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Современные возможности грудного вскармливания недоношенных детей в неонатальном стационаре

https://doi.org/10.15690/vsp.v20i6.2353

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Аннотация

Представлен обзор литературы по проблеме организации грудного вскармливания в неонатальных подразделениях стационаров, в том числе отделениях реанимации и интенсивной терапии новорожденных. Обоснована приоритетность грудного вскармливания для новорожденных с перинатальной патологией, поскольку грудное молоко для них жизненно необходимо в связи с его уникальными саногенетическими свойствами. Приведены доказательства особой профилактической и терапевтической значимости грудного вскармливания для младенцев, рожденных преждевременно. Проанализированы объективные причины, затрудняющие использование грудного молока в неонатальных стационарах, в том числе связанные с недостаточной бактериологической и вирусологической безопасностью нативного материнского молока при методологических ошибках его сбора и использования. Особое внимание уделено обеспечению безопасности грудного вскармливания в условиях пандемии новой коронавирусной инфекции: в этот сложный период подтверждается целесообразность сочетания в перинатальных центрах двух стратегий грудного вскармливания — использования как материнского, так и донорского грудного молока. Отдельный раздел обзора посвящен современным технологиям сцеживания грудного молока: применение электрических клинических молокоотсосов является обязательным условием продвижения и поддержки грудного вскармливания в перинатальном центре.

Об авторах

И. А. Беляева
НИИ педиатрии и охраны здоровья детей ЦКБ РАН; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; Морозовская детская городская клиническая больница ДЗМ
Россия

Беляева Ирина Анатольевна, доктор медицинских наук, профессор РАН, заведующая отделом преконцепционной, антенатальной и неонатальной медицины; профессор кафедры факультетской педиатрии педиатрического факультета; врач-неонатолог 

119333, Москва, ул. Фотиевой, д. 10, строен. 1


Раскрытие интересов:

Чтение лекций для компании АО «ПРОГРЕСС», «МЕДЕЛА», «АКРИХИН», «НЕСТЛЕ», HiPP Russ LLC. 



Л. С. Намазова-Баранова
НИИ педиатрии и охраны здоровья детей ЦКБ РАН; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова
Россия

Москва


Раскрытие интересов:

Получение исследовательских грантов от фармацевтических компаний «Пьер Фабр», Genzyme Europe B.V., ООО «АстраЗенека Фармасьютикалз», Gilead / PRA «Фармасьютикал Рисерч Ассошиэйтс СиАйЭс», Teva Branded Pharmaceutical Products R&D, Inc / ООО «ППД Девелопмент (Смоленск)», «Сталлержен С. А.» / «Квинтайлс ГезмбХ» (Австрия), АО «Санофи-авентис груп», ООО «Бионорика», ООО «Нутриция». 



Е. П. Бомбардирова
НИИ педиатрии и охраны здоровья детей ЦКБ РАН
Россия

Москва


Раскрытие интересов:

Автор статьи подтвердил отсутствие конфликта интересов, о котором необходимо сообщить



Т. В. Турти
НИИ педиатрии и охраны здоровья детей ЦКБ РАН; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; НИИ организации здравоохранения и медицинского менеджмента
Россия

Москва


Раскрытие интересов:

Чтение лекций для компании АО «ПРОГРЕСС», «АКРИХИН». 



Е. А. Приходько
Морозовская детская городская клиническая больница ДЗМ
Россия

Москва


Раскрытие интересов:

Автор статьи подтвердил отсутствие конфликта интересов, о котором необходимо сообщить



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Рецензия

Для цитирования:


Беляева И.А., Намазова-Баранова Л.С., Бомбардирова Е.П., Турти Т.В., Приходько Е.А. Современные возможности грудного вскармливания недоношенных детей в неонатальном стационаре. Вопросы современной педиатрии. 2021;20(6):474-483. https://doi.org/10.15690/vsp.v20i6.2353

For citation:


Belyaeva I.A., Namazova-Baranova L.S., Bombardirova E.P., Turti T.V., Prikhodko E.A. Modern Breastfeeding Options for Preterm Children in Neonatal Hospital. Current Pediatrics. 2021;20(6):474-483. (In Russ.) https://doi.org/10.15690/vsp.v20i6.2353

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