Formation of lactation after premature birth in patient with diabetes mellitus, rheumatoid arthritis and severe preeclampsia

• Olga D. Rudneva
• Sergey A. Knyazev
• Anastasiya E. Yudina
• Elena N. Kuzina
• Maria S. Kazakova

Abstract

The article is devoted to the issue of supporting breastfeeding for a cohort of children especially in need – premature newborns. Prematurity, especially associated with a complicated pregnancy and surgical delivery, significantly increases the likelihood of mixed or artificial feeding, since it is impossible to put the baby to the mother’s breast on demand. Likewise, one cannot expect that a woman will be able to stimulate milk production herself by expressions – for example, in case of severe preeclampsia. In this case, the ability of breast milk feeding will directly depend on the readiness and competence of the medical staff to help her (the first pumping should be done in the first hour after birth, then pumpings should be continued with a certain regularity, colostrum should be transported in compliance with epidemiological safety rules for feeding the newborn, mother should be instructed towards the technique of expression of colostrum and milk) and on the equipment of the obstetrics institution (availability of professional breast pumps, conditions for storage and further use of native breast milk).

Keywords: pregnancy; breastfeeding; prematurity; necrotizing enterocolitis; preeclampsia; diabetes mellitus; human milk bank

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