Journal of mother and childPub Date : 2024-12-15eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00036
Ayah Fraihat, Lina Abdelfattah, Leen Hajeer, Deema Noaman, Aya Alfaleh, Fida Thekrallah
{"title":"The Relationship between the Intrapartum Experience and the Risk of Postpartum Depression among Jordanian Women: A Cross-Sectional Study.","authors":"Ayah Fraihat, Lina Abdelfattah, Leen Hajeer, Deema Noaman, Aya Alfaleh, Fida Thekrallah","doi":"10.34763/jmotherandchild.20242801.d-24-00036","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00036","url":null,"abstract":"<p><strong>Background: </strong>This study seeks to investigate the relationship between birth experience and risk of developing postpartum depression among Jordanian women. Furthermore, it aims to explore the prevalence and risk factors of postpartum depression and raise awareness of it among Jordanians.</p><p><strong>Material and methods: </strong>This study was carried out on 214 postpartum Jordanian women at Jordan University Hospital (JUH). A questionnaire was handed to participants which touched on demographics, intrapartum experience, along with the Edinburgh Postnatal Depression Scale (EPDS), and the psychosocial factors affecting them.</p><p><strong>Results: </strong>Among the 214 respondents, 184 women (86%) had postpartum depression according to EPDS, those with high scores and statistically significant p-values include individuals diagnosed with depression (15.89, p = 0.163), those who had previous consultations with a mental health specialist (16.61, p = 0.037), individuals under 18 (18.75, p = 0.028), those who underwent vaginal delivery (15.12, p = 0.008), underwent episiotomy (15.92, p = 0.023), lacked support from the medical team (13.21, p < 0.001), expressed dissatisfaction with childbirth care (17.03, p < 0.001), experienced body image issues during pregnancy (15.74, p = 0.008) and after birth (16.11, p = 0.001), felt anxiety about motherhood (15.88, p < 0.001), reported insufficient emotional support during pregnancy (17.49, p < 0.001), and after childbirth (17.00, p < 0.001).</p><p><strong>Conclusion: </strong>A significant proportion of Jordanian women are at an increased risk of developing postpartum depression. A maternal age under 18, normal vaginal delivery including episiotomy, and lack of support among others were identified as risk factors for postpartum depression (PPD).</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-11-20eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00032
Ermioni Palaska, Eleni Golia, Evgenia Zacharogianni, Anastasia Bothou, Maria Tziriridou-Chatzopoulou, Maria Dagla, Evangelia Antoniou, Eirini Orovou
{"title":"Risk of Transmission of COVID-19 from the Mother to the Foetus: A Systematic Review.","authors":"Ermioni Palaska, Eleni Golia, Evgenia Zacharogianni, Anastasia Bothou, Maria Tziriridou-Chatzopoulou, Maria Dagla, Evangelia Antoniou, Eirini Orovou","doi":"10.34763/jmotherandchild.20242801.d-24-00032","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00032","url":null,"abstract":"<p><strong>Introduction: </strong>People's lives have been impacted in every way by the COVID-19 pandemic and it had a variety of effects on pregnancy and childbirth, including decreased access to healthcare providers who can attend to the needs of expectant mothers and their foetuses. These effects can be attributed to the infection's effects on the mother and foetus.</p><p><strong>Aim: </strong>The aim of this research was to investigate the probability of vertical transmission of COVID-19 from the pregnant mother to the foetus.</p><p><strong>Methods: </strong>A comprehensive systematic search was conducted on the PubMed, SCOPUS, and Web of Science databases to identify original research articles published from 2019 to 2021. The search aimed to locate cohort studies, case series, and reports focusing on pregnant individuals with COVID-19, specifically those containing information on COVID-19 testing for foetuses or newborns.</p><p><strong>Results: </strong>In this systematic review, studies showed that the possibility of vertical transmission from a COVID-19-infected mother to the foetus or neonate is rare.</p><p><strong>Conclusion: </strong>With regards to the theoretical framework proposed regarding the vertical transmission of COVID-19 from the pregnant woman to the foetus or neonate, there exists a potential risk of transmission. Nevertheless, documented instances of confirmed vertical transmission are limited and inadequately documented in the available literature.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"94-101"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-10-23eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00006
Lujain Al-Omari, Adam Stranberg, Maria Franco Fuenmayor, Sunil Jain
{"title":"Case Report-Severe Hyponatremia at Birth in a Premature Infant.","authors":"Lujain Al-Omari, Adam Stranberg, Maria Franco Fuenmayor, Sunil Jain","doi":"10.34763/jmotherandchild.20242801.d-24-00006","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00006","url":null,"abstract":"<p><strong>Background: </strong>Given the role of the placenta in maintaining maternal-fetal equilibrium, changes in maternal sodium levels affect the fetus. Clinicians must also account for the direct impact of maternal conditions and medications on the neonate. Gestational hyponatremia develops in approximately one-third of mothers with preeclampsia with severe features. Additionally, the use of selective antidiuretic (V2 receptor) agonist 1-deamino-8-D-arginine-vasopressin, commonly known as DDAVP, during pregnancy leads to maternal hyponatremia by inhibiting maternal diuresis. We present a case of severe hyponatremia in a premature infant born to a mother with preeclampsia with severe features who was taking DDAVP for von Willebrand Disease (VWD).</p><p><strong>Case: </strong>A preterm female infant was born at 34 weeks gestation to a mother with pre-eclampsia with severe features treated with magnesium sulfate, and the use of DDAVP for VWD was found to have severe hyponatremia (122 mmol/L). Causes of hyponatremia were explored, such as mineralocorticoid deficiency, renal tubular dysfunction, inappropriate secretion of antidiuretic hormone (SIADH), and renal failure. Initial investigation of the neonatal hyponatremia prompted obtaining a maternal serum sodium level, which also demonstrated severe hyponatremia (122 mmol/L), identical to the infant's serum sodium level. The infant was managed with fluid restriction and close monitoring of serial serum and urine chemistries. Gradually, serum sodium levels increased and normalized by day 4 of life. We speculate that severe maternal hyponatremia induced by preeclampsia with severe features, along with the use of DDAVP during pregnancy, led to fetal and neonatal hyponatremia.</p><p><strong>Conclusion: </strong>DDAVP during pregnancy to treat VWD is associated with maternal hyponatremia and subsequent neonatal hyponatremia. It is important to monitor electrolytes in neonates born to mothers treated with DDAVP to promptly correct electrolyte abnormalities.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"83-86"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-10-23eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00004
Olga Olszak, Jarosław Kalinka
{"title":"The Impact of Undetected Hyperglycaemia During Pregnancy on Maternal and Neonatal Outcomes.","authors":"Olga Olszak, Jarosław Kalinka","doi":"10.34763/jmotherandchild.20242801.d-24-00004","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00004","url":null,"abstract":"<p><strong>Background: </strong>Despite clear diagnostic criteria for hyperglycaemia first detected in pregnancy, many pregnant women do not have the proper diagnosis. The following paper analyses the course of the perinatal period in pregnant women with undetected hyperglycaemia and their newborns.</p><p><strong>Materials and methods: </strong>Medical data of patients hospitalized in the Department of Perinatology between 2020 and 2022 was verified: 1st group: 40 patients with undetected hyperglycaemia, 2nd group: 40 with the diagnosis of gestational diabetes during pregnancy and adequate therapeutic management. The course of the perinatal period, abnormalities in the oral glucose tolerance test (OGTT) and the compliance with recommended postpartum tests were analysed.</p><p><strong>Results: </strong>There were significant differences in the newborn weights (p=0.039) - in the 1st group 15% large for gestational age (LGA) vs. 0% in the 2nd, and the occurrence of neonatal hyperbilirubinemia requiring phototherapy (p=0.007) - 22.5% in the 1<sup>st</sup> group vs. 2.5% in the 2<sup>nd</sup>. The most common mistake in the OGTT was evaluation of fasting plasma glucose. In the 1<sup>st</sup> group, no effect on incidence of hypertensive disorders, time or the route of delivery was observed. 75% from the 1<sup>st</sup> group and 36% from the 2<sup>nd</sup> did not perform postpartum OGTT (p=0.003).</p><p><strong>Conclusion: </strong>Hyperglycaemia in pregnancy is often undetected, which has a negative impact, especially on the neonates. In our study, LGA and hyperbilirubinaemia were significantly more common in neonates of mothers with undetected hyperglycaemia. These women had significantly more careless attitude to the postpartum diagnostic, which may influence future health and course of subsequent pregnancies. New and more effective methods of educating practitioners need to be implemented.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-10-07eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00035
Amna Zaheer, Areeba Ahsan, Anum Akbar
{"title":"Does the Short-Lived First Human Milk Bank of Pakistan Hold Any Promise for the Future?","authors":"Amna Zaheer, Areeba Ahsan, Anum Akbar","doi":"10.34763/jmotherandchild.20242801.d-24-00035","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00035","url":null,"abstract":"","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Maternal Risk Factors for Neonatal Hypernatremic Dehydration: A Systematic Review.","authors":"Zakerihamidi Maryam, Rakhshanizadeh Forough, Moradi Ali, Ramezani Asal, Boskabadi Hassan","doi":"10.34763/jmotherandchild.20232701.d-24-00007","DOIUrl":"10.34763/jmotherandchild.20232701.d-24-00007","url":null,"abstract":"<p><strong>Background: </strong>Neonatal hypernatremic dehydration (NHD) is a severe condition associated with neonatal morbidity and mortality.</p><p><strong>Purpose: </strong>The present study evaluated maternal risk factors, including duration of maternal hospitalisation, primiparity, caesarean section, and pregnancy complications, as well as social factors, such as depression, fatigue, and inadequate support for NHD.</p><p><strong>Data sources: </strong>PubMed, Cochrane Library, International Scientific Indexing, Scopus, and Google Scholar were the databases searched until 2023.</p><p><strong>Study selection: </strong>Articles written in English or Persian focusing on the relationship between maternal risk factors and NHD among neonates and providing sufficient information on NHD were included in this study. On the other hand, articles whose abstracts were only available were excluded.</p><p><strong>Data extraction: </strong>The extracted data were presented in Excel software with the following titles: authors' names, year, type of study, study location, and maternal risk factors. The methodological quality of the articles was determined using the quality assurance tool for the diagnostic accuracy score (QUADAS).</p><p><strong>Results: </strong>Of the 58 searched articles, 16 were investigated, which included five prospective, seven cross-sectional, and four retrospective articles. Maternal risk factors for NHD included labour and delivery complications, childbirth complications, factors causing insufficient breast milk intake (including breast milk insufficiency, nipple problems, wrong breastfeeding techniques, breast disorders, types of feeding, and breastfeeding training/counselling in pregnancy), as well as delivery and the postpartum period.</p><p><strong>Implications for practice and research: </strong>Maternal problems in pregnancy and delivery, breast disorders, breastfeeding status, maternal knowledge, and lactation skills are the most common maternal risk factors for NHD. Timely (antenatal) identification and proper management of maternal risk factors help reduce the incidence and severity of NHD complications.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"70-79"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11305854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-07-23eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00013
Meropi Moutzouri, Antigoni Sarantaki, George Koulierakis, Kleanthi Gourounti
{"title":"Coping Strategies Associated with Emotional Adjustment during the Dyadic Experience of Infertility and Its Treatment: A Systematic Review.","authors":"Meropi Moutzouri, Antigoni Sarantaki, George Koulierakis, Kleanthi Gourounti","doi":"10.34763/jmotherandchild.20242801.d-24-00013","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00013","url":null,"abstract":"<p><strong>Background: </strong>The aim of this systematic review was to reveal which of the coping strategies used by one partner are protective of and which pose a risk to the other partner's psychological adjustment during the treatment of infertility.</p><p><strong>Material and methods: </strong>A systematic search of four electronic databases (PubMed, APA PsycINFO, SCOPUS, ScienceDirect), as well as the references of the retrieved articles, was performed between May and September 2023 for studies published from 1990 until 2023, using appropriate MeSH terms and associated text words. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Using an a priori developed pilot data extraction form, authors performed an independent extraction of articles. Information on participants, coping mechanisms, and psychological adjustment was extracted from each study. Relevant articles were critically appraised, and a narrative synthesis was conducted based on the different designs and outcome measures among the included studies.</p><p><strong>Results: </strong>A total of 194 articles were retrieved, and 187 were excluded for not meeting the inclusion criteria. After duplicates had been removed, five studies were included in the review. The results revealed that the psychological adaptation of infertile couples at an interpersonal level may be correlated with both the type of coping and the stage of the stressor (infertility treatment or in vitro fertilisation - IVF).</p><p><strong>Conclusion: </strong>This systematic review suggests that health professionals could design and apply interventions based on modifying the coping mechanisms of infertile spouses to increase levels of well-being and decrease levels of distress.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-06-26eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00001
Kimberley T Jackson, Panagiota Tryphonopolous, Julia Y Yates, Katie J Shillington, Tara Mantler
{"title":"\"Do it for Your Kid\": Resilience and Mothering in the Context of Intimate Partner Violence in Rural Ontario.","authors":"Kimberley T Jackson, Panagiota Tryphonopolous, Julia Y Yates, Katie J Shillington, Tara Mantler","doi":"10.34763/jmotherandchild.20242801.d-24-00001","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00001","url":null,"abstract":"<p><p>Intimate partner violence (IPV) includes multiple forms of harm inflicted on an intimate partner. Experiences of IPV impact mental and physical health, social relationships, and parenting and resilience may play an important role in how women overcome these detrimental effects. There is little research on how resilience relates to mothers' experience of IPV. We explored the role of resilience in the context of mothers who have experienced IPV in rural settings via semi-structured interviews with six women and 12 service providers. The relationship between resilience and motherhood was a common theme across all narratives. From this theme emerged three subthemes: 1) breaking the cycle of abuse; 2) giving children the \"best life\"; and 3) to stay or to leave: deciding \"for the kids\". Findings underscore the importance of supporting rural women who experience violence in cultivating their resilience and consideration of policy changes which support trauma- and violence-informed care.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"51-60"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-06-26eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00020
Łukasz Wieprzowski, Zbigniew Surowiec, Ewa Sawicka, Andrzej Brudnicki
{"title":"Surgical Treatment of Lip Pits in Van der Woude Syndrome: A Preliminary Retrospective Study of 24 Patients.","authors":"Łukasz Wieprzowski, Zbigniew Surowiec, Ewa Sawicka, Andrzej Brudnicki","doi":"10.34763/jmotherandchild.20242801.d-24-00020","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00020","url":null,"abstract":"<p><strong>Background: </strong>Van der Woude syndrome (VWS) is a rare congenital malformation characterized by lower lip pits among patients with a lip and/or palate cleft. It is transmitted by an autosomal dominant inheritance with variable expressivity.</p><p><strong>Methods: </strong>The study group consisted of 24 consecutive patients (13 males and 11 females) with VWS operated on at a single center between 2009 and 2022. They suffered from: bilateral cleft lip and palate - 6 patients; unilateral cleft lip and palate - 9 patients; cleft lip - 1 patient; and isolated cleft palate - 8 patients.</p><p><strong>Results: </strong>In 16 (66%) cases pits of lower lip occurred on both side of midline, while in 8 (34%) the pits were detected unilaterally. The primary cleft repairs were performed according to one-stage principle at the mean age of 8.6 months (SD 1.4, range 6-12). In all patients lower lip pits repairs were performed after the primary cleft repairs as a separate procedure at the mean age of 37 months (SD 11.3 range 14-85). The mean number of all primary repairs of the syndrome-both cleft defect and lower lip pits repairs-was 2.46. Nine patients (37.5%) required additional secondary corrections of the lower lip due to the poor aesthetic post-operative outcome.</p><p><strong>Conclusions: </strong>The frequent need for secondary corrections of residual lower lip deformities indicates the considerable difficulties in obtaining a satisfactory outcome of the repairs to lip pits caused by VWS. The average number of the primary surgical interventions in evaluated material remained low.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of a Pharmacy Developed, Outpatient Lactation Consultant Initiated Domperidone Programme.","authors":"Katherine Chinnery, Stephanie Wai Khuan Teoh, Tamara Lebedevs, Myra Kildunne, Nabeelah Mukadam","doi":"10.34763/jmotherandchild.20242801.d-23-00093","DOIUrl":"10.34763/jmotherandchild.20242801.d-23-00093","url":null,"abstract":"<p><strong>Background: </strong>Domperidone is a commonly prescribed galactagogue used off-label for lactation insufficiency. Prescriber unfamiliarity or safety concerns can lead to therapeutic delay and potential early breastfeeding discontinuation. To facilitate access, the study site pharmacy department developed a Structured Administration and Supply Arrangement (SASA) for International Board-Certified Lactation Consultants (IBCLC) to screen and initiate domperidone using a checklist.</p><p><strong>Material: </strong>To validate a domperidone screening tool via analysis of its use and compliance, together with a staff satisfaction survey.</p><p><strong>Methods: </strong>Records were extracted from the REDCap® database for women with documented domperidone supply between 06/05/2022 and 27/01/2023 and reviewed with medical records. A staff survey was distributed assessing compliance and attitudes towards the SASA.</p><p><strong>Results: </strong>Records of supply revealed that 34% (17/50) of patients were referred to a physician, revealing a discrepancy between database documentation and checklists, as no referrals were documented. Overall staff satisfaction with the SASA was rated 4.6 out of 5. 77.7% (7/9) felt confident counselling and supplying domperidone with the SASA in place. 88.9% (8/9) felt confident using the checklist to identify the appropriateness of therapy and referral to a physician.</p><p><strong>Conclusions: </strong>The system in place allows the IBCLCs to initiate and supply domperidone in a timely manner to breastfeeding mothers with lactation insufficiency. The support tools, including domperidone SASA, REDCap® documentation database and the checklist domperidone as a Galactagogue Checklist, can be greatly appreciated by the LCs. Continued discussion with IBCLCs to refine and improve the SASA and associated education package will result in more consistent compliance.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}