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Relación del retraso de la lactogénesis II con la percepción materna de leche insuficiente: un estudio longitudinal

Year: 2022

Type: article

Abstract: Analizar la relación del retraso de la lactogénesis II con la percepción materna de leche insuficiente. Se realizó un estudio observacional longitudinal prospectivo, multicéntrico. Se obtuvieron datos al alta y entre 1 y 5 meses posparto sobre la percepción de leche insuficiente y las variables relacionadas mediante un cuestionario autoadministrado y el posterior seguimiento postal y online. Para el desarrollo del modelo explicativo, se realizó un análisis de regresión logística. Participaron un total de 260 puérperas. El 31,9% de ellas percibieron leche insuficiente y el 23,6% presentaron retraso de la lactogénesis II. Durante el ingreso posparto, se relacionó con la percepción materna de leche insuficiente el retraso de la lactogénesis II (OR = 2,26; IC 95% = 1,07-4,79), la dificultad para amamantar (OR = 1,02; IC 95% = 1,00-1,03) y la ayuda de los profesionales en la lactancia (OR = 0,70; IC 95% = 0,50-0,97). La aparición de dificultades en la lactancia durante el ingreso posparto y al alta, especialmente cuando existe un retraso de la lactogénesis II, deben considerarse indicadores de riesgo, que sugieren la necesidad de un apoyo adicional a los cuidados estandarizados. La percepción de leche insuficiente es un indicador adecuado para evaluar la calidad del apoyo profesional a la lactancia en intervenciones de mejora. To analyze the relationship of delayed lactogenesis II with maternal perception of insufficient milk. A prospective, multicenter, longitudinal observational study was conducted. Data were obtained at discharge and between 1 and 5 months postpartum on the perception of insufficient milk and related variables, by means of a self-administered questionnaire, and subsequent postal and online follow-up. Logistic regression analysis was used to develop the explanatory model. A total of 260 puerperal mothers participated. Of these, 31.9% had insufficient milk and 23.6% had delayed lactogenesis II. During postpartum admission, delayed lactogenesis II (OR = 2.26; 95% CI = 1.07-4.79), difficulty in breastfeeding (OR = 1.02; 95% CI = 1.00-1.03), and professional help in breastfeeding (OR = 0.70; 95% CI = 0.50-0.97) were associated with maternal perception of insufficient milk. The occurrence of breastfeeding difficulties during postpartum admission and at discharge, especially when there is delayed lactogenesis II, should be considered risk indicators, suggesting the need for additional support to standardized care. The perception of insufficient milk is a suitable indicator to assess the quality of professional breastfeeding support in improvement interventions.

Source: Enfermería Clínica

DOI: 10.1016/j.enfcli.2022.07.005

Authors: José Oliva-Pérez, Antonio Oliver-Roig

Institutions: Universidad Católica de Murcia, University of Alicante

Language: Spanish

Topic: Breastfeeding Practices and Influences

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Zero hunger

Open Access status: hybrid

Estimated APC paid: $2,500