IRON DEFICIENCY ANEMIA AS A RISK FACTOR FOR HYPOGALACTIA IN NURSING MOTHERS

Abstract

Objective. Study of the effect of IDA in nursing mothers on the formation of their lactation function. Material and methods of the study. The main group consisted of 241 nursing mothers with varying degrees of anemia: grade I (mild) in 132 (54.8%) with hemoglobin (Hb) and erythrocyte content of 96.7± 0.32 g/l and 3.67±0.018 x 1012/l, grade II (moderate) - in 84 women (34.9%) with the content of Hb (78.4 ± 0.91 g/l) and erythrocytes (3.09 ± 0.027x1012/l) and III degree (severe) - in 25 women (10.3%) with the content of Hb (62.3±0.60 g/l) and erythrocytes (2.74±0.22x1012/l). The severity of anemia was identified by studying hematocrit – Ht ("dilution effect"), serum iron. Study results: In nursing mothers, as the severity of IDA worsens, there is a steady decrease in the level of daily volume (ml/day), the excretion of breast milk per unit of time (ml/min) and the number of attachments of children to the breast. During the lactation period in nursing mothers with IDA, delayed forms of hypogalactia (against the background of lactation crisis and its late form) are most often detected, with a deficit of daily milk volume ≥ 50.0%, which is the basis for the development of postnatal forms of chronic nutritional disorders on a macro- and micronutrient basis. Conclusions. In nursing mothers, as the severity of IDA worsens, there is a steady decrease in the level of daily volume (ml/day), the excretion of breast milk per unit of time (ml/min) and the number of attachments of children to the breast. During the lactation period, in nursing mothers with IDA, delayed forms of  hypogalactia (against the background of lactation crisis and its late form) are most often etected, with a deficit of daily milk volume ≥ 50.0%, which is the basis for the development of postnatal forms of chronic nutritional disorders on a macro- and micronutrient basis.