Bejegyzés

Pamela D. Berens

Most ob/gyns are aware of the benefits of breastfeeding and the risks of not doing so. However, many do not appreciate the significant role that they play in supporting their patients’ breastfeeding efforts. Ob/gyns who are aware of some commonly held myths and who are familiar with strategies for breastfeeding can play a crucial role in a new mother’s breastfeeding success.

Myth #1: Breastfeeding and formula feeding are essentially equivalent.

Reality #1: Breastfeeding has significant benefits to both infants and mothers that are not matched by formula.

An abundance of scientific evidence confirms that breastfeeding conveys health advantages to both infants and mothers.
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Stevens J, Schmied V, Burns E, Dahlen H.
Maternal & Child Nutrition. doi: 10.1111/mcn.12128

Abstract

The World Health Organization and the United Nations International Children’s Emergency Fund recommends that mothers and newborns have skin-to-skin contact immediately after a vaginal birth, and as soon as the mother is alert and responsive after a Caesarean section. Skin-to-skin contact can be defined as placing a naked infant onto the bare chest of the mother. Caesarean birth is known to reduce initiation of breastfeeding, increase the length of time before the first breastfeed, reduce the incidence of exclusive breastfeeding, significantly delay the onset of lactation and increase the likelihood of supplementation.
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A. M. Stuebe and E. B. Schwarz
Journal of Perinatology (2010) 30, 155–162

Abstract

Infant feeding decisions affect maternal and child health outcomes, worldwide. Even in settings with clean water and good sanitation, infants who are not breast-fed face an increased risk of infectious, as well as non-infectious morbidity and mortality.

The decision not to breast-feed can also adversely affect mothers’ health by increasing the risk of pre-menopausal breast cancer, ovarian cancer, type II diabetes, hypertension, hyperlipidemia and cardiovascular disease. Clinicians who counsel mothers about the health impact of infant feeding and provide evidence-based care to maximize successful breast-feeding, can improve the short and long-term health of both mothers and infants.
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World Health Organization, 2009.

This Model Chapter brings together essential knowledge about infant and young child feeding that health professionals should acquire as part of their basic education. It focuses on nutritional needs and feeding practices in children less than two years of age – the most critical period for child nutrition after which sub-optimal growth is hard to reverse. The Chapter does not impart skills, although it includes descriptions of essential skills that every health professional should master, such as positioning and attachment for breastfeeding.

The Model Chapter is organized in nine sessions according to topic areas, with scientific references at the end of each section.
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Alison Stuebe, MD, MSc
Rev Obstet Gynecol. 2009 Fall; 2(4): 222–231.

Abstract

Health outcomes in developed countries differ substantially for mothers and infants who formula feed compared with those who breastfeed. For infants, not being breastfed is associated with an increased incidence of infectious morbidity, as well as elevated risks of childhood obesity, type 1 and type 2 diabetes, leukemia, and sudden infant death syndrome.

For mothers, failure to breastfeed is associated with an increased incidence of premenopausal breast cancer, ovarian cancer, retained gestational weight gain, type 2 diabetes, myocardial infarction, and the metabolic syndrome. Obstetricians are uniquely positioned to counsel mothers about the health impact of breastfeeding and to ensure that mothers and infants receive appropriate, evidence-based care, starting at birth.
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Winnipeg Regional Health Authority, 2005.
Revised in November 2009.

Világos, pontokba szedett, átlátható útmutató a szoptatás támogatásához és a szoptatási problémák megoldásához. Tünetek, hajlamosító tényezők, kezelés, teendők.

Segédanyagok a szoptatás vizsgálatához, algoritmusok stb.
Egyszerűen szuper!

A teljes dokumentum innen letölthető


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Nommsen-Rivers LA, Dewey KG.
Breastfeed Med. 2009 Oct;4 Suppl 1:S45-9.

Understanding normal growth for the healthy breastfed infant is an important component of promoting and supporting child health in general and breastfeeding in particular. Appropriate characterization of normative growth patterns in the breastfed infant has implications ranging from the proper clinical management of the individual breastfed infant to accurate evaluation of the role of breastfeeding in the prevalence of over- and undernutrition at national and international levels.

Over the past decade, knowledge regarding growth of breastfed infants, how it differs from that of infants fed human milk substitutes, and the need for appropriate standards has increased considerably.
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Grimshaw KE et al.
Allergy. 2009 Oct;64(10):1407-16.

Abstract

The relationship between infant feeding patterns and the later development of food allergies has been the focus of much debate and research over the last decade. National recommendations have been made by many countries on how to feed infants to reduce the risk of food allergy but due to the lack of firm evidence the recommendations differ widely. This review has been developed as part of EuroPrevall, a European multicentre research project funded by the European Union, to document the differing feeding recommendations made across Europe, to investigate the current evidence base for any allergy prevention feeding recommendations and to identify areas where further research is needed.
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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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