medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2020-26-67-70medalphabet-1772Research ArticleСтатьиГрудное вскармливание и развитие вульвовагинита у девочекBreastfeeding and development of vulvovaginitis in girlsСпиридоноваН. В.SpiridonovaN. B.

д.м.н., проф., зав. кафедрой акушерства и гинекологии института профессионального образования

г. Самара

Samara

СазоноваО. В.SazonovaO. V.

д.м.н., доцент, зав. кафедрой гигиены питания с курсом гигиены детей и подростков

г. Самара

Samara

БезруковаА. А.BezrukovaA. A.

ассистент кафедры гигиены питания с курсом гигиены детей и подростков

г. Самара

Samara

ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава РоссииРоссияSamara State Medical UniversityRussian Federation202003122020026Современная гинекология (3)6770Copyright © Спиридонова Н.В., Сазонова О.В., Безрукова А.А., 20202020Спиридонова Н.В., Сазонова О.В., Безрукова А.А.Spiridonova N.B., Sazonova O.V., Bezrukova A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/1772

Цель исследования. Оценить взаимосвязь наличия грудного вскармливания и вероятности возникновения вульвовагинита у девочек нейтрального периода. Методы. В исследование были включены 176 девочек в возрасте 3–6 лет (73 девочки с вульвовагинитом – основная группа и 103 девочки без вульвовагинита – группа сравнения). Оценены взаимосвязь особенностей грудного вскармливания, питания матери девочки во время беременности и лактации и вероятности возникновения вульвовагинита в нейтральном периоде. Результаты. Неприкладывание новорожденной к груди в родовом зале увеличивает вероятность развития вульвовагинита в нейтральном периоде в 4,16 раза (95% ДИ: 1,41–12,26). Прикладывание новорожденной к груди в родовом зале снижает риск возникновения вульвовагинита у девочек в нейтральном периоде на 88% (ОШ = 0,22; 95% ДИ 0,07–0,71; р = 0,011). Девочек с вульвовагинитом в нейтральном периоде на этапе грудного вскармливания чаще кормили по режиму, а не по требованию (p < 0,001), допаивали (p < 0,001), и мамы девочек не имели разнообразного питания на этапе беременности и кормления грудью (р < 0,001).

Objective of the study. To assess the relationship between the presence of breastfeeding and the likelihood of vulvovaginitis in girls in the neutral period. Methods. The study included 176 girls aged 3–6 years (73 girls with vulvovaginitis – the main group and 103 girls without vulvovaginitis – the comparison group). The relationship between the characteristics of breastfeeding, the nutritional characteristics of the girl’s mother during pregnancy and lactation, and the likelihood of vulvovaginitis in the neutral period were evaluated. Results. Failure of a newborn to breastfeed in the delivery room increases the likelihood of developing vulvovaginitis in the neutral period by 4.16 times (95% CI: 1.41–12.26). Attaching a newborn to the breast in the delivery room reduces the risk of vulvovaginitis in girls in the neutral period by 88% (OR = 0.22; 95% CI 0.07–0.71; p = 0.011). Girls with vulvovaginitis in the neutral period at the breastfeeding stage were more often fed according to the regimen rather than on demand (p < 0.001), supplemented with water (p < 0.001), and the girls’ mothers did not have a varied diet at the stage of pregnancy and breastfeeding (p < 0.001).

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