vestommВестник охраны материнства и младенчестваBulletin of maternal and child care3034-395XФГБУ «НИИ ОММ» Минздрава России10.69964/BMCC-2026-3-1-33-41vestomm-96Research ArticleОБЗОРЫREVIEWSСовременное представление о дородовом сцеживании грудного молока у женщин с гестационным сахарным диабетом: эффективность, безопасность, польза и вред (обзор литературы)Modern understanding of antenatal breast milk expression in women with gestational diabetes: effectiveness, safety, benefits and harms (literature review)https://orcid.org/0000-0003-1756-9511ЯкорноваГ. В.YakornovаG. V.

Якорнова Галина Валерьевна — кандидат медицинских наук, врач неонатолог.

ул. Репина, д. 1., Екатеринбург, 620028

Телефон: +7-912-618-79-67

Galina V. Yakornova — Candidate of Medical Sciences, Neonatologist of the Federal State — The Ural Scientific Research Institute for Maternal and Infant Health of the Ministry of Health of the Russian Federation.

Repina st., 1, Ekaterinburg, 620028

Mobile phone: +7-912-618-79-67

yakornovagv@gmail.comИвановМ. М.IvanovM. M.

Иванов Михаил Михайлович — ординатор 2 года по специальности “Неонатология”.

ул. Репина, д. 1., Екатеринбург, 620028

Рабочий телефон: +7 (912) 607-20-40

Mikhail M. Ivanov — second-year resident in Neonatology, Ural Research Institute of Maternal and Child Health, Ministry of Health of the Russian Federation.

Repina st., 1, Ekaterinburg, 620028

Mobile phone: +7 (912) 607-20-40

ivanovmihail098@mail.ruЧистяковаЕ. С.ChistyakovaE. S.

Чистякова Екатерина Сергеевна — врач-эпидемиолог.

ул. Репина, д. 1., Екатеринбург, 620028

Рабочий телефон: +7 (906) 898-77-08

Ekaterina S. Chistyakova — epidemiologist, Ural Research Institute of Maternal and Child Health of the Russian Ministry of Health.

Repina st., 1, Ekaterinburg, 620028

Mobile phone: +7 (906) 898-77-08

Epidopc74@gmail.comhttps://orcid.org/0000-0002-4941-9318ПавличенкоМ. В.PavlichenkoM. V.

Павличенко Мария Васильевна — кандидат медицинских наук, заведующая отделением детской нейрореабилитации, руководитель научного отделения физиологии и патологии новорожденных и детей раннего возраста, врач-педиатр высшей категории.

ул. Репина, д. 1., Екатеринбург, 620028

Тел: +7 (922) 202-04-08

Mariia V. Pavlichenko — Candidate of Medical Sciences, Head of the Department of Pediatric Neurorehabilitation, Head of the Scientific Department of Physiology and Pathology of Newborns and Young Children, Pediatrician of the Highest Category of the Federal State Budgetary Institution «Research Institute for the Protection of Mothers and Infants» of the Ministry of Health of Russia.

Repina st., 1, Ekaterinburg, 620028

Tel. cellular: +7 (922) 202-04-08

pavlichenko-mariya@mail.ruФедеральное государственное бюджетное учреждение «Уральский научно-исследовательский институт охраны материнства и младенчества» Министерства Здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution Ural Scientific Research Institute of Maternal and Infant Health of the Ministry of Health of the Russian FederationRussian Federation202606032026313341Copyright © Якорнова Г.В., Иванов М.М., Чистякова Е.С., Павличенко М.В., 20262026Якорнова Г.В., Иванов М.М., Чистякова Е.С., Павличенко М.В.Yakornovа G.V., Ivanov M.M., Chistyakova E.S., Pavlichenko M.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnikomm.ru/jour/article/view/96

Ухудшение качества здоровья матерей, увеличение процента женщин с осложнениями беременности приводит к нарушению становления функции лактации и как следствие, к снижению частоты грудного вскармливания в этой категории младенцев на первом году жизни. Исследование дородового сцеживания грудного молока является актуальным в связи с необходимостью оценки его эффективности в коррекции гипогликемии у новорожденных, от матерей с гестационным сахарным диабетом, а также обеспечения безопасности для матерей.

Цель

Цель. Анализ зарубежного опыта в осуществлении дородового сцеживания грудного молока, с целью профилактики гипогалактии и предупреждения гипогликемий у новорожденных от матерей с гестационным сахарным диабетом.

Материалы и методы

Материалы и методы. В обзор включены опубликованные данные за последние 16 лет. Поиск литературы проводился в базах данных Medline, PubMed.

Результаты

Результаты. В настоящее время в мировой практике отсутствуют единые подходы к проведению дородового сцеживания. Безопасность антенатального сцеживания в проанализированной литературе подтверждена в сроках от 34 до 37 недель гестации, в то время как безопасность в более ранние сроки остается недостаточно исследованной. В настоящее время проводятся исследования рядом авторов, которые позволят ответить на вопрос является ли дородовое сцеживание у женщин в сроке с 28-й недели беременности из группы высокого риска безопасным и эффективным методом. В качестве профилактической меры гипогалактии дородовое сцеживание грудного молока способствует раннему установлению лактации, однако не демонстрирует статистически значимой связи с частотой гипогликемий и необходимости в интенсивной терапии у новорожденных с диабетической фетопатией.

Заключение

Заключение. Анализ данных литературы показал, что дородовое сцеживание грудного молока имеет неоднозначный прогноз при профилактике гипогликемий у новорожденных от матерей с гестационным сахарным диабетом. Дородовое сцеживание грудного молока имеет благоприятное влияние на установление лактации, снижает частоту использования заменителей грудного молока.

The deterioration of maternal health and the increasing percentage of women with pregnancy complications lead to disrupted lactation and, consequently, a decrease in breastfeeding rates in this group of infants during the first year of life. Research on antenatal breast milk expression is relevant due to the need to evaluate its effectiveness in correcting hypoglycemia in newborns of mothers with gestational diabetes, as well as ensuring safety for mothers.

The purpose of the study

The purpose of the study: Analysis of foreign experience in the implementation of prenatal pumping of breast milk, in order to prevent hypogalactia and hypoglycemia in children from mothers with gestational diabetes mellitus.

Materials and methods

Materials and methods. The review includes published data for the last 16 years. The literature was searched in the Medline and PubMed databases.

Results

Results. Currently, there are no unified approaches to prenatal pumping in world practice. The safety of antenatal pumping in the analyzed literature has been confirmed at 34 to 37 weeks of gestation, while the safety at an earlier stage remains insuffciently investigated. As a preventive measure of hypogalactia, prenatal pumping of breast milk promotes the early establishment of lactation, but does not demonstrate a statistically significant relationship with the frequency of hypoglycemia and the need for intensive therapy in newborns with diabetic fetopathy.

Conclusion

Conclusion. An analysis of the literature data has shown that prenatal pumping of breast milk has an ambiguous prognosis in the prevention of hypoglycemia in newborns with diabetic fetopathy. In turn, prenatal pumping of breast milk has a beneficial effect on the establishment of lactation, reduces the frequency of use of breast milk substitutes.

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