Hírolvasó

Journal of Human Lactation, Ahead of Print.
BackgroundIt has been demonstrated that human milk from mothers who have been infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) contains antibodies against the virus, which could play an important role in protecting the recipient infant against coronavirus disease 2019 (COVID-19). Seroconversion is measured frequently around the world, but the milk conversion rate is unknown.Research AimsTo determine (1) the prevalence and (2) the dynamics of immunoglobulin A (IgA) antibodies against SARS-CoV-2 in human milk amongst lactating mothers in the Netherlands.MethodsIn this large prospective cohort study, lactating mothers (N = 2312) were included between October 12, 2020 and February 24, 2021. Enzyme-linked immunosorbent assay was used to determine levels of IgA antibodies in human milk and immunoglobulin G (IgG) antibodies in serum against the ectodomain of the SARS-CoV-2 spike protein.ResultsA total of 691 (30.6%) participants had SARS-CoV-2 specific antibodies in human milk and/or serum. Of these participants, 524 (23.1%) had IgA antibodies against SARS-CoV-2 in human milk, and 356 (15.7%) had IgG antibodies against SARS-CoV-2 in serum. A total of 199 (8.8%) participants had antibodies in both human milk and serum. SARS-CoV-2 specific IgA antibodies in human milk remain present at least 10 months after a polymerase chain reaction confirmed infection.ConclusionThe prevalence of IgA antibodies against SARS-CoV-2 in human milk was 23.1% in our cohort. This high prevalence of antibodies in human milk might lead to passive immunity in many breastfed infants and may serve as protection against COVID-19.

Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural ba...

Journal of Human Lactation, Ahead of Print.

Global advocates for breastfeeding were evident since the International Code of Marketing of Breast-Milk Substitutes (BMS Code) was adopted in 1981 and fostered by subsequent relevant World Health Assembly res...

Journal of Human Lactation, Ahead of Print.

Journal of Human Lactation, Ahead of Print.

Internationally, women report challenges breastfeeding in public spaces. This study aimed to investigate the social-spatial aspects of public spaces in one UK city, Cardiff, in order to suggest possible barrie...

The perspective of each IBCLC is unique. Your viewpoint is shaped by whether you practice in the community, in a health-care facility, or as a researcher. In your region of the world, you may hold a different vantage point based on the cultural needs and practices of the families that you serve. And yet there […]

Journal of Human Lactation, Ahead of Print.
BackgroundHuman milk is the best food for infants; however, when breastfeeding is not possible, pasteurized milk from human milk banks is the best alternative. Little has been reported about variations in the bacterial microbiota composition of human milk after pasteurization.Research aimTo characterize and compare the bacterial microbiota composition and diversity within human milk among Mexican mothers before and after the Holder pasteurization process.MethodsA cross-sectional, observational, and comparative design was used. The effect of the pasteurization process on the bacterial composition and diversity of human milk samples of donors (N = 42) from a public milk bank was assessed before and after pasteurization by high throughput deoxyribonucleic acid sequencing of V3-16S rRNA gene libraries. Sequencing data were examined using the Quantitative Insights into Microbial Ecology software and Phyloseq in R environment.ResultsA varied community of bacteria was found in both raw and pasteurized human milk. The bacterial diversity of the milk samples was increased by the pasteurization, where some thermoduric bacteria of the phyla Proteobacteria, Firmicutes, and Actinobacteria were more abundant. The source tracker analysis indicated that at most 1.0% of bacteria may have come from another source, showing the safety of the process used to treat milk samples.ConclusionThe pasteurization process increased the bacterial diversity. We selected taxa capable of surviving the process, which could proliferate after the treatment without being a risk for infants.

What do you do when your job is to help breastfeeding families in your local area—but your local area comprises three states, two countries, and two languages? If you’re Elsa Quintana, you become an expert in collaboration—in envisioning it, in building it, and in funding it. Quintana, BA, IBCLC, BCJ, works at the intersection of […]

Journal of Human Lactation, Ahead of Print.
IntroductionA woman was able to relactate 7 years after breastfeeding her children. She donated her expressed milk to her friends, a same-sex male couple, who had a child through surrogacy in the United States. She lived in London and shipped her milk to Hong Kong, where they lived. The infant thrived on the donated expressed milk received during the first 3 months of his life.Main issueThis case is unusual because the woman was not breastfeeding at the time, which would have made expressing easier, and she was not adopting. She consulted a National Childbirth Trust Breastfeeding Counsellor and an International Board Certified Lactation Consultant® who helped her explore non-puerperal relactation protocols.ManagementHer plan started 6 months before the birth and included the use of domperidone, frequent expressing by hand and with a hospital-grade pump. A breastfeeding specialist physician made suggestions on the dosage of domperidone. She donated a total of 35.06 L. She had the full support of her partner and family.ConclusionNon-puerperal induced lactation and relactation offer ways to make human milk accessible to all infants, particularly those from LGBTQ+ families in which no parent is lactating, as was the case with the same-sex male couple participating in this study. It is essential to disseminate the knowledge and skills needed to support non-puerperal induced lactation and relactation among all healthcare professionals involved.

Timely initiation of breastfeeding is putting the newborn baby to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors a...

The COVID-19 pandemic has posed several challenges to the provision of newborn nutrition and care interventions including maternal support, breastfeeding and family participatory care. Italy was the first coun...

COVID-19 és várandósság, szoptatás, csecsemőkor

A COVID-19-fertőzést követően a tünetek elmúltával, illetve a védőoltás után nem szükséges késleltetni a gyermekvállalást, bármikor vállalható várandósság.

A várandósság önmagában nem jelent nagyobb veszélyt a koronavírus által történő megfertőződésre. Bár a legtöbb várandósnak fertőzés esetén csupán enyhe tünetei vannak, nagyobb számban alakulhatnak ki náluk - különösen a terhesség késői szakaszában - súlyos tünetek, mint a nem várandósoknál.

A várandósság alatt elszenvedett COVID-19 nem okoz magzati károsodást vagy vetélést. Ebben az esetben a magzat közvetve kerülhet veszélybe, ha az édesanyánál súlyos tünetek, pl. légzési elégtelenség jelentkeznek. Ilyen esetekben szükséges lehet a várandósság korai befejezése, az újszülött korai világra hozatala, mert ez biztosíthatja a legkedvezőbb kimenetelt mind az újszülött, mind az anya számára.

A cikk folytatása az Informed oldalán olvasható: COVID-19 és várandósság, szoptatás, csecsemőkor

judit 2021. 04. 16., p – 10:17 Tags Anya egészsége Várandósság Szoptatás Cikkek

COVID-19 és várandósság, szoptatás, csecsemőkor

A COVID-19-fertőzést követően a tünetek elmúltával, illetve a védőoltás után nem szükséges késleltetni a gyermekvállalást, bármikor vállalható várandósság.

A várandósság önmagában nem jelent nagyobb veszélyt a koronavírus által történő megfertőződésre. Bár a legtöbb várandósnak fertőzés esetén csupán enyhe tünetei vannak, nagyobb számban alakulhatnak ki náluk - különösen a terhesség késői szakaszában - súlyos tünetek, mint a nem várandósoknál.

A várandósság alatt elszenvedett COVID-19 nem okoz magzati károsodást vagy vetélést. Ebben az esetben a magzat közvetve kerülhet veszélybe, ha az édesanyánál súlyos tünetek, pl. légzési elégtelenség jelentkeznek. Ilyen esetekben szükséges lehet a várandósság korai befejezése, az újszülött korai világra hozatala, mert ez biztosíthatja a legkedvezőbb kimenetelt mind az újszülött, mind az anya számára.

A cikk folytatása az Informed oldalán olvasható: COVID-19 és várandósság, szoptatás, csecsemőkor

judit 2021. 04. 16., p – 10:17 Tags Anya egészsége Várandósság Szoptatás

Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the eff...

As suggested by the World Health Organization, breastfeeding peer support is being introduced worldwide to support women’s breastfeeding needs. Evidence has shown that when such support is offered to women, th...

Sri Lanka was named as the first-ever ‘Green’ breastfeeding nation status by the World Breastfeeding Trends Initiative (WBTi) in January 2020. However, improvements are still needed. This study aims to identif...

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.