Breastfeeding Medicine最新文献_第3页

Distinguishing Between Lactation Failure and Breastfeeding Cessation: A Scoping Review. 区分哺乳失败与停止母乳喂养：范围审查。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-27 DOI: 10.1089/bfm.2024.0265

Modia Batterjee, Haya Zedan

{"title":"Distinguishing Between Lactation Failure and Breastfeeding Cessation: A Scoping Review.","authors":"Modia Batterjee, Haya Zedan","doi":"10.1089/bfm.2024.0265","DOIUrl":"10.1089/bfm.2024.0265","url":null,"abstract":"Background: Interchangeable terminology and definitions of breastfeeding difficulties may inadvertently influence premature cessation of breastfeeding. Lactation failure is a distinct concept from breastfeeding cessation, and it is vital to differentiate between them, especially in educating health care professionals in communicating and supporting mothers perinatally. Purpose: Comprehensively review varying terminology and definitions, providing a more nuanced understanding of lactation failure versus breastfeeding cessation, and highlighting physiological and social, emotional, mental, and commercial factors that influence breastfeeding outcomes. Method: A scoping review of published literature from medical and scientific databases such as MEDLINE (via PubMed), Scopus, and Web of Science from 2000 to 2023. Results: N = 476 publications were collected during the identification phase; N = 49 from 28 countries around the world met the inclusion criteria and were used in the review. Only N = 13 studies ventured definitions for the terms used. Factors affecting breastfeeding were categorized as physiological leading to lactation failure and distinguished from social, mental, emotional, or commercial factors leading to breastfeeding cessation. Recommendations and Conclusions: Understanding the complexity of the factors underlying lactation failure and breastfeeding cessation can be improved by delineating the terminology and definitions variations used to communicate, provide awareness, education, design and delivery of interventions and support for initiation, and continuation of breastfeeding. Further in-depth research and analysis of the complex issues and factors influencing breastfeeding practices is required.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"5-18"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738385","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

Oral Care Performed with Breast Milk in Preterm Newborns Fed by Tube: A Randomized Controlled Study. 用母乳对插管喂养的早产新生儿进行口腔护理：随机对照研究

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1089/bfm.2024.0214

Ayşe Çuvadar, Zühal Çamur, Refiye Zafer Dinçkol

引用次数: 0

Breastfeeding Experiences of Mothers of Children with Down Syndrome: A Qualitative Study. 唐氏综合症患儿母亲的母乳喂养经历：定性研究。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-31 DOI: 10.1089/bfm.2024.0278

Musa Özsavran, Tülay Kuzlu Ayyıldız

{"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":"10.1089/bfm.2024.0278","url":null,"abstract":"Purpose: 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. Methods: 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. Results: 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. Conclusions: 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.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"50-58"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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}

引用次数: 0

Reducing Disparities in Breastfeeding: "Breast for Success" Excels a Second Time. 减少母乳喂养中的差异："成功母乳喂养 "再创佳绩。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-24 DOI: 10.1089/bfm.2024.0229

Deborah Hamilton, Jaime Pérez, Lydia Furman

{"title":"Reducing Disparities in Breastfeeding: \"Breast for Success\" Excels a Second Time.","authors":"Deborah Hamilton, Jaime Pérez, Lydia Furman","doi":"10.1089/bfm.2024.0229","DOIUrl":"10.1089/bfm.2024.0229","url":null,"abstract":"Background: Breastfeeding is a key public health priority with known racial inequities. Despite the well-described and far-reaching health benefits of breastfeeding for mothers and infants, rates of breastfeeding initiation, continuation, and exclusivity lag meaningfully among African American and Black (AA/B) women compared with other racial and ethnic groups due in main to current and historical structural racism. Methods: The study objective was to assess the replicability of Breast for Success (BFS) on breastfeeding rates among home-visited low-income predominantly AA/B mothers. The BFS Excels a Second Time (BEST) trial was an observational study conducted at the Neighborhood Health Association, Toledo, OH, enrolling expectant women (June 2022-March 2023, followed to October 2023) participating in the Moms and Babies First (MBF) Community Health Worker (CHW)-led home visiting program. The exposure, BFS, includes 11 CHW-delivered breastfeeding-supportive modules, breastfeeding supplies, and a postnatal lactation visit. All MBF mothers received BFS; those who agreed to data sharing were BEST participants. The outcomes were breastfeeding initiation, and breastfeeding continuation, and exclusivity at 1 month. Results: The majority of participants were AA/B (48, 83%), had an income <200% poverty level (55, 95%), and were unmarried (57, 98%); mean age was 25.8 years (SD 5.5). Of the 58 participants, 57 (98%) initiated breastfeeding and continued breastfeeding at 1 month postpartum; 53 (91%) were exclusively breastfeeding at 1 month postpartum. Discussion: BFS piggybacks seamlessly onto CHW-led home-visiting curricula and increased breastfeeding rates among women at high risk for not breastfeeding. Public health programs can add BFS to fill a critical curricular and impact gap with respect to breastfeeding support.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"19-24"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495147","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 Interaction of Race and Pregnancy Intentions on Breastfeeding Initiation Rates and Duration in the United States. 在美国，种族和怀孕意愿对母乳喂养开始率和持续时间的相互作用。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1089/bfm.2024.0189

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":"Background: 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. Methods: Using the National Survey of Family Growth (2017-2019), we categorized breastfeeding into three categories (never breastfed, breastfed for 6 months or less, and breastfed for more than 6 months). Multinomial logistic regression and probability marginal effects were estimated across racial categories (Hispanics, non-Hispanic [NH] White, Black, and NH-others or multiracial). Results: 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). Conclusions: 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.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"25-32"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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}

引用次数: 0

The Effect of Cannabis Consumption During Lactation on the Macronutrient Concentrations in Breast Milk. 哺乳期吸食大麻对母乳中宏量营养素浓度的影响

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI: 10.1089/bfm.2024.0083

Priyadharshini Narayanan, Kerri Bertrand, Jill Waalen, Christina Chambers, Karen Ferran, Gretchen Bandoli

{"title":"The Effect of Cannabis Consumption During Lactation on the Macronutrient Concentrations in Breast Milk.","authors":"Priyadharshini Narayanan, Kerri Bertrand, Jill Waalen, Christina Chambers, Karen Ferran, Gretchen Bandoli","doi":"10.1089/bfm.2024.0083","DOIUrl":"10.1089/bfm.2024.0083","url":null,"abstract":"Introduction: Human breast milk macronutrients play a vital role in the development of breastfed infants and are known to be influenced by several factors. There is limited information on the influence of cannabis use during lactation on these macronutrients. Given the rising use of cannabis among lactating women with its widespread legalization, this study aimed to examine the association of cannabis use during lactation on breast milk macronutrients. Materials and Methods: A cross-sectional study design was used and 637 breast milk samples with measured macronutrients were utilized. Of these, 165 samples that had detectable cannabis metabolites were defined as the study group, and 472 samples from mothers who did not report cannabis use and from mothers who reported cannabis use but did not have measurable metabolites of cannabis in their milk samples were defined as the control group. Multivariable linear regression models were used to assess the association of presence of cannabis metabolites with protein, carbohydrates, fat, and calories in breast milk. Results: Greater protein levels (95% confidence interval [CI]: 0.112-0.376; p < 0.001) and lower fat levels (95% CI: -0.217, -0.018; p = 0.020) were found in the milk exposed to cannabis compared with reported nonexposure. The presence of cannabis was associated with an increase of 0.244 mg/dL in protein and a reduction of 11% in fats in breast milk. The levels of energy and carbohydrates were not significantly different among the two groups. Conclusions: This study demonstrated a statistically significant association between the presence of metabolites of cannabis in breast milk and protein and fat concentrations in breath milk. Further studies are required toward building the body of evidence to determine safety of cannabis use during lactation.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"33-41"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614715","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

Ongoing Litigation Regarding the Use of Cow's Milk Formulas and Necrotizing Enterocolitis: Issues of Product Liability and Proposed Requirement for Informed Consent. 正在进行的关于使用牛奶配方和坏死性小肠结肠炎的诉讼：产品责任问题和知情同意的拟议要求。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1089/bfm.2024.0321

T Allen Merritt, Kimberly Hillyer, Mitchell Goldstein, Joseph Hageman

{"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":"10.1089/bfm.2024.0321","url":null,"abstract":"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.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"1-4"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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}

引用次数: 0

Breastfeeding Attitudes and Milk Production of Mothers Staying in Single and Double Rooms after Birth: A Cross-Sectional Comparative Study. 母乳喂养态度与产奶量：一项横断面比较研究。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 DOI: 10.1089/bfm.2024.0222

Aysun Ekşioğlu, Nilüfer Ataç, Emine Serap Çağan, Rabia Genç, Esin Çeber Turfan

{"title":"Breastfeeding Attitudes and Milk Production of Mothers Staying in Single and Double Rooms after Birth: A Cross-Sectional Comparative Study.","authors":"Aysun Ekşioğlu, Nilüfer Ataç, Emine Serap Çağan, Rabia Genç, Esin Çeber Turfan","doi":"10.1089/bfm.2024.0222","DOIUrl":"https://doi.org/10.1089/bfm.2024.0222","url":null,"abstract":"Background: There is limited evidence on whether the interaction of mothers staying in double rooms (DRs) in the hospital after birth affects breastfeeding attitudes and milk production. Research Aim: To compare the breastfeeding attitudes and milk production of mothers staying in a DR in the hospital after birth with mothers staying in a single room (SR). Materials and Methods: In the study, 181 mothers who gave birth at term were included. Of them, 92 stayed in SRs, and 89 stayed in DRs. The milk production and breastfeeding attitudes of the mothers were considered as dependent variables. Results: The mothers staying in SRs needed health care professional support more (83.7%) than did the mothers staying in DRs (71.9%; p < 0.05). Milk production was more in the mothers staying in SRs (χmean: 14.16 ± 3.34) than it was in the mothers staying in DRs (χmean: 10.13 ± 2.42; p < 0.05). There were no significant differences between the breastfeeding attitudes of the participants in terms of the type of the room they stayed in. Conclusions: While most mothers prefer staying in a SR in terms of privacy and comfort, some mothers prefer staying in a multiple-bed room because social interactions they have positively affect their breastfeeding attitudes. Health care institutions may consider incorporating shared or DRs into their postpartum care protocols, which creates comfortable and supportive environments for breastfeeding mothers.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":"20 1","pages":"42-49"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000180","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

Lactobacillus rhamnosus Helps to Reduce the Duration of Bleeding in Breastfed Infants with Allergic Proctocolitis. 鼠李糖乳杆菌有助于缩短患有过敏性直肠结肠炎的母乳喂养婴儿的出血时间。

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-17 DOI: 10.1089/bfm.2024.0185

Armen Malekiantaghi, Faezeh Ghanaati, Hosein Shabani-Mirzaee, Mamak Shariat, Sayed-Yousef Mojtahedi, Kambiz Eftekhari

{"title":"Lactobacillus rhamnosus Helps to Reduce the Duration of Bleeding in Breastfed Infants with Allergic Proctocolitis.","authors":"Armen Malekiantaghi, Faezeh Ghanaati, Hosein Shabani-Mirzaee, Mamak Shariat, Sayed-Yousef Mojtahedi, Kambiz Eftekhari","doi":"10.1089/bfm.2024.0185","DOIUrl":"10.1089/bfm.2024.0185","url":null,"abstract":"Background: Cow's milk protein allergy (CMPA) is the most common food allergy in infants. The current standard of care (SOC) involves eliminating the allergen from both the infant's and mother's diet for 2-4 weeks. The purpose of this study is to assess the effectiveness of Lactobacillus rhamnosus (Ramnoflor) in reducing the duration of bleeding in these infants. Methods: This randomized clinical trial was conducted at Bahrami Children's Hospital on breastfed infants who were diagnosed with CMPA and had a positive occult blood (OB) test. Patients were randomly assigned to either the control or case groups. All patients received SOC therapy, with the case group receiving Ramnoflor and the control group receiving a placebo. Data were recorded on the checklist, and the children were followed and visited three times during the study, with an OB assessment at each visit. Results: The study enrolled 48 infants. Among the infants in the case group, the OB test was positive in four cases (8.3%) on the fifth day. However, there were no positive cases on the 14th and 30th days. The prevalence of this test was significantly lower in patients who received probiotics compared to the control group on the fifth day (p < 0.001). There were no positive OB tests on the 14th and 30th days in any of the groups, and no significant difference was observed between the groups. Conclusion: The addition of L. rhamnosus to SOC therapy led to a decrease in the duration of rectal bleeding in infants with CMPA compared to the control group.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"59-64"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458022","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

Factors Associated with Weaning in Infants with Cow's Milk Allergy: A Cohort Study. 牛奶过敏婴儿断奶的相关因素：队列研究

IF 2.1 3区医学

Breastfeeding Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1089/bfm.2024.0108

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":"10.1089/bfm.2024.0108","url":null,"abstract":"Objective: 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. Method: 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. Results: 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 (p = 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 (Bstd = 1.39; p = 0.031). Conclusion: 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.","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"65-72"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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}

引用次数: 0