Hírolvasó

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 Tags Újszülött Gyermekágy Szülés Szoptatás Első óra Első napok Cikkek

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 Tags Újszülött Gyermekágy Szülés Szoptatás Első óra Első napok

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.

Journal of Human Lactation, Ahead of Print.

Journal of Human Lactation, Ahead of Print.
BackgroundTandem breastfeeding is defined as two or more offspring of different ages who are breastfed by their mother at the same time. Breastfeeding during pregnancy and tandem breastfeeding have not been widely investigated.Research AimTo determine the influence of tandem breastfeeding on the macronutrient content of human milk.MethodsThis longitudinal study used a prospective and a retrospective group. Human milk samples from tandem-breastfeeding participants (n = 18) were compared to samples from non-tandem-breastfeeding participants (n = 31). Samples were collected during the last month of pregnancy (pregnancy milk), 72 hr after birth (colostrum) and 14–60 days post-delivery (mature milk). Macronutrients were measured by mid-infrared spectroscopy.ResultsFat content in pregnancy milk was lower than in mature milk (p < .01). Protein content was higher in pregnancy milk than in colostrum and mature milk (p < .01 and p < .001, respectively). Inversely, carbohydrate content in pregnancy milk was lower than in colostrum and mature milk (p = .02 and p < .01, respectively). Fat and energy contents in pregnancy milk of tandem-breastfeeding participants were lower than in mature milk of non-tandem-breastfeeding participants (p < .001 and p < .01, respectively), and protein content was higher than in mature milk (p < .001). Carbohydrate content in colostrum and mature milk of tandem-breastfeeding participants was higher than that of non-tandem-breastfeeding participants (p < .001 for both).ConclusionHuman milk produced during pregnancy had different macronutrient content than human milk produced after delivery. Colostrum and mature milk of tandem-breastfeeding participants were similar to human milk produced by non-tandem-breastfeeding participants, with the exception of carbohydrate content.

Maternal depression and other psychosocial factors have been shown to have adverse consequences on infant feeding practices. This study explored the longitudinal relationship of maternal depressive symptoms an...