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Dads make a difference: an exploratory study of paternal support for breastfeeding in Perth, Western Australia

Tohotoa J, Maycock B, Hauck YL, Howat P, Burns S, Binns CW.
International Breastfeeding Journal 2009, 4:15

Abstract

Background The ability to breastfeed and continue the practice requires dedication, commitment, persistence and support. Mothers often need to overcome many obstacles to successfully breastfeed their babies and maintain their balance of home, family and work commitments. Evidence suggests that fathers want to be involved and be part of the parenthood process, including infant feeding. The role transition from couple to family poses challenges to both parents. Sharing the experience of childbirth and supporting each other in the subsequent infant feeding practices is one of those challenges.
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The effect of maternal breast variations on neonatal weight gain in the first seven days of life

Vazirinejad R, Darakhshan S, Esmaeili A, Hadadian S.
International Breastfeeding Journal 2009, 4:13

Abstract

Background This study aims to examine whether specific maternal breast variations (such as flat nipple, inverted nipple, large breast or/and large nipple) are barriers for weight gain in breastfed infants during the first seven days of life.

Methods In this prospective cohort study, 100 healthy term neonates were followed from birth to day seven in two groups; Group A: fifty neonates born to mothers with specified breast variations and Group B: fifty neonates born to mothers without such breast variations (“normal breasts”). All neonates were the first child of their families and there was no sex ratio difference between the two groups.
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Breastfeeding promotion for infants in neonatal units: a systematic review and economic analysis

Renfrew MJ, Craig D, Dyson L, McCormick F, Rice S, King SE, et al.

Health Technol Assess 2009;13(40).

Objectives: To evaluate the effectiveness and costeffectiveness of interventions that promote or inhibit breastfeeding or feeding with breastmilk for infants admitted to neonatal units, and to identify an agenda for future research.

Conclusions: Despite the limitations of the evidence base, kangaroo skin-to-skin contact, peer support, simultaneous breastmilk pumping, multidisciplinary staff training and the Baby Friendly accreditation of the associated maternity hospital have been shown to be effective, and skilled support from trained staff in hospital has been shown to be potentially cost-effective.
All these point to future research priorities.
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Protecting, Promoting and Supporting Continued Breastfeeding from 6 – 24 + Months: Issues, Politics, Policies and Action

Joint statement based on a workshop of the World Alliance for Breastfeeding Action (WABA) Global Breastfeeding Partners Meeting (GBPM) VII in Penang, Malaysia, October 2008.
The Joint Statement on Continued Breastfeeding was produced following the WABA GBPM in October 2008 in response to shared concerns that breastfeeding after 6 months has slipped off the policy and programme agenda. Action and investment in improving complementary feeding or providing foods supplements seems to be taking place with little consideration for supporting or improving breastfeeding amongst 6 – 24+ month old children, despite estimates that 20% of deaths in 12 < 24 month age group in developing countries are due to lack of breastfeeding.
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The Identifying and Counseling of Breastfeeding Women by Pharmacists

Christina Ronai, Julie Scott Taylor, Erin Dugan and Edward Feller
BREASTFEEDING MEDICINE Volume 4, Number 2, 2009

Abstract

Objective: Concerns about medications influence breastfeeding decisions. Mothers may stop breastfeeding when they take medications. After the distribution of Thomas Hale’s Medications and Mother’s Milk (MMM) (Hale Publishing, Amarillo, TX, 2006) by the Rhode Island Department of Health (Providence, RI) in November 2006 to Rhode Island pharmacies, we investigated, during the summer of 2007, what strategies and resources pharmacists were using to identify breastfeeding women and guide medication recommendations.

Methods: Copies of MMM were sent to 47 pharmacies in Rhode Island. Subsequently, one pharmacist at each site completed a confidential, 10-question written survey.
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Hospital Practices and Women’s Likelihood of Fulfilling Their Intention to Exclusively Breastfeed

Eugene Declercq, Miriam Labbok, Carol Sakala, MaryAnn O’Hara

Am J Public Health. 2009 Mar 19. [Epub ahead of print]

Objectives. We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed.

Methods. We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to a singleton in 2005. Mothers were asked retrospectively about their breastfeeding intention, infant feeding at 1 week, and 7 hospital practices.

Results. Primiparas reported a substantial difference between their intention to exclusively breastfeed (70%) and this practice at 1 week (50%).
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Hospital Education in Lactation Practices (Project HELP): Does Clinician Education Affect Breastfeeding Initiation and Exclusivity in the Hospital?

Xena Grossman, Jana Chaudhuri, Lori Feldman-Winter, Jessica Abrams, Kimberly Niles Newton, Barbara L. Philipp, Anne Merewood
BIRTH 36:1 March 2009

Background: A woman’s decision to breastfeed may be influenced by her health care practitioners, but breastfeeding knowledge among clinicians is often lacking. Project HELP (Hospital Education in Lactation Practices) was an intensive education program designed to increase breastfeeding knowledge among health care practitioners. The purpose of this study was to determine whether educating practitioners affected breastfeeding initiation and exclusivity rates at hospitals with low breastfeeding rates.

……
Results: Combining data from all hospitals, breastfeeding initiation increased postintervention from 58.5 to 64.7 percent (p = 0.02).
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‘Voldemort’ and health professional knowledge of breastfeeding – do journal titles and abstracts accurately convey findings on differential health outcomes for formula fed infants?

Julie P Smith, Mark D Dunstone and Megan E Elliott-Rudder

Australian Centre for Economic Research on Health Working Paper Number 4, December 2008

ABSTRACT

Effective promotion of breastfeeding is constrained if health professionals’ knowledge on its importance is deficient. This study asks if findings are easily accessed by health professionals; that is, whether formula feeding is ‘named’ as the risk factor in published research, or whether — like ‘Voldemort’ in Harry Potter —it is ‘He Who Shall Not Be Named’.

Our systematic analysis of information content of titles and abstracts of 78 studies which had reported poorer health among formula infants showed that their titles and abstracts avoid mentioning formula.
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Pediatricians and the Promotion and Support of Breastfeeding

Lori B. Feldman-Winter, MD, MPH; Richard J. Schanler, MD; Karen G. O’Connor, BS; Ruth A. Lawrence, MD

Arch Pediatr Adolesc Med. 2008;162(12):1142-1149.

Abstract

Objectives To survey pediatricians on their breastfeeding knowledge, attitudes, and practices and to compare these results with those of a 1995 study.

Design Cross-sectional follow-up survey.

Setting The Periodic Survey of Fellows survey conducted by the American Academy of Pediatrics.

Participants The survey was completed by 875 pediatrician members of the American Academy of Pediatrics from November 1, 2003, through May 21, 2004.

Main Outcome Measures Pediatricians’ recommendations on management, opinions about the benefits and promotion of breastfeeding, and relationship to personal breastfeeding experience were compared with the results of the 1995 survey.
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Effect of Maternity-Care Practices on Breastfeeding

DiGirolamo AM, Grummer-Strawn LM, Fein SB.
Pediatrics. 2008 Oct;122 Suppl 2:S43-9.

Abstract

OBJECTIVE: Our goal was to assess the impact of “Baby-Friendly” hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration.

METHODS: This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for >2 months, with complete data on all variables (n = 1907). Predictor variables included indicators of 6 “Baby-Friendly” practices (breastfeeding initiation within 1 hour of birth, giving only breast milk, rooming in, breastfeeding on demand, no pacifiers, fostering breastfeeding support groups) along with several other maternity-care practices.
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