Abstract：
Non-puerperal adoptive lactation sometimes requires long preparation and substantial expense for pharmacological intervention to be successful, which are not feasible in refugee camps. Here we report two case studies of non-puerperal adoptive breastfeeding of two infants in the Rohingya Refugee Camp of Cox\'s Bazar, Bangladesh.
Two non-pregnant, non-breastfeeding caregivers with previous experience of breastfeeding brought two adopted infants-one a 12-day-old female with severe acute malnutrition, and the other a 2-day-old male with normal anthropometric measurements-to a nutritional stabilization center for feeding. After counseling, both families opted for adoptive lactation.
Both infants were treated with a modified Action Against Hunger protocol of in-patient management of severe acute malnutrition using the supplementary suckling technique, a procedure to feed the baby with supplementary feed. Diluted F100 was used as the supplementary feed; the energy and protein gained from it were just enough to maintain body physiology and were not responsible for any weight gain. When the infants gained weight, indicating that the caregivers were producing milk, we reduced the supplementary feed as per protocol guidelines. The caregivers were prescribed domperidone and counseled on their ability to breastfeed the infants. The cases required 35 days and 20 days, respectively, for the full establishment of breastfeeding.
This is the first report of successful adoptive breastfeeding in a refugee camp. With proper counseling and motivation of the caregiver, induced lactation can be started without a preparatory period and with very low-cost intervention.
Two non-pregnant, non-breastfeeding caregivers with previous experience of breastfeeding brought two adopted infants-one a 12-day-old female with severe acute malnutrition, and the other a 2-day-old male with normal anthropometric measurements-to a nutritional stabilization center for feeding. After counseling, both families opted for adoptive lactation.
Both infants were treated with a modified Action Against Hunger protocol of in-patient management of severe acute malnutrition using the supplementary suckling technique, a procedure to feed the baby with supplementary feed. Diluted F100 was used as the supplementary feed; the energy and protein gained from it were just enough to maintain body physiology and were not responsible for any weight gain. When the infants gained weight, indicating that the caregivers were producing milk, we reduced the supplementary feed as per protocol guidelines. The caregivers were prescribed domperidone and counseled on their ability to breastfeed the infants. The cases required 35 days and 20 days, respectively, for the full establishment of breastfeeding.
This is the first report of successful adoptive breastfeeding in a refugee camp. With proper counseling and motivation of the caregiver, induced lactation can be started without a preparatory period and with very low-cost intervention.
摘要：
■非产褥期收养哺乳有时需要长时间的准备和大量的药物干预费用才能成功，这在难民营中是不可行的。在这里，我们报告了Cox\'sBazar的罗兴亚难民营中两名婴儿的非产褥期收养母乳喂养的两个案例研究，孟加拉国。
■两个未怀孕的人，先前有母乳喂养经验的非母乳喂养的护理人员带来了两名领养的婴儿-一名12天大的女性，患有严重的急性营养不良，另一个是2天大的男性，人体测量正常-到营养稳定中心喂养。经过咨询,两个家庭都选择了收养哺乳。
■两名婴儿均接受了改良的“反饥饿行动”方案的治疗，该方案使用补充乳汁技术对严重急性营养不良进行住院管理，用补充饲料喂养婴儿的程序。稀释的F100用作补充饲料；从中获得的能量和蛋白质足以维持身体生理，并且不负责任何体重增加。当婴儿体重增加时，表明护理人员正在生产牛奶，我们按照方案指南减少了补充饲料.护理人员被处方多潘立酮，并就他们母乳喂养婴儿的能力进行咨询。案件需要35天和20天，分别,全面建立母乳喂养。
■这是在难民营成功进行收养母乳喂养的第一份报告。有了适当的咨询和照顾者的动机，诱导泌乳可以在没有准备期的情况下开始，并且采用非常低成本的干预措施。
■两个未怀孕的人，先前有母乳喂养经验的非母乳喂养的护理人员带来了两名领养的婴儿-一名12天大的女性，患有严重的急性营养不良，另一个是2天大的男性，人体测量正常-到营养稳定中心喂养。经过咨询,两个家庭都选择了收养哺乳。
■两名婴儿均接受了改良的“反饥饿行动”方案的治疗，该方案使用补充乳汁技术对严重急性营养不良进行住院管理，用补充饲料喂养婴儿的程序。稀释的F100用作补充饲料；从中获得的能量和蛋白质足以维持身体生理，并且不负责任何体重增加。当婴儿体重增加时，表明护理人员正在生产牛奶，我们按照方案指南减少了补充饲料.护理人员被处方多潘立酮，并就他们母乳喂养婴儿的能力进行咨询。案件需要35天和20天，分别,全面建立母乳喂养。
■这是在难民营成功进行收养母乳喂养的第一份报告。有了适当的咨询和照顾者的动机，诱导泌乳可以在没有准备期的情况下开始，并且采用非常低成本的干预措施。
