gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Some perinatal period factors affecting the lactogenesis



Introduction. Proper begining of lactation after the birth often determines the decision on furtherwomen’s breastfeeding. Therefore, knowing the favorable factors of breastfeeding it is possi-ble to distinguish patients who require special of medical staff help during their first days afterdelivery.Aim of study. To assess how such factors as age, parity, maternal nutritional status, durationof pregnancy and prolactin level in maternal serum impact the initiating of lactogenesis.Materials and methods. Study included 71 healthy women who delivered between 28-41 weeksof gestation. In 12-18 hours after birth the level of maternal serum prolactin was taken. The presence of lactation was assessed and verified by getting the slight pressure around the nipplewith fingers. Such factors as the age, parity, matermal BMI before pregnancy, the way laborand the level of prolactin were analized. Statistical analysis was performed using Fischer’s test,Cochran-Cox, Student’s t and chi-square testResults. Lactation in the first day after delivery were observed more frequently in the groupof full-term pregnancies (group I) than in women after premature delivery (group II) (59.1%to 33.3% p = 0.035). Mean prolactin level in group I was also higher than in group II (251.25ng/ml to 178.62 ng/ml, p 0.0007). Age, nutritional status, weight gain are not good prognosticfactors to forecast successful lactation, while vaginal delivery and at least one childbirth inthe past positively influenced in the group of women after term delivery.Conclusions.Gestational age>36 week, multiparity and vaginal delivery are favorable factorsin lactogenesis.Cesarean section adversely affect early lactation in the full-term patients, butnot in patients after premature delivery.Nulliparas, women after premature delivery and womenafter cesarean section should be taken of special care by medical staff in the hospital wardsto help them in breastfeeding.