Estudio prospectivo de factores relacionados con la instauración de la lactancia materna en madres de recién nacidos pretérmino ingresados en una unidad de cuidados intensivos neonatales: nomograma de probabilidad de lactancia materna exclusiva al alta

• Fontanet Gray, Judith ^[1] ; Ramos Rincón, Nuria ^[1] ; Mateos Fraile, Asunción ^[1] ; Martín Gutiérrez, Mª Jesús ^[1]
  1. [1] Fundación Hospital Alcorcón

     Fundación Hospital Alcorcón

     Alcorcón, España

     
• Localización: Conocimiento Enfermero, ISSN-e 2605-3152, Vol. 1, 1 1, 2018, págs. 37-54
• Idioma: español
• Títulos paralelos:
  • Prospective study of factors related to breastfeeding initiation in mothers of preterm newborns admitted to a neonatal intensive care unit: nomogram of probability of exclusive breastfeeding at discharge
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Introducción. Pese a los múltiples beneficios de la lactancia materna en recién nacidos pretérmino su instauración resulta compleja.

    Objetivos. Identificar factores relacionados con la producción láctea y el establecimiento de la lactancia materna exclusiva en madres de prematuros.

    Material y método. Estudio realizado en 83 madres de prematuros ingresados en la UCI neonatal del Hospital Universitario Fundación Alcorcón. Se estudia la relación de factores que definen a la madre, el parto y la lactancia con las variables “Volumen de leche al 5º día postparto” y “Tipo de lactancia al alta” (lactancia materna exclusiva versus no-exclusiva).

    Resultados. La “frecuencia de extracción” al 3º y 4º día postparto y el “volumen del 2º al 4º día postparto”, mostraron asociación con el volumen de leche al 5º día postparto. El “volumen de leche al 5º día postparto” y el “tipo de gestación (única o múltiple)”, influyen significativamente con el “Tipo de lactancia al Alta”.

    Conclusiones. El volumen de leche al 5º día postparto y el tipo de gestación, mostraron asociación estadística con el establecimiento de la lactancia materna exclusiva al alta. El nomograma permite determinar la probabilidad de que un prematuro sea dado de alta de la UCI neonatal con lactancia materna exclusiva.

  • English

    Introduction. Despite the multiple benefits of breastfeeding in preterm newborns, its establishment is complex.

    Objectives. To identify factors related to milk production and the establishment of exclusive breastfeeding in mothers of preterm infants.

    Method. A study was carried out in 83 mothers of preterm infants admitted to the neonatal ICU of the Hospital Universitario Fundación Alcorcón. We studied the relationship between factors defining the mother, delivery and breastfeeding with the variables "milk volume on the 5th postpartum day" and "type of breastfeeding at discharge" (exclusive versus non-exclusive breastfeeding).

    Results. The "frequency of expression" on the 3rd and 4th postpartum day and the "volume from the 2nd to the 4th postpartum day" showed an association with the milk volume on the 5th postpartum day. "Milk volume at 5th postpartum day" and "type of gestation (single or multiple)", significantly influenced with "Type of lactation at discharge".

    Conclusions. Milk volume at the 5th postpartum day and type of gestation, showed statistical association with the establishment of exclusive breastfeeding at discharge. The nomogram allows us to determine the probability of a preterm infant being discharged from the neonatal ICU with exclusive breastfeeding.

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