vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v13i1.907vsp-222Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWОРГАНИЗАЦИЯ ГРУДНОГО ВСКАРМЛИВАНИЯ В ОТДЕЛЕНИЯХ ДЛЯ НЕДОНОШЕННЫХ ДЕТЕЙMANAGEMENT OF BREAST FEEDING IN DEPARTMENTS FOR PRETERM INFANTSАбольянЛ. В.Abol'yanL. V.

PhD, Head of the Laboratory of Labor Efficiency in Health Care of RI of Public Health and Healthcare Management of I.M. Sechenov First Moscow State Medical University

dove.ole@mtu-net.ruПолянскаяС. А.PolyanskayaS. A.dove.ole@mtu-net.ruНовиковаС. В.NovikovaS. V.dove.ole@mtu-net.ruДерюА. В.DeryuA. V.dove.ole@mtu-net.ruПервый Московский государственный медицинский университет им. И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical UniversityRussian FederationТамбовская областная детская клиническая больницаРоссияTambov Regional Pediatric Clinical HospitalRussian Federation201411012014131Вопросы современной педиатрии1017Copyright © Абольян Л.В., Полянская С.А., Новикова С.В., Дерю А.В., 20142014Абольян Л.В., Полянская С.А., Новикова С.В., Дерю А.В.Abol'yan L.V., Polyanskaya S.A., Novikova S.V., Deryu A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/222

Успехи современной медицины и бурное развитие перинатальных технологий позволяют выхаживать глубоко недоношенных детей с очень низкой и экстремально низкой массой тела при рождении. Значение адекватной нутритивной поддержки недоношенных детей на ранних этапах постнатальной жизни исключительно велико и в значительной степени определяет прогноз их дальнейшего развития и выживания. Учитывая особую биологическую ценность грудного молока для недоношенного ребенка и важную роль контакта матери с новорожденным во время кормления, усилия медицинского персонала должны быть направлены на сохранение грудного вскармливания в максимально возможном объеме. Внедрение современных медико-организационных технологий охраны и поддержки грудного вскармливания в практику лечебных учреждений позволяет повысить уровень грудного вскармливания среди недоношенных детей. Однако, несмотря на определенные успехи, достигнутые в отношении внедрения современных организационных технологий по поддержке грудного вскармливания, требуются дальнейшие исследования по адаптации принципов успешного грудного вскармливания применительно к отделениям для недоношенных детей.

 

Progress of the modern medicine science and rapid development of perinatal technologies allow bringing up severely preterm infants with very low and extremely low birth weight. The significance of appropriate nutritive support for the preterm infants at the early stages of postnatal life is very high and to a great extent determines prognosis of their further development and survival. Taking into account a special biological value of the breast milk for preterm infants and an important role of the mother’s contact with her child during feeding, the efforts of the medical staff should be aimed at the maintaining of the breast feeding to the maximal extent. Introduction of the modern medical technologies of protection and support of the breast feeding into the practice of medical institutions allows increasing the prevalence of the breast feeding among the preterm infants. However despite the certain achievements in the field of modern management technologies aimed at the support of the breast feeding, the further investigations on adaptation of the principles of successful breast feeding under conditions of departments for preterm infants are demanded.

 

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The authors declare that there are no conflicts of interest present.