排乳反射障碍对心理健康的影响

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-07-01 Epub Date: 2024-04-22 DOI:10.1089/bfm.2024.0055
Aybüke Kacır, Nalan Karabayir, Ferhat Karademir, Mine Başıbüyük, Özlem Öcal, Övgü Büke, Demet Deniz Bilgin
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引用次数: 0

摘要

目的产后心理健康严重影响母乳喂养。排乳反射(Dysphoric milk ejection reflex,D-MER)是指在排乳时出现的负面情绪反应,如不愉快的感觉、愤怒烦躁或胃部有异样的感觉。本研究调查了 D-MER 对母乳喂养期间出现负面情绪的母亲的影响。研究方法这项横断面描述性研究是在 2023 年 7 月 1 日至 9 月 30 日期间进行的,受访者为在母乳喂养期间感到不适的 0-2 岁婴儿的母亲。母亲们通过 Instagram 和 Facebook 进行了联系,并使用谷歌表格完成了 45 个问题的半结构化调查。调查结果显示在 141 位母亲中,27.7%(39 人)有 D-MER 发现。常见的情绪包括紧张(48%)、疲惫(43%)、不耐烦(41%)、过敏(35%)和烦躁不安(33%)。据报告,59%的 D-MER 病例在母乳喂养的第一个月内开始出现症状。30%的母亲出现恶心症状。加重 D-MER 症状的最常见情况是失眠、压力和乳房胀满。睡眠或休息、独处、做其他事情、喝冷水、听音乐以及与有类似经历的母亲交谈,都有助于母亲们放松。在发现 D-MER 的病例中,约有 17.9% 考虑停止母乳喂养,其中 7.7% 停止了母乳喂养。在 59% 的 D-MER 个案中,产后抑郁评分≥13 分。结论D-MER可导致过早停止母乳喂养,也可能与母亲的心理健康问题有关。提高人们对 D-MER 的认识,并让医疗专业人员掌握这方面的知识,对母乳喂养的持续性非常重要。
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Impact of Dysphoric Milk Ejection Reflex on Mental Health.

Objective: Postpartum mental health, significantly influences breastfeeding. Dysphoric milk ejection reflex (D-MER) is defined as negative emotional reaction to milk ejection, such as unpleasant feelings, anger-irritability or a strange feeling in the stomach. This study investigates the impacts of D-MER on mothers experiencing negative emotions during breastfeeding. Method: This cross-sectional, descriptive study was conducted between July 1 and September 30, 2023 among surveyed mothers with babies of ages 0-2 experiencing discomfort while breastfeeding. Mothers reached out through Instagram and Facebook and completed a semi-structured 45-question survey using a Google form. Results: Out of 141 mothers, 27.7% (n: 39) had D-MER findings. Common emotions included tension (48%), exhaustion (43%), intolerance (41%), hypersensitivity (35%), and restlessness (33%). Symptoms reported to begin within the first month of breastfeeding in 59% of D-MER cases. Nausea was reported in 30% of mothers. The most common conditions that increased the severity of D-MER symptoms were insomnia, stress and breast fullness. Sleeping or resting, being alone, doing something else, drinking cold water, listening to music and talking to mothers who had similar experiences helped the mothers relax. In cases with D-MER findings, about 17.9% considered stopping breastfeeding, with 7.7% stopping. The postpartum depression score was ≥13 in 59% of D-MER cases. Conclusion: D-MER, which can cause early cessation of breastfeeding, may also be associated with the mother's mental health problems. Raising awareness about D-MER and equipping health professionals on this subject are important in the continuity of breastfeeding.

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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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