Breastfeeding Medicine最新文献_第10页

Banana Blossom Ingestion Does Not Increase Breast Milk Volume in Mothers of Preterm Newborns: A Randomized, Double-Blind, Placebo-Controlled Trial. 早产儿母亲摄入香蕉花不会增加母乳量：随机、双盲、安慰剂对照试验

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-11-01 Epub Date: 2024-11-08 DOI: 10.1089/bfm.2024.0217

Apisit Rungruengsirichok, Vorapong Phupong

{"title":"Banana Blossom Ingestion Does Not Increase Breast Milk Volume in Mothers of Preterm Newborns: A Randomized, Double-Blind, Placebo-Controlled Trial.","authors":"Apisit Rungruengsirichok, Vorapong Phupong","doi":"10.1089/bfm.2024.0217","DOIUrl":"10.1089/bfm.2024.0217","url":null,"abstract":"Background: Breast milk is essential for the development of a newborn's neurological, gastrointestinal, and immune systems and helps reduce the risk of infections and infant mortality. Banana flowers, often combined with additives such as ginger, are commonly included in the country's local diets because they are believed to enhance postpartum lactation. We aimed to investigate the impact of banana blossom extract pills on breast milk volume (BMV) in mothers of preterm newborns. Methods: A randomized, double-blind, placebo-controlled trial was conducted; it involved eligible preterm mothers, who were divided into two groups: a banana blossom group, which received banana blossom extract pills (36 mg/day), and a control group, which received placebo pills. All participants were given identical-looking tablets and were required to chew two tablets four times a day for 14 days. The primary outcome was the total BMV expressed (in milliliters) on the seventh day using an electric breast pump. Results: A total of 70 mothers of premature newborns were randomly allocated in equal numbers to either the banana blossom intervention group or the control group. There was no significant difference between the groups with respect to the median BMV on the seventh day postpartum (333 versus 350 mL, p = 0.73). A similar trend was observed on the 14th day postpartum (331 versus 510.0 mL, p = 0.6). Additionally, no significant differences were observed regarding maternal and neonatal adverse events. Conclusions: The administration of banana blossom extract pills (36 mg/day) to mothers with preterm infants did not increase the BMV on the seventh day postpartum.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"857-862"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603366","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}

引用次数: 0

Red Alert: Exclusive Breastfeeding Threatened. 红色警报：纯母乳喂养受到威胁。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-11-01 Epub Date: 2024-10-24 DOI: 10.1089/bfm.2024.0320

Arthur I Eidelman

引用次数: 0

Breastfeeding Medicine: On the Way to a Medical Specialism. 母乳喂养医学：迈向医学专科之路。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI: 10.1089/bfm.2024.0309

Elien Rouw

引用次数: 0

ABM Protocol and Statement as Valuable Resources in Breastfeeding Medicine. ABM 协议和声明是母乳喂养医学的宝贵资源。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1089/bfm.2024.0279

Elien Rouw

引用次数: 0

Predictors of Direct Breastfeeding in Preterm Infants. 早产儿直接母乳喂养的预测因素。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1089/bfm.2024.0052

Manisha Mills, Laurie Nommsen-Rivers, Heather C Kaplan, Chunyan Liu, Shelley Ehrlich, Laura Ward

{"title":"Predictors of Direct Breastfeeding in Preterm Infants.","authors":"Manisha Mills, Laurie Nommsen-Rivers, Heather C Kaplan, Chunyan Liu, Shelley Ehrlich, Laura Ward","doi":"10.1089/bfm.2024.0052","DOIUrl":"10.1089/bfm.2024.0052","url":null,"abstract":"Objective: Rates of mother's own milk (MOM) provision in the neonatal intensive care unit (NICU) vary widely, despite acceptance as the gold standard for nutrition in preterm infants. Direct breastfeeding (DBF) supports long-term provision of MOM, but factors that support DBF in preterm infants are unknown. The purpose of this study was to identify factors that predict DBF at oral feeding initiation and at NICU discharge. Methods: This was a retrospective cohort study of preterm infants born at ≤ 32 weeks who were receiving MOM at 32 weeks corrected gestational age (cohort 1) and at discharge to home (cohort 2). The primary outcomes were rates of DBF at oral feeding initiation (cohort 1) and at hospital discharge (cohort 2). We examined bivariate associations between infant characteristics, maternal sociodemographic factors, and hospital practices (e.g., lactation visit timing and frequency) with DBF outcomes and then built logistic regression models to determine the adjusted odds ratio and 95% confidence interval ([adjusted odds ratio [aOR] [95%CI]) for independent predictors of the DBF outcomes. Results: Sixty-four percent of eligible infants initiated DBF, and 51% were DBF at discharge. Sociodemographic, NICU, and lactation support factors were associated with both outcomes. Post hoc analysis showed that similar factors also influenced lactation support provision. Conclusions: Lactation support, NICU and sociodemographic variables influence DBF initiation and DBF at discharge. Interventions that optimize efficient use of available lactation support, address bias, and provide ample opportunity for DBF practice could improve rates.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"779-787"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878370","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}

引用次数: 0

Herbal Galactogogues: Some "New" Arrivals. 草本促泌剂：一些 "新 "产品。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-12 DOI: 10.1089/bfm.2024.0237

Philip O Anderson

引用次数: 0

An Examination of the Benefits of Lactation Consultant Services in NICUs for Mothers and Their Newborn: A Systematic Review. 研究新生儿重症监护室的哺乳顾问服务对母亲及其新生儿的益处：系统回顾。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI: 10.1089/bfm.2023.0158

Siobhan Wakeham, Paulina Pronska, Sandra Fucile

{"title":"An Examination of the Benefits of Lactation Consultant Services in NICUs for Mothers and Their Newborn: A Systematic Review.","authors":"Siobhan Wakeham, Paulina Pronska, Sandra Fucile","doi":"10.1089/bfm.2023.0158","DOIUrl":"10.1089/bfm.2023.0158","url":null,"abstract":"Background: It is well accepted that lactation consultant (LC) services can enhance the breastfeeding success in mother-infant dyads. However, despite such advantages, not all neonatal intensive care units (NICUs) offer LC services. The objective of this systematic review was to assess the available evidence on the effect of LC service on breastfeeding outcomes for mothers whose infants are in the NICU. Methods: The PRISMA Extension for Systematic Reviews were used to conduct this systematic review. The following databases: Embase, Medline, CINAHL, and Cochrane library were searched. An initial 464 studies were obtained. Duplicates and studies that did not fit the inclusion criteria were removed, leaving 30 full-text articles to review. Nineteen were further excluded after full-text review. A total of 11 studies were included. Due to the heterogeneity of the included studies, a meta-analysis could not be performed, instead a qualitative numerical summary was conducted. Results: Overall, 10/11 (90%) of studies observed a 6-31% increase in the number of infants who received mother's own milk, and 11-27% in the number of infants who received direct breastfeeds associated with the implementation of LC services in the NICU. The two most common types of LC services studied included: i) multidisciplinary lactation support-described as a team-based approach that includes at least one LC and ii) designation of LC formal role in the NICU. Conclusions: This review highlights that having LC services in the NICU is vital for meeting the unique needs and enhancing breastfeeding outcomes for mothers whose infants are in the NICU.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"768-778"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008254","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}

引用次数: 0

Do Breastfeeding Policies and Practices in Neonatal Intensive Care Units Differ by Baby-Friendly Hospital Initiative Status? 新生儿重症监护病房的母乳喂养政策和实践是否因爱婴医院倡议的实施情况而有所不同？

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.1089/bfm.2024.0015

Alexandria Richter, Sarah Gonzalez-Nahm, Sara Benjamin-Neelon

{"title":"Do Breastfeeding Policies and Practices in Neonatal Intensive Care Units Differ by Baby-Friendly Hospital Initiative Status?","authors":"Alexandria Richter, Sarah Gonzalez-Nahm, Sara Benjamin-Neelon","doi":"10.1089/bfm.2024.0015","DOIUrl":"10.1089/bfm.2024.0015","url":null,"abstract":"Background: The Baby-Friendly Hospital Initiative (BFHI) was launched in 1991 by the World Health Organization and United Nations International Children's Emergency Fund to promote and support breastfeeding within hospitals. Prior studies have assessed the associations between BFHI and breastfeeding, but there is limited evidence examining the policies and practices in neonatal intensive care units (NICUs) that, in turn, may influence breastfeeding. Objective: The goal of this analysis was to assess whether BFHI status was associated with breastfeeding policies and practices in NICUs in a sample of U.S.-based hospitals. Methods: A cross-sectional survey was sent to hospital administrators at 1,285 facilities (817 BFHI and 468 non-BFHI) throughout all regions of the United States and assessed whether hospitals were implementing breastfeeding support policies and practices in NICUs. Pearson's chi-squared and Fisher's exact tests were performed to assess associations between BFHI status and reported 6 breastfeeding policies and 11 breastfeeding practices. Results: Among all 259 respondents (BFHI: 68/102 [67%], non-BFHI: 73/157 [47%]), Baby-Friendly® status was significantly associated with having specific breastfeeding practices in the NICU (67% versus 47%, p = 0.001). More BFHI compared with non-BFHI hospitals reported assessing milk supply of mothers (90% versus 75%, p = 0.026) and communicating the medical benefits of breastfeeding (91% versus 75%, p = 0.012) to new parents. There were, however, no differences by BFHI status in the other breastfeeding policies and practices.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"761-767"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999407","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}

引用次数: 0

Is an Exclusive Human Milk Diet at the Time of Neonatal Intensive Care Unit Discharge Adequate to Maintain Growth and Neurodevelopment among Very Preterm Infants? 新生儿重症监护室出院时纯母乳喂养是否足以维持极早产儿的生长和神经发育？

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-22 DOI: 10.1089/bfm.2024.0206

Wenona Lok, David Aboudi, Jordan S Kase

{"title":"Is an Exclusive Human Milk Diet at the Time of Neonatal Intensive Care Unit Discharge Adequate to Maintain Growth and Neurodevelopment among Very Preterm Infants?","authors":"Wenona Lok, David Aboudi, Jordan S Kase","doi":"10.1089/bfm.2024.0206","DOIUrl":"10.1089/bfm.2024.0206","url":null,"abstract":"Background: An exclusive human milk (EHM) diet has numerous benefits. Formula supplementation may be recommended for former preterm infants at the time of neonatal intensive care unit (NICU) discharge to meet perceived metabolic demands and caloric goals. Recommendations addressing postdischarge nutrition for very preterm infants (VPTIs) are controversial, as the benefits of human milk supplementation regarding long-term growth, neurodevelopment, and chronic conditions are mixed. Objective: To compare growth and neurodevelopment of former VPTI fed an EHM diet to a supplemented/formula diet at NICU discharge. Materials and Methods: A retrospective cohort study of VPTI was followed at the Regional Neonatal Follow-up Program. Patients were categorized by diet at NICU discharge: EHM diet; mixed diet (EHM and formula); and exclusive formula diet. Growth percentile ranks at the first neonatal follow-up visit and 3 years of age were compared by diet type at NICU discharge. Neurodevelopmental outcomes as measured by the Bayley Scales of Infant Development 3rd Edition at 3 years of age were also compared. Results: Among 835 VPTIs, weight percentiles at the first neonatal follow-up visit were similar between the three NICU discharge diet types. One hundred fifty-eight subjects received neurodevelopmental evaluations at 3 years of age; anthropometrics and neurodevelopment were similar irrespective of diet at NICU discharge. Conclusion: An EHM diet at NICU discharge is appropriate to support growth in infancy as well as growth and neurodevelopment through 3 years of age. Thus, this raises the question of whether routine nutritional supplementation is necessary for VPTIs at NICU discharge.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"801-808"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035226","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}

引用次数: 0

Retrospective Review of Postpartum Lithium Use Including During Lactation. 包括哺乳期在内的产后锂剂使用回顾。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-07 DOI: 10.1089/bfm.2024.0101

Megan N Kummerlowe, Jonathan G Leung, Leslie A Kummer, Katherine M Moore, Rebekah L Huppert, Hannah K Betcher

{"title":"Retrospective Review of Postpartum Lithium Use Including During Lactation.","authors":"Megan N Kummerlowe, Jonathan G Leung, Leslie A Kummer, Katherine M Moore, Rebekah L Huppert, Hannah K Betcher","doi":"10.1089/bfm.2024.0101","DOIUrl":"10.1089/bfm.2024.0101","url":null,"abstract":"Introduction: Lithium remains a gold standard treatment for bipolar disorder including during peripartum. Historically, guidelines advised against breastfeeding while taking lithium though recent data suggest it is acceptable for a healthy infant. Lack of awareness of acceptability contributes to decreased patient and clinician comfort and low breastfeeding rates. We report current breastfeeding rates, monitoring practices, and infant outcomes with lithium exposure in breastmilk at our institution. Methods: A retrospective chart review was conducted at a single academic medical center using records from 2013 to 2023. Electronic medical records were queried to identify patients prescribed lithium postpartum. Data were collected on timing of lithium initiation, lithium dose and concentration, breastfeeding status, and infant outcomes. Results: A total of 18 cases of lithium use in the postpartum period were identified. A total of 39% (n = 7) of patients taking lithium postpartum breastfed. Most patients, 61% (n = 11), initiated lithium prior to pregnancy, 11% (n = 2) initiated during pregnancy and 27% (n = 5) started postpartum. Four infant charts were reviewed with no reports of adverse events. Of these infants, average maternal lithium dose was 750 mg daily, with an average maternal serum lithium concentration of 0.62 mmol/L and average infant serum lithium concentration of 0.16 mmol/L. Conclusion: Our data demonstrate most patients using lithium postpartum have been taking lithium long-term and are not breastfeeding. Lithium exposure in breastmilk appears to be tolerated by healthy infants. There is a need for ongoing research and education on acceptability and infant monitoring recommendations to support patients who would like to breastfeed while on lithium.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"796-800"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896767","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}

引用次数: 0