Továbbképzés és műhelymunka

2016 májusában az Academy of Breastfeeding Medicine közreadta 36. sorszámú protokollját "A mastitis spektrum" címmel. A protokoll sok meglepő megállapítást és javaslatot tartalmaz, amelyek érdemesek arra, hogy a szakmai közösség megtárgyalja.

Ennek céljából "Mastitis – új megközelítések: Kérdések és kétségek a gyakorlati megvalósíthatósággal kapcsolatban" címmel online továbbképzést és műhelymunkát szervezünk szoptató anya-gyermek párokkal foglalkozó szakembereknek.

Complications and misdiagnoses associated with infant frenotomy: results of a healthcare professional survey

Abstract

Background: In the past 10-15 years, there has been increased concern about ankyloglossia and its effect on infant breastfeeding. This has been associated with increased performance of frenotomy. Physicians and other healthcare professionals with expertise in breastfeeding have voiced concerns about complications related to the performance of infant frenotomy. Reviews of this topic have reported no significant complications after frenotomy. Other data on complications consist of case reports.

Infant feeding type and maternal sleep during the postpartum period: a systematic review and meta-analysis

Srimoragot M, Hershberger PE, Park C, Hernandez TL, Izci Balserak B. Infant feeding type and maternal sleep during the postpartum period: a systematic review and meta-analysis. J Sleep Res. 2022 May 12:e13625.

Summary

The aim of this meta-analysis was to examine the associations among infant feeding types, sleeping habits, and maternal sleep postpartum. Databases including Cumulative Index of Nursing and Allied-Health Literature (CINAHL), PubMed, and Google Scholar were searched in addition to reference lists from selected articles and other key references. A critical review of relevant articles from the data sources was conducted with attention to the infant feeding types and maternal night-time sleep.

Mit tehetünk a gyermekek egészséges mikrobiomjáért?

A magzat gyakorlatilag steril környezetből, az anyaméhből érkezik. Elsőként a szülés módja befolyásolja azt, hogy az újszülött mikrobiomja hogyan alakul: természetes szülés után az anya hüvelyflórájára hasonlít, míg császármetszés után a bőrflórára. A kettő lényegesen eltér egymástól, mivel a hüvelyben és a bőrön teljesen más baktériumok élnek.

Robust and Specific Secretory IgA Against SARS-CoV-2 Detected in Human Milk

Fox A, Marino J, Amanat F, Krammer F, Hahn-Holbrook J, Zolla-Pazner S, Powell RL. iScience. 2020 Nov 20;23(11):101735.

Abstract

The SARS-CoV-2 immune response in human milk has not yet been examined, although protecting infants and young children from COVID-19 is critical for limiting community transmission and preventing serious illness and death. Here, milk samples from eight COVID-19-recovered and seven COVID-19-suspected donors were tested for antibody (Ab) binding to the SARS-CoV-2 Spike protein.

Effectiveness of biological nurturing on early breastfeeding problems: a randomized controlled trial

Milinco M, Travan L, Cattaneo A, Knowles A, Sola MV, Causin E, Cortivo C, Degrassi M, Di Tommaso F, Verardi G, Dipietro L, Piazza M, Scolz S, Rossetto M, Ronfani L; Trieste BN (Biological Nurturing) Investigators. Int Breastfeed J. 2020 Apr 5;15(1):21.

Abstract

Background Biological nurturing is a neurobehavioral approach to breastfeeding support that encourages women to breastfed in a relaxed, laidback position. This approach has the potential to reduce breast problems (e.g., sore nipples), making good latch easier and thus facilitating the initiation of exclusive breastfeeding. However, its effects have not been adequately investigated in a real-life situation. The aim of this randomized controlled trial was to assess the effectiveness of biological nurturing, compared to usual hospital practices, on the frequency of breast problems and on the prevalence of exclusive breastfeeding at discharge from the maternity ward, after 1 week, and at one and 4 months.

Composition and Variation of the Human Milk Microbiota Are Influenced by Maternal and Early-Life Factors

Breastmilk contains a complex community of bacteria that may help seed the infant gut microbiota. The composition and determinants of milk microbiota are poorly understood. Among 393 mother-infant dyads from the CHILD cohort, we found that milk microbiota at 3–4 months postpartum was dominated by inversely correlated Proteobacteria and Firmicutes, and exhibited discrete compositional patterns. Milk microbiota composition and diversity were associated with maternal factors (BMI, parity, and mode of delivery), breastfeeding practices, and other milk components in a sex-specific manner. Causal modeling identified mode of breastfeeding as a key determinant of milk microbiota composition.