Bejegyzés

Breastfeeding and breast cancer

Freund C, Mirabel L, Annane K, Mathelin C.

Gynecol Obstet Fertil. 2005 Oct;33(10):739-44.

The objective of this review is to summarize the current knowledge about the impact of pregnancy and lactation on the risk of breast cancer and possibility of breastfeeding after breast cancer treatment.

A Pubmed search was carried out for publications in English or French from 1974 through 2004, related to breast cancer, pregnancy and breastfeeding. There is a transient increase in risk of breast cancer in the first three to four years after pregnancy, whereas during lifetime, the risk seems lower than in nulliparity. Lactation reduced the risk for breast cancer.
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Incidence and Clinical Manifestations of Breast Milk-Acquired Cytomegalovirus Infection in Low Birth Weight Infants

Dan Miron, Sharon Brosilow, Klari Felszer, Dan Reich, David Halle, Daniel Wachtel, Arthur I Eidelman and Yechiel Schlesinger

Journal of Perinatology (2005) 25, 299−303

Abstract

OBJECTIVES:
To determine the incidence and clinical manifestations of human breast milk (HMB)-associated acquired cytomegalovirus (CMV) infection in small premature infants.

STUDY DESIGN:
A prospective study of premature infants born at or prior to 32 weeks gestation, and or infants weighing 1500 g or less at birth. The babies were divided into two groups: Group 1 included babies of CMV seropositive mothers who received HBM throughout the study period. Group 2 included babies of seronegative mothers or babies that did not receive HBM at all.
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A szüléshez társuló pszichiátriai betegségek

dr. Páll Irén

LAM 2002;12(3):153-8.

ÖSSZEFOGLALÁS

A rövid irodalmi áttekintés legfontosabb célja a figyelem ráirányítása a szüléshez társuló pszichiátriai betegségek jelenségére és jelentőségére. Történeti visszatekintés, fogalmi meghatározás, epidemiológiai adatok ismertetése után a szerző a sokrétű, szorosan összefonódó etiológiai tényezőket térképezi fel, kiemeli a rizikófaktorokat; körvonalazza a szűrés, megelőzés, kezelés alapelveit. Annak ellenére, hogy e betegségek nagyon gyakoriak – és súlyos következményekkel járnak az egyén (anya-csecsemő egység), a család és társadalom számára egyaránt –, felismerésük még ma is nehézségekbe ütközik. A diagnózis felállítása mellett legalább annyira fontos a megfelelő terápia korai elkezdése. Végleges megoldásként a jövőben a megelőzésen lenne a hangsúly. A megvalósítás útja a leendő szülők, egészségvédő szakemberek és kutatók közötti összefogásra épül.
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Recommendations for breastfeeding during maternal infections

Lamounier JA, Moulin ZS, Xavier CC.
J Pediatr (Rio J). 2004 Nov;80(5 Suppl):S181-8.

Abstract

OBJECTIVE: To make a literature review on breastfeeding and maternal infectious diseases in order to contribute with knowledge and information that can aid the pediatrician to decide upon allowing infected mothers to breastfeed their babies or not.

SOURCES OF DATA: Lilacs and MEDLINE databases were searched for books, technical rules and articles on the issue of breastfeeding and infected mothers.

SUMMARY OF THE FINDINGS: Infected lactating mothers can transmit pathogenic agents to their infants. Although breastfeeding protects the child it can also be a dangerous source of infection.
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Influence of Infant Feeding Method on Postpartum Relapse of Mothers with MS

In an effort to determine relapse rates in breast-feeding and non–breast-feeding mothers with multiple sclerosis (MS) as well as differences in symptom prevalence between relapsing and non-relapsing mothers, weekly diaries through the first six postpartum months were kept by mothers to record the frequency and percentages of infant feeding by breast or formula and health problems that the mothers experienced. Of 140 mothers who breast-fed their infants, 35 (25%) experienced at least one neurologist-confirmed MS relapse during the first six months and 47 (33.6%) during the 12-month period; for non–breast-feeding mothers, 18 (51.4%) experienced relapse by six months and 22 (61.1%) by 12 months…
Decreased relapse rates during the first three months following delivery among breast-feeding mothers compared with non–breast-feeding mothers have implications for encouraging women with MS who wish to breast-feed their infants to do so, particularly if their pregnancy was free of relapse.
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Infant Health of Mothers With Multiple Sclerosis

Controversy surrounds whether mothers with multiple sclerosis (MS) who wish to breast-feed their infants should forgo breast-feeding in order to resume immunomodulating therapy following birth even though breast-feeding has not been shown to have deleterious effects on these mothers. Knowledge of potential health benefits to infants through breast-feeding could influence health care providers to encourage mothers with MS who wish to breast-feed to do so. This study of 140 breast-feeding and 35 non-breast-feeding mothers with MS identifies the type and prevalence of illnesses experienced by their infants during the first 6 postpartum months and at 9 months and 12 months. Significantly more non-breast-fed than breast-fed infants experienced otitis media, lower respiratory illness, constipation, milk intolerance, and allergy during the 1st year.
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HIV Transmission Through Breastfeeding – A Review of Available Evidence

Exclusive breastfeeding – breastfeeding with no other food or drink, not even water – is the ideal mode of infant feeding for the first six months of life. For optimal growth, development and health, infants should be exclusively breastfed for their first six months, and should then receive nutritionally adequate and safe complementary foods, while breastfeeding continues up to 24 months or beyond.
With the onset of the HIV/AIDS epidemic, however, and the recognition that HIV-infected mothers can transmit HIV to their infants through breastfeeding, specific recommendations apply to infants born to HIV-infected mothers. The overall aim of these recommendations is to achieve the ultimate goal of increasing child survival, while reducing HIV infection in infants and young children.
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Human Milk, Breastfeeding and Transmission of Human Immunodeficiency Virus in the United States

Physicians caring for infants born to women infected with human immunodeficiency virus (HIV) or at risk for HIV infection are likely to be involved in making recommendations concerning the appropriateness of breastfeeding or the use of expressed human milk.
PEDIATRICS Vol. 96 No. 5 November 1995 pp.977-979

A teljes cikk itt található.
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Prepregnant Overweight and Obesity Diminish the Prolactin Response to Suckling in the First Week Postpartum

Kathleen M. Rasmussen, ScM, ScD, RD and Chris L. Kjolhede, MD, MPH

PEDIATRICS Vol. 113 No. 5 May 2004, pp. e465-e471

ABSTRACT

Objective. The population subgroups with the highest proportion of overweight and obese women often are characterized by the lowest rates of initiation and shortest durations of breastfeeding. We previously documented that these 2 population-level trends may be related. In a population of white women who lived in a rural area, we observed that prepregnant overweight and obesity were associated with failure to initiate and also to sustain lactation. The means by which being overweight or obese negatively affect lactational performance is unknown and likely to be multifactorial in origin, including the simple mechanical difficulties of latching on and proper positioning of the infant.
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BREAST CANCER, PREGNANCY AND BREASTFEEDING

This document was developed by the Breast Disease Committee and approved by
Executive and Council of the Society of Obstetricians and Gynaecologists of Canada.

SOGC Clinical Practice Guidelines, No. 111, February 2002

Abstract

Objective: The primary objective of this guideline is to provide Canadian physicians up-to-date, accurate information and recommendations regarding:
i) impact of pregnancy and lactation on risk of breast cancer;
ii) prognosis of breast cancer diagnosed during pregnancy and lactation;
iii) risk of recurrence of breast cancer with the occurrence of subsequent pregnancies;
iv) feasibility of breastfeeding and its impact on the prognosis of women with breast cancer.

Options: This guideline reviews evidence on whether pregnancy and breastfeeding change the lifetime risk for breast cancer in women, and whether breast cancer diagnosed during pregnancy or during lactation has a different prognosis.
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