East Meets West: Effect of Acupuncture on Lactation and Maternal Quality of Life.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-04-01 Epub Date: 2024-03-27 DOI:10.1089/bfm.2023.0278
Cindy Baker-Fox, Jennifer Hayakawa, Ruth McCarty, Michelle Hart, John Schomberg, Smriti Shamapant, Christine Bixby
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Abstract

Objective: 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. Study Design: 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. Results: Acupuncture was associated with increased milk production at all time points: Day 10 (p = 0.0002), day 14 (p < 0.0001), day 21 (p < 0.0001), and day 30 (p < 0.0001). Acupuncture was associated with an increase in three of five QOL components: psychological/child's health (p = 0.0006), family/friend relationship (p = 0.0006), and health/functioning (p = 0.02). Conclusion: 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.

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中西合璧:针灸对泌乳和产妇生活质量的影响
目的评估作为传统中医治疗方案一部分的针灸对住院新生儿母亲产后 30 天内的泌乳和母体健康的影响。研究设计:这项单中心研究在一家四级地区新生儿重症监护病房进行,该病房提供综合保健服务。66 名母亲被前瞻性地纳入两个非平行组:(1) 标准哺乳支持组和 (2) 标准哺乳支持并辅以针灸组。每天的吸乳量都有记录。参与者在基线和新生儿出生后第 30 天完成了生活质量 (QOL) 调查。建立了一个线性模型,并对随着时间推移增加的产奶量进行了调整。结果显示针灸与所有时间点的产奶量增加有关:第 10 天 (p = 0.0002)、第 14 天 (p p p = 0.0006)、家庭/朋友关系 (p = 0.0006) 和健康/功能 (p = 0.02)。结论接受针灸治疗的母亲报告称,她们的乳汁供应增加了,QOL 也得到了改善。由于样本量有限,研究结果的广泛适用性受到限制;不过,这项研究为进一步研究中西医结合疗法在提高人类泌乳方面的优势铺平了道路。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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