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  • 标题:Effect of pregnancy-lactation overlap on the current pregnancy
  • 本地全文:下载
  • 作者:O.M. SHAABAN ; A.M. ABBAS ; H.A. Abdel HAFIZ
  • 期刊名称:Facts, Views & Vision in ObGyn
  • 印刷版ISSN:2032-0418
  • 出版年度:2015
  • 卷号:7
  • 期号:4
  • 页码:213-221
  • 出版社:Universa Press
  • 摘要:Background: Pregnancy during lactation is common in Egypt and is often unplanned. Overlap between pregnancyand lactation could be associated with an increased risk for the pregnant mother, her fetus as well as her nursingchild.Aim of the study: The current study aims to compare the maternal and perinatal outcome of pregnancies occurredduring lactation with those occurred after weaning in women with substandard nutrition.Materials and methods: A prospective-cohort study was carried out in six Maternal and Child Health Centers inAssiut-Egypt. Estimated sample size was 540 women divided equally into two groups; the first included womenwho got pregnant during breastfeeding (PDBF), while the second included women who got pregnant after weaning(PAW). Tools were consisted of structured interview questionnaire including personal history, obstetrical data,breastfeeding, family planning histories and dietary intake during pregnancy. Pregnant women had been followedup to delivery to assess different maternal and fetal outcomes.Results: Miscarriage rate was not statistically significant between both groups (2.2% in PDBF and 0.4% in PAW,p = 0.284). Women in PDBF group had higher prevalence of maternal anemia (54.1% versus 30.7%), intrauterinegrowth restriction (16.7% versus 4.8%), cesarean delivery (43.7% versus 31.5%), prolonged labor (13.3% versus11.1%) and low birth weight infants (15.7% versus 8.8%) compared to women in PAW group.Conclusion: Pregnancy during breastfeeding is associated with an increase in the overall complications of pregnancyas compared to PAW. Although it does not increase the miscarriage rate, it increases the prevalence of maternalanemia, delayed fetal growth, prolonged labor, cesarean section delivery and the prevalence of low birth weightinfants.
  • 关键词:Breastfeeding; LAM; maternal anemia; miscarriage; nutrition during pregnancy; obstetrics; perinatal;outcome; pregnancy-lactation overlap.
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