{"title":"Impact of the 2022 Infant Formula Shortage on Neonatal Intensive Care Units.","authors":"La'Toya James-Davis, Caitlin Drumm, Jeanne Krick, Rasheda Vereen","doi":"10.1089/bfm.2024.0127","DOIUrl":"10.1089/bfm.2024.0127","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The aim of this study was to examine effects of the 2022 infant formula shortage as experienced by neonatal intensive care units (NICUs) in the United States, a previously unreported perspective. <b><i>Methods:</i></b> A mixed-method approach was utilized. Data were collected using an online survey of NICU medical directors. Quantitative data were analyzed with descriptive statistics and Student's <i>t</i> test. Thematic analysis was utilized to make sense of patterns within the qualitative data. <b><i>Results:</i></b> Responses from 139 medical directors were received. Both academic (41.7%) and community (58.3%) NICUs were represented among respondents. Thirty-nine percent of NICU medical directors reported an impact on their unit by the infant formula shortage. Within the qualitative data four themes were revealed as follows: alterations to discharge planning, policy modifications, suboptimal solutions, and extraordinary measures. These themes may inform strategies for mitigation of future infant formula shortages. <b><i>Conclusions:</i></b> NICUs were significantly impacted by the infant formula shortage with likely lasting effects. From the reported experiences, clear recommendations have been formed to minimize effects of future infant formula shortages.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"881-884"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142104310","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}
Breastfeeding MedicinePub Date : 2024-11-01Epub Date: 2024-10-02DOI: 10.1089/bfm.2024.0133
Aria Grabowski, Ana Baylin, Lindsay Ellsworth, Jacqueline Richardson, Niko Kaciroti, Julie Sturza, Alison L Miller, Ashley N Gearhardt, Julie C Lumeng, Brigid Gregg
{"title":"Maternal Mediterranean Diet During Lactation and Infant Growth.","authors":"Aria Grabowski, Ana Baylin, Lindsay Ellsworth, Jacqueline Richardson, Niko Kaciroti, Julie Sturza, Alison L Miller, Ashley N Gearhardt, Julie C Lumeng, Brigid Gregg","doi":"10.1089/bfm.2024.0133","DOIUrl":"10.1089/bfm.2024.0133","url":null,"abstract":"<p><p><b><i>Background:</i></b> Human milk is considered the optimal source of nutrition for infants. Maternal diet is associated with the composition of human milk. The Mediterranean diet (MedDiet) has been studied in pregnancy and during lactation, and it has been associated with changes in milk composition, yet there is a lack of research on MedDiet during lactation and infant outcomes. <b><i>Methods:</i></b> Mother-infant dyads (<i>n</i> = 167) from ABC Baby, a prospective observational study, were included in this analysis. Maternal diet was obtained using an adapted version of the National Cancer Institute Diet History Questionnaire II, at 2 weeks or 2 months postpartum. Maternal MedDiet score was calculated using servings of vegetables, fruits, whole grains, nuts and seeds, legumes, fish, monounsaturated-to-saturated fatty acid ratio, red and processed meats, and added sugar. Infants' length, weight, and flank skinfold thickness were measured at 6 months. Using World Health Organization standards, weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) Z-scores were calculated. Multiple linear regression models were adjusted for potential confounders. <b><i>Results:</i></b> Higher maternal MedDiet score and intake of fruit and fish were associated with lower flank skinfold thickness (<i>β</i> = -0.33, -0.52, and -1.26, respectively). Intake of nuts and seeds was associated with higher WLZ (<i>β</i> = 0.29). Intake of red and processed meats was associated with lower WAZ (<i>β</i> = -0.18) and LAZ (<i>β</i> = -0.18). Energy-adjusted added sugar intake was associated with lower WLZ (<i>β</i> = -0.02). <b><i>Conclusions:</i></b> The maternal MedDiet score was associated with lower skinfold thickness, while its components were associated with differences in anthropometric Z-scores. Further research on the maternal MedDiet and corresponding human milk composition is needed to explore this relationship.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"848-856"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361066","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}
Breastfeeding MedicinePub Date : 2024-11-01Epub Date: 2024-11-08DOI: 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":"<p><p><b><i>Background:</i></b> 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. <b><i>Methods:</i></b> 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. <b><i>Results:</i></b> 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, <i>p</i> = 0.73). A similar trend was observed on the 14th day postpartum (331 versus 510.0 mL, <i>p</i> = 0.6). Additionally, no significant differences were observed regarding maternal and neonatal adverse events. <b><i>Conclusions:</i></b> 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.</p>","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}
Breastfeeding MedicinePub Date : 2024-11-01Epub Date: 2024-10-10DOI: 10.1089/bfm.2024.0309
Elien Rouw
{"title":"Breastfeeding Medicine: On the Way to a Medical Specialism.","authors":"Elien Rouw","doi":"10.1089/bfm.2024.0309","DOIUrl":"10.1089/bfm.2024.0309","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"897-898"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458023","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 Experiences of Mothers of Children with Down Syndrome: A Qualitative Study.","authors":"Musa Özsavran, Tülay Kuzlu Ayyıldız","doi":"10.1089/bfm.2024.0278","DOIUrl":"https://doi.org/10.1089/bfm.2024.0278","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> It is known that despite the benefits of breast milk and breastfeeding, children with Down syndrome (DS) are breastfed less than other children are. More information is needed to reveal the problems experienced regarding breastfeeding in this group of children and take precautions. The purpose of this study was to learn about the breastfeeding experiences of mothers of children with DS. <b><i>Methods:</i></b> The study was carried out by conducting in-depth interviews with 17 women who met the inclusion criteria in Turkey between September 1 and December 1, 2023. Content analysis was used to analyze the data. <b><i>Results:</i></b> As a result of the content analysis, five themes emerged. These themes were changing of body and emotions, why doesn't my baby suck?, I have to breastfeed my baby, I am not alone, and experiences should be shared. <b><i>Conclusions:</i></b> It was determined that mothers of children with DS experienced problems/difficulties due to individual, baby-related, and environmental factors. The positive effects of breastfeeding children with DS can be made prevalent in society by supporting these mothers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543671","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":"Oral Care Performed with Breast Milk in Preterm Newborns Fed by Tube: A Randomized Controlled Study.","authors":"Ayşe Çuvadar, Zühal Çamur, Refiye Zafer Dinçkol","doi":"10.1089/bfm.2024.0214","DOIUrl":"https://doi.org/10.1089/bfm.2024.0214","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study examined the effect of breast milk on oral care practices in neonatal intensive care units. <b><i>Methods:</i></b> This study involved 64 preterm infants (intervention/breast milk: 32, control/distilled water: 32) and was carried out with a prospective, parallel, randomized controlled design. The \"Newborn Oral Health Assessment Tool (NOHAT)\" was used to assess oral care. The Mann-Whitney <i>U</i> test, continuity correction test, Fisher's exact test, independent-samples <i>T</i> test, and Wilcoxon signed ranks test were used to analyze the data. <b><i>Results:</i></b> Examining the oral care performed using breast milk and distilled water with NOHAT scores, it was determined that there was a significant difference in the intervention group (<i>p</i> < 0.05). <b><i>Conclusions:</i></b> It is recommended to use breast milk for oral care.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495145","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}
Caroline Toney-Noland, Ronald S Cohen, Lenae Joe, Peiyi Kan, Henry C Lee
{"title":"Factors Associated with Inequities in Donor Milk Bank Access Among Different Hospitals.","authors":"Caroline Toney-Noland, Ronald S Cohen, Lenae Joe, Peiyi Kan, Henry C Lee","doi":"10.1089/bfm.2024.0199","DOIUrl":"https://doi.org/10.1089/bfm.2024.0199","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Donor human milk (DHM) can provide many benefits to neonates. This study examines access to DHM and how structural barriers may exacerbate inequities. <b><i>Study Design:</i></b> The median test and analysis of variance test were used to compare the distribution of maternal race/ethnicity and insurance status variables with DHM access for California neonatal intensive care units (NICUs) in 2021. <b><i>Results:</i></b> Across 124 NICUs, those serving a higher percentage of white families were more likely to have access to DHM (<i>p</i> = 0.04). NICUs with a higher percentage of Hispanic families were less likely to have access to DHM (<i>p</i> = 0.03). Hospitals that had higher proportions of uninsured patients were also less likely to have access to DHM (<i>p</i> = 0.015). <b><i>Conclusion:</i></b> Inequities in DHM access and use among NICU infants begin at the structural level. Policies that reduce barriers to DHM access may reduce health inequities for Hispanic and uninsured families.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495143","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}
Seun M Ajoseh, John Tasheyon Whesu, Maya Nicole Varnedore, Deepthi S Varma, Adetola F Louis-Jacques
{"title":"The Interaction of Race and Pregnancy Intentions on Breastfeeding Initiation Rates and Duration in the United States.","authors":"Seun M Ajoseh, John Tasheyon Whesu, Maya Nicole Varnedore, Deepthi S Varma, Adetola F Louis-Jacques","doi":"10.1089/bfm.2024.0189","DOIUrl":"10.1089/bfm.2024.0189","url":null,"abstract":"<p><p><b><i>Background:</i></b> Unintended pregnancy increases adverse perinatal health outcomes. Limited studies exist on the influence of pregnancy intention on breastfeeding. This study examines the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. <b><i>Methods:</i></b> Using the National Survey of Family Growth (2017-2019), we categorized breastfeeding into three categories (<i>never breastfed, breastfed for 6 months or less, and breastfed for more than 6 months</i>). Multinomial logistic regression and probability marginal effects were estimated across racial categories (Hispanics, non-Hispanic [NH] White, Black, and NH-others or multiracial). <b><i>Results:</i></b> The probability (Pr.) of never breastfeeding was the greatest among NH-Black women for all pregnancy intentions-both intended (Pr.: 0.34), mother-only (Pr.: 0.27), father-only (Pr.: 0.45), ambivalent (Pr.: 0.55), and neither intended (Pr.: 0.37). The probability of breastfeeding for 6 months or less is highest for Hispanics for both intended (Pr.: 0.41), NH-White for mother-only intended (Pr.: 0.49), Hispanics for father-only intended (Pr.: 0.56), ambivalent pregnancy intentions (Pr.: 0.60), and NH-others or multiracial for neither intended pregnancies (Pr.: 0.48). The probability of breastfeeding for more than 6 months is highest for NH-others or multiracial for both intended (Pr.: 0.50), ambivalent (Pr.: 0.49), and neither intended (Pr.: 0.36), while highest for NH-Black for mother-only intended (Pr.: 0.43). <b><i>Conclusions:</i></b> Our study demonstrates the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. Owing to the high volume of unintended pregnancies in the United States, the current study might help maternal and child healthcare providers understand the interaction between race and pregnancy intentions on breastfeeding initiation and duration in the United States.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495148","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}
Tatiane Graça Martins, Anne Jardim Botelho, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Bruna Franca Protásio, Diana Dos Santos, Solange Alves Dos Santos, Párcia Marques da Silva Oliveira, Ikaro Daniel de Carvalho Barreto, Ricardo Queiroz Gurgel
{"title":"Factors Associated with Weaning in Infants with Cow's Milk Allergy: A Cohort Study.","authors":"Tatiane Graça Martins, Anne Jardim Botelho, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Bruna Franca Protásio, Diana Dos Santos, Solange Alves Dos Santos, Párcia Marques da Silva Oliveira, Ikaro Daniel de Carvalho Barreto, Ricardo Queiroz Gurgel","doi":"10.1089/bfm.2024.0108","DOIUrl":"https://doi.org/10.1089/bfm.2024.0108","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To analyze the factors associated with weaning in infants with cow's milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil. <b><i>Method:</i></b> A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group. Survival analysis was performed to compare breastfeeding time between the three groups and an adjusted linear regression model to verify the factors associated with breastfeeding time. <b><i>Results:</i></b> At the beginning of the study, 33.3% of children in the CMA group, 17.1% in the SC group, and 69.6% in the AC group were exclusively breastfeeding (<i>p</i> = 0.005). The most common factors for weaning in children with CMA were the cow's milk elimination diet (30%), allergic symptoms in the child (20%), and breast engorgement (20%). Children who used a cup as a means of offering infant formula spent 281 more days breastfeeding compared with those who used a baby bottle (B<sup>std</sup> = 1.39; <i>p</i> = 0.031). <b><i>Conclusion:</i></b> Children with CMA and nonallergic gastrointestinal complaints weaned earlier compared with asymptomatic children. The main causes of weaning in CMA children were maternal difficulty adhering to the elimination diet, breast engorgement, and allergic symptoms in the child. Using a cup was the main factor associated with longer breastfeeding duration, regardless of gastrointestinal symptoms and socioeconomic factors.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495144","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}