Szoptatás, ha az anya beteg

Szoptatás és gyógyszerszedés

A betegség soha nem jön jókor, de fokozott aggodalmat válthat ki, ha egy szoptató anya betegszik meg. Márpedig ez nem annyira ritka, mint gondolnánk, mivel a szoptatási időszak akár éveket is felölelhet, és ennyi idő alatt szinte lehetetlen, hogy elkerüljünk minden fertőzést.

Vannak, akik már a várandósságnak régóta ismert, krónikus betegséggel vágnak neki, hiszen egy jól karbantartott pajzsmirigy-, vagy cukorbetegség, illetve más hosszan tartó betegség nem akadálya az egészséges gyermek születésének.

Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers.

Heller MM, Fullerton-Stone H, Murase JE.
Int J Dermatol. 2012 Oct;51(10):1149-61.

Abstract

Breastfeeding is thought to be the most optimal form of infant nutrition. Nursing mothers are generally advised to continue breastfeeding until the infant is two years of age or beyond. Unfortunately, however, a majority of nursing mothers will discontinue breastfeeding much earlier than recommended. The most common reason for early discontinuation of breastfeeding is nipple pain. It is, therefore, essential that dermatologists know how to appropriately diagnose and effectively treat nipple pain associated with nipple dermatitis among nursing mothers. This review article provides a detailed discussion on the clinical features and management of various causes of nipple dermatitis during lactation, including problems with infant latch-on, congenital oral anomalies, plugged lactiferous ducts, atopic dermatitis, irritant contact dermatitis, allergic contact dermatitis, yeast infections, bacterial infections, herpes simplex virus, and Raynaud's phenomenon of the nipple.

Diabetic mothers and their newborn infants - rooming-in and neonatal morbidity

Stage E, Mathiesen E, Emmersen P, Greisen G, Damm P.
Acta Paediatr. 2010 Feb 23. [Epub ahead of print]

Abstract

Aim:  As a result of increased neonatal morbidity, the infants of diabetic mothers have routinely been admitted to a neonatal special care unit (NSCU). We therefore investigated whether the offer of rooming-in diabetic mothers and their newborn infants has an effect on neonatal morbidity.

Bottle feeding simulates child loss: Postpartum depression and evolutionary medicine

Gordon G. Gallup Jr., R. Nathan Pipitone, Kelly J. Carrone and Kevin L. Leadholm
Med Hypotheses. 2010 Jan;74(1):174-6.

Summary

At the level of a mother’s basic biology, the decision to bottle feed unwittingly mimics conditions associated with the death of an infant. Child loss is a well documented trigger for depression particularly in mothers, and growing evidence shows that bottle feeding is a risk factor for postpartum depression.

A randomized trial comparing highly active antiretroviral therapy regimens for virologic efficacy and the prevention of mother-to-child HIV transmission among breastfeeding women in Botswana (The Mma Bana Study)

R. Shapiro, M. Hughes, A. Ogwu, D. Kitch, S. Lockman, C. Moffat, J. Makhema, S. Moyo, I. Thior, K. McIntosh, E. van Widenfelt, J. Leidner, K. Powis, A. Asmelash, E. Tumbare, S. Zwerski, U. Sharma, E. Handelsman, O. Jayeoba, E. Moko, S. Souda, E. Lubega, M. Akhtar, C. Wester, W. Snowden, M. Martinez-Tristani, L. Mazhani, M. Essex, The Mma Bana Study Team

5th IAS Conference on HIV Treatment, Pathogenesis and Prevention, Cape Town

Exclusive Breastfeeding and the Risk of Postpartum Relapses in Women With Multiple Sclerosis

Annette Langer-Gould, Stella M. Huang, Rohit Gupta, Amethyst D. Leimpeter, Eleni Greenwood, Kathleen B. Albers, Stephen K. Van Den Eeden, Lorene M. Nelson
Arch Neurol. 2009;66(8):958-963.

Abstract

Objective: To determine if exclusive breastfeeding protects against postpartum relapses of multiple sclerosis (MS) and, if so, whether this protection is related to prolonged lactational amenorrhea.

Effects of Different CMV-Heat-Inactivation-Methods on Growth Factors in Human Breast Milk

Rangmar Goelz, Eva Hihn, Klaus Hamprecht, Klaus Dietz, Gerhard Jahn, Christian Poets,
and Martin Elmlinger
Pediatr Res 65: 458–461, 2009

Preterm infants can inoculate virulent cytomegalovirus (CMV) through their mothers’ raw breast milk. Complete virus inactivation is achieved only by heat treatment, but the effect on growth factors has never been assessed systematically.

Decreased Full Breastfeeding, Altered Practices, Perceptions, and Infant Weight Change of Prepregnant Obese Women

Elise Mok, Clarisse Multon, Lorraine Piguel, Emmanuelle Barroso, Valérie Goua, Patricia Christin, Marie-José Perez and Régis Hankard

PEDIATRICS Vol. 121 No. 5 May 2008, pp. e1319-e1324

ABSTRACT

OBJECTIVE. The purpose of this work was to compare breastfeeding practices, perceptions, and infant weight change of prepregnant obese versus normal-weight mothers in the first 3 months postpartum.

Cytomegalovirus transmission to preterm infants during lactation

Hamprecht K, Maschmann J, Jahn G, Poets CF, Goelz R.

J Clin Virol. 2008 Mar;41(3):198-205.

Abstract

Breastfeeding has a major impact on HCMV epidemiology. The incidence of postnatal HCMV reactivation during lactation equals the maternal seroprevalence. Infectious virus, viral DNA and RNA can be isolated easily from cell and fat-free milk whey. Early onset of viral DNAlactia and virolactia as well as high viral load in milk whey are maternal risk factors for virus transmission.

A new paradigm for depression in new mothers: the central role of inflammation and how breastfeeding and anti-inflammatory treatments protect maternal mental health

Kendall-Tackett K.
Int Breastfeed J. 2007 Mar 30;2:6.

Abstract

BACKGROUND: Research in the field of psychoneuroimmunology (PNI) has revealed that depression is associated with inflammation manifested by increased levels of proinflammatory cytokines.

ILCA: Position Paper on HIV and Infant Feeding

The value of human milk

  • Exclusive breastfeeding for six months followed by continued breastfeeding with complementary foods and fluids for up to age two years and beyond (the World Health Organization standard) is the normal, optimal way of feeding infants and the foundation of health and development, except in rare circumstances.
  • Artificial feeding (use of substitutes for human milk)increases infants’ risks of acute illness, chronic disease,and slower cognitive development, and increases mothers’ risks of cancer.

Breastfeeding a Baby with Mother on Bromocripine

Verma S, Shah D, Faridi MM.
Indian J Pediatr. 2006 May;73(5):435-6.

Abstract

Prolactinomas, the most common pituitary adenomas, are important causes of infertility. Bromocriptine remains the treatment of choice for managing hyperprolactinemia in most of these cases. Breastfeeding in mothers receiving bromocriptine is often doubtful and matter of concern for most people.

Long-Term Breast-Feeding in Women With Type 1 Diabetes

Edna Stage, RN, Hanne Nørgård, RN, Peter Damm, MD, DMSC and Elisabeth Mathiesen, MD, DMSC

Diabetes Care 29:771-774, 2006

ABSTRACT

OBJECTIVE—Breast-feeding may be more difficult in women with diabetes because of neonatal morbidity and fluctuating maternal blood glucose values. The frequency of long-term breast-feeding and the possible predictors for successful breast-feeding were investigated.

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