Milk Production by Mothers of Premature Infants

PEDIATRICS ◽  
1988 ◽  
Vol 81 (6) ◽  
pp. 815-820
Author(s):  
Judy M. Hopkinson ◽  
Richard J. Schanler ◽  
Cutberto Garza

Milk volume, day of initiation of pumping, duration and frequency of milk expression, and length of night rest interval were evaluated for the first month postpartum in 32 healthy, nonsmoking women (ages 20 to 38 years) who delivered at 28 to 30 weeks' gestation. Early milk volumes were related negatively to the delay between delivery and the initiation of milk expression (r = -.48, P < .02). Average milk volumes at 2 weeks and 4 weeks postpartum were 493 ± 330 and 606 ± 369 mL/d (mean ± SD), respectively, and were not related to the absolute frequency or duration of pumping or to night rest interval. Volume changes between weeks 2 and 4 postpartum were correlated with the absolute frequency (r = .49, P < .01) and duration of pump use (r = .42, P < .05) during this interval and with changes in frequency (r = 0.56, P < .002) or duration (r = 0.49, P < .05) between the first 2 and the second 2 weeks postpartum. Optimal milk production was associated with five or more milk expressions per day and pumping durations that exceeded 100 min/d.

PEDIATRICS ◽  
1989 ◽  
Vol 83 (1) ◽  
pp. 57-60
Author(s):  
Stephen D. K. Feher ◽  
Lawrence R. Berger ◽  
John D. Johnson ◽  
Judith B. Wilde

Many women whose premature infants are hospitalized in a newborn intensive care unit choose to express breast milk for their babies. Yet anxiety, fatigue, and emotional stress are powerful inhibitors of lactation. To facilitate the breast-feeding experience, intervention mothers were given a 20-minute audio cassette tape based on relaxation and visual imagery techniques. At a single follow-up expression of milk at the hospital approximately 1 week after enrollment, they expressed 63% more breast milk than a randomized group of control mothers. The fat content of the breast milk in the two groups was not significantly different. Among a small group of mothers whose infants were receiving mechanical ventilation, the increase in milk volume compared with that of control mothers was 121%. Longer-term effects of the relaxation/ imagery approach (such as extending the duration of breast-feeding or reducing parental stress after hospital discharge) and the physiologic basis for the increased volume of expressed milk (improved milk production v more efficient milk ejection) are appropriate topics for future research.


2017 ◽  
Vol 57 (1) ◽  
pp. 18 ◽  
Author(s):  
Tengku Ellya Fazilla ◽  
Guslihan Dasa Tjipta ◽  
Muhammad Ali ◽  
Pertin Sianturi

Background Mothers of premature newborns often have difficulty giving adequate breast milk volume to their infants. Domperidone is an antagonist of peripheral dopamine receptors and believed to increase breast milk production. In Indonesia, no study has been done to date on the effect of domperidone on maternal milk production in mothers of premature newborns.  Objective To evaluate the effect of domperidone on milk production in mothers of premature newborns who failed to lactate.Methods A randomized controlled trial was conducted from July to December 2012 in the Perinatology Unit, Haji Adam Malik Hospital, Medan. Mothers of premature newborns were given lactation counseling for 7 days in order to increase their milk production. Mothers who failed to lactate after that time were enrolled in the study. Fifty subjects were assigned to receive either domperidone or a placebo for 7 days. Milk volume was measured every 2 hours (from 7 am to 9 pm), in the 24 hours before starting therapy, and on the 7th and 10th days (the 10th day being 3 days after stopping therapy). Results This study involved 25 mothers in the domperidone groups and 25 others in placebo group. After 7 days of therapy, mean breast milk volume was significantly higher in the domperidone group than in the placebo group  [181.6 (SD 80.2) vs. 72.4 (SD 57.8) mL, respectively; 95%CI of differences 69.36 to 148.93; P=0.0001]. At day 10, breast milk production remained significantly higher in the domperidone group. Furthermore, in the domperidone group, no significant difference in mean breast milk volumes was noted between the 7th and 10th days (P=0.65). Conclusion In mothers of premature newborns who failed to lactate, domperidone therapy for 7 days causes significantly higher milk production compared to placebo. 


1998 ◽  
Vol 151 (4-6) ◽  
pp. 229-234 ◽  
Author(s):  
P.S. Ering ◽  
D.A. Tyurikov ◽  
G. Kramer ◽  
B. Lipphardt

2020 ◽  
Vol 36 (6) ◽  
pp. 27-32
Author(s):  
I. V. Maiden ◽  
E. M. Spivak

Aim. To characterize the functional properties of peripheral blood lymphocytes in association with peculiarities of the period of neonatal adaptation of premature newborns. Materials and methods. Sixty-one conditionally healthy premature infants with gestation period of 28-37 weeks and their mothers as well as 12 full-term newborns were examined. The functional status of small lymphocytes was assessed by the activity of chromatin of their nuclei. For this purpose, there were used cytochemical and fluorometric methods with acridine orange staining of the smears obtained from leukocytic suspension that was followed by measuring intensity of luminescence in the light wave diapason of 530-580 nm. The study was implemented thrice on the days 6th, 16th, and 26th of infants life. Results. During the neonatal period, premature infants demonstrated the growth of the absolute and relative number of lymphocytes. The mentioned indices have an inverse dependence on the period of gestation. Activity of chromatin of small lymphocyte nuclei in newborns is significantly higher than in adults. Its maximum values are registered in prematurely born infants. Newborn small lymphocytes are characterized by marked functional heterogeneity. Unfavorable course of neonatal period in these patients is accompanied by lower values of the absolute number of lymphocytes and activity of their nuclei chromatin. Conclusions. The index of activity of small lymphocyte nuclei chromatin can be used to predict the course of neonatal period in prematurely born infants.


1985 ◽  
Vol 19 (4) ◽  
pp. 218A-218A ◽  
Author(s):  
Richard A Ehrenkranz ◽  
Barbara A Ackerman ◽  
I Gross

2009 ◽  
Vol 34 (2) ◽  
pp. 190 ◽  
Author(s):  
T. Liu ◽  
Y. N. Zhao ◽  
V. Elman ◽  
A. Stejskal ◽  
L. J. Wang

1993 ◽  
Author(s):  
Jean-Jacques Zondy ◽  
M. Abed ◽  
Ouali Acef ◽  
D. G. Rovera ◽  
A. H. Gerard ◽  
...  

2018 ◽  
Vol 18 (2) ◽  
pp. 90-94
Author(s):  
Dedhi Yustendi ◽  
Ainal Mardhiah

ABSTRAK. Penelitian dilaksanakan pada kelompok ternak kambing perah di Desa Geucee Kayee Jatoe Kota Banda Aceh. Penelitian menggunakan Rancangan Acak Lengkap (RAL) dengan 4 perlakuan persentase pemberian ekstrak daun katuk dalam air minum yaitu S0, S1, S2 dan S3 (0 %; 10%; 20 %, dan 30% ), tiap perlakuan diulang sebanyak 4 kali. Data volume produksi air susu yang diperoleh dianalisa dengan ANOVA, dan bila terdapat perbedaan, maka dilanjutkan dengan uji lanjut Duncan. Hasil penelitian menunjukkan pengaruh yang nyata (P0.05) terhadap volume air susu yang dihasilkan antar perlakuan S0, S1, S2 dan S3. Pemberian ekstrak daun katuk 10% (S1) dalam air minum memperlihatkan peningkatan produksi susu dan kualitas susu yang baik dibandingkan dengan pemberian 20% dan 30% dalam air minum. (Giving katuk leaf extract (Sauropus androgynus L. Merr) in drinking water Ettawa crossbreed goats to increase milk volume and milk quality) ABSTRACT. This research was carried out on a group of Ettawa crossbreed goats in Geucee Kayee Jatoe, Banda Aceh. This study used a completely randomized design with 4 (four) treatments of giving katuk leaves extract in drinking water, namely S0, S1, S2 and S3 (0%; 10%; 20%, and 30% of katuk leaf) and each group repeated 4 times. Data on milk production were analyzed by analysis of variant (ANOVA), and if there were differences, then followed by Duncan multiple range test (DMRT). The results showed that there was no significant effect (P 0.05) on the production of milk between treatments S0, S1, S2 and S3. Giving katuk leaf extract up to 10% (S1) in drinking water increase in milk production and quality compared to those giving 20% and 30% of katuk leaf.


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