Hírolvasó
Expressing Motherhood: Wet Nursing and Human Milk Banking in Brazil
Get Hands-On Skills: Clinical Skills Rotation at #ILCA19
Repairing Boolean logical models from time-series data using Answer Set Programming
Advocacy Update: Research to measure exposure to breastmilk substitute marketing
Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital
Background:Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation.Research aims:To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil.Method:We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II.Results:Delayed lactogenesis II occurred in 18.8% (n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]).Conclusion:Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.
Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital
Background:Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation.Research aims:To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil.Method:We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II.Results:Delayed lactogenesis II occurred in 18.8% (n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]).Conclusion:Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.
BFHI News Brief: News From the Baby-Friendly Hospital Initiative Network
LEAARC News Brief: Lactation Education Accreditation and Approval Review Committee Updates
JHL News
Jan Riordan: An Oral History
"A várandósság az nem egy betegség"
Viki: A szülészeti aktivizmus mögött nemcsak külföldön, hanem hazánkban is sok évtized áll, amit azonban erős ciklikusság jellemez. 2015-ben állt össze ismét egy aktív nőcsapat, akikkel 2016. március 20-ra összehívtunk egy demonstrációt, amivel az volt a célunk, hogy az egymás közt már megfogalmazott problémáinkat a szülészeti ellátással kapcsolatban a nyilvánosság számára is láthatóvá tegyük. Hiába szerepel ugyanis egy szülés végi dokumentumon, hogy az anya és a baba „egészségesen távoztak” vagy „sikeres hüvelyi szülés”, ha a család azt egyáltalán nem úgy élte meg. A hozzánk eljuttatott történetekből kiderül, hogy a nő sok esetben rettegett, halálfélelme volt, sőt a tapasztalatok miatt nem mer több gyermeket vállalni. A közbeszédben ez még mindig tabunak számít, amit csak úgy törhetünk meg, ha ezek az anyák felvállalják a történeteiket, hogy ugyan egészségesen távoztak a kórházból, mégis sérüléseket szenvedtek.
A cikk folytatása az Alfahír oldalán olvasható.
judit 2019. 03. 20., sze – 18:12 Tags Cikkek SzülésIt Takes an E-Village: Supporting African American Mothers in Sustaining Breastfeeding Through Facebook Communities
Background:Lack of breastfeeding support is a common barrier reported by African American mothers, whose breastfeeding rates remain significantly below the national average. Despite mothers’ reported use of social network sites to access support on topics relating to child rearing, few studies have examined their use to exchange breastfeeding support.Research aims:To describe (1) the experiences of African American mothers who participate in breastfeeding support groups on Facebook and (2) the breastfeeding beliefs, practices, and outcomes for this population of mothers.Methods:This was a prospective, cross-sectional qualitative study with an online focus group design. The study was guided by Black Feminist Thought and an integrated model of behavior prediction. Four online focus groups (N = 22) were conducted using video conferencing during September 2017 with African American mothers who were participating in breastfeeding support groups on Facebook.Results:Thematic analysis was used to develop four themes and two subthemes, including creating a community for Black mothers, online interactions and levels of engagement, advantages of participating in online support groups, critiques of online support groups, empowerment of self and others, and shifts in breastfeeding perceptions and decisions. Among participants in this study, positive imagery of African American breastfeeding mothers and ongoing support from women with shared experiences improved confidence with public breastfeeding and prolonged goals for breastfeeding duration.Conclusion:Receiving peer support within Facebook communities may positively influence breastfeeding norms and confidence in breastfeeding, help mothers to overcome breastfeeding challenges, and ultimately extend intended breastfeeding duration.