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口服避孕药对母乳成分和分泌量的影响。

Effect of oral contraceptives on composition and volume of breast milk.

作者信息

Lönnerdal B, Forsum E, Hambraeus L

出版信息

Am J Clin Nutr. 1980 Apr;33(4):816-24. doi: 10.1093/ajcn/33.4.816.

DOI:10.1093/ajcn/33.4.816
PMID:7361700
Abstract

Nitrogen and protein composition was determined in milk from women using oral contraceptives during lactation. Total nitrogen and nonprotein nitrogen as well as lactose and the individual milk proteins lactoferrin, alpha-lactalbumin, and serum albumin were analyzed before introduction of oral contraceptives and thereafter throughout the lactation period. Twenty-four hour milk volumes were registered by weighing the infant before and after each feeding. The four oral contraceptives used consisted of different combinations of d-norgestrel, megestrolacetate, and ethinylestradiol. Significant changes were observed between groups and controls for all parameters studied. However, the changes observed were generally within the physiological variation of normal breast milk. It is suggested that the use of oral contraceptives during lactation should be limited.

摘要

对哺乳期使用口服避孕药的女性所产乳汁中的氮和蛋白质成分进行了测定。在引入口服避孕药之前以及此后整个哺乳期,分析了总氮、非蛋白氮以及乳糖和乳汁中的个别蛋白质,即乳铁蛋白、α-乳白蛋白和血清白蛋白。通过在每次喂奶前后称量婴儿体重来记录24小时的乳汁量。所使用的四种口服避孕药由炔诺孕酮、甲地孕酮和炔雌醇的不同组合构成。在所有研究参数方面,观察组和对照组之间均观察到了显著变化。然而,所观察到的变化总体上处于正常母乳的生理变化范围内。建议哺乳期口服避孕药的使用应受到限制。

相似文献

1
Effect of oral contraceptives on composition and volume of breast milk.口服避孕药对母乳成分和分泌量的影响。
Am J Clin Nutr. 1980 Apr;33(4):816-24. doi: 10.1093/ajcn/33.4.816.
2
Breast milk composition in Ethiopian and Swedish mothers. II. Lactose, nitrogen, and protein contents.埃塞俄比亚和瑞典母亲的母乳成分。II. 乳糖、氮和蛋白质含量。
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d-Norgestrel concentrations in maternal plasma, milk, and child plasma during administration of oral contraceptives to nursing women.哺乳期妇女口服避孕药期间母体血浆、乳汁和儿童血浆中的炔诺孕酮浓度。
Am J Obstet Gynecol. 1977 Sep 15;129(2):178-84. doi: 10.1016/0002-9378(77)90741-4.
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Contraception. 1983 Jan;27(1):27-38. doi: 10.1016/0010-7824(83)90053-7.
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A longitudinal study of the protein, nitrogen, and lactose contents of human milk from Swedish well-nourished mothers.对瑞典营养良好母亲的母乳中蛋白质、氮和乳糖含量的纵向研究。
Am J Clin Nutr. 1976 Oct;29(10):1127-33. doi: 10.1093/ajcn/29.10.1127.
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Concentration of fat, protein, lactose and energy in milk of mothers using hormonal contraceptives.使用激素避孕药的母亲乳汁中脂肪、蛋白质、乳糖和能量的含量。
Ann Trop Paediatr. 1992;12(2):203-9. doi: 10.1080/02724936.1992.11747569.
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Effects of hormonal contraceptives on milk volume and infant growth. WHO Special Programme of Research, Development and Research Training in Human Reproduction Task force on oral contraceptives.激素避孕药对乳汁分泌量和婴儿生长的影响。世界卫生组织人类生殖研究、发展与研究培训特别规划署口服避孕药问题特别工作组。
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A quantitative study of the pregnancy zone protein in sera of woman taking oral contraceptives.口服避孕药女性血清中妊娠区带蛋白的定量研究。
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Influence of mineral intake and use of oral contraceptives before pregnancy on the mineral content of human colostrum and of more mature milk.孕前矿物质摄入及口服避孕药的使用对人初乳及更成熟乳汁矿物质含量的影响。
Am J Clin Nutr. 1979 Jan;32(1):30-9. doi: 10.1093/ajcn/32.1.30.

引用本文的文献

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Combined Hormonal Contraception during Breastfeeding-A Survey of Physician's Recommendations.母乳喂养期间的复方激素避孕——医生建议调查
J Clin Med. 2023 Nov 15;12(22):7110. doi: 10.3390/jcm12227110.
2
A Comparative Review of the Extrinsic and Intrinsic Factors Regulating Lactose Synthesis.乳糖合成调控的外在和内在因素的比较评价
J Mammary Gland Biol Neoplasia. 2021 Jun;26(2):197-215. doi: 10.1007/s10911-021-09491-6. Epub 2021 Jun 14.