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Relationship Between Maternal Age and Macronutrient Content of Colostrum. 母体年龄与初乳中宏观营养素含量的关系
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI: 10.1177/08903344241233500
Virginia Gontijo Abreu Hochman, Regina Celia Fernandes de Abreu Nascimento, Camila Barros Melgaço da Silva, Pedro Noguchi Aragão Quinderé, Raquel Ximenes Melo, Luis Guillermo Coca Velarde, Arnaldo Costa Bueno, Alan Araújo Vieira

Background: Little is known about the relationship between maternal age and the macronutrient content of colostrum.

Research aims: This study aimed to evaluate the relationship between maternal age and human milk macronutrient content by comparing the concentrations of lactose, proteins, and lipids in the colostrum of women with younger, moderate, and advanced maternal age.

Methods: An observational, cross-sectional study was designed to compare the macronutrient concentrations in the colostrum of women aged < 20 years, 20 to 34 years, and > 34 years (younger, moderate, and advanced maternal age, respectively; n = 33 per group). For each participant, 3 ml of colostrum was collected by manual extraction from the right breast at 10 am, 39-48 hr after delivery, and analyzed using a Miris Human Milk Analyzer. Macronutrient concentrations were compared between the groups using analysis of variance. P < 0.05 was considered significant.

Results: Mothers with moderate maternal age had a higher colostrum lipid concentration than those with younger or advanced maternal age (2.3 mg, SD = 1.4 mg vs. 1.5 mg, SD = 1.0 mg vs. 1.6 mg, SD = 0.9 mg, respectively; p = 0.007). Lactose and protein contents in the analyzed samples did not differ among the three study groups.

Conclusion: This study lends support to the potential variation of lipids in colostrum by maternal age and suggests individual adaptation to the nutritional components of milk to the needs of the infant may be beneficial.

研究背景关于母亲年龄与初乳中宏量营养素含量之间的关系,人们知之甚少:本研究旨在通过比较低龄、中龄和高龄产妇初乳中乳糖、蛋白质和脂质的浓度,评估产妇年龄与母乳宏量营养素含量之间的关系:设计了一项观察性横断面研究,以比较年龄小于 20 岁、20 至 34 岁和大于 34 岁(分别为年轻、中等和高龄产妇;每组 n = 33)的妇女初乳中的宏量营养素浓度。每位受试者在产后 39-48 小时,即上午 10 点从右侧乳房手动提取 3 毫升初乳,并使用 Miris 母乳分析仪进行分析。使用方差分析比较了各组之间的宏量营养素浓度。P 结果:中龄产妇的初乳脂质浓度高于低龄或高龄产妇(分别为 2.3 毫克,标差=1.4 毫克 vs. 1.5 毫克,标差=1.0 毫克 vs. 1.6 毫克,标差=0.9 毫克;P = 0.007)。分析样本中的乳糖和蛋白质含量在三个研究组中没有差异:这项研究证实了初乳中的脂质可能因母体年龄的不同而存在差异,并表明根据婴儿的需要对牛奶中的营养成分进行个别调整可能是有益的。
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引用次数: 0
Effect of Reflexology on Pain, Fatigue, Sleep Quality, and Lactation in Postpartum Primiparous Women After Cesarean Delivery: A Randomized Controlled Trial. 反射疗法对剖腹产后初产妇疼痛、疲劳、睡眠质量和哺乳的影响:随机对照试验。
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-03-01 DOI: 10.1177/08903344241232982
Ayşegül Kiliçli Id, Simge Zeyneloglu Id

Background: Mothers commonly experience pain, fatigue, sleep disruption, and breastfeeding problems after cesarean delivery. To date, no follow-up study has examined all of these variables to evaluate the utility of reflexology in reducing these problems and supporting breastfeeding.

Research aim: This study aimed to determine the effect of foot reflexology performed in the postpartum period on pain, fatigue, sleep quality, and lactation in primiparous women who underwent cesarean delivery.

Methods: This is a two-arm, parallel-group randomized controlled trial. Data were collected between January 1, 2020, and January 31, 2021, with a sample of 80 women who were randomly assigned to the reflexology (n = 40) and control (n = 40) groups. The reflexology group received 40 minutes of foot reflexology once a week for 8 weeks. The primary outcomes of the study were pain, fatigue, sleep quality, and breastfeeding efficacy.

Results: Pain scores in the reflexology group decreased by 90.9% in week 1, 90.2% in week 2, and 59.8% in week 3 compared to the control group. Pain resolved at week 4 in the reflexology group and week 7 in the control group. The reflexology group showed a 36.9% decrease in fatigue level, a 48.0% increase in energy level, a 70.7% increase in sleep quality, and a 20.2% increase in breastfeeding efficacy compared to the control group (p < 0.05).

Conclusions: Foot reflexology reduces postpartum symptoms and positively affects breastfeeding and can be used safely in postnatal care practices.

背景:母亲在剖腹产后通常会出现疼痛、疲劳、睡眠障碍和母乳喂养问题。研究目的:本研究旨在确定产后足部反射疗法对剖宫产初产妇疼痛、疲劳、睡眠质量和泌乳的影响:这是一项双臂平行组随机对照试验。数据收集时间为 2020 年 1 月 1 日至 2021 年 1 月 31 日,80 名产妇被随机分配到反射疗法组(40 人)和对照组(40 人)。足部反射疗法组每周接受一次 40 分钟的足部反射疗法,为期 8 周。研究的主要结果是疼痛、疲劳、睡眠质量和母乳喂养效果:与对照组相比,足部反射疗法组的疼痛评分在第 1 周下降了 90.9%,在第 2 周下降了 90.2%,在第 3 周下降了 59.8%。反射疗法组的疼痛在第 4 周缓解,对照组的疼痛在第 7 周缓解。与对照组相比,足部反射疗法组的疲劳程度降低了 36.9%,能量水平提高了 48.0%,睡眠质量提高了 70.7%,母乳喂养效果提高了 20.2%(P < 0.05):足部反射疗法可减轻产后症状并对母乳喂养产生积极影响,可在产后护理实践中安全使用。
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引用次数: 0
Assessing the Landscape of Lactation Education: Results of a Pilot Survey. 评估母乳喂养教育的现状:试点调查结果。
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-02-29 DOI: 10.1177/08903344241232402
Hope Katherine Lima, Ashley Licata, Shondra Mattos

Background: The field of lactation currently uses breastfeeding rates to measure effectiveness. While monitoring breastfeeding outcomes can provide insight into the successes of lactation consulting as a profession, the improvement of breastfeeding outcomes is a multifactorial issue. In order to facilitate the growth of lactation education processes, understanding experiences during training and perceptions of readiness of current International Board Certified Lactation Consultants (IBCLC) for clinical practice is necessary.

Research aim: The aim of this survey was to provide a baseline assessment of the current landscape of the lactation profession through data related to certification, job market, practice confidence after passing the International Board of Lactation Consultant Examiners (IBLCE) certifying examination, and perceptions of specializations.

Methods: A cross-sectional study design was used to assess the experiences of practicing IBCLCs. Non-probability convenience sampling was implemented from December 2021 through January 2022. A total of 281 unique responses were recorded with complete data on variables of interest.

Results: The majority of respondents were white females under age 50 located in the United States. The majority of respondents were certified through a Pathway 1. The largest barrier to certification was reported to be a lack of clinical/mentorship opportunities. Respondents were significantly more confident in providing entry-level support to dyads when mentored by four or more preceptors.

Conclusion: Diversification of the field of lactation is necessary to provide appropriate support to lactating families in the United States. Additionally, addressing the barrier of accessing clinical/mentorship opportunities is essential for continued growth of the field of lactation.

背景:哺乳领域目前使用母乳喂养率来衡量成效。虽然对母乳喂养结果的监测可以帮助人们深入了解哺乳咨询作为一个专业所取得的成功,但母乳喂养结果的改善是一个多因素的问题。为了促进泌乳教育过程的发展,有必要了解当前国际认证泌乳咨询师(IBCLC)在接受培训期间的经历以及对临床实践准备情况的看法。研究目的:本调查旨在通过与认证、就业市场、通过国际泌乳咨询师考试委员会(IBLCE)认证考试后的实践信心以及对专业化的看法相关的数据,对泌乳咨询行业的现状进行基线评估:方法:采用横断面研究设计来评估执业 IBCLC 的经验。在 2021 年 12 月至 2022 年 1 月期间进行了非概率方便抽样调查。共记录了 281 份独特的回复,其中包含相关变量的完整数据:大多数受访者为美国 50 岁以下的白人女性。大多数受访者通过 "途径 1 "获得认证。据报告,获得认证的最大障碍是缺乏临床/导师机会。受访者在接受四名或更多实习医生指导时,对为二人组提供入门级支持的信心明显增强:结论:要为美国的哺乳期家庭提供适当的支持,就必须实现哺乳领域的多元化。此外,解决获得临床/导师机会的障碍对于哺乳领域的持续发展也至关重要。
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引用次数: 0
Influence of Maternal Dietary Pattern on the Pro-Oxidant and Antioxidant Status of Mother's Own Milk. 母体膳食模式对母乳中促氧化剂和抗氧化剂含量的影响
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-02-26 DOI: 10.1177/08903344241233571
Racire Sampaio Silva, Christiane Mileib Vasconcelos, Iana Soares Pessoa, Tamires Cruz Dos Santos, Rodrigo Scherer, Denise Coutinho Endringer, Marcio Fronza

Background: Human milk is essential for a child's best development. However, what a mother eats while breastfeeding can directly influence the composition of mother's milk.

Research aim: This study aimed to assess the antioxidant-oxidant profile of human milk and establish a connection between this profile and the dietary habits of the mothers.

Methods: A cross-sectional study was conducted at the Hospital Infantil e Maternidade Alzir Bernardino Alves (HIMABA), located in the municipality of Vila Velha-ES, Brazil. The sample included 98 participants. All volunteers completed a structured interview and a Food Frequency Questionnaire. Approximately 5-10 ml of colostrum, transitional milk, and mature milk were manually collected. The antioxidant activity of human milk was assessed using the colorimetric method for free radical scavenging with 2,2'-azinobis-3-ethylbenzothiazoline-6-sulfonic acid. Oxidative stress was determined by measuring lipid peroxidation through malondialdehyde concentration, evaluating advanced oxidation protein products, and assessing total protein content using the Bradford method.

Results: The antioxidant profile of colostrum was higher than that observed in later phases of milk, whereas pro-oxidants increased in later phases. Maternal dietary patterns influenced the pro-oxidant status of human milk. Participants with a higher daily intake of milk, dairy products, vegetable oils, olive oils, and legumes exhibited lower levels of lipid peroxidation in colostrum, transition milk, and mature milk, respectively.

Conclusions: Our study highlights the vital role of a balanced maternal diet in shaping the pro-oxidant status of human milk, with implications for infant health.

背景:母乳对儿童的最佳发育至关重要。研究目的:本研究旨在评估母乳中的抗氧化剂成分,并确定该成分与母亲饮食习惯之间的联系:这项横断面研究在位于巴西维拉韦利亚-埃斯特市的阿尔齐尔-贝尔纳迪诺-阿尔维斯婴儿和产妇医院(HIMABA)进行。样本包括 98 名参与者。所有志愿者都完成了结构化访谈和食物频率问卷调查。人工收集了约 5-10 毫升初乳、过渡乳和成熟乳。采用 2,2'-azinobis-3-ethylbenzothiazoline-6-sulfonic acid 自由基清除比色法评估母乳的抗氧化活性。通过丙二醛浓度测定脂质过氧化,评估高级氧化蛋白产物,并用布拉德福德法评估总蛋白含量,从而确定氧化应激:结果:初乳中的抗氧化剂含量高于后期乳汁中的抗氧化剂含量,而后期乳汁中的原氧化剂含量有所增加。母亲的饮食模式会影响母乳中的原氧化剂含量。每天摄入牛奶、乳制品、植物油、橄榄油和豆类较多的参与者,其初乳、过渡乳和成熟乳中的脂质过氧化水平分别较低:我们的研究强调了均衡的母体饮食在塑造母乳中的前氧化状态方面的重要作用,并对婴儿健康产生了影响。
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引用次数: 0
Relationship Between Sex-Specific Labor Market Performance and Breastfeeding Prevalence. 按性别划分的劳动力市场表现与母乳喂养率之间的关系。
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-03-07 DOI: 10.1177/08903344241230547
Francisco Beltran-Silva, Nicardo McInnis

Background: Prior research has explored the association between women's employment status and breastfeeding at the individual level, however; a notable gap in scholarly inquiry exists regarding the relationship between labor market performance and breastfeeding at the population level.

Research aim: The aim of this paper is to investigate the association between labor market performance and breastfeeding prevalence in the United States.

Methods: This study is a cross-sectional analysis of the association between labor market performance and the prevalence of breastfeeding. Our analysis is conducted at the state level using data published up to late 2021 from the Current Population Survey and the National Immunization Survey. The first dataset was used to construct aggregate and sex-specific state level indicators of labor market performance for both males and females. The second dataset supplied the proportion of mothers breastfeeding for the corresponding birth cohort from each state.

Results: Higher average weekly hours worked by females in the year before giving birth was associated with a lower prevalence of breastfeeding, but employment rates among females did not significantly affect breastfeeding prevalence. Among males, current employment rates were positively associated with breastfeeding prevalence; however, no significant relationship was observed between breastfeeding prevalence and average weekly work hours worked.

Conclusion: Sex-specific labor market performance may play a role in breastfeeding decisions and the timing of labor market performance relative to childbirth is important. Furthermore, these results highlight that employment rates and hours worked might be associated with child health through breastfeeding prevalence.

背景:研究目的:本文旨在调查美国劳动力市场表现与母乳喂养流行率之间的关系:本研究对劳动力市场表现与母乳喂养率之间的关系进行了横截面分析。我们的分析在州一级进行,使用的数据来自当前人口调查(Current Population Survey)和全国免疫调查(National Immunization Survey)截至 2021 年底公布的数据。第一个数据集用于构建各州男性和女性劳动力市场表现的综合指标和性别指标。第二个数据集提供了各州相应出生组群中母乳喂养母亲的比例:女性在分娩前一年的平均每周工作时数越高,母乳喂养率越低,但女性就业率对母乳喂养率的影响并不显著。在男性中,目前的就业率与母乳喂养率呈正相关;然而,母乳喂养率与平均每周工作时数之间并无显著关系:结论:不同性别的劳动力市场表现可能会对母乳喂养的决定产生影响,而劳动力市场表现与生育之间的时间关系也很重要。此外,这些结果突出表明,就业率和工作时数可能通过母乳喂养率与儿童健康有关。
{"title":"Relationship Between Sex-Specific Labor Market Performance and Breastfeeding Prevalence.","authors":"Francisco Beltran-Silva, Nicardo McInnis","doi":"10.1177/08903344241230547","DOIUrl":"10.1177/08903344241230547","url":null,"abstract":"<p><strong>Background: </strong>Prior research has explored the association between women's employment status and breastfeeding at the individual level, however; a notable gap in scholarly inquiry exists regarding the relationship between labor market performance and breastfeeding at the population level.</p><p><strong>Research aim: </strong>The aim of this paper is to investigate the association between labor market performance and breastfeeding prevalence in the United States.</p><p><strong>Methods: </strong>This study is a cross-sectional analysis of the association between labor market performance and the prevalence of breastfeeding. Our analysis is conducted at the state level using data published up to late 2021 from the Current Population Survey and the National Immunization Survey. The first dataset was used to construct aggregate and sex-specific state level indicators of labor market performance for both males and females. The second dataset supplied the proportion of mothers breastfeeding for the corresponding birth cohort from each state.</p><p><strong>Results: </strong>Higher average weekly hours worked by females in the year before giving birth was associated with a lower prevalence of breastfeeding, but employment rates among females did not significantly affect breastfeeding prevalence. Among males, current employment rates were positively associated with breastfeeding prevalence; however, no significant relationship was observed between breastfeeding prevalence and average weekly work hours worked.</p><p><strong>Conclusion: </strong>Sex-specific labor market performance may play a role in breastfeeding decisions and the timing of labor market performance relative to childbirth is important. Furthermore, these results highlight that employment rates and hours worked might be associated with child health through breastfeeding prevalence.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"318-327"},"PeriodicalIF":2.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Initiatives at JHL. JHL 的新举措。
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-03-18 DOI: 10.1177/08903344241234883
{"title":"New Initiatives at JHL.","authors":"","doi":"10.1177/08903344241234883","DOIUrl":"10.1177/08903344241234883","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"197-199"},"PeriodicalIF":2.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systemic Review of the Difference Between Diets for Preterm Infants Containing Raw Mother's Own Milk and Frozen or Pasteurized Mother's Own Milk. 早产儿膳食中母乳含量与冷冻或巴氏杀菌母乳含量之间差异的系统回顾。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-02-08 DOI: 10.1177/08903344241227941
Jessica Ann Gomez, Karla Abela, Geri LoBiondo-Wood

Background: Raw, never stored or pasteurized mother's own milk (MOM) is not always available to feed preterm infants; however, storage and pasteurization of MOM diminishes some bioactive components. It can be difficult to feed raw MOM to preterm infants due to transportation and storage of small volumes that might be pumped away from the infant, and a concern that they might harbor bacteria. However, the higher availability of bioactive components in raw MOM may provide benefits to preterm infants compared to frozen or pasteurized MOM.

Research aim: To systematically review and summarize the results of studies on feeding raw MOM versus frozen or pasteurized MOM to preterm infants born at less than 37 weeks of gestation.

Methods: Four databases were searched (Cochrane, Embase, Ovid MEDLINE, and Web of Science) for this systematic review. Of 542 studies identified, nine met inclusion criteria and were critically evaluated using the quality assessment tool for quantitative studies by the Effective Public Health Practice Project. Studies were organized using the Breastfeeding Challenges Facing Preterm Mother-Infant Dyads theoretical framework.

Results: Included studies evaluated the outcomes of preterm infants fed raw versus pasteurized MOM (n = 7, 77.8%) or raw versus frozen MOM (n = 2, 22.2%). Researchers found that raw MOM did not increase infant infections and may have improved health and growth outcomes for study participants.

Conclusion: There is laboratory evidence supporting the safety and efficacy of the use of raw MOM for preterm infants. A raw MOM diet is recommended for preterm infants by professional organizations. Despite this, it may not be universally prioritized and could require purposeful implementation by each institution. Further research is needed to pursue the potential benefits of a raw MOM diet for preterm infants.

背景:早产儿并非总能喝到未经储存或巴氏消毒的生母乳(MOM);然而,MOM 的储存和巴氏消毒会减少某些生物活性成分。给早产儿喂食未煮沸的母乳可能会有困难,因为运输和储存的母乳量较小,可能会从婴儿身边抽走,而且还担心母乳中会滋生细菌。然而,与冷冻或巴氏杀菌的口腔健康食品相比,生口腔健康食品中生物活性成分的可用性更高,可能会给早产儿带来益处。研究目的:系统回顾并总结有关给妊娠不足 37 周的早产儿喂食生口腔健康食品与冷冻或巴氏杀菌的口腔健康食品的研究结果:本系统综述检索了四个数据库(Cochrane、Embase、Ovid MEDLINE 和 Web of Science)。在确定的 542 项研究中,有 9 项符合纳入标准,并使用有效公共卫生实践项目的定量研究质量评估工具进行了严格评估。研究采用早产儿母婴二人组面临的母乳喂养挑战理论框架进行组织:所纳入的研究评估了早产儿生喂与巴氏灭菌母乳(7 项,占 77.8%)或生喂与冷冻母乳(2 项,占 22.2%)的结果。研究人员发现,生食口含乳制品不会增加婴儿感染,并可能改善研究参与者的健康和生长结果:有实验室证据支持早产儿使用生鲜乳制品的安全性和有效性。专业组织推荐早产儿食用生鲜乳制品。尽管如此,它可能并没有被普遍优先考虑,可能需要每个机构有目的地实施。我们需要进一步研究生食母奶对早产儿的潜在益处。
{"title":"A Systemic Review of the Difference Between Diets for Preterm Infants Containing Raw Mother's Own Milk and Frozen or Pasteurized Mother's Own Milk.","authors":"Jessica Ann Gomez, Karla Abela, Geri LoBiondo-Wood","doi":"10.1177/08903344241227941","DOIUrl":"10.1177/08903344241227941","url":null,"abstract":"<p><strong>Background: </strong>Raw, never stored or pasteurized mother's own milk (MOM) is not always available to feed preterm infants; however, storage and pasteurization of MOM diminishes some bioactive components. It can be difficult to feed raw MOM to preterm infants due to transportation and storage of small volumes that might be pumped away from the infant, and a concern that they might harbor bacteria. However, the higher availability of bioactive components in raw MOM may provide benefits to preterm infants compared to frozen or pasteurized MOM.</p><p><strong>Research aim: </strong>To systematically review and summarize the results of studies on feeding raw MOM versus frozen or pasteurized MOM to preterm infants born at less than 37 weeks of gestation.</p><p><strong>Methods: </strong>Four databases were searched (Cochrane, Embase, Ovid MEDLINE, and Web of Science) for this systematic review. Of 542 studies identified, nine met inclusion criteria and were critically evaluated using the quality assessment tool for quantitative studies by the Effective Public Health Practice Project. Studies were organized using the Breastfeeding Challenges Facing Preterm Mother-Infant Dyads theoretical framework.</p><p><strong>Results: </strong>Included studies evaluated the outcomes of preterm infants fed raw versus pasteurized MOM (<i>n</i> = 7, 77.8%) or raw versus frozen MOM (<i>n</i> = 2, 22.2%). Researchers found that raw MOM did not increase infant infections and may have improved health and growth outcomes for study participants.</p><p><strong>Conclusion: </strong>There is laboratory evidence supporting the safety and efficacy of the use of raw MOM for preterm infants. A raw MOM diet is recommended for preterm infants by professional organizations. Despite this, it may not be universally prioritized and could require purposeful implementation by each institution. Further research is needed to pursue the potential benefits of a raw MOM diet for preterm infants.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"259-269"},"PeriodicalIF":2.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Auricular Acupressure on Breast Pain Among Breastfeeding Mothers Receiving Gentle Hand Techniques: A Randomized, Single-Blind, Sham-Controlled Trial. 耳穴指压法对接受温和手法治疗的哺乳期母亲乳房疼痛的影响:随机、单盲、假对照试验。
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-05-01 Epub Date: 2024-02-20 DOI: 10.1177/08903344241228545
Shinae Han, Bomi Kim, Hyojung Park

Background: Auricular acupressure influences pain reduction in patients with diseases. However, study results on its influence on breast pain, common among breastfeeding mothers, are insufficient.

Research aim: This study aimed to explore the effectiveness of auricular acupressure on breast pain among breastfeeding mothers who also received a standard gentle hand technique.

Methods: This was a placebo-controlled study wherein auricular acupressure was provided for 4 weeks to 52 breastfeeding mothers consulting a local breastfeeding clinic. In the intervention group, auricular acupressure was applied to specific acupoints, including Shenmen, central rim, breast, and endocrine, which are related to breast pain and postpartum lactation. For the placebo control group, auricular acupressure was applied to acupoints not related to breast pain. The degree of breast pain was assessed using a numeric rating scale and a pressure algometer.

Results: After 4 weeks of auricular acupressure, numeric rating scale pain scores did not show a significant change. However, the pressure pain threshold for the upper left (Z = -2.202, p = .028) and upper right (t = 2.613, p = .012) areas of the right breast increased significantly in the intervention group.

Conclusion: This study employed subjective and objective measurements to evaluate the efficacy of auricular acupressure in alleviating breast pain. The intervention shows potential as a nursing measure. Further research is required to determine the optimal intervention duration and frequency, particularly for breastfeeding parents with severe pain, and to evaluate long-term outcomes.

背景:耳穴穴位按摩可以减轻疾病患者的疼痛。研究目的:本研究旨在探讨耳穴按摩对哺乳期母亲乳房疼痛的疗效,这些母亲同时也接受了标准的手部轻柔手法:这是一项安慰剂对照研究,在当地母乳喂养诊所为52名哺乳期母亲提供了为期4周的耳穴按摩。在干预组中,对特定穴位进行耳穴按摩,包括神门、中脘、乳房和内分泌,这些穴位与乳房疼痛和产后哺乳有关。安慰剂对照组则对与乳房疼痛无关的穴位进行耳穴按摩。乳房疼痛的程度通过数字评分表和压力表进行评估:结果:经过 4 周的耳穴按摩后,数字评分表中的疼痛评分没有发生显著变化。然而,干预组患者右侧乳房左上方(Z = -2.202,p = .028)和右上方(t = 2.613,p = .012)区域的压痛阈值明显增加:本研究采用主观和客观测量方法来评估耳穴按摩在缓解乳房疼痛方面的疗效。该干预措施显示出作为护理措施的潜力。需要进一步研究确定最佳的干预时间和频率,特别是对有严重疼痛的哺乳期父母,并评估长期效果。
{"title":"Auricular Acupressure on Breast Pain Among Breastfeeding Mothers Receiving Gentle Hand Techniques: A Randomized, Single-Blind, Sham-Controlled Trial.","authors":"Shinae Han, Bomi Kim, Hyojung Park","doi":"10.1177/08903344241228545","DOIUrl":"10.1177/08903344241228545","url":null,"abstract":"<p><strong>Background: </strong>Auricular acupressure influences pain reduction in patients with diseases. However, study results on its influence on breast pain, common among breastfeeding mothers, are insufficient.</p><p><strong>Research aim: </strong>This study aimed to explore the effectiveness of auricular acupressure on breast pain among breastfeeding mothers who also received a standard gentle hand technique.</p><p><strong>Methods: </strong>This was a placebo-controlled study wherein auricular acupressure was provided for 4 weeks to 52 breastfeeding mothers consulting a local breastfeeding clinic. In the intervention group, auricular acupressure was applied to specific acupoints, including Shenmen, central rim, breast, and endocrine, which are related to breast pain and postpartum lactation. For the placebo control group, auricular acupressure was applied to acupoints not related to breast pain. The degree of breast pain was assessed using a numeric rating scale and a pressure algometer.</p><p><strong>Results: </strong>After 4 weeks of auricular acupressure, numeric rating scale pain scores did not show a significant change. However, the pressure pain threshold for the upper left (Z = -2.202, <i>p</i> = .028) and upper right (t = 2.613, <i>p</i> = .012) areas of the right breast increased significantly in the intervention group.</p><p><strong>Conclusion: </strong>This study employed subjective and objective measurements to evaluate the efficacy of auricular acupressure in alleviating breast pain. The intervention shows potential as a nursing measure. Further research is required to determine the optimal intervention duration and frequency, particularly for breastfeeding parents with severe pain, and to evaluate long-term outcomes.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"248-258"},"PeriodicalIF":2.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139912767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Review: Career and Family: Women’s Century-long Journey Toward Equity 书评:职业与家庭:妇女实现平等的百年历程
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-03-21 DOI: 10.1177/08903344241234653
Paige Hall Smith
{"title":"Book Review: Career and Family: Women’s Century-long Journey Toward Equity","authors":"Paige Hall Smith","doi":"10.1177/08903344241234653","DOIUrl":"https://doi.org/10.1177/08903344241234653","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":"25 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140196639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Gap Between Breastfeeding Research and the Clinical Needs of Lactation Support Providers 母乳喂养研究与哺乳支持人员临床需求之间的差距
IF 2.6 4区 医学 Q2 NURSING Pub Date : 2024-03-04 DOI: 10.1177/08903344241235166
Ellen Chetwynd, Jill Demirci
{"title":"The Gap Between Breastfeeding Research and the Clinical Needs of Lactation Support Providers","authors":"Ellen Chetwynd, Jill Demirci","doi":"10.1177/08903344241235166","DOIUrl":"https://doi.org/10.1177/08903344241235166","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":"27 13 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140036647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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