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Breast shield design impacts milk removal dynamics during pumping:A randomised controlled non-inferiority trial. Acta Obstet Gynecol Scand. 2020:doi:10.1111\/aogs.13897. \u3010\u6bcd\u4e73\u30dc\u30c8\u30eb 150ml 3\u672c\u3011 \u25a0\u6bcd\u4e73\u306e\u91cf\u306e\u5897\u52a0\u3084\u5909\u5316\u306b\u5408\u308f\u305b\u308b\u305f\u3081\u3001\u4e88\u5099\u306e\u6bcd\u4e73\u30dc\u30c8\u30eb\u3092\u624b\u5143\u306b\u6301\u3063\u3066\u304a\u304f\u3068\u5b89\u5fc3\u3067\u3059\u3002 \u25a0Medela\uff08\u30e1\u30c7\u30e9\uff09\u306e\u6bcd\u4e73\u30dc\u30c8\u30eb\u306f\u3001\u6bcd\u4e73\u3092\u5b89\u5168\u306b\u9577\u671f\u9593\u4fdd\u5b58\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u958b\u767a\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u25a0\u6bcd\u4e73\u30dc\u30c8\u30eb\u306b\u76f4\u63a5\u6bcd\u4e73\u3092\u643e\u4e73\u3057\u3066\u3001\u4fdd\u5b58\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u305d\u306e\u307e\u307e\u540c\u3058\u30dc\u30c8\u30eb\u3092\u4f7f\u3063\u3066\u8d64\u3061\u3083\u3093\u306b\u6bcd\u4e73\u3092\u98f2\u307e\u305b\u308b\u3053\u3068\u3082\u3067\u304d\u307e\u3059\u3002 \u25a0\u30dc\u30c8\u30eb\u306f\u6bcd\u4e73\u306e\u6709\u76ca\u306a\u6804\u990a\u7d20\u3092\u7dad\u6301\u3059\u308b\u8a2d\u8a08\u306e\u5b89\u5168\u306a\u30d7\u30e9\u30b9\u30c1\u30c3\u30af\u3067\u3067\u304d\u3066\u304a\u308a\u3001\u51b7\u8535\u5eab\u3084\u51b7\u51cd\u5eab\u3067\u6bcd\u4e73\u3092\u5b89\u5168\u306b\u4fdd\u7ba1\u3059\u308b\u306e\u306b\u6700\u9069\u3067\u3059\u3002 \u25a0\u30ab\u30e9\u30d5\u30eb\u306a\u30aa\u30f3\u30b9\u3068\u30df\u30ea\u30e1\u30fc\u30bf\u306e\u76ee\u76db\u308a\u304c\u4ed8\u3044\u3066\u3044\u308b\u305f\u3081\u3001\u643e\u4e73\u3057\u305f\u6bcd\u4e73\u306e\u91cf\u3092\u8a08\u308b\u306e\u304c\u7c21\u5358\u3067\u3059\u3002 \u25a0\u30dc\u30c8\u30eb\u306b\u306f\u30cd\u30b8\u5f0f\u306e\u84cb\u304c\u4ed8\u3044\u3066\u304a\u308a\u3001\u51b7\u8535\u5eab\u3084\u51b7\u51cd\u5eab\u306b\u4fdd\u5b58\u3059\u308b\u969b\u3084\u3001\u79fb\u52d5\u4e2d\u904b\u3076\u969b\u306b\u3053\u307c\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u305b\u3093\u3002 \u25a0WHO\uff08\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2\uff09\u306e\u6bcd\u4e73\u80b2\u5150\u671f\u9593\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c0\u30f3\u30b9\u306b\u3064\u3044\u3066\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002 \u30d1\u30fc\u30c4\u985e\u306f\u6d88\u8017\u54c1\u3067\u3059\u3002\u3055\u304f\u4e73\u5668\u3092\u3044\u3064\u3067\u3082\u826f\u3044\u30b3\u30f3\u30c7\u30a3\u30b7\u30e7\u30f3\u3067\u304a\u4f7f\u3044\u9802\u304f\u305f\u3081\u3001\u5b9a\u671f\u7684\u306a\u70b9\u691c\u3068\u4ea4\u63db\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\u3002 \u3010\u6ce8\u610f\u3011 \u30b5\u30e0\u30cd\u30a4\u30eb\u753b\u50cf\u306e\u30dd\u30a4\u30f3\u30c8\u8868\u8a18\u306f\u30b7\u30b9\u30c6\u30e0\u4e0a\u3001\u30bf\u30a4\u30e0\u30e9\u30b0\u304c\u767a\u751f\u3059\u308b\u6050\u308c\u304c\u3054\u3056\u3044\u307e\u3059\u3002 \u4fa1\u683c\u4e0b\u306e\u30dd\u30a4\u30f3\u30c8\u8868\u8a18\u304c\u6b63\u3057\u3044\u8a18\u8f09\u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u3053\u3061\u3089\u3092\u3054\u78ba\u8a8d\u3044\u305f\u3060\u3051\u307e\u3059\u3088\u3046\u304a\u9858\u3044\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u3000 \u65b0\u5f62\u72b6\u306e\u3055\u304f\u4e73\u53e3\u3067\u3001\u3074\u3063\u305f\u308a\u30d5\u30a3\u30c3\u30c8\u3088\u308a\u5feb\u9069\u306b\u3088\u308a\u591a\u304f\u306e\u6bcd\u4e73\u3092\u3055\u304f\u4e73* \u672c\u88fd\u54c1\u306b\u4ed8\u5c5e\u3059\u308b\u300e\u30d1\u30fc\u30bd\u30ca\u30eb\u30d5\u30a3\u30c3\u30c8\u30d5\u30ec\u30c3\u30af\u30b9 \u3055\u304f\u4e73\u53e3\u300f\u306f\u958b\u53e3\u89d2\u5ea6\u304c105\u00b0\u306b\u8a2d\u8a08\u3055\u308c\u3066\u304a\u308a\u3001\u4e73\u623f\u3092\u5727\u8feb\u3057\u306b\u304f\u304f\u3001\u6700\u592711.8%\u3088\u308a\u591a\u304f\u306e\u6bcd\u4e73\u3092\u3055\u304f\u4e73\u3067\u304d\u308b\u3053\u3068\u304c\u7814\u7a76\u306b\u3088\u308a\u308f\u304b\u3063\u3066\u3044\u307e\u3059**\u3002*\u30d1\u30fc\u30bd\u30ca\u30eb\u30d5\u30a3\u30c3\u30c8\u3055\u304f\u4e73\u53e3\u300190\u00b0\u3068\u306e\u6bd4\u8f03**Sakalidis VS et al. Breast shield design impacts milk removal dynamics during pumping:A randomised controlled non-inferiority trial. 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Breast shield design impacts milk removal dynamics during pumping: A randomised controlled non-inferiority trial. 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