A systematic review of qualitative research on barriers and facilitators to exclusive breastfeeding practice in sub-Saharan African countries

4 év ago
Studies reporting factors associated with exclusive breastfeeding are mostly quantitative. No study has performed a systematic qualitative summary to document the recurring constraints and facilitators to excl...
Izuchukwu Loveth Ejie, George Uchenna Eleje, Moriam Taiwo Chibuzor, Maureen Ugonwa Anetoh, Ifeoma Jovita Nduka, Ifeoma Blessing Umeh, Brian Onyebuchi Ogbonna and Obinna Ikechukwu Ekwunife

Changes in Antisecretory Factor in Human Milk During the Postpartum and Length of Gestation

4 év ago
Journal of Human Lactation, Ahead of Print.
BackgroundPreterm infants are more susceptible to inflammatory complications than term infants. Human milk contains numerous bioactive components protecting the newborn infant. Antisecretory factor, a protein regulating secretory and inflammatory processes by complex binding with complement factors, is present in human milk.Research AimsTo describe antisecretory factor (1) in mother’s own milk in term and preterm infants; and (2) in donor milk before and after Holder pasteurization.MethodsThe study was prospective, longitudinal, explorative, and descriptive. Antisecretory factor-compleasome was determined using sandwich enzyme-linked immunosorbent assay in longitudinal human milk samples over 12 weeks from mothers (N = 87) of term (n = 41) and of preterm (n = 46) infants and 20 anonymized donor human milk samples before and after Holder pasteurization.ResultsAntisecretory factor-compleasome was overall higher in colostrum versus mature milk (p < .001) and no difference was found in term or preterm colostrum (p = .82). In mature milk, compleasome was higher and more variable in the preterm group (p = .01). After Holder pasteurization, compleasome levels increased (p < .001).ConclusionAntisecretory factor followed the pattern of other immunological factors with high levels in colostrum. After preterm birth, levels of antisecretory factor were higher and more variable in mature milk. Holder pasteurization did not degrade antisecretory factor, indicating preserved anti-inflammatory properties in donor human milk.
Anna Gustafsson

JHL Seeks Submissions on Laws, Policies

4 év 1 hónap ago
Around the globe, parents’ options and choices about feeding their infants and young children are influenced by an ever-changing patchwork of laws and policies.  Has your work as a lactation professional brought you up close and personal with such a law or policy? And would you like to share what you’ve learned?  If so, you […]
lactationmatters

An Interview With Gabrielle Palmer, Campaigner Author and Nutritionist, Who Learned From Women Around the World

4 év 1 hónap ago
Journal of Human Lactation, Ahead of Print.
Gabrielle Palmer has written, taught, and campaigned about infant nutrition issues, particularly the unethical marketing of baby foods, since the 1970s. Her seminal book, The Politics of Breastfeeding: When Breasts are Bad for Business, has guided many breastfeeding advocates for over 40 years through three editions and multiple printings. As a breastfeeding counsellor during the 1970s, she helped establish the United Kingdom’s advocacy pressure group Baby Milk Action. She worked as a volunteer in Mozambique during the 1980s. During the 1990s she co-directed the International Breastfeeding Practice and Policy course at the Institute of Child Health, University College London, until she went to live for 2 years in China. Over the years, she has worked for various health and development agencies, including serving as HIV and Infant Feeding Officer for the United Nations Children’s Fund, New York, and also taught at The London School of Hygiene and Tropical Medicine (LSHTM). She is a mother and a grandmother. (This is a verbatim interview that has been edited for readability: MA = Maryse Arendt; GP = Gabrielle Palmer).
Gabrielle Palmer

ILCA Statement in Support of the 40th Anniversary of the International Code of Marketing of Breast-milk Substitutes (the Code)

4 év 1 hónap ago
Research tells us that the overwhelming majority of mothers want to breastfeed, but they don’t always reach their breastfeeding goals. Less than half of newborns begin breastfeeding in the first hour of life, and only 44% of infants are exclusively breastfed at six months.1 One of the most significant challenges to improving breastfeeding rates worldwide […]
lactationmatters

Promote the International Code of Marketing of Breast-milk Substitutes: Add a 40th Anniversary Frame To Your Profile Image

4 év 1 hónap ago
Friday, 21 May 2021 marks the 40th anniversary of the adoption of the International Code of Marketing of Breast-milk Substitutes (the Code) by the 34th World Health Assembly. Show your support for the implementation and monitoring of these critical efforts to limit the aggressive and predatory marketing of breastmilk substitutes, including commercial milk formula. Change […]
lactationmatters

Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study

4 év 1 hónap ago
Journal of Human Lactation, Ahead of Print.
BackgroundInappropriate marketing of human milk substitutes negatively influences efforts to protect breastfeeding. Although healthcare professionals can positively influence infant feeding decisions, government regulations permit manufacturers to communicate messages to them through advertising.Research Aims(1) To identify the extent of human milk substitute advertising in publications aimed at United Kingdom healthcare professionals and (2) to describe compliance with the International Code of Marketing of Breast-Milk Substitutes and United Kingdom Formula and Follow-on Formula Regulations.MethodsThis was a cross-sectional observational study. We reviewed publications targeting healthcare professionals working with families in the United Kingdom (N = 19). Quantity and type of human milk substitute advertisements, as a proportion of all advertising, in each publication were recorded. All unique advertisements were double assessed for compliance.ResultsHuman milk substitute advertising was found in nine (47%) of the 19 publications (four affiliated with professional associations), making up 10.3% (n = 196) of these publications’ total advertising. Of human milk substitute advertisements found, 65.4% (n = 110) were for products used to manage cows’ milk protein allergy. Of the 32 unique human milk substitute advertisements found, none complied with the International Code of Marketing of Breast Milk Substitutes or United Kingdom Formula and Follow-on Formula Regulations.ConclusionsMany healthcare professionals’ publications had non-compliant human milk substitute advertisements. There is an urgent need to ensure full compliance with international and local regulation in future advertisements and to consider whether advertisements are justified at all.
Natalie Hickman