Journal of Human Lactation, Ahead of Print.
BackgroundBreastfeeding rates for United States women with lower incomes fall below the government’s Healthy People 2020 Goals. Breastfeeding recommendations combined with support from providers and peer counselors help women decide to begin and sustain breastfeeding, but peer counselor uptake is low.Research AimTo evaluate changes in referrals to Women, Infants, and Children’s Supplemental Nutrition Program peer counselors, reported prenatal provider education and support, and breastfeeding outcomes (intention, initiation, 1-month duration of any and exclusive breastfeeding) after a prenatal breastfeeding promotion intervention.MethodIn this pre-post intervention study (2015–2016; upstate New York), providers implemented a Toolkit to discuss infant feeding recommendations and initiate peer counselor referral. We surveyed women pre- and post-implementation (after delivery; 1 month postpartum) about prenatal breastfeeding intentions, provider support, and breastfeeding outcomes. Analyses controlled for secular trends.ResultsPre-intervention (n = 71) and post-intervention (n = 70) participants were 49% Black, 61% publicly insured, and 16% uninsured. More post-intervention participants had > 1 Toolkit use (76%), peer counselor program referrals (60.0% post vs. 36.6% pre, p < .01), reported any breastfeeding intention (89% vs. 72%, p = .013), and intended to breastfeed for > 1 year (31% vs. 14%, p = .014). Post-intervention breastfeeding initiation and exclusivity were higher, but not significantly different. Post-intervention participants reported better prenatal breastfeeding support.ConclusionsImplementing a prenatal Breastfeeding Toolkit, including facilitating peer counselor referral, was associated with increases in provider counseling, participants’ breastfeeding intentions, and uptake of peer counselors. Replicating this approach may reinforce efforts to support breastfeeding in similar practices serving women with lower incomes.
Journal of Human Lactation, Ahead of Print.
BackgroundThe expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI.Research AimTo assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations.MethodsThis study was a prospective cross-sectional survey. We used the Neo-BFHI Self-Assessment questionnaire to collect data from neonatal wards that had all levels of care. A total of N = 60 Russian neonatal wards in hospitals that have ever been designated Baby-Friendly or planned to do so participated in the survey.ResultsCompliance scores at the federal district and country level ranging from 0–100 were used to summarize results. The median country overall score was 90 (IQR = 83 – 93). Respect for mothers, continuity of care, having a breastfeeding policy, and rooming-in had the highest median scores. Family-centered care, antenatal informing, skin-to-skin contact, and human milk use had the lowest median scores. Neonatal wards in the hospitals that were ever designated as Baby-Friendly had significantly higher scores than those that were never designated. Most respondents (n = 48, 80%) expressed a desire to obtain Neo-BFHI designation in their neonatal wards.ConclusionNeo-BFHI recommendations can be successfully implemented in Russian neonatal wards at hospitals designated Baby-Friendly or planning to be designated.
The Journal of Human Lactation (JHL) is soliciting manuscripts for their February 2022 special issue on a wide variety of topics pertaining to laws and policies related to infant and young child feeding. Submissions can include original research, literature reviews, case studies, and insights into practice and policy. Examples of topics include, but are not […]
Currently, lactation training courses aimed at health professionals are important for informing and supporting mothers who are breastfeeding. In this review, we seek to analyze similarities and/or variations i...
Journal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
BackgroundHuman milk banks play an essential role by providing human milk to infants who would otherwise not be able to receive mother’s milk.Study aimTo determine the opinions and attitudes among possible donor mothers regarding human milk banks in one rural region in Bangladesh.MethodsA prospective, cross-sectional study following a probability type of stratified cluster sampling technique was used. Included in the study (N = 121) were mothers aged 20–49 years, with at least one child, who was currently lactating or had breastfed her child, and who resided in the rural community of Bangladesh where the study was conducted. Data were collected through a 21-item, close-ended questionnaire and a face-to-face interview conducted by the researcher at each participant’s home.ResultsAmong the participants, 98.3% (n = 119) said that they had not heard about human milk banks before speaking with the researchers. Most participants (71.9%, n = 87) said would obtain human milk from milk banks if necessary, but 28% (n =34) of mothers indicated that they would not receive milk from a milk bank, even if it was necessary for their children. Only 8.3% (n = 10) said human milk banks were not appropriate according to Islam and 99.2% (n = 120) did not know about the acceptance of human milk banking practices in Bangladesh.ConclusionsFor those with religious concerns, a framework for both the donors and recipients can be established. It can be recommended that health education through healthcare personnel (midwives, nurses, gynecologists, pediatricians, and other health professionals) and religious leaders may strengthen the belief and increase awareness among family members about milk banking practices.
Journal of Human Lactation, Ahead of Print.
BackgroundApproximately 54.8% of patients with breast abscesses discontinue breastfeeding due to the lack of adequate breastfeeding support.Research aimsWe aimed to (1) examine the difference in milk volume produced by healthy breasts and breasts with abscesses; and (2) to explore the changes in milk volume before and after comprehensive management.MethodA prospective, consecutive series study was designed. Lactating patients (N = 50) with breast abscesses were selected from March 2017 to November 2018. The volume and frequency of milk expression of the affected and the unaffected breast were recorded every 24 hr before and after comprehensive management. The difference in the milk volume produced by healthy breasts (control) and breasts with abscesses, as well as the milk volume produced by each breast before and after comprehensive management, was determined.ResultsThere was a significant difference in the milk volume produced by healthy breasts and breasts with abscess before (t = 3.016; p = .004) and after (t = 4.336; p < .001) comprehensive management. The frequency of milk expression was significantly higher after comprehensive management than before it (z = −6.145; p < .001); the milk volume produced by each side significantly increased after comprehensive management (healthy breasts: t = −4.789; p < .001; breasts with abscess: t = 2.555; p = .014).ConclusionThe total milk volume produced by breasts with abscesses can be less than that produced by healthy breasts. The management of abscesses by increasing the frequency of milk expression and degree of emptying can help mothers increase their milk volume.
Journal of Human Lactation, Ahead of Print.
BackgroundThe immune system of milk protects against infections and guides immune system development. A system-level understanding of milk immune activity is critical for research into infant infectious disease risk and lifelong health.Research aimTo describe a protocol to characterize immune activity in human milk via in vitro stimulation for use in population-based (rather than clinical) research.MethodsThis study proceeded in two phases, each with a cross-sectional design. Human milk specimens were incubated for 24 hr at 37 °C in mammalian cell culture medium with stimuli (e.g., Salmonella enterica) in a CO2-enriched environment. Immune responses to stimuli were characterized as the change in cytokine: [stimulated]/[baseline]. Predictors of cytokine responses were evaluated with generalized linear models.ResultsPatterns were detectable across mother–child dyads: Interleukin-6 responses to stimuli were generally positively associated with child age and with maternal autoimmune disease.ConclusionsOur method allows characterization of pro-inflammatory milk immune activity in vitro in population-based (rather than clinical) research settings. In vitro activity has a system-level interpretation and is likely to be of broad utility in global health research in settings with high infectious disease risk, where understanding the immune system of milk is critical to understanding maternal and child health.
The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respir...
The World Health Organization (WHO) recommendations on infant feeding in the context of COVID-19 uphold standing recommendations for breastfeeding, non-separation, and skin-to-skin contact, including the use o...
Mothers’ satisfaction with breastfeeding is important for breastfeeding duration but rarely investigated in mothers of preterm infants. The aim of this study was to describe breastfeeding satisfaction and asso...
If an IBCLC® you knew helped a client with a history of breast cancer induce lactation for an adopted infant, wouldn’t you want to hear the story? How about if a friend had been involved in a study measuring COVID-19 antibodies in human milk during the newborn phase? Definitely a great story to hear! Case […]
Gondoskodás az újszülöttről a szülés után
Rooming in, vagy szeparáció?
(szakirodalmi áttekintés)
Évekkel ezelőtt, amikor a szülés, születés folyamata az otthonokból, szülőotthonokból a kórházak és klinikák kezébe hatáskörébe került, a legtöbb újszülöttet szeparálták édesanyjától. Az anya egy kórterembe került, gyermekét pedig egy tőle távolabb eső szobában a szakszemélyzet látta el. Órák teltek el az első találkozásig, a találkozók időtartama pedig többnyire az etetésre korlátozódott. Komoly meggyőződés volt akkoriban, hogy mindenki érdekét szolgálják ezek a lépések: az anya mihamarabbi felépülését illetve a csecsemő biztonságát, jóllétét egyaránt.
Az édesanyák túlnyomó részének igénye azonban nem ez volt, és ma sem ez. Hogy lehetőséget kaphassanak a korai posztpartum időszakban is a gyermekükről való aktív és folyamatos gondoskodásra nem a kórházi ellátás körülményei miatt felbukkanó reaktív jelenség. A legkorábbi írásos emlékeink is arról tanúskodnak, hogy az asszonyok a karjukban őrizték a gyermeket annak világrajövetele után: a testközelben történő gondoskodás mind az anya, mind a gyermek jól felfogott érdekén alapult, és az életben maradást szolgálta; közvetlen környezetük pedig ezt igyekezett lehetővé tenni.
Hofgárt-Ékes Noémi összefoglalójának folytatása a Mamami oldalán olvasható.
judit
2021. 03. 23., k – 12:21
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Újszülött
Gyermekágy
Szülés
Szoptatás
Első óra
Első napok
CikkekGondoskodás az újszülöttről a szülés után
Rooming in, vagy szeparáció?
(szakirodalmi áttekintés)
Évekkel ezelőtt, amikor a szülés, születés folyamata az otthonokból, szülőotthonokból a kórházak és klinikák kezébe hatáskörébe került, a legtöbb újszülöttet szeparálták édesanyjától. Az anya egy kórterembe került, gyermekét pedig egy tőle távolabb eső szobában a szakszemélyzet látta el. Órák teltek el az első találkozásig, a találkozók időtartama pedig többnyire az etetésre korlátozódott. Komoly meggyőződés volt akkoriban, hogy mindenki érdekét szolgálják ezek a lépések: az anya mihamarabbi felépülését illetve a csecsemő biztonságát, jóllétét egyaránt.
Az édesanyák túlnyomó részének igénye azonban nem ez volt, és ma sem ez. Hogy lehetőséget kaphassanak a korai posztpartum időszakban is a gyermekükről való aktív és folyamatos gondoskodásra nem a kórházi ellátás körülményei miatt felbukkanó reaktív jelenség. A legkorábbi írásos emlékeink is arról tanúskodnak, hogy az asszonyok a karjukban őrizték a gyermeket annak világrajövetele után: a testközelben történő gondoskodás mind az anya, mind a gyermek jól felfogott érdekén alapult, és az életben maradást szolgálta; közvetlen környezetük pedig ezt igyekezett lehetővé tenni.
Hofgárt-Ékes Noémi összefoglalójának folytatása a Mamami oldalán olvasható.
judit
2021. 03. 23., k – 12:21
Tags
Újszülött
Gyermekágy
Szülés
Szoptatás
Első óra
Első napokJournal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
Journal of Human Lactation, Ahead of Print.
