Tag Archive for: A szoptatás támogatása, segítségnyújtás

Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding

Colson SD, Meek JH, Hawdon JM.
Early Hum Dev. 2008 Jul;84(7):441-9.

Abstract

BACKGROUND: Despite widespread skills-teaching, 37% of UK mothers initiating breastfeeding stop by six weeks suggesting a need to reappraise current support strategies. Rooting, sucking and swallowing have been studied extensively but little is known about the role other primitive neonatal reflexes (PNRs) might play to support breastfeeding.

AIMS: To describe and compare PNRs observed during feeding, investigating whether certain feeding behaviours and positions, collectively termed Biological Nurturing, (BN) are associated with the release of those reflexes pivotal in establishing successful feeding.

METHOD: 40 breastfed healthy term mother/baby pairs were recruited using quota sampling to stratify term gestational age.
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Strategies for Breastfeeding Success

Keister D, Roberts KT, Werner SL.
Am Fam Physician. 2008 Jul 15;78(2):225-32.

Abstract

Breastfeeding provides significant health benefits for infants and mothers. However, the United States continues to fall short of the breastfeeding goals set by the Healthy People 2010 initiative. The American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetrics and Gynecology have policy statements supporting breastfeeding that reflect recent advancements in understanding the mechanisms underlying the benefits of breastfeeding and in the clinical management of breastfeeding. Despite popular belief, there are few contraindications to breastfeeding.

Providing maternal support and structured antenatal and postpartum breastfeeding education are the most effective means of achieving breastfeeding success.
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Breast is no longer best: promoting normal infant feeding

Nina J. Berry and Karleen D. Gribble

Matern Child Nutr. 2008 Jan;4(1):74-9.

Abstract

The recent release of new growth charts by the World Health Organization (WHO) heralds a fresh understanding of what constitutes normal infant growth and development. The Multicenter Growth Reference Study that underpins these new growth standards ‘establish[es] breastfed infants as the normative model for growth and development’. This is in contrast to past practice, which treated breastfeeding as the optimal, rather than the normal, way to feed babies. This idealization of breastfeeding has been counterproductive, because it has reinforced a perception that formula feeding is the standard way of feeding babies.
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NICU lactation consultant increases percentage of outborn versus inborn babies receiving human milk

N Dweck, M Augustine, D Pandya, R Valdes-Greene, P Visintainer and H L Brumberg

Journal of Perinatology (2008) 28, 136–140

Abstract

Objective:
To determine the effect of a dedicated lactation consultant (LC) on the percentage of neonates receiving any human milk in the neonatal intensive care unit (NICU) and at discharge over time.

Study Design:
Retrospective chart review of three time periods of 3 months each; Time period 1 (before LC hire), Time period 2 (T2; after LC arrival) and Time period 3 (subsequent period after T2).

Result:
Percentage of infants receiving any HM during hospital stay and at discharge increased significantly over time after LC hire and with LC experience.
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A Breastfeeding-Friendly Approach to Depression in New Mothers

Curriculum and Resource Guide for Health Care Providers

Curriculum Objectives

After completing this curriculum, health care providers will be able to:

  • Identify women who may be at risk for depression in the perinatal period.
  • Recognize the symptoms of depression and other mood disorders in pregnant and postpartum women.
  • Describe how postpartum mood disorders may impact breastfeeding.
  • Describe the causes of postpartum depression.
  • Provide information to mothers so they can weigh the risks and benefits of various treatment options for depression.
  • Work with mothers to preserve the breastfeeding relationship whenever possible.

A teljes dokumentum letölthető innen.
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Effect of intervention on the rates of breastfeeding of very low birth weight newborns

Walter Santoro Júnior, Francisco Eulógio Martinez

J Pediatr (Rio J). 2007;83(6):541-546

Abstract

Objective: To describe an intervention to provide support and encouragement to mothers of preterm newborns and to evaluate its effect on breastfeeding rates in the first 6 months after hospital discharge.

Methods: One hundred newborns and their mothers were selected consecutively and prospectively according to order of birth. The mother-infant dyads were alternately assigned to one of two groups: one group received routine care (routine group), and the other group received the intervention (intervention group). The intervention consisted of individualized support in addition to the routine support provided in the Neonatology Service.
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Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding-randomised controlled trial

Lin-Lin Su, Yap-Seng Chong, Yiong-Huak Chan, Yah-Shih Chan, Doris Fok, Kay-Thwe Tun, Faith S P Ng, Mary Rauff

BMJ 2007;335:596 (22 September)

Abstract

Objective To investigate whether antenatal breast feeding education alone or postnatal lactation support alone improves rates of exclusive breast feeding compared with routine hospital care.

Design Randomised controlled trial.

Setting A tertiary hospital in Singapore.

Participants 450 women with uncomplicated pregnancies.

Main outcome measures Primary outcomes were rates of exclusive breast feeding at discharge from hospital and two weeks, six weeks, three months, and six months after delivery. Secondary outcomes were rates of any breast feeding.

Results Compared with women who received routine care, women in the postnatal support group were more likely to breastfeed exclusively at two weeks (relative risk 1.82, 95% confidence interval 1.14 to 2.90), six weeks (1.85, 1.11 to 3.09), three months (1.87, 1.03 to 3.41), and six months (2.12, 1.03 to 4.37) postnatally.
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Breast-feeding: Good Starts, Good Outcomes

Marsha Walker RN, IBCLC
Journal of Perinatal and Neonatal Nursing July/September 2007 Volume 21 Number 3 Pages 191 – 197

Abstract

Meeting national breast-feeding objectives and mothers’ personal breast-feeding goals depends on a number of factors, including the provision of current, consistent, and timely help with breast-feeding. Nurses are in a prime position to guide mothers during their hospital stay and provide community follow-up postdischarge.

Mothers and infants need to acquire a set of breast-feeding skills prior to hospital discharge so that a mother goes home confident that she can adequately nourish her infant, initiate and maintain an abundant milk supply, avoid problems, and address them if they occur.
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A szoptatás támogatása a szülés körüli időszakban egészséges anya és érett újszülött esetén

ABM Clinical Protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term

Az Academy of Breastfeeding Medicine 5. számú protokollja

Cynthia R. Howard MD, MPH, FABM; Rosha Champion McCoy MD
Academy of Breastfeeding Medicine Protocol Committee, November 16, 2002

Háttér

A kórházi irányelvek és a kórházi rutin nagymértékben befolyásolják a szoptatás sikerét. [1–3] A szülés körül az édesanyáknak megfelelő támogatást, útmutatást és gondoskodást kellene kapniuk a kórházban annak érdekében, hogy a szoptatás sikeres megkezdése biztosítva legyen. Ez a kórházi eljárás annak a – már a szülés előtti időszakban megkezdődő – folyamatos gondozásnak és oktatásnak a része, amely a szoptatást mint a csecsemőtáplálás optimális módját mutatja be, és amely információkat tartalmaz a szoptatásnak az anya és a csecsemő egészségére gyakorolt jótékony hatásáról is.
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Maternal Race/Ethnicity and One-Month Exclusive Breastfeeding in Association with the In-Hospital Feeding Modality

Anna Petrova, Thomas Hegyi, Rajeev Mehta
Breastfeeding Medicine. 2007, 2(2): 92-98.

Abstract

There are a few studies on the consequence of the use of breastmilk substitutes during the postpartum hospital stay on the duration of breastfeeding in the culturally diverse populations of the United States. The main purpose of this study was to identify the association between the in-hospital feeding pattern and the infant’s postdischarge feeding modality during the first month of life in a culturally diverse population of women. Demographic, clinical, and feeding practice data was colleted from the medical charts and interviews of mothers conducted in the first month after singleton delivery of healthy term newborns.
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