infant-mother dyads, aged seven days to 14 weeks who stopped breastfeeding for 6-28 days or never breastfed. Mothers in the RSP group received hands-on guidance on techniques like supplemental feeding methods and nipple stimulation, alongside psychological and emotional support. In the Routine Counseling (RC) group, mothers received counseling about the benefits of breastfeeding, breast milk expression, correct attachment, and motivation for breastfeeding.
In the RSP group, 21 infants achieved and sustained exclusive breastfeeding by six months (p=0.003), compared to 10 in the RC group. RSP initiated lactation earlier (10.04±4.02 days, p=0.002) than the RC group (13.43±3.59 days). Relactation duration was inversely correlated with the lactation gap.
RSP significantly promoted earlier and sustained relactation compared to RC alone.
重新泌乳是指在停止母乳喂养或经过一段较少母乳喂养的时期后重新建立母乳喂养的过程。本研究旨在评估重新泌乳支持计划（RSP）在维持母乳喂养方面的效果，并确定RSP对母乳喂养开始、时间以及与泌乳间隔相关性的影响。
对60对母婴进行了一项前瞻性观察研究，母婴年龄在7天至14周之间，这些母亲停止母乳喂养6 - 28天或从未进行过母乳喂养。RSP组的母亲接受了关于补充喂养方法和乳头刺激等技术的实际操作指导，以及心理和情感支持。在常规咨询（RC）组，母亲们接受了关于母乳喂养的益处、挤奶、正确衔接以及母乳喂养动机的咨询。
在RSP组中，21名婴儿在6个月时实现并维持了纯母乳喂养（p = 0.003），而RC组为10名。RSP组开始泌乳的时间（10.04±4.02天，p = 0.002）比RC组（13.43±3.59天）更早。重新泌乳持续时间与泌乳间隔呈负相关。
与单独的RC相比，RSP显著促进了更早且持续的重新泌乳。
