Breastfeeding Medicine最新文献

{"title":"Impact of Short-Term Freezing at -20°C on Macronutrient Content in Human Milk from Preterm Infants.","authors":"Birgul Livaoglu Say, Halil Ugur Hatipoglu, Hatice Buse Uras, Nurdan Uras","doi":"10.1177/15568253251383521","DOIUrl":"https://doi.org/10.1177/15568253251383521","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> Breast milk is an ideal food for newborns born term and preterm. The short-term storage of human milk (HM) involves freezing at low temperatures; however, its effects on macronutrients remain unclear. The macronutrients in HM are generally thought to be unaffected by short-term freezing. This study aimed to analyze the impact of freezing HM from preterm infants at -20°C for 5 days on macronutrient content. <b><i>Methods:</i></b> HM samples were collected from 54 mothers of preterm infants. Each sample was divided into three aliquots and stored at -20°C for 1 and 5 days. After thawing and homogenization, energy and macronutrient contents were measured using a HM infrared spectroscopy analyzer. <b><i>Results:</i></b> We analyzed 162 samples (from 54 mothers of preterm infants). Mean baseline concentrations in fresh milk were protein 1.55 ± 0.61 g/100 mL, carbohydrates 6.87 ± 0.81 g/100 mL, fat 4.29 ± 2.16 g/100 mL, and energy 75.9 ± 27.3 kcal/100 mL. Freezing at -20°C reduced protein to 1.33 ± 0.35 g/100 mL after 24 hours and 1.21 ± 0.38 g/100 mL after 5 days (14.2% and 21.9% decrease, <i>p</i> < 0.001), fat to 3.23 ± 1.15 g/100 mL and 3.04 ± 1.40 g/100 mL (24.7% and 29.1% decrease, <i>p</i> < 0.001), and energy to 64.3 ± 12.8 kcal/100 mL and 61.7 ± 16.1 kcal/100 mL, respectively (<i>p</i> < 0.001); carbohydrate content remained unchanged (<i>p</i> = 0.41). <b><i>Conclusions:</i></b> Freezing HM at -20°C for 5 days can significantly reduce critical nutrients, including fat and protein, suggesting the need for individualized fortification strategies to ensure optimal growth in preterm infants.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Outcomes in Mothers with Retracted Nipples in the Immediate Postnatal Period: A Prospective Observational Study.","authors":"Raksha Yadav, Akanksha Deshwali, Mayank Priyadarshi, Poonam Singh, Suman Chaurasia, Jaya Chaturvedi, Sriparna Basu","doi":"10.1177/15568253251384964","DOIUrl":"https://doi.org/10.1177/15568253251384964","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To evaluate immediate postnatal breastfeeding outcomes in mothers with retracted nipples managed with syringing and optimal lactation support, and to compare with outcomes in mothers without nipple deformity. <b><i>Methods:</i></b> In this prospective cohort study, all mothers admitted in the postnatal ward of a tertiary hospital were examined for nipple deformities, and mothers with retracted nipples were compared to those without nipple deformities for LATCH score, milk transfer, need for formula supplementation, direct breastfeeding (DBF), exclusive breastfeeding (EBF), breastfeeding problems and neonatal complications during hospital stay. Those with retracted nipples were routinely advised the syringing technique and provided additional lactation support. <b><i>Results:</i></b> Among screened mothers, the prevalence of retracted nipples was 12.5% (55/439), mostly grade 1 (24/55, 43.6%) and present bilaterally (45/55, 81.8%). Of these, 47 mothers with retracted nipples were compared with 47 matched controls. There were significant differences in LATCH score [mean (standard deviation) 6.6 (1.5) versus 8.5 (0.6); <i>p</i> < 0.001], milk transfer [mL; median (interquartile range) 10 (10-15) versus 17.5 (10-25); <i>p</i> < 0.001], and DBF rates [25/47 (53.2%) versus 42/47 (89.4%); <i>p</i> < 0.001] in mothers with and without retracted nipples, respectively. However, the need for formula supplementation, EBF rate, breastfeeding problems, and neonatal complications were similar in the two groups. <b><i>Conclusion:</i></b> A notable proportion of mothers have retracted nipples, which hinders DBF significantly in the immediate postnatal period. However, with optimal lactation support, most mothers with retracted nipples can achieve EBF without complications.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Raynaud's Phenomenon of the Nipple Triggered by Breast-Pump.","authors":"Ruth Fuente-Garrido, Sara Santamaria-Garilleti, Sandra Hojas-Gutiérrez, Sivia Garcia-Varga","doi":"10.1177/15568253251383537","DOIUrl":"https://doi.org/10.1177/15568253251383537","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Accuracy and Quality of Breastfeeding-Related Information on Instagram.","authors":"Aya Bou Fakhreddine, Samer Bou Karroum","doi":"10.1177/15568253251383914","DOIUrl":"https://doi.org/10.1177/15568253251383914","url":null,"abstract":"<p><p><b><i>Background:</i></b> Social media platforms, particularly Instagram, are increasingly used by new and expecting parents to seek health-related information, including guidance on breastfeeding. While this offers opportunities for accessible support, concerns persist regarding the accuracy and quality of content shared online. <b><i>Objective:</i></b> This study aimed to evaluate the accuracy and general quality of breastfeeding-related information shared on Instagram and to examine how these attributes vary by post characteristics, including format, content topic, and account type. <b><i>Methods:</i></b> A cross-sectional observational study was conducted using 80 top-performing Instagram posts identified through four popular breastfeeding-related hashtags. Posts were manually screened and assessed for eligibility. Accuracy was evaluated against official guidelines from the Centers for Disease Control and Prevention, World Health Organization, and American Academy of Pediatrics using a 4-point scale. General quality was assessed using the Global Quality Scale (GQS), a validated 5-point tool. Ordered logistic regression was used to assess associations between post characteristics and outcomes. <b><i>Results:</i></b> Overall, 38.8% of posts were completely accurate, while 36.3% were either mostly or completely inaccurate. The mean accuracy score was 3.7 (SD = 1.41), and the mean GQS was 4.0 (SD = 1.03). Image-based posts were significantly more accurate than videos (odds ratio [OR] = 2.52; 95% CI: 1.11-5.74), and posts by health care professionals had significantly higher quality scores (OR = 5.23; 95% CI: 1.66-16.54). Accuracy and quality scores were strongly correlated (ρ = 0.68, <i>p</i> < 0.001). <b><i>Conclusion:</i></b> While Instagram can serve as a valuable platform for breastfeeding education, content quality and accuracy vary widely. Posts by health care professionals tend to be more reliable. Public health efforts should focus on amplifying evidence-based content and mitigating misinformation to better support maternal and child health online.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Added Value of Low-Intensity Focused Ultrasound Treatment on Breast Recovery Following Aspiration of Breast Abscesses in Lactating Women.","authors":"Jingjing Li, Shuo Yang, Liping Zhu, Linghui Jiang, Yanhua Zhou, Liming Deng","doi":"10.1177/15568253251382576","DOIUrl":"https://doi.org/10.1177/15568253251382576","url":null,"abstract":"<p><p><b><i>Background:</i></b> Low-Intensity Focused Ultrasound (LIFU) may enhance tissue recovery and support breastfeeding post-aspiration. <b><i>Methods:</i></b> A total of 60 patients were randomly assigned to either a control group or a treatment group. Fifty-six participants completed the study, with two dropouts per group. The control group received ultrasound-guided aspiration and antibiotics for 3 days, while the treatment group additionally received LIFU therapy. Recovery of tissue structure at the abscess site was assessed. The primary outcome was the recovery time of breast tissue via ultrasound imaging. Secondary outcomes included pain scores, time for disappearance of local induration and abscess cavity, breastfeeding self-efficacy scores, breastfeeding rates, and repeat aspiration rates. <b><i>Findings:</i></b> The treatment group exhibited a significantly shorter recovery time for breast tissue compared to the control group. Induration disappearance time was also reduced in the treatment group. Significant differences in pain scores were noted 1 week post-surgery. Breastfeeding self-efficacy scores improved significantly in the treatment group at 2 weeks and 2 months post-surgery. Higher breastfeeding maintenance rates and lower cessation rates were observed in the treatment group. <b><i>Discussion:</i></b> The use of LIFU therapy appears to enhance tissue repair and support breastfeeding post-aspiration, offering a promising treatment option for lactating women with breast abscesses. <b><i>Conclusion:</i></b> LIFU treatment effectively promotes tissue repair, reduces recovery time, and improves breastfeeding outcomes after breast abscess aspiration. The Clinical Trial registration number: ChiCTR2200060973 (registration date: June 14, 2022). Version Date: 22 May 2025.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why Emphasize Early Postpartum Pumping? The Critical Window for Coming to Volume in Pump-Dependent Mothers and Its Predictive Value for Feeding Method at Preterm Infants' Discharge.","authors":"Yue Peng, Yongqi Liang, Xiaoke Jiang, Li Sun, Kuiyan Yang, Jiayu Chen, Caixin Yin","doi":"10.1177/15568253251381804","DOIUrl":"https://doi.org/10.1177/15568253251381804","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> Mothers of preterm infants who experience mother-infant separation frequently face increased challenges with lactation. This study aims to analyze the critical window for coming to volume (CTV) and its associated risk factors in pump-dependent mothers and to investigate the predictive value of postpartum expressed milk volume for the feeding method at discharge in preterm infants. <b><i>Study Design:</i></b> A prospective observational study was conducted between July 2020 and February 2021. Lactation diaries kept by mothers of preterm infants admitted to a neonatal intensive care unit in Guangzhou, China, were collected during this period. Binary multivariable Logistic regression, time-series analysis, Spearman correlation analysis, and K-Prototype cluster analysis were employed to investigate the critical window for CTV and its risk factors. The area under the receiver operating characteristic curves were used to evaluate the ability of expressed milk volume during postpartum days 8-14 to predict the feeding method at discharge for preterm infants. <b><i>Results:</i></b> Data from 1,232 diary days completed by 88 mothers were analyzed. 51.14% of mothers of preterm infants failed to CTV. Unscheduled pumping, a lower average pumping frequency on postpartum day 1-7, a lower average expressed breast milk volume on postpartum day 1-7, and a small intra-session bilateral volume discrepancy were identified as independent risk factors for no-CTV. During postpartum days 3-7, both pumping frequency and milk volume increased progressively. The frequency and volume of pumping between postpartum days 3 and 7 positively correlated with the milk volume on postpartum day 14. Clustering analysis based on early postpartum pumping behaviors identified two groups: High-Frequency Timed Group (HFTG) and Low-Frequency Untimed Group. The HFTG exhibited higher pumping frequency and milk volume, indicating a greater likelihood of achieving CTV. The expressed breast milk volume on postpartum day 8 significantly predicted the feeding method at discharge (Area Under the ROC Curve [AUC] [95% confidence interval]: 0.831 [0.746-0.916]), with no statistically significant difference in predictive performance compared to volumes on days 9-14 (<i>p</i> > 0.05). <b><i>Conclusion:</i></b> Postpartum days 3-7 represent the critical window for CTV among mothers of preterm infants, during which pumping behavior directly influences CTV. Postpartum day 8, as the first day following the critical window, provides an early and effective prediction of feeding outcomes at discharge.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Clinical Use of \"Early Weight Loss Nomograms\" on Predicting Development of Hypernatremia.","authors":"Beril Yasa, Meltem Bor, Leyla Bilgin, Aysun Buzcu Kadakal, Gizem Kavram, Zeynep Ince, Asuman Coban","doi":"10.1177/15568253251382561","DOIUrl":"https://doi.org/10.1177/15568253251382561","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> To define the safe weight loss percentile threshold for the development of hypernatremia by using the \"early weight loss nomograms.\" <b><i>Methods:</i></b> This retrospective study included exclusively breastfed healthy neonates over 36 weeks' of gestation. (n = 450). Daily percentage points of weight loss were plotted on the \"early weight loss nomograms for exclusively breastfed neonates.\" The presence of hypernatremia was checked if infants lost ≥5% of their birth weight. Hypernatremia was classified as mild, moderate, or severe. The relation of weight loss rates and percentiles to development of hypernatremia was assessed. <b><i>Results:</i></b> The mean gestational age was 38.6 ± 1.3 (36.0-42.3) weeks; the mean birth weight was 3,200 ± 482 g. The mean total weight loss percentage before discharge was 5.9% ± 1.6% (0.5%-17%). The weight loss percentages within first 24 hours were similar in infants born via cesarean section or vaginal delivery (6% ± 1.6% vs. 5.4% ± 1.7%). Mild or moderate hypernatremia developed in 145 infants (32.2%). ROC analyses showed that weight loss of ≥5.5% could predict the development of hypernatremia (AUC = 0.665) and weight loss of ≥7% could predict the development of moderate hypernatremia (AUC = 0.915). Weight loss percentile of ≥75 could also predict the development of hypernatremia with 73% sensitivity and 46% specificity (AUC = 0.622). <b><i>Conclusion:</i></b> To the best of our knowledge, this is the first study to evaluate the relationship between weight loss nomogram percentiles and the development of hypernatremia. Even if the weight loss is within the defined acceptable normal ranges and percentiles, hypernatremia may develop if the weight loss is greater than the 75^th percentile values.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seven Years of Breastfeeding Consultations at the National Lactation Study Center-June 2018 to December 2024.","authors":"Rogelio Perez-D'Gregorio, Casey B Rosen-Carole, Atsuo Chiu, Michele Burtner, Sandra H Jee, Richard K Miller","doi":"10.1177/15568253251380549","DOIUrl":"https://doi.org/10.1177/15568253251380549","url":null,"abstract":"<p><p><b><i>Background:</i></b> The National Lactation Study Center was established by Ruth Lawrence, MD, in 1981 to offer consultations on complex breastfeeding and lactation issues. In 2018, a REDCap® database was developed to track cases. <b><i>Methods:</i></b> We conducted a retrospective, observational review of cases from June 2018 to December 2024. We report frequencies of exposures (medication and toxin), along with geographic area, provider type, and lactation concerns. <b><i>Results:</i></b> We recorded 4,965 consultations (4,791 exposures and 174 breastfeeding management encounters). There were 4,941 cases from 44 states (United States), and 24 cases from other countries. Most occurred by telephone (<i>n</i> = 3,394; 71%), with fewer by email (<i>n</i> = 1,522; 28%). There were 4,049 (82%) from providers and 916 cases (18%) from consumers/patients. Of these, lactation consultants were the primary users (<i>n</i> = 2,915; 72%), with physicians accounting for 14% (<i>n</i> = 578). There were 10,435 total medications reviewed, with most cases involving ≤2 medications (<i>n</i> = 6,395; 61%). Drugs with central nervous system (CNS) activity accounted for the largest portion of queries (<i>n</i> = 5,389; 52%). Most lactation management cases were primarily maternal-side concerns such as low milk supply or oversupply (<i>n</i> = 116; 85%), fewer were primarily infant concerns, such as rare metabolic and cardiac conditions (<i>n</i> = 21; 15%), and questions related to human milk, including milk storage and properties (<i>n</i> = 17; 11%). <b><i>Conclusion:</i></b> Inquiries regarding medications with CNS activity were the most prevalent. Of management concerns, most were related to low or oversupply of milk. The use of this service reflects an ongoing need for information on medication use and complex concerns in lactation.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Following Spinal Cord Injury: A Descriptive Population Study.","authors":"Elaine Carson, Claire Mazzia, Anne Berndl","doi":"10.1177/15568253251380696","DOIUrl":"https://doi.org/10.1177/15568253251380696","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> There is little in the current literature regarding breastfeeding after a previous spinal cord injury (SCI). Potential concerns include challenges with let-down reflex and autonomic dysreflexia. This study aims to assess SCI- specific breastfeeding challenges as well as duration of breastfeeding in this population. <b><i>Methods:</i></b> This study is a subgroup analysis of a larger online international questionnaire distributed to women with SCI. Pregnancies following SCI resulting in live births >20 weeks were included. Demographic information, breastfeeding outcomes, and perceived support were assessed. <b><i>Results:</i></b> The recruitment rate was 85.4% (1,056/1,237) and completion rate was 73.8% (780/1,056). The pregnancies were from individuals with SCI levels C1-T9. 129/159 live births were followed by an attempt to breastfeed, and of these, 111 were successful in breastfeeding for a minimum of 2 weeks. Nine were affected by autonomic dysreflexia (AD). For 4/9 (44%) individuals, it was their first episode of AD. If a person had previous episodes of AD, there was a 2/52 (4%) chance of this being triggered by breastfeeding. In total, 28/210 (13%) had difficulty with let-down reflex (levels ranged from C4 to S1). <b><i>Conclusions:</i></b> Overall the majority of people who had a pregnancy following SCI attempted to and were successful in breastfeeding for at least 2 weeks. This outcome was regardless of the level of injury. Barriers in the form of AD or difficulty with let-down reflex were uncommon. This observational study should help encourage pregnant women post SCI and provide support for counseling by their health care providers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Early Kangaroo Care and Breastfeeding Approach Through Polyethylene Wrap in Collodion Baby Syndrome: A Case Report.","authors":"Enrico Perre, Elisa Pasquali, Morena De Angelis, Piero Catenazzi, Alessandra Vancini, Giovanna Mescoli, Mario Motta","doi":"10.1177/15568253251380561","DOIUrl":"https://doi.org/10.1177/15568253251380561","url":null,"abstract":"<p><p><b><i>Background:</i></b> Collodion baby syndrome (CBS) is a rare neonatal dermatological disorder characterized by a restrictive membrane covering the infant's skin, impairing thermoregulation, increasing infection risk, and causing significant pain. Early parent-infant bonding and breastfeeding are challenging due to the fragile skin barrier, with limited evidence on safe approaches to enable these critical interventions. This report explores the use of sterile polyethylene wrap to facilitate kangaroo care (KC) and breastfeeding in a neonate with CBS. <b><i>Materials and Methods:</i></b> A full-term female newborn diagnosed with CBS was admitted to the NICU in stable condition. Skin was encased by a shiny, tight membrane with mild ectropion. Initial management included humidified incubator care, fluid and electrolyte monitoring, and topical emollients. From day two, KC was initiated using sterile polyethylene wrap as a protective barrier to prevent skin trauma. Pain was assessed systematically using the EDIN and N-PASS scales at baseline, during, and after KC sessions. <b><i>Results:</i></b> Kangaroo care sessions under polyethylene wrap were safely conducted with continuous cardiorespiratory monitoring. Both pain scales demonstrated a significant reduction in pain scores during KC compared to baseline. The polyethylene wrap maintained thermal stability and skin integrity while allowing safe breastfeeding and enhancing parental bonding. No adverse events or infections occurred and the neonate was discharged with good clinical condition after progressive skin healing. <b><i>Conclusion:</i></b> Sterile polyethylene wrap is a feasible, safe, and effective method to enable early kangaroo care and breastfeeding in neonates with CBS, addressing the unique challenges of skin fragility and pain management. This approach supports optimal pain control, thermal stability, and parental bonding, bridging medical care with psychosocial needs. Further studies are warranted to establish standardized protocols for this vulnerable population.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}