A.A. TYURINA, A. G. YASHCHUK, L. A. DAUTOVA, D. I. BIKMULLINA, A. I. ZAKIROVA

Bashkir State Medical University, 3 Lenin Str., 450000 Ufa, Russian Federation

Tyurina A.A. — postgraduate student of the Department of Obstetrics and Gynecology No. 2, tel.: +7-917-41-86-222, e-mail: [email protected]

Yashchuk A.G. — Doc. Med. Sc., Professor, Head of the Department of Obstetrics and Gynecology No. 2, tel. 8(347)264-96-50

Dautova Liliana Anasovna — Cand. Med. Sc., Associate Professor of the Department of Obstetrics and Gynecology No. 2, tel. 8(347)264-96-50, e-mail:[email protected]

Bikmullina Diana Ildarovna — student of Pediatric Faculty, tel. +7-905-000-88-54, e-mail:[email protected]

Zakirova Aliya Ilnurovna — student of Pediatric Faculty, tel. +7-937359-79-50, e-mail:[email protected]

 The article presents the results of a clinical examination of women with uterine myoma, delivered by cesarean section and the corresponding data of women in control groups, as well as the results of questioning of these women about breastfeeding. As a result of the study, it was found that women with uterine myoma were less likely to breast-feed, significantly earlier completed breastfeeding, and the duration of lactational amenorrhea in this group of women was significantly shorter. In general, the main reason for the early abandonment of breastfeeding was that the women surveyed described the lack or insufficient quantity of breast milk, which indicates a lack of organization of breastfeeding. The staff of maternity wards should pay attention to the organization of breastfeeding during the days of puerperal stay in a health facility, especially in the group of women with uterine myoma.

Key words: breastfeeding, uterine myoma, cesarean section.

REFERENCES

1. Abol’yan L.V., Novikova S.V., Deryu A.V. Introduction of modern technologies for protection and support of breastfeeding in medical institutions of obstetrics and childhood and their impact on breastfeeding rates. Voprosy pitaniya, 2015, vol. 84, no. S3, p. 80 (in Russ.).
2. Rudneva O.D., Khamoshina M.B., Zakharova N.I., Radzinskaya E.V. Diskussionnye voprosy perioda laktatsii [Discussion issues of the lactation period]. Moscow: Redaktsiya zhurnala StatusPraesens, 2013. 20 p.
3. Yakovleva L.V., Latypova A.A., Basharov V.R., Nurgalieva L.R. Structure of the indicators of children’s health in the first year of life, depending on the feeding pattern. Meditsinskiy vestnik Bashkortostana, 2014, vol. 9, no. 3, pp. 8–10 (in Russ.).
4. Su D. et al. Ovarian cancer risk is reduced by prolonged lactation: a case-control study in southern China. Am. J. Clin. Nutr, 2013, vol. 97, no. 2, pp. 354–359.
5. Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease. Lancet. 2002, vol. 360, no. 9328, pp. 187–195.
6. Buyanova S.N., Yudina N.V., Gukasyan S.A. Modern aspects of the growth of uterine fibroids. Rossiyskiy vestnik akushera-ginekologa, 2012, 12 (4), pp. 42–48 (in Russ.).
7. Levy G., Hill M., Beall S., Zarek S., Segars J., Catherino W. Leiomyoma: genetics, assisted reproduction, pregnancy and therapeutic advances. Journal of Assisted Reproduction and Genetics, 2012, 29(8), pp. 703–712.
8. Kim J., Sefton J. The role of progesterone signaling in the pathogenesis of uterine leiomyoma. Molecular and Cellular Endocrinology. 2012, 358(2), pp. 223–231.
9. Kustarov V.N., Tatarov A.S. The course of pregnancy, childbirth and the postpartum period in patients with simple and proliferating uterine myoma. Kazanskiy meditsinskiy zhurnal, 2010, vol. 91, no. 3, pp. 393–397 (in Russ.).
10. Sidorova I.S., Unanyan A.L., Ageev M.B. et al. The current state of the issue of the pathogenesis, clinic, diagnosis and treatment of uterine fibroids in women of reproductive age. Akusherstvo. Ginekologiya. Reproduktsiya, 2012, vol. 6, no. 4 (in Russ.).
11. Ishchenko A.I., Botvin M.A., Lanchinskiy V.I. Mioma matki: etiologiya, patogenez, diagnostika, lechenie [Myoma of the uterus: etiology, pathogenesis, diagnosis, treatment]. Moscow, 2010. No. 6–9. Pp. 19–27.
12. Shafer R., Genna C.W. Physiologic breastfeeding: a contemporary approach to breastfeeding initiation. Journal of midwifery & Women’s health, 2015, vol. 60, no. 5, rr. 546–553.
13. Abol’yan L.V., Evloeva P.M, Barteneva E.I. Results of the evaluation of the prevalence and duration of breastfeeding in the Chechen Republic and the Republic of Ingushetia. Voprosy detskoy dietologii, 2013, vol. 11, no. 3, pp. 32–38 (in Russ.).
14. Krasnopol’skiy V.I., Logutova L.S., Buyanova S.N. An inconsistent scar on the uterus after cesarean section: the reasons for the formation and therapeutic tactics. Akusherstvo i ginekologiya, 2013, no. 12, pp. 28–33 (in Russ.).