Gerstner G, Grünberger W, Leodolter S
Z Geburtshilfe Perinatol. 1982 Apr-May;186(2):97-100.
In a retrospective study in 213 puerperal women, who had delivered at the 1st Department of Obstetrics and Gynecology of the University of Vienna before 1980, the individual cause for the primary or secondary inhibition of lactation with drugs in the early puerperium was evaluated. In 77.4% the lactation was carried out for maternal, in 22,6% for neonatal indications. Concerning the maternal causes in 23,9% the mother did not want to breast feed, in 17,8% "too little milk" and in 12,7% anamnestic breast-feeding problem at preceding deliveries were found. Maternal diseases were diagnosed in 9,4%, breast-feeding complications, like sore nipples, breast engorgement and mastitis in 5,2%, state after mammasurgery in 2.8%, an important drug therapy in 2,3%, sunken nipples in 1,9%, and several rare causes like adoption or arrest. Concerning the neonatal reasons prematurity was predominating in 16.9%, followed by antenatal fetal death and perinatal death in 3,3% and rarer diseases of the infant with reduced sucking power in 1,9% and one malformation (0.5%). Although several maternal and neonatal conditions still require the suppression of lactation, this could be avoided in a considerable percentage by adequate medical advise and encouragement for the patient. This should be a concern of all obstetricians today.
在一项针对213名曾于1980年前在维也纳大学第一妇产科分娩的产后妇女的回顾性研究中，评估了产褥早期使用药物对泌乳产生原发性或继发性抑制的个体原因。77.4%的泌乳是出于母亲的原因，22.6%是出于新生儿的指征。关于母亲方面的原因，23.9%的母亲不想母乳喂养，17.8%是“乳汁过少”，12.7%是既往分娩时有母乳喂养问题的既往史。诊断出母亲患有疾病的占9.4%，患有母乳喂养并发症（如乳头疼痛、乳房胀痛和乳腺炎）的占5.2%，有乳房手术史的占2.8%，正在进行重要药物治疗的占2.3%，乳头凹陷的占1.9%，还有一些罕见原因（如领养或逮捕）。关于新生儿方面的原因，早产占主导地位，为16.9%，其次是产前胎儿死亡和围产期死亡，各占3.3%，婴儿吸吮力降低的罕见疾病占1.9%，还有一种畸形（0.5%）。尽管一些母亲和新生儿的情况仍需要抑制泌乳，但通过对患者进行适当的医学建议和鼓励，在相当大的比例上可以避免这种情况。这应该是当今所有产科医生关注的问题。
