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Mother-Infant Bed-sharing Is Associated with Increased Breastfeeding: A Systematic Review. 母婴同床与增加母乳喂养有关:一项系统综述。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-04-01 Epub Date: 2025-01-03 DOI: 10.1089/bfm.2024.0060
Rebecca L Wolf, Iva Skobic, Benjamin T Pope, Angela Zhu, Hassan Chamas, Nishtha Sharma, Kayla M Larsen, Harold S Bright, Patricia L Haynes
{"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":"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":"205-218"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","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}
引用次数: 0
Comparison of Breastfeeding Behaviors of Mothers Toward Infants by Ethnic Groups: An Example of a Multicultural City.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.1089/bfm.2024.0328
Ahmet Butun, Vasfiye Bayram Deger
{"title":"Comparison of Breastfeeding Behaviors of Mothers Toward Infants by Ethnic Groups: An Example of a Multicultural City.","authors":"Ahmet Butun, Vasfiye Bayram Deger","doi":"10.1089/bfm.2024.0328","DOIUrl":"10.1089/bfm.2024.0328","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Breastfeeding practices vary widely among different ethnic groups and are influenced by cultural, social, economic, and educational factors. The aim of this study was to compare the breastfeeding behaviors of mothers toward infants in different ethnic groups. <b><i>Methods:</i></b> This descriptive cross-sectional study included women of four ethnic groups (Assyrian, Turkish, Arab, and Kurdish) living in Mardin, Turkey. The study was completed with 180 Assyrian, 184 Turkish, 175 Arab, and 169 Kurdish women. In total, 708 women participated in this study. Data were collected between August 12, 2024, and September 22, 2024. <b><i>Results:</i></b> The highest rate of traditional breastfeeding practices was seen in Kurdish (99.4%), whereas this rate was 97.3% in Turkish, 96% in Arab, and 84.4% in Assyrian. The highest rate of giving breast milk immediately after birth was in Assyrian (71.7%), while this rate was 69.3% in Turkish, 61.9% in Kurdish, and 47% in Arab (<i>p</i> = 0.000). The rate of those who waited for three calls to prayer to feed the baby was 13.1% in Kurdish, 11.3% in Arab, 9.5% in Turkish, and 7.9% in Assyrian. The rate of those who did not give the first milk (colostrum) to the baby was 15.8% in Assyrian, 11.7% in Turkish, 6.5% in Kurdish, and 6% in Arab. The rate of those who give sugared water as the baby's first nutrient was 37.5% in Arab, 20.8% in Kurdish, 11.7% in Turkish, and 9.2% in Assyrian. Increased education levels were associated with decreased rates of the presence of traditional practices. <b><i>Conclusion:</i></b> This study provides novel results regarding the comparison of breastfeeding behaviors among ethnic groups living in the same city. Comparing breastfeeding practices across the four ethnic groups allowed us to better understand different breastfeeding practices, which could lead to the development of culturally sensitive interventions to improve the health of children and mothers. Educating the community about the benefits of breastfeeding and the risks associated with some traditional practices could contribute to public health.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"267-276"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188056","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
The Impact of Maternal Antibiotic Consumption on the Development of Oral Thrush Infection in Breastfeeding Infants: A Quasi-Experimental Study.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-31 DOI: 10.1089/bfm.2024.0209
Amal M H Mackawy, Basmah F Alharbi, Ahmad Almatroudi, Mohsina Huq, Amal Hussain Mohammed, Afshan Zeeshan Wasti, Manal F Elharbi, Khaled S Allemailem
{"title":"The Impact of Maternal Antibiotic Consumption on the Development of Oral Thrush Infection in Breastfeeding Infants: A Quasi-Experimental Study.","authors":"Amal M H Mackawy, Basmah F Alharbi, Ahmad Almatroudi, Mohsina Huq, Amal Hussain Mohammed, Afshan Zeeshan Wasti, Manal F Elharbi, Khaled S Allemailem","doi":"10.1089/bfm.2024.0209","DOIUrl":"https://doi.org/10.1089/bfm.2024.0209","url":null,"abstract":"<p><p><b><i>Background:</i></b> Oral thrush is a common yeast infection caused by <i>Candida albicans</i> in infants during their first few weeks or months. Infant mothers' antibiotics consumption can contribute to this opportunistic fungal growth due to their weaker immune systems. <b><i>Objectives:</i></b> To investigate the relationship between maternal antibiotic consumption and oral thrush infection in breastfeeding infants, this study aims to provide insights for health care professionals regarding antibiotic prescriptions and preventive strategies for managing oral thrush. <b><i>Methods:</i></b> A quasi-experimental design with a control group was used. Eighty-two breastfeeding infants were divided into two groups: Group 1 (<i>n</i> = 40) infants of antibiotic-consuming mothers and Group 2 (<i>n</i> = 42) infants of nonantibiotic-consuming mothers. The oral samples were collected using sterile cotton swabs and cultured on Sabouraud's dextrose agar <i>C. albicans</i>, confirmed by simple staining and a germ tube test. <b><i>Results:</i></b> Infants aged 1-11 months with a mean ± standard deviation of 4.8 ± 3.51. Within all 82 oral swabs, 42.7% were positive for <i>C. albicans</i> growth and 57.3% were negative. The highest percentage was in 1-month-old infants (<i>n</i> = 9, 25.71%), and the lowest was in 11 months old (<i>n</i> = 2, 5.71%). Group 2 infants had significantly fewer positive <i>C. albicans</i> growth (<i>n</i> = 12, 28.57%) compared with group 1 (<i>n</i> = 23; 57.5%) (χ<sup>2</sup> = 7.0, <i>p</i> = 0.007; odds ratio = 3.332, 95% confidence interval = 1.35-8.46). Oral thrush clinical signs were identified in 66.6% and 33.4% of group 1 and 2 infants, respectively, while 31.4% of <i>C. albicans-</i>positive colonization showed no clinical manifestations. <b><i>Conclusion:</i></b> Maternal antibiotic consumption for more than 1 week is associated with the occurrence of oral thrush in breastfeeding infants. Differences in clinical signs in two groups of infants indicate the importance of laboratory tests for early oral thrush diagnosis. This can help health care professionals understand oral thrush causes, enable early detection, improve treatment, and enhance appropriate antibiotic use in breastfeeding mothers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751091","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
Feasibility of Using Point-of-Care Biomarkers of Secretory Activation to Address Early, Unplanned Weaning Among Healthy, Term Dyads in Community Settings: A Pilot Study.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-26 DOI: 10.1089/bfm.2024.0374
Katie T Kivlighan, Jessica Long, Rebekah Martinez, Sandra Cardenas, Esther Ryan
{"title":"Feasibility of Using Point-of-Care Biomarkers of Secretory Activation to Address Early, Unplanned Weaning Among Healthy, Term Dyads in Community Settings: A Pilot Study.","authors":"Katie T Kivlighan, Jessica Long, Rebekah Martinez, Sandra Cardenas, Esther Ryan","doi":"10.1089/bfm.2024.0374","DOIUrl":"https://doi.org/10.1089/bfm.2024.0374","url":null,"abstract":"<p><p><b><i>Background:</i></b> Delayed and/or impaired secretory activation (SA) achievement is a risk factor for early unplanned lactation cessation. This pilot study (1) evaluated the feasibility of in-home daily milk collection; (2) compared daily maternal self-report of breast fullness with mother's own milk (MOM) biomarkers of SA; and (3) examined SA patterns in association with lactation outcomes through 3 months postpartum. <b><i>Methods:</i></b> Twelve mother-infant dyads were enrolled at term (median gestational age (GA) = 39.9 weeks, range = 38.3-41.1 weeks). After birth, participants self-reported breast fullness and collected milk samples daily for a week. Infant weight gain and milk intake by test-weights were assessed postpartum during a week 1 routine infant outpatient visit and again during a week 2 home visit. Milk samples were tested for sodium (Na) and potassium (K) using portable ion selective electrodes. Timing of SA achievement was denoted as the first day breast fullness was self-rated ≥ 3, Na concentration was < 12 mmol/L, or the Na/K ratio was < 0.6. Breastfeeding duration and exclusivity were measured at 1, 2, and 3 months postpartum. <b><i>Results:</i></b> By day 6, all mothers self-reported SA achievement, while only 72-82% achieved SA using MOM biomarkers. Cohen's kappa between the timing of SA by maternal self-report and MOM biomarkers showed lack of agreement (κ = 0.05 and 0.08), but was high between MOM Na and Na/K ratio (κ = 0.87). Three patterns of SA by MOM biomarkers emerged (<i>mature and stable, impermanent, and delayed)</i> with implications for infant weight loss/gain at 1 week postpartum. These patterns were not associated with breastfeeding exclusivity through 3 months postpartum in this highly motivated sample. <b><i>Conclusion:</i></b> MOM biomarkers of SA achievement are feasible and have significant potential for use in community settings.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708391","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
Influence of Race and Ethnicity on Meeting Intention to Exclusively Breast Milk Feed at Postpartum Hospital Discharge.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-26 DOI: 10.1089/bfm.2024.0392
Sarah Costello, Donna Santillan, Tope Awelewa, Noelle Bowdler
{"title":"Influence of Race and Ethnicity on Meeting Intention to Exclusively Breast Milk Feed at Postpartum Hospital Discharge.","authors":"Sarah Costello, Donna Santillan, Tope Awelewa, Noelle Bowdler","doi":"10.1089/bfm.2024.0392","DOIUrl":"https://doi.org/10.1089/bfm.2024.0392","url":null,"abstract":"<p><p><b><i>Background:</i></b> Racial/Ethnic disparities in breastfeeding practices exist despite strong evidence for significant health benefits of breastfeeding for the mother-newborn dyad. Breastfeeding intentions are known to predict breastfeeding practices at hospital discharge and breastfeeding retention in the long term. Interventions during postpartum hospitalization can help mothers achieve breastfeeding intentions and reduce racial/ethnic gaps in breastfeeding on discharge. This study aims to identify racial/ethnic disparities in meeting intentions to exclusively breast milk feed (EBMF) on hospital discharge. <b><i>Methods:</i></b> This was a retrospective cohort study of mothers who intended to EBMF and their newborns delivered at term at a single academic medical center during 2022. The primary outcome was EBMF at discharge. <b><i>Results:</i></b> Participants included non-Hispanic Black (NHB) (<i>n</i> = 96), Hispanic (<i>n</i> = 97), and non-Hispanic White (NHW) (<i>n</i> = 955) mothers who intended to EBMF. Mothers who identified as NHB (40.6%) or Hispanic (64.9%) were significantly less likely to EBMF compared with NHW (87.5%) mothers (odds ratio [OR] = 0.14, 95%CI [0.08, 0.23] and OR = 0.37, 95%CI [0.22, 0.61], respectively) at newborn hospital discharge. Rurality, insurance type, gravidity, parity, gestational diabetes, and birth weight were not associated with breast feeding choice/practices at discharge, but increasing age was associated with an increased likelihood of EBMF (OR = 1.07, 95%CI [1.03, 1.11]), as was neonatal intensive care unit admission (OR = 2.93, 95%CI [1.18, 7.31]). Cesarean birth was associated with decreased likelihood of EBMF (OR = 0.57, 95%CI [0.38, 0.85]). <b><i>Conclusion:</i></b> Significant racial/ethnic disparities in EBMF at hospital discharge exist among those who intended to EBMF, which are not explained by differences in other examined covariates.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708396","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
The Effect of Breast Massage and Warm Compress Application on Milk Production and Anxiety in Mothers with Premature Newborn: A Randomized Controlled Trial.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-21 DOI: 10.1089/bfm.2024.0382
Şeyma Ertugral Mollaahmetoglu, Gulten Guvenc
{"title":"The Effect of Breast Massage and Warm Compress Application on Milk Production and Anxiety in Mothers with Premature Newborn: A Randomized Controlled Trial.","authors":"Şeyma Ertugral Mollaahmetoglu, Gulten Guvenc","doi":"10.1089/bfm.2024.0382","DOIUrl":"https://doi.org/10.1089/bfm.2024.0382","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The aim of this study is to examine the effects of breast massage and warm compression on milk secretion and anxiety in the mothers of premature newborns. <b><i>Methods:</i></b> In this randomized controlled trial, 120 mothers of premature newborns in the neonatal intensive care unit (NICU) were assigned to three intervention groups (massage, <i>n</i> = 30; warm compression, <i>n</i> = 30; massage-warm, <i>n</i> = 30) and one control group (<i>n</i> = 30). Mothers in the massage group performed massage, those in the warm compression group applied compresses, and the combined group used both methods, whereas the control group used a breast pump with no intervention. Milk production was measured in milliliters (mL) after each pumping session over 4 days, and anxiety levels were assessed at baseline and on the 4th day. <b><i>Results:</i></b> Mothers with premature newborns in the NICU had mean breast milk amounts of 1,321.43 ± 569.01 mL in the massage group, 1,470 ± 718.93 mL in the warm compression group, 1,484.23 ± 889.28 mL in the massage-warm group, and 913.75 ± 679.90 mL in the control group. The massage, warm compression, and massage-warm groups had significantly higher milk production than the control group (<i>p</i> < 0.05). In addition, anxiety levels in the intervention groups significantly decreased compared with the control group (<i>p</i> < 0.05). Mothers reported satisfaction with all interventions, with no significant differences between the groups (<i>p</i> > 0.05). <b><i>Conclusion:</i></b> Breast massage, warm compression, and breast massage-warm compression can be suggested as effective, simple, and cost-effective methods for increasing milk quantity and decreasing maternal anxiety.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668634","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
Satisfaction with Breastfeeding and Not Frequency of Feeding is Associated with a Reduction of Postpartum Depressive Symptoms. 对母乳喂养的满意度而非喂养次数与产后抑郁症状的减轻有关。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-19 DOI: 10.1089/bfm.2024.0315
Laura Hahn, Eva-Maria Dreyer, Marilena Thomann, Susanne Beyer, Lucia Ehmann, Franziska Ganster, Magdalena Jegen, Sven Mahner, Thomas Kolben, Sarah Meister
{"title":"Satisfaction with Breastfeeding and Not Frequency of Feeding is Associated with a Reduction of Postpartum Depressive Symptoms.","authors":"Laura Hahn, Eva-Maria Dreyer, Marilena Thomann, Susanne Beyer, Lucia Ehmann, Franziska Ganster, Magdalena Jegen, Sven Mahner, Thomas Kolben, Sarah Meister","doi":"10.1089/bfm.2024.0315","DOIUrl":"https://doi.org/10.1089/bfm.2024.0315","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Postpartum depression (PPD) resembles a major depression in the postpartum period and affects 10-15% of all women after giving birth. Several studies suggest an association between a lower risk of PPD and breastfeeding. The highly stressful period of the COVID-19 pandemic has led to an increase in the incidence of mental illness in general and PPD in particular. Our aim was to investigate the relationship between breastfeeding behavior and PPD in more detail. <b><i>Methods:</i></b> In this context, 291 women who gave birth between April 2020 and September 2021 were surveyed up to 6 months postpartum on depressive symptoms, breastfeeding behavior, and anxieties. <b><i>Results:</i></b> In particular, the fact that the women stated after 6 months that their expectations of breastfeeding had been met appeared to lead to a significantly lower risk of PPD. Therefore, not breastfeeding frequency but satisfaction with breastfeeding behavior was decisive for the risk of PPD development. Significant correlations were found between different anxieties and breastfeeding behavior. Higher anxieties led to a shorter desired time of breastfeeding in months, less frequent breastfeeding per day, and less satisfaction with breastfeeding behavior. <b><i>Conclusion:</i></b> Our results suggest that improving the breastfeeding experience as well as reducing prepartum anxieties or treating postpartum anxieties could be a primary prevention for PPD.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656177","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
Knowledge and Attitudes of Donor Human Milk of Mothers in the Palestinian Territories and Israel.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-17 DOI: 10.1089/bfm.2024.0372
Anita Noble, Mirna Khader Kasasfeh, Smadar Eventov Friedman, Lawrence M Noble
{"title":"Knowledge and Attitudes of Donor Human Milk of Mothers in the Palestinian Territories and Israel.","authors":"Anita Noble, Mirna Khader Kasasfeh, Smadar Eventov Friedman, Lawrence M Noble","doi":"10.1089/bfm.2024.0372","DOIUrl":"https://doi.org/10.1089/bfm.2024.0372","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Donor human milk (DHM) is the next best option when mothers' milk is unavailable. The study objective was to examine mothers' knowledge and attitudes regarding DHM. <b><i>Materials and Methods:</i></b> A prospective, descriptive, online study using mixed methods. Regression analysis was used to control for confounding variables and content analysis for the qualitative component. <b><i>Results</i></b>: Eighty mothers from the Palestinian Territories and Israel participated. Mothers' mean objective knowledge score was 3.4/6, and self-evaluation knowledge score was 2.4/5, with religion significant for both scores (<i>p</i> < 0.001 and <i>p</i> = 0.002), respectively. Compared with Muslim mothers, Christian and Jewish mothers were more likely to prefer DHM to formula: (adjusted odds ratio [95% confidence interval], 4.9 [1.5-16.6], and 17.5 [4.3-71.4]), donate HM (human milk) to a friend or relative (7.8 [2.0-30.3]) and 60 [9.9-362.3]) or donate HM to a human milk bank (5.4 [1.3-23.3] and 11.2 [2.6-47.5]). Muslim and Christian mothers were more likely to state that DHM was permissible only under certain circumstances. Regression analysis revealed that only religion was significant for mothers' response that DHM was permissible (<i>p</i> < 0.001). Qualitative analysis revealed that differences in mothers' knowledge and attitudes were related to milk kinship. <b><i>Conclusions:</i></b> In this first study of mothers' knowledge and attitudes of DHM in the Palestinian Territories and Israel, results revealed low knowledge and negative attitudes regarding DHM correlated with the mother's culture. Future programs should include culturally competent initiatives regarding the benefits of DHM.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647052","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
Association Between Different Feeding Methods and Bronchopulmonary Dysplasia in Preterm Infants: A Retrospective Cohort Study.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-17 DOI: 10.1089/bfm.2024.0399
Zhen Lin, Wenhong Cai, Shuidi Lin, Yanhua Hu, Wenqian Chen
{"title":"Association Between Different Feeding Methods and Bronchopulmonary Dysplasia in Preterm Infants: A Retrospective Cohort Study.","authors":"Zhen Lin, Wenhong Cai, Shuidi Lin, Yanhua Hu, Wenqian Chen","doi":"10.1089/bfm.2024.0399","DOIUrl":"https://doi.org/10.1089/bfm.2024.0399","url":null,"abstract":"<p><p><b><i>Background</i></b>: This study examines the relationship between feeding methods during the first 2 weeks post-birth-mother's own milk (MOM), donor human milk (DHM), and formula-and the incidence of bronchopulmonary dysplasia (BPD) in preterm infants. <b><i>Materials and Methods:</i></b> A retrospective cohort study was conducted on preterm infants (<32 weeks gestation or <1,500 g birth weight) admitted to Fujian Maternal and Child Health Hospital from March 2023 to February 2024. Infants were grouped by primary feeding method within the first 2 weeks after birth, defined as MOM, DHM, or formula contributing to ≥50% of total feeding. The primary outcome was BPD incidence; the secondary outcome included necrotizing enterocolitis (NEC) stage II or higher, periventricular leukomalacia (PVL), retinopathy of prematurity (ROP), and sepsis. <b><i>Results:</i></b> BPD incidence was lower in the MOM and DHM groups compared with formula (22%, 16% vs. 35%; <i>p</i> = 0.03). Adjusted odds ratios for BPD were 3.35 (95% CI 1.43, 7.85) in the formula group versus MOM and 6.48 (95% CI 1.47, 28.57) versus DHM, with no significant difference between MOM and DHM. NEC incidence was also lower in MOM and DHM groups (7.15%, 9.38% vs. 20.21%; <i>p</i> = 0.016). No significant differences were observed in ROP, PVL, or sepsis rates. <b><i>Conclusions:</i></b> MOM and DHM reduce the risk of BPD and NEC in preterm infants, with DHM being as safe as MOM.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647049","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
Intussusception in an Infant Chronically Ingesting Marijuana Via Breastfeeding.
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2025-03-13 DOI: 10.1089/bfm.2024.0334
Leslie Strickler, Alex Baker, Hannah DeGonza, Razan Alkhouri
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