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Терапия и профилактика трещин сосков в послеродовом периоде
Терапия и профилактика трещин сосков в послеродовом периоде
Балушкина А.А., Тютюнник В.Л., Кан Н.Е. и др. Терапия и профилактика трещин сосков в послеродовом периоде. Consilium Medicum. Педиатрия (Прил.). 2015; 3: 8–11.
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Аннотация
В статье рассматриваются преимущества грудного вскармливания, современные методы профилактики и терапии трещин сосков у кормящих женщин. Показано, что соблюдение правил гигиены, правильное прикладывание младенца к груди, надлежащий уход за сосками, использование ранозаживляющих мазей на основе натуральных компонентов являются залогом успешной лактации.
Ключевые слова: послеродовой период, трещины сосков, грудное вскармливание, декспантенол.
Key words: postpartum period, nipple cracks, breastfeeding, dexpanthenol.
Ключевые слова: послеродовой период, трещины сосков, грудное вскармливание, декспантенол.
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Key words: postpartum period, nipple cracks, breastfeeding, dexpanthenol.
Полный текст
Список литературы
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4. Khresheh R, Suhaimat A, Jalamdeh F, Barclay L. The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial. International Journal of Nursing Studies 2011; 48 (9): 1058–66.
5. Debes AK, Kohli A, Walker N et al. Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health 2013; 13 (3): S19.
6. Titus-Ernstoff L, Rees JR, Terry KL, Cramer DW. Breast-feeding the last born child and risk of ovarian cancer. Cancer Causes Control 2010; 21 (2): 201–7.
7. Lawrence RA. The risks of not breastfeeding: new associations. Breastfeed Med 2014; 9: 237–8.
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10. Конь И.Я, Гмошинская М.В., Шилина Н.М. Проблемы грудного вскармливания в современных условиях. Материалы Всероссийской научно-практической конференции «Грудное вскармливание в современном мире: роль сектора здравоохранения в охране и поддержке грудного вскармливания». М., 2014. / Kon' I.Ia, Gmoshinskaia M.V., Shilina N.M. Problemy grudnogo vskarmlivaniia v sovremennykh usloviiakh. Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii «Grudnoe vskarmlivanie v sovremennom mire: rol' sektora zdravookhraneniia v okhrane i podderzhke grudnogo vskarmlivaniia». M., 2014. [in Russian]
11. Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study. Int Breastfeed J 2013; 8 (1): 18.
12. Yu JH, Kim MJ, Cho H et al. Breast diseases during pregnancy and lactation. Obstet Gynecol Sci 2013; 56 (3): 143–59.
13. Бекарова А.М. Лактирующая молочная железа: уход, профилактика, лечение. Медицинский совет. 2013; 8: 69–71. / Bekarova A.M. Laktiruiushchaia molochnaia zheleza: ukhod, profilaktika, lechenie. Meditsinskii sovet. 2013; 8: 69–71. [in Russian]
14. Buck ML, Amir LH, Cullinane M, Donath SM. Nipple Pain, Damage, and Vasospasm in the First 8 Weeks Postpartum. Breastfeed Med 2014; 9 (2): 56–62.
15. Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain:
a systematic review. J Obstet Gynecol Neonatal Nurs 2005; 34 (4): 428–37.
16. Heller MM, Fullerton-Stone H, Murase JE. Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. Int J Dermatol 2012; 51 (10): 1149–61.
17. Аверина В.И. Профилактика и лечение трещины сосков у женщин в период лактации. Медицинский совет. 2014; 9: 132–37. / Averina V.I. Profilaktika i lechenie treshchiny soskov u zhenshchin v period laktatsii. Meditsinskii sovet. 2014; 9: 132–37. [in Russian]
18. McClellan HL, Hepworth AR, Kent JC et al. Breastfeeding frequency, milk volume, and duration in mother-infant dyads with persistent nipple pain. Breastfeed Med 2012; 7: 275–81.
19. Staubach SG. Mamillenekzem in der Stillzeit: Wir wirksam ist die Therapie mit einer Dexpanthenol-haltigen Salbe. Die Hebamme 2008; 21: 166–69.
20. Ebner F, Heller A, Rippke F, Tausch I. Topical use of Dexpanthenol in skin disorders. Am J Clin Dermatol 2002; 3 (6): 427–33.
21. Rozga MR, Kerver JM, Olson BH. Impact of peer counselling breast-feeding support programme protocols on any and exclusive breast-feeding discontinuation in low-income women. Public Health Nutr 2014; 8: 1–11.
22. Zukowsky K. Breast-fed low-birth-weight premature neonates: developmental assessment and nutritional intake in the first 6 months of life. Journal of Perinatal & Neonatal Nursing. 2007; 21 (3): 242–9.
23. Hsu YC, Chen CH, Lin MC et al. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol 2014; 14: 1875–9572.
2. Keshishian E.S. Pochemu tak vazhno dlia rebenka grudnoe vskarmlivanie i kak ego sokhranit'? Meditsinskii sovet. 2012; 12: 112–17. [in Russian]
3. Legon'kova T.I., Matveeva E.V., Stepina T.G. i dr. Otsenka pokazatelei fizicheskogo i nervno-psikhicheskogo zdorov'ia u detei pri razlichnykh vidakh vskarmlivaniia. Ros. vestn. perinatologii i pediatrii. 2013; 58 (4): 88–95. [in Russian]
4. Khresheh R, Suhaimat A, Jalamdeh F, Barclay L. The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial. International Journal of Nursing Studies 2011; 48 (9): 1058–66.
5. Debes AK, Kohli A, Walker N et al. Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health 2013; 13 (3): S19.
6. Titus-Ernstoff L, Rees JR, Terry KL, Cramer DW. Breast-feeding the last born child and risk of ovarian cancer. Cancer Causes Control 2010; 21 (2): 201–7.
7. Lawrence RA. The risks of not breastfeeding: new associations. Breastfeed Med 2014; 9: 237–8.
8. Ip S, Chung M, Raman G et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep) 2007; 153: 1–186.
9. Gmoshinskaia M.V. Grudnoe vskarmlivanie: trudnosti v organizatsii i puti preodoleniia. Pediatricheskaia farmakologiia. 2012; 9 (4): 70–72. [in Russian]
10. Kon' I.Ia, Gmoshinskaia M.V., Shilina N.M. Problemy grudnogo vskarmlivaniia v sovremennykh usloviiakh. Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii «Grudnoe vskarmlivanie v sovremennom mire: rol' sektora zdravookhraneniia v okhrane i podderzhke grudnogo vskarmlivaniia». M., 2014. [in Russian]
11. Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study. Int Breastfeed J 2013; 8 (1): 18.
12. Yu JH, Kim MJ, Cho H et al. Breast diseases during pregnancy and lactation. Obstet Gynecol Sci 2013; 56 (3): 143–59.
13. Bekarova A.M. Laktiruiushchaia molochnaia zheleza: ukhod, profilaktika, lechenie. Meditsinskii sovet. 2013; 8: 69–71. [in Russian]
14. Buck ML, Amir LH, Cullinane M, Donath SM. Nipple Pain, Damage, and Vasospasm in the First 8 Weeks Postpartum. Breastfeed Med 2014; 9 (2): 56–62.
15. Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain:
a systematic review. J Obstet Gynecol Neonatal Nurs 2005; 34 (4): 428–37.
16. Heller MM, Fullerton-Stone H, Murase JE. Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. Int J Dermatol 2012; 51 (10): 1149–61.
17. Averina V.I. Profilaktika i lechenie treshchiny soskov u zhenshchin v period laktatsii. Meditsinskii sovet. 2014; 9: 132–37. [in Russian]
18. McClellan HL, Hepworth AR, Kent JC et al. Breastfeeding frequency, milk volume, and duration in mother-infant dyads with persistent nipple pain. Breastfeed Med 2012; 7: 275–81.
19. Staubach SG. Mamillenekzem in der Stillzeit: Wir wirksam ist die Therapie mit einer Dexpanthenol-haltigen Salbe. Die Hebamme 2008; 21: 166–69.
20. Ebner F, Heller A, Rippke F, Tausch I. Topical use of Dexpanthenol in skin disorders. Am J Clin Dermatol 2002; 3 (6): 427–33.
21. Rozga MR, Kerver JM, Olson BH. Impact of peer counselling breast-feeding support programme protocols on any and exclusive breast-feeding discontinuation in low-income women. Public Health Nutr 2014; 8: 1–11.
22. Zukowsky K. Breast-fed low-birth-weight premature neonates: developmental assessment and nutritional intake in the first 6 months of life. Journal of Perinatal & Neonatal Nursing. 2007; 21 (3): 242–9.
23. Hsu YC, Chen CH, Lin MC et al. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol 2014; 14: 1875–9572.
2. Кешишян Е.С. Почему так важно для ребенка грудное вскармливание и как его сохранить? Медицинский совет. 2012; 12: 112–17. / Keshishian E.S. Pochemu tak vazhno dlia rebenka grudnoe vskarmlivanie i kak ego sokhranit'? Meditsinskii sovet. 2012; 12: 112–17. [in Russian]
3. Легонькова Т.И., Матвеева Е.В., Степина Т.Г. и др. Оценка показателей физического и нервно-психического здоровья у детей при различных видах вскармливания. Рос. вестн. перинатологии и педиатрии. 2013; 58 (4): 88–95. / Legon'kova T.I., Matveeva E.V., Stepina T.G. i dr. Otsenka pokazatelei fizicheskogo i nervno-psikhicheskogo zdorov'ia u detei pri razlichnykh vidakh vskarmlivaniia. Ros. vestn. perinatologii i pediatrii. 2013; 58 (4): 88–95. [in Russian]
4. Khresheh R, Suhaimat A, Jalamdeh F, Barclay L. The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial. International Journal of Nursing Studies 2011; 48 (9): 1058–66.
5. Debes AK, Kohli A, Walker N et al. Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health 2013; 13 (3): S19.
6. Titus-Ernstoff L, Rees JR, Terry KL, Cramer DW. Breast-feeding the last born child and risk of ovarian cancer. Cancer Causes Control 2010; 21 (2): 201–7.
7. Lawrence RA. The risks of not breastfeeding: new associations. Breastfeed Med 2014; 9: 237–8.
8. Ip S, Chung M, Raman G et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep) 2007; 153: 1–186.
9. Гмошинская М.В. Грудное вскармливание: трудности в организации и пути преодоления. Педиатрическая фармакология. 2012; 9 (4): 70–72. / Gmoshinskaia M.V. Grudnoe vskarmlivanie: trudnosti v organizatsii i puti preodoleniia. Pediatricheskaia farmakologiia. 2012; 9 (4): 70–72. [in Russian]
10. Конь И.Я, Гмошинская М.В., Шилина Н.М. Проблемы грудного вскармливания в современных условиях. Материалы Всероссийской научно-практической конференции «Грудное вскармливание в современном мире: роль сектора здравоохранения в охране и поддержке грудного вскармливания». М., 2014. / Kon' I.Ia, Gmoshinskaia M.V., Shilina N.M. Problemy grudnogo vskarmlivaniia v sovremennykh usloviiakh. Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii «Grudnoe vskarmlivanie v sovremennom mire: rol' sektora zdravookhraneniia v okhrane i podderzhke grudnogo vskarmlivaniia». M., 2014. [in Russian]
11. Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study. Int Breastfeed J 2013; 8 (1): 18.
12. Yu JH, Kim MJ, Cho H et al. Breast diseases during pregnancy and lactation. Obstet Gynecol Sci 2013; 56 (3): 143–59.
13. Бекарова А.М. Лактирующая молочная железа: уход, профилактика, лечение. Медицинский совет. 2013; 8: 69–71. / Bekarova A.M. Laktiruiushchaia molochnaia zheleza: ukhod, profilaktika, lechenie. Meditsinskii sovet. 2013; 8: 69–71. [in Russian]
14. Buck ML, Amir LH, Cullinane M, Donath SM. Nipple Pain, Damage, and Vasospasm in the First 8 Weeks Postpartum. Breastfeed Med 2014; 9 (2): 56–62.
15. Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain:
a systematic review. J Obstet Gynecol Neonatal Nurs 2005; 34 (4): 428–37.
16. Heller MM, Fullerton-Stone H, Murase JE. Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. Int J Dermatol 2012; 51 (10): 1149–61.
17. Аверина В.И. Профилактика и лечение трещины сосков у женщин в период лактации. Медицинский совет. 2014; 9: 132–37. / Averina V.I. Profilaktika i lechenie treshchiny soskov u zhenshchin v period laktatsii. Meditsinskii sovet. 2014; 9: 132–37. [in Russian]
18. McClellan HL, Hepworth AR, Kent JC et al. Breastfeeding frequency, milk volume, and duration in mother-infant dyads with persistent nipple pain. Breastfeed Med 2012; 7: 275–81.
19. Staubach SG. Mamillenekzem in der Stillzeit: Wir wirksam ist die Therapie mit einer Dexpanthenol-haltigen Salbe. Die Hebamme 2008; 21: 166–69.
20. Ebner F, Heller A, Rippke F, Tausch I. Topical use of Dexpanthenol in skin disorders. Am J Clin Dermatol 2002; 3 (6): 427–33.
21. Rozga MR, Kerver JM, Olson BH. Impact of peer counselling breast-feeding support programme protocols on any and exclusive breast-feeding discontinuation in low-income women. Public Health Nutr 2014; 8: 1–11.
22. Zukowsky K. Breast-fed low-birth-weight premature neonates: developmental assessment and nutritional intake in the first 6 months of life. Journal of Perinatal & Neonatal Nursing. 2007; 21 (3): 242–9.
23. Hsu YC, Chen CH, Lin MC et al. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol 2014; 14: 1875–9572.
________________________________________________
2. Keshishian E.S. Pochemu tak vazhno dlia rebenka grudnoe vskarmlivanie i kak ego sokhranit'? Meditsinskii sovet. 2012; 12: 112–17. [in Russian]
3. Legon'kova T.I., Matveeva E.V., Stepina T.G. i dr. Otsenka pokazatelei fizicheskogo i nervno-psikhicheskogo zdorov'ia u detei pri razlichnykh vidakh vskarmlivaniia. Ros. vestn. perinatologii i pediatrii. 2013; 58 (4): 88–95. [in Russian]
4. Khresheh R, Suhaimat A, Jalamdeh F, Barclay L. The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial. International Journal of Nursing Studies 2011; 48 (9): 1058–66.
5. Debes AK, Kohli A, Walker N et al. Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health 2013; 13 (3): S19.
6. Titus-Ernstoff L, Rees JR, Terry KL, Cramer DW. Breast-feeding the last born child and risk of ovarian cancer. Cancer Causes Control 2010; 21 (2): 201–7.
7. Lawrence RA. The risks of not breastfeeding: new associations. Breastfeed Med 2014; 9: 237–8.
8. Ip S, Chung M, Raman G et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep) 2007; 153: 1–186.
9. Gmoshinskaia M.V. Grudnoe vskarmlivanie: trudnosti v organizatsii i puti preodoleniia. Pediatricheskaia farmakologiia. 2012; 9 (4): 70–72. [in Russian]
10. Kon' I.Ia, Gmoshinskaia M.V., Shilina N.M. Problemy grudnogo vskarmlivaniia v sovremennykh usloviiakh. Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii «Grudnoe vskarmlivanie v sovremennom mire: rol' sektora zdravookhraneniia v okhrane i podderzhke grudnogo vskarmlivaniia». M., 2014. [in Russian]
11. Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study. Int Breastfeed J 2013; 8 (1): 18.
12. Yu JH, Kim MJ, Cho H et al. Breast diseases during pregnancy and lactation. Obstet Gynecol Sci 2013; 56 (3): 143–59.
13. Bekarova A.M. Laktiruiushchaia molochnaia zheleza: ukhod, profilaktika, lechenie. Meditsinskii sovet. 2013; 8: 69–71. [in Russian]
14. Buck ML, Amir LH, Cullinane M, Donath SM. Nipple Pain, Damage, and Vasospasm in the First 8 Weeks Postpartum. Breastfeed Med 2014; 9 (2): 56–62.
15. Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain:
a systematic review. J Obstet Gynecol Neonatal Nurs 2005; 34 (4): 428–37.
16. Heller MM, Fullerton-Stone H, Murase JE. Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. Int J Dermatol 2012; 51 (10): 1149–61.
17. Averina V.I. Profilaktika i lechenie treshchiny soskov u zhenshchin v period laktatsii. Meditsinskii sovet. 2014; 9: 132–37. [in Russian]
18. McClellan HL, Hepworth AR, Kent JC et al. Breastfeeding frequency, milk volume, and duration in mother-infant dyads with persistent nipple pain. Breastfeed Med 2012; 7: 275–81.
19. Staubach SG. Mamillenekzem in der Stillzeit: Wir wirksam ist die Therapie mit einer Dexpanthenol-haltigen Salbe. Die Hebamme 2008; 21: 166–69.
20. Ebner F, Heller A, Rippke F, Tausch I. Topical use of Dexpanthenol in skin disorders. Am J Clin Dermatol 2002; 3 (6): 427–33.
21. Rozga MR, Kerver JM, Olson BH. Impact of peer counselling breast-feeding support programme protocols on any and exclusive breast-feeding discontinuation in low-income women. Public Health Nutr 2014; 8: 1–11.
22. Zukowsky K. Breast-fed low-birth-weight premature neonates: developmental assessment and nutritional intake in the first 6 months of life. Journal of Perinatal & Neonatal Nursing. 2007; 21 (3): 242–9.
23. Hsu YC, Chen CH, Lin MC et al. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol 2014; 14: 1875–9572.
Авторы
А.А.Балушкина*, В.Л.Тютюнник, Н.Е.Кан, И.И.Рюмина, В.В.Зубков
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России. 117997, Россия, Москва, ул. Академика Опарина, д. 4
*ann.balushkina@gmail.com
V.I.Kulakov Research Center of Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4
*ann.balushkina@gmail.com
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России. 117997, Россия, Москва, ул. Академика Опарина, д. 4
*ann.balushkina@gmail.com
________________________________________________
V.I.Kulakov Research Center of Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4
*ann.balushkina@gmail.com
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