Breastfeeding Medicine最新文献

{"title":"Breastfeeding Challenges Experienced by Mothers Following Multiple Births-a Systematic Review and Meta-Synthesis of Quantitative, Qualitative, and Mixed-Methods Studies.","authors":"Geeta Bhardwaj, Moonjelly Vijayan Smitha, Prasuna Jelly, Shine Stephen, Jessica Eustace- Cook, Sunita Panda","doi":"10.1089/bfm.2024.0207","DOIUrl":"https://doi.org/10.1089/bfm.2024.0207","url":null,"abstract":"<p><p><b><i>Background:</i></b> Breastfeeding is vital for infant nutrition, especially for multiple babies (twins) born prematurely, yet breastfeeding rates among mothers of twins are lower compared with mothers of singleton babies. This review presents a synthesis of research findings on breastfeeding challenges experienced by mothers following twins' births. <b><i>Methods:</i></b> The electronic databases of CINAHL, MEDLINE, PsycINFO, EMBASE, and Web of Science were systematically searched in August 2023. All eligible quantitative, qualitative, and mixed-methods studies reported on breastfeeding challenges experienced by mothers of twins were included. The review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and followed Lucas et al.'s framework for thematic synthesis. Two reviewers independently screened all studies by title, abstract, and full text. The methodological quality of studies was independently assessed by two reviewers using the Joanna Briggs Institute critical appraisal tool and mixed-methods appraisal tool based on study design. <b><i>Results:</i></b> The review included 16 studies: quantitative (<i>n</i> = 5), qualitative (<i>n</i> = 8), and mixed methods (<i>n</i> = 3), published between 1980 and 2022, involving 3,351 mothers from 16 countries. Three main themes were generated as follows: (1) transitioning to a new role, finding the balance between self and the newborns' needs; (2) the inevitability of emotional challenges; and (3) navigating support and information. <b><i>Conclusion:</i></b> The integrated findings of quantitative, qualitative, and mixed-methods studies on challenges experienced by mothers of twins will have scope for researchers to address the challenges through tailored intervention, education, and support and can help health care professionals revisit policy and practices to extend support services for mothers of twins beyond the initial postpartum and to the community for improving breastfeeding practices among mothers following multiple births.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920472","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":"Development of a Breastfeeding and Lactation Medicine Division Over a Seven-Year Period: An Homage to Dr Ruth A. Lawrence.","authors":"Casey B Rosen-Carole, Michele Burtner, Ann Dozier, Lynsey Garver, Scott Hartman, Anna Jack, Kirsi Jarvinen, Oriana Ly-Mapes, Kathleen Palmiter, Rogelio Perez-D'Gregorio, Bridget E Young","doi":"10.1089/bfm.2023.0279","DOIUrl":"https://doi.org/10.1089/bfm.2023.0279","url":null,"abstract":"<p><p><b><i>Background:</i></b> Breastfeeding and Lactation Medicine (BFLM) programs at academic medical centers are uncommon but expanding. Our academic medical center, with a long legacy of leadership in BFLM, established a BFLM program in 2016 and launched a dedicated division in 2022. <b><i>Objectives:</i></b> To describe the strategy, services, measures, and challenges facing our multidisciplinary academic BFLM program in its first 8 years. <b><i>Methods:</i></b> To support the development of the Division, we proved clinical need, built capacity, and determined key outcomes. We organized partnerships across clinical and research programs and developed leadership and reporting structures. These services and programs coalesced to form the first Division of Breastfeeding and Lactation Medicine in 2022, including multiple specialties (pediatrics, obstetrics, family medicine, nutrition research, toxicology, public health, dentistry) and provider types (nursing, lactation consultants, physicians, midwife, nurse practitioner, PhD, dentist). Challenges included variable buy-in, staff training, reimbursement, medical record infrastructure, and data reports. Challenges to research included funding and clinical integration. <b><i>Conclusion:</i></b> A multidisciplinary BFLM Division at a large academic medical center was formed, spanning our clinical, research, and educational missions. Integration into traditional academic structures brings essential resources, enables participation in medical center leadership, and promotes the sustainability of divisional activities.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920491","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":"Mother-Infant Bed-sharing Is Associated with Increased Breastfeeding: A Systematic Review.","authors":"Rebecca L Wolf, Iva Skobic, Benjamin T Pope, Angela Zhu, Hassan Chamas, Nishtha Sharma, Kayla M Larsen, Harold S Bright, Patricia L Haynes","doi":"10.1089/bfm.2024.0060","DOIUrl":"https://doi.org/10.1089/bfm.2024.0060","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> To review current knowledge of the association between bed-sharing and breastfeeding behaviors during infancy. <b><i>Methods:</i></b> A systematic review methodology was employed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses method and utilizing the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies for quality assessment. Inclusion criteria were quantitative or mixed-methods studies published between 1993 and 2022 that provided data on the association between bed-sharing and breastfeeding for postpartum mothers of infants 0-12 months. We excluded studies that utilized breastfeeding as the independent variable and bed-sharing as the dependent variable. <b><i>Results:</i></b> A total of 24 studies met the inclusion criteria, 11 of which were prospective/longitudinal and 13 of which were cross sectional. Eight of the longitudinal studies found a significant positive association between bed-sharing and breastfeeding (73%), and nine of the cross-sectional studies (69%) found a positive association. <b><i>Conclusion:</i></b> Many postpartum women bed-share with their infants. Bed-sharing is associated with an increase in breastfeeding for most women. There does not appear to be such a relationship between bed-sharing and breastfeeding in U.S. African American women, who have overall lower rates of breastfeeding. <b><i>Policy Implications:</i></b> The public health principle of risk reduction could be applied to those who plan to bed-share such as recommending that health care providers educate women about bed-sharing without hazards. Bed-sharing without hazards may be considered one strategy to promote breastfeeding.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920449","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":"Impact of Freezing, Storage, and Pasteurization on Nutritional Components and Redox Biomarkers in Human Milk Donations.","authors":"Mariela V Cortez, Georgina N Marchiori, Manuela Jubete, Lorena A Lázaro, María I López Merzbacher, Elio A Soria","doi":"10.1089/bfm.2024.0337","DOIUrl":"https://doi.org/10.1089/bfm.2024.0337","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study evaluates the impact of various processing steps in the human milk (HM) donation chain on nutritional composition and oxidative biomarkers, specifically focusing on triacylglycerols, glucose, polyphenols, and lipid peroxides. <b><i>Materials and Methods:</i></b> A total of 68 HM samples were collected from the Human Milk Bank of Córdoba (Argentina) between 2022 and 2023. The effects of storage and pasteurization using the Holder method were assessed. Biochemical analyses were conducted to measure nutrient levels and oxidative markers. Statistical analyses included time-related modeling and paired <i>t</i> tests to evaluate the effects of storage and pasteurization, respectively. <b><i>Results:</i></b> Triacylglycerol levels were markedly reduced during home storage (<i>R</i>² = 0.802, <i>p</i> = 0.0210), whereas glucose, lipid peroxides, and polyphenols remained stable (<i>R</i>² < 0.3, <i>p</i> > 0.05). Storage at the bank did not affect these biomarkers (<i>R</i>² < 0.25, <i>p</i> > 0.05). Pasteurization resulted in increased glucose levels (<i>p</i> = 0.0292) and decreased triacylglycerol levels (<i>p</i> = 0.0073), along with a significant reduction in lipid peroxides (<i>p</i> < 0.0001). <b><i>Conclusions:</i></b> The findings indicate that home storage conditions significantly diminish triacylglycerol levels in HM, highlighting the need for improved storage practices among donors. Pasteurization provides antioxidant benefits by reducing lipid peroxides while maintaining nutritional integrity.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913574","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 Positive Effect on Preterm Infants' Feeding of Human Milk During Hospitalization and at Discharge after the Opening of a Personalized Nutrition Unit.","authors":"María Isabel Pescador-Chamorro, Sylvia Caballero-Martín, Elena Rodríguez-Corrales, Sara Vigil-Vázquez, Manuel Sánchez-Luna","doi":"10.1089/bfm.2024.0233","DOIUrl":"https://doi.org/10.1089/bfm.2024.0233","url":null,"abstract":"<p><p><b><i>Background:</i></b> Pasteurized donor human milk must be provided when mother's own milk (MOM) is not available for preterm infants. There are concerns that human milk banks (HMBs) and the use of donor milk may potentially reduce breastfeeding rates. <b><i>Objective:</i></b> To compare feeding during hospitalization and at discharge before and after the opening of a HMB and to evaluate the proportion of milk provided by mothers of premature babies, comparing the intake of MOM in infants born of donor and no donor mothers. <b><i>Methods:</i></b> Retrospective observational cohort study. Data on milk intake and feeding at discharge of newborns <1,500 grams and/or 32 weeks gestational age. <b><i>Results:</i></b> There were significant differences in the intake of preterm formula (PF) between the two groups in the first 28 days of life (87.8% versus 54.2%; <i>p</i> = 0.000) and at discharge (34% versus 18.2%; <i>p</i> = 0.000). The intake of MOM during hospitalization (90.5% versus 100%; <i>p</i> = 0.008) and exclusive breastfeeding at discharge (18.7% versus 61.8%; <i>p</i> = 0.000) increased and the intake of PF (71.4% versus 33.8%; <i>p</i> = 0.000) and exclusive PF (EPF) at discharge decreased (27.5% versus 7,3%; <i>p</i> = 0.000) for babies whose mothers were or were not donors. Mothers of preterm babies donated 57.6% of the total milk received by the milk bank. <b><i>Conclusion:</i></b> After the opening of a HMB, there was a decrease in PF intake during hospitalization and an increase in MOM intake at discharge in preterm babies, especially for those whose mothers were milk donors.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913607","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":"Drug Treatment of Cystic Fibrosis and Breastfeeding.","authors":"Philip O Anderson","doi":"10.1089/bfm.2024.0391","DOIUrl":"https://doi.org/10.1089/bfm.2024.0391","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892128","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":"Ongoing Litigation Regarding the Use of Cow's Milk Formulas and Necrotizing Enterocolitis: Issues of Product Liability and Proposed Requirement for Informed Consent.","authors":"T Allen Merritt, Kimberly Hillyer, Mitchell Goldstein, Joseph Hageman","doi":"10.1089/bfm.2024.0321","DOIUrl":"https://doi.org/10.1089/bfm.2024.0321","url":null,"abstract":"<p><p>Recent litigation against the two major U.S. formula manufacturers regarding their products liability, in Gill v Abbott Laboratories and Watson v Mead Johnson, juries in two U.S. states have determined that these manufacturers' created products liability by their failure to warn parents and medical professionals that their formulas posed an increased risk for necrotizing enterocolitis (NEC). They asserted that their products are safe and effective. Juries in state courts in both cases awarded substantial monetary awards for punitive damage, economic and emotional harms to parents whose infant died after being fed \"premature special care formulas.\" The company's defense attorneys unsuccessfully asserted the doctrine of learned intermediaries, namely that it was neonatologists who ordered and/or administered these products to premature infants, thus causing NEC. The Food and Drug Administration (FDA) has regulatory authority over the formula manufacturing processes but does not grant \"approval\" status, as the FDA classifies these \"special care formulas\" as exempt because they are nutritional agents. While both cases are being appealed, the impact of these legal actions may discourage further \"special care formula\" development and may pose the future risk of physician malpractice allegations when an infant develops NEC after receiving a \"special care formula.\" In accordance with American Academy of Pediatrics recommendations, obtaining informed consent for formula use may mitigate some legal risks for neonatologists and other medical providers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892139","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":"Influence of Newborns' Sex on Minor and Trace Element Concentrations in Human Milk During Early Lactation.","authors":"Banin Shakeri Jooybari, Fatemeh Nasri Nasrabadi, Abdoulreza Esteghamati","doi":"10.1089/bfm.2024.0226","DOIUrl":"https://doi.org/10.1089/bfm.2024.0226","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> This study aimed to investigate the influence of newborns' sex on the concentrations of minor and trace elements in the human milk of lactating mothers during early lactation. The elemental analysis focused on calcium (Ca), potassium (K), sodium (Na), and chlorine (Cl) as minor elements and iodine (I), aluminum (Al), bromine (Br), and rubidium (Rb) as trace elements. <b><i>Methods:</i></b> Breast milk samples were collected from 75 lactating mothers in Tehran, Iran, during the early feeding stage. Neutron activation analysis was used to quantify elemental amounts in milk samples, and <i>t</i> tests were conducted to identify statistical differences in element levels between mothers of male and female newborns. <b><i>Results:</i></b> Statistically significant differences in the elemental composition of milk samples were found based on newborn infants' sex. Mothers of female newborns had notably higher mean levels of Br (14.8 mg/kg versus 11.3 mg/kg, <i>p</i> = 0.011), Cl (10.16 mg/g versus 7.10 mg/g, <i>p</i> = 0.009), and Na (6.18 mg/g versus 4.45 mg/g, <i>p</i> = 0.017) compared with mothers with male newborns. Although Ca, K, I, Al, and Rb did not show statistically substantial differences, there was a trend toward elevated levels of Al, I, and Ca in the milk of mothers with the females. <b><i>Conclusion:</i></b> The analysis reveals sex-based variations in human milk composition, with elevated levels of Br, Cl, and Na observed in mothers of female newborns. These findings suggest that infant sex may influence the elemental profile of maternal milk, highlighting the need for further research to uncover the mechanisms behind these differences and their potential implications for improving infant nutrition and health.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881238","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":"Pilot Survey Assessing Lactation and Breastfeeding Experiences, Attitudes, and Knowledge Among Transfeminine Individuals.","authors":"Esme D Trahair, Sarah Kokosa, Andy Weinhold, Heather Parnell, Andrea B Dotson, Carly E Kelley","doi":"10.1089/bfm.2024.0290","DOIUrl":"https://doi.org/10.1089/bfm.2024.0290","url":null,"abstract":"<p><p><b><i>Background:</i></b> Transfeminine individuals are capable of developing breast tissue that is indistinguishable from cis-females, allowing them to breastfeed effectively. Breastfeeding affords known health benefits for both members of a lactating individual-infant dyad and supporting this experience for transfeminine individuals fosters reproductive equity. <b><i>Objective:</i></b> This study assessed experiences, attitudes, and knowledge regarding breastfeeding and lactation among a group of transfeminine individuals receiving hormone therapy within a specialized gender care clinic. <b><i>Methods:</i></b> Transfeminine individuals on estrogen therapy who were part of the Duke Research for Equitable Access to Medicine (DREAM) Registry were invited to complete a 15-question online survey about experiences, goals, attitudes, and knowledge regarding lactation and breastfeeding. <b><i>Results:</i></b> A total of 71 out of 130 eligible DREAM individuals completed the survey (54.6%). No survey participants had breastfed and three (4.2%) had experienced lactation. One in four participants designated lactation a health care goal. Four out of five participants reported it was important, most commonly to affirm their gender identity (<i>n</i> = 41, 57.7%) and/or to bring their breasts to full maturity (<i>n</i> = 36, 50.7%). One in eight participants designated breastfeeding as a health care goal. Four out of five participants reported it was important, most commonly for parent-child bonding (<i>n</i> = 34, 47.9%) and/or health/nutritional benefits to the newborn (<i>n</i> = 34, 47.9%). <b><i>Conclusion:</i></b> Transfeminine individuals may be interested in experiencing lactation for multifaceted reasons, including goals for parent-infant feeding (breastfeeding-dyad bonding and breast milk health benefits) and for their gender transition (affirming gender and breast maturity). Future community-engaged research is warranted to inform both clinical practice and lactation protocols for transfeminine individuals hoping to breastfeed.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845989","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 Effect of Olfactory Stimulation on Growth Parameters in Newborn Infants: A Systematic Review.","authors":"Oyku Bali Bilgi, Ayfer Acikgoz, Merve Cakirli","doi":"10.1089/bfm.2024.0289","DOIUrl":"https://doi.org/10.1089/bfm.2024.0289","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Olfactory stimulation can be used for many purposes, such as providing comfort, improving sleep, and reducing pain in newborns. However, there are only a few studies in the literature examining the effect of olfactory stimulation on newborn growth. The aim of this study was to evaluate the effect of olfactory stimulation on growth parameters of newborns. <b><i>Method:</i></b> This systematic review used the PRISMA checklist. No date limitation was applied, and all studies were considered for inclusion. Pubmed, Web of Science, Scopus, and Medline databases were used for the search. <b><i>Results:</i></b> A total of 367 publications were found in the search. Eight studies that met the inclusion criteria were included in the study. The olfactory stimulations applied were maternal odor, maternal milk odor, cinnamon, aniseed, vanilla, and formula milk odors. Olfactory stimulation was found to have a positive effect on the weight gain of newborns in three of the eight studies, and maternal odor and maternal milk odor were used in these studies. In two of the three studies evaluating the effect of maternal odor and maternal milk olfactory stimulation on the height of newborns, the result was found to be significant. The effect of maternal milk olfactory stimulation on head circumference was found to be significant in one of the two studies. <b><i>Conclusion and Recommendation:</i></b> Maternal odorand maternal milk odor may have a positive effect on newborn growth parameters. Further studies on this subject are needed.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805901","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}