Common problems Encountered during Lactation and their Management in a Lactation Management Center

S. Shimul, S. Chowdhury, M. Jabeen, U. Salma, M. Akter, A. Sarkar
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Abstract

Background: Breastfeeding is widely known to be beneficial for infants and the mothers and also economically advantageous for the community. Objective: The principal purpose of this study was to explore the common problems encountered during lactation and their management in a lactation management center. Method: A cross sectional study was conducted at lactation management center of Institute of Child and Maternal Health (ICMH), Dhaka. A total of 100 lactating mothers were recruited consecutively during the period of August 2008 to October 2008. Data was collected by history taking and required examination. Result: In this study, 46.0% mothers complained of poor milk secretion, 13.0% had breast engorgement, 9.0% had cracked nipple, 3.0% had inverted nipple, 2.0% had nipple infection, 2.0% had flat nipple, 1.0% had sore nipple, 1.0% had breast abscess and in 23% cases there was no reasonable cause. During interview twenty seven percent of the mothers were advised to start nursing as soon as possible; 45.0% mothers breast fed on demand, 75.0% mothers demonstrated proper breast feeding technique, 36.0% mothers avoided use of artificial milk, 10.0% mothers applied last part of milk on nipple, then dry by exposing to air, 12.0% mothers manually express milk from the areola before breast feed if it is engorged and 1.0% advised to slip the index or little finger into the infant’s mouth between his/her gums before the infant is taken off of the breast, to break suction. Conclusion: Almost half of the mothers complained of less milk production. Apart from this 13.0% mothers had breast engorgement, 9.0% mothers had cracked nipple and no reasonable cause for lactation problem was found in 23.0% cases. More than half of the mothers had incorrect knowledge and skill of breast feeding.
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某哺乳管理中心哺乳期常见问题及管理
背景:众所周知,母乳喂养对婴儿和母亲都有益,对社区也有经济优势。目的:本研究的主要目的是探讨哺乳管理中心在哺乳期间遇到的常见问题及其管理。方法:在达卡妇幼保健研究所哺乳管理中心进行横断面研究。2008年8月至2008年10月期间,共连续招募了100名哺乳期母亲。数据是通过历史记录和必要的检查收集的。结果:在这项研究中,46.0%的母亲抱怨乳汁分泌不足,13.0%的母亲抱怨乳房充血,9.0%的母亲乳头破裂,3.0%的母亲有乳头内翻,2.0%的母亲乳头感染,2.0%的妇女乳头扁平,1.0%的母亲乳头疼痛,1.0%的妇女有乳房脓肿,23%的妇女没有合理的原因。在访谈中,27%的母亲被建议尽快开始哺乳;45.0%的母亲按需母乳喂养,75.0%的母亲展示了正确的母乳喂养技术,36.0%的母亲避免使用人造奶,10.0%的母亲将最后一部分母乳涂抹在乳头上,然后暴露在空气中干燥,12.0%的母亲在母乳喂养前手动从乳晕挤出乳汁,如果乳晕充血,1.0%的母亲建议在婴儿离开乳房前将食指或小指伸进婴儿的牙龈之间,以打破吸力。结论:几乎一半的母亲抱怨产奶量减少。除此之外,13.0%的母亲有乳房充血,9.0%的母亲乳头破裂,23.0%的病例没有发现合理的哺乳问题原因。超过一半的母亲对母乳喂养的知识和技能不正确。
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来源期刊
Bangladesh Journal of Obstetrics and Gynecology
Bangladesh Journal of Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.20
自引率
0.00%
发文量
16
期刊介绍: Bangladesh Journals OnLine (BanglaJOL) is a service to provide access to Bangladesh published research, and increase worldwide knowledge of indigenous scholarship
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