ASSESMENT OF THE LACTATION IN PUERPERAL WOMEN WITH METABOLIC SYNDROM

Abstract

The article presents the results of assessing the state of lactation in puerperas with metabolic syndrome on the background of obesity.The aim of research: to assess the state of lactation in puerperas with metabolic syndrome, depending on body mass index and therapeutic and preventive measures taken.Material and methods: the analysis and evaluation of quantitative and qualitative indicators of maternal milk in the dynamics of the postpartum period in 386 puerperas was conducted. The main group consisted of 115 women with metabolic syndrome and obesity, the management of the preconception period, pregnancy and the postpartum period was carried out according to the proposed by us program, including non-drug and drug methods. The comparison group included 103 puerperas with obesity, the management of which was carried out in accordance with the Order No. 417 of the Ministry of health of Ukraine dated 15.07.2011. The control group consisted of 53 primiparous with normal body weight.Results and discussion: analysis of the state of lactation revealed hypogalactia and pathological changes in the qualitative composition of breast milk, manifested in women with obesity and lower levels of lactose and lactoferrin by 1,6 times, total protein, ceruloplasmin by 2,2 times, lipids by 2,1 times, transferrin by 1,4 times, casein by 1,5 times.Conclusion: The stage of hypogalactia severity and pathological changes in the quality of breast milk increase due to the body mass index growth. The proposed pathogenetically justified program of therapeutic and preventive measures contributed to the increase in the volume of breast milk and its quality improve.