scholarly journals Micronutrient intakes of lactating mothers and their association with breast milk concentrations and micronutrient adequacy of exclusively breastfed Indonesian infants

2019 ◽  
Vol 110 (2) ◽  
pp. 391-400 ◽  
Author(s):  
Lisa Daniels ◽  
Rosalind S Gibson ◽  
Aly Diana ◽  
Jillian J Haszard ◽  
Sofa Rahmannia ◽  
...  
Keyword(s):  
Breast Milk ◽  
Maternal Diet ◽  
Pantothenic Acid ◽  
Sole Source ◽  
Cross Sectional Study ◽  
Nutrient Concentrations ◽  
Cross Sectional ◽  
Breastfed Infants ◽  
Lactating Mothers ◽  
Milk Volume

ABSTRACT Background Breast milk is the sole source of nutrition for exclusively breastfed infants in the first 6 mo of life, yet few studies have measured micronutrient concentrations in breast milk in light of maternal diet and subsequent infant micronutrient intakes. Objectives We evaluated the adequacy of micronutrient intakes of exclusively breastfed Indonesian infants by measuring milk volume and micronutrient concentrations and assessed maternal micronutrient intakes and their relationship with milk concentrations. Methods Mother–infant (2–5.3 mo) dyads (n = 113) were recruited for this cross-sectional study. Volume of breast-milk intake via the deuterium dose-to-mother technique over 14 d and analyzed micronutrient concentrations were used to calculate micronutrient intakes of exclusively breastfed infants. Maternal 3-d weighed food records were collected to assess median (IQR) micronutrient intakes. Multivariate regression analyses examined the association of usual maternal micronutrient intakes with milk micronutrient concentrations after adjustment for confounding variables. Results Mean ± SD intake of breast-milk volume was 787 ± 148 mL/d. Median daily infant intakes of iron, zinc, selenium, magnesium, sodium, and B-vitamins (thiamin, riboflavin, niacin, pantothenic acid, B-6, and B-12) were below their respective Adequate Intakes. Inadequacies in maternal intakes (as % < estimated average requirements) were >40% for calcium, niacin, and vitamins A, B-6, and B-12. Significant positive associations existed between maternal usual intakes of vitamin A, niacin and riboflavin and milk retinol, nicotinamide, and free riboflavin concentrations in both unadjusted and adjusted (for infant age, milk volume, and parity) analyses (all P < 0.05). Conclusions The majority of micronutrient intakes for these exclusively breastfed infants and their mothers fell below recommendations, with associations between maternal intakes and breast-milk concentrations for 3 nutrients. Data on nutrient requirements of exclusively breastfed infants are limited, and a better understanding of the influence of maternal nutritional status on milk nutrient concentrations and its impact on the breastfed infant is needed.

Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

2020 ◽  
Vol 38 (2) ◽  
pp. 68-73
Author(s):  
Tarannum Tasnim ◽  
ANM Shamsul Islam ◽  
Mehedi Hasan Azad ◽  
Farhana Sharmin
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
Dietary Advice ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Breast Milk Production ◽  
Lactating Mothers ◽  
Structured Questionnaire

Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73

scholarly journals Correlation Between Docosahexaenoic Acid Intake and It’s Content in Breast Milk of Lactating Mothers in Jakarta

2020 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Raphael Kosasih ◽  
Ninik Mudjihartini ◽  
Saptawati Bardosono
Keyword(s):  
Breast Milk ◽  
Docosahexaenoic Acid ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Food And Agriculture ◽  
Food And Agriculture Organization ◽  
Lactating Mothers ◽  
Moderate Positive Correlation

Objective: Docosahexaenoic acid (DHA) is the predominant structural fatty acid in the brain and crucial for cognitive development in early life. Newborn DHA intake completely depends on preformed DHA in mother’s breast milk. In advancing years, globalization has been declining the fish intake of Asian countries. This study aims to determine DHA intake among lactating mothers in Jakarta and its association with breast milk’s DHA.Method: This cross-sectional study was conducted in Grogol Petamburan and Cilincing Public Health Centers, Jakarta. Eighty healthy lactating mothers aged 20–35 years old in 1–6 months postpartum were taken using consecutive sampling method. Characteristics data were taken by interviews and DHA intake was assessed with the semiquantitative food frequency questionnaire. Breast milk specimens were collected in the morning and its DHA content was analyzed using Gas Chromatography with Mass Spectrometry. Descriptive analyses and Spearman rho test were used with a 95% confidence level.Result: This study showed the median of subjects’ DHA intake was 158.5(13.9–719.7) mg/day, i.e., 67.5% of the subjects was below Food and Agriculture Organization (FAO) recommendation. The median of breast milk DHA was 51.7(19–184.7) mg/day, only 42.5 % of the subjects had breast milk DHA to meet the minimal requirement of their infant. A moderate positive correlation was found between maternal DHA intake with breast milk DHA (r = 0.478, p < 0.001). Conclusion:  Maternal DHA intake has moderate positive correlation with breast milk DHA, more than half of the subject had DHA intake below FAO recommendation.

scholarly journals A cross-sectional study of lactation room quality and Dutch working mothers’ satisfaction, perceived ease of, and perceived support for breast milk expression at work

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sjoukje A. van Dellen ◽  
Barbara Wisse ◽  
Mark P. Mobach ◽  
Casper J. Albers ◽  
Arie Dijkstra
Keyword(s):  
Breast Milk ◽  
Working Mothers ◽  
Cross Sectional Study ◽  
Perceived Support ◽  
Cross Sectional Survey ◽  
High Quality ◽  
Cross Sectional ◽  
Breast Milk Expression ◽  
Lactating Mothers

Abstract Background The challenge of combining professional work and breastfeeding is a key reason why women choose not to breastfeed or to stop breastfeeding early. We posited that having access to a high-quality lactation room at the workplace could influence working mothers’ satisfaction and perceptions related to expressing breast milk at work, which could have important longer term consequences for the duration of breastfeeding. Specifically, we aimed to (1) develop a checklist for assessing the quality of lactation rooms and (2) explore how lactation room quality affects lactating mothers’ satisfaction and perceptions. Drawing on social ecological insights, we hypothesized that the quality of lactation rooms (operationalized as any space used for expressing milk at work) would be positively related to mothers’ satisfaction with the room, perceived ease of, and perceived support for milk expression at work. Methods We conducted two studies. In Study 1 we developed a lactation room quality checklist (LRQC) and assessed its reliability twice, using samples of 33 lactation rooms (Study 1a) and 31 lactation rooms (Study 1b). Data were collected in the Northern part of the Netherlands (between December 2016 and April 2017). Study 2 comprised a cross-sectional survey of 511 lactating mothers, working in a variety of Dutch organizations. The mothers were recruited through the Facebook page of a popular Dutch breastfeeding website. They completed online questionnaires containing the LRQC and measures aimed at assessing their satisfaction and perceptions related to milk expression at work (in June and July 2017). Results The LRQC was deemed reliable and easy to apply in practice. As predicted, we found that objectively assessed higher-quality lactation rooms were associated with increased levels of satisfaction with the lactation rooms, perceived ease of milk expression at work, and perceived support from supervisors and co-workers for expressing milk in the workplace. Conclusions The availability of a high-quality lactation room could influence mothers’ decisions regarding breast milk expression at work and the commencement and/or continuation of breastfeeding. Future studies should explore whether and how lactation room quality affects breastfeeding choices, and which aspects are most important to include in lactation rooms.

scholarly journals Assessment of Aflatoxin M1 in human breast milk in Rafsanjan, Iran

2021 ◽  
Author(s):  
Somayeh Pourtalebi ◽  
Seyyed Amin Ayatollahi Mousavi ◽  
Zahra Assadollahi ◽  
Seyyed Mahdi Mousavi
Keyword(s):  
Breast Milk ◽  
Cross Sectional Study ◽  
Aflatoxin M1 ◽  
Enzyme Linked Immunosorbent Assay ◽  
Human Breast Milk ◽  
The European Union ◽  
Postnatal Exposure ◽  
Cross Sectional ◽  
Milk Samples ◽  
Lactating Mothers

Background and Purpose: Aflatoxins (AFs) are a group of highly toxic mycotoxins present both in the environment and in foodstuffs. The food of infants should be safe and free of various pollutants, including breast milk mycotoxins. This study aimed to measure the mycotoxin of Aflatoxin M1 (AFM1) in human milk samples obtained from lactating mothers living in Rafsanjan city, Iran.  Materials and Methods: In the current cross-sectional study, breast milk samples were collected from 150 lactating mothers in Rafsanjan city from September 2015 to April 2016 using the structured food-frequency questionnaire. The AFM1 was measured by employing enzyme-linked immunosorbent assay specific kits. The statistical analysis was performed in SPSS software (version 16). Results: The AFM1 was detected in 98 mothers (65%) with a mean concentration of 14.69±8.15 ng/kg, ranging from 5.02 to 41.25 ng/kg. The AFM1 concentration exceeded the tolerable and accepted limit promulgated by the European Union and the USA (25 ng/kg) in only 10 milk samples. Moreover, in 59 milk samples, the AFM1 concentration exceeded the limit recommended by Australia and Switzerland (10 ng/kg). Conclusion: According to the results of the present study, lactating mothers and their infants are at risk of AFM1 exposure in southern Iran. Accordingly, the examination of AFM1 concentrations in lactating mothers, as a critical postnatal exposure marker of infants to this carcinogenic compound, requires further studies in various seasonal periods and different parts of Iran.

scholarly journals Special Foods and Local Herbs Used to Enhance Breast milk Production in Ghana: Rate of Use and Beliefs of Efficacy

2020 ◽  
Author(s):  
Zakari Ali ◽  
Mohammed Bukari ◽  
Anita Mwinisonaam ◽  
Abdul-Latif Abdul-Rahaman ◽  
Abdul-Razak Abizari
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Black Tea ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Food Items ◽  
Breast Milk Production ◽  
Lactating Mothers ◽  
The Media ◽  
Suboptimal Breastfeeding

Abstract Background Inadequate breast milk production is one of the key factors associated with suboptimal breastfeeding. In most local African homes, special herbs and some food items are commonly used to promote breast milk production (known as lactogogue/galactogogue). We describe the use and characterize the herbs and food items used to promote breastmilk production in two regions of Ghana. Methods We conducted a cross-sectional study involving 402 lactating mothers. The range of foods used as lactogogues was obtained through focus group discussions. Quantitative data on demographics, lactogogue use and feeding practices were obtained through questionnaire administration. Results The mean age of women was 29.2 years and children were 10 months. Breastmilk production problems were low (22.4%) and majority of lactating mothers felt they had adequate breastmilk (70.4%) but awareness about lactogogues was widespread in both regions (88.8%) and highest in the Brong-Ahafo region (90.0%). Information about lactogogues was mainly from grandparents (24.6%), parents (31.6), health facilities (16.5%) and friends (12.8%), while the media had little influence (< 1%). Prevalence of lactogogue use was 83.8%, lactogogues were prepared separate from household meals (59.4%) and consumed 1 to 3 times a day (89.6%). Users felt the effectiveness within 24hrs of use (98.5%). The most common lactogogues included; groundnut/peanut soup prepared with Bra leaves (Hibiscus sabdariffa), hot black tea, Werewere/Agushi (Citrulus colocynthis) prepared with Bra leaves, and Abemudro (a polyherbal formulation). Only 13.2% of lactating mothers also used lactogogues during pregnancy. Conclusion Special foods and selected herbs are widely used to enhance breastmilk production in Ghana and constitute an important part of the diet of lactating mothers. These results could contribute to understanding breastfeeding behaviours and professional support for lactating women with breast milk production concerns in Ghana.

scholarly journals LACTOFERRIN LEVELS IN MOTHER’S MILK

2012 ◽  
Vol 19 (04) ◽  
pp. 527-530
Author(s):  
SYED QAISER HUSAIN NAQVI ◽  
MOHAMMAD SHIRAZ KHAN ◽  
ALI AKBAR SIYAL ◽  
Mir Muhammad Sehto ◽  
Riaz Ahmed Qazi ◽  
...  
Keyword(s):  
Breast Milk ◽  
Cross Sectional Study ◽  
Human Breast Milk ◽  
Sectional Study ◽  
Human Breast ◽  
Mature Milk ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Mother's Milk ◽  
The Mean

Objective: This study was aimed to see the significance of Lactoferrin in human breast milk among lactating mothers of healthyand sick babies. Place and duration: This study was conducted at pathology and paediatrics departments of Peoples University of Medical andHealth Sciences Nawabshah, Shaheed Benazirabad between Jan 2011 to Dec 2011. Design: Cross sectional study. Method: Lactoferrinlevels in breast milk of 356 mothers of healthy babies were estimated and similarly lactoferrin levels in breast milk of 318 lactating mothers ofsick babies were estimated & these results were analyzed. Results: the mean lactoferrin level in breast milk of 356 lactating mothers of healthybabies was 9.37 mg/ml and the mean lactoferrin level in breast milk of 318 mothers nursing sick babies was 3.73mg/ml. Conclusions: There isdecrease in lactoferrin levels of lactating mothers of sick babies in their mature milk, which could account for the susceptibility of their babies toinfection.

scholarly journals Breastfeeding Knowledge, Altitude and Practices of Lactating Mothers in Mwanakia-A Case of Nairobi Metropolis

2019 ◽  
Vol 7 (08) ◽  
Author(s):  
Dr. Evayline Muthoni Nkirigacha
Keyword(s):  
Breast Milk ◽  
Feeding Habits ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Cow’S Milk ◽  
Cross Sectional ◽  
Cow's Milk ◽  
Breastfeeding Knowledge ◽  
Lactating Mothers ◽  
Increase Milk Production

The objective of the study to examine the breastfeeding knowledge, altitude and practices of lactating mothers 0-6 postpartum. This cross sectional study was conducted on 260 lactating women living in Mwanamukia, Nairobi Kenya. A structured questionnaire was used on social, socio-economic characteristics. SPSS version 20 and analyzed using descriptive statistics and Pearson correlation coefficient determined associations. More than half of the respondents were literate, married and lived in male headed households. Others business people, single and Meru ethnicity. Majority 36-40 years age category. Majority (61.6%) participated in urban agriculture.  57.3% of the respondents owned land.  88.5% had heard about exclusive breastfeeding, 96.2% breastfed exclusively for 4 months, 57.7 knew infant should be breastfed immediately after birth, 26.5% breastfeed after2-24 hours of delivery.67.3% frequent suckling does not increase milk production. 46.9% agreed an infant first food breastmilk, 26.5% cow’s milk and 23.8% porridge. 94.2% altitude exclusively breastfeed 6 months, 46.1% believed feed infant breast milk while 30.4% cow’s milk, 23.4% porridge. 48.1% breast milk sufficient, 82.7%  colostrum  be fed to infant, 17.3% colostrum.81.2% felt good giving infant something to eat before 6 months, 18.8%  afraid  child well cry. 52.7% felt exclusively breastfed not healthier than exclusively breastfed.94.1% breastfed last child. 50% breastfed immediately, 29.2% gave something after one month, 48.1% gave something after 2 months. 52.3% breastfed on demand, 34.2% when child cried. Illiterate Mothers had inappropriate feeding practices (OR1.578, CI 1.762-2.292). The study concludes that knowledge and practice did not have any relationship, altitude influenced feeding habits. 

scholarly journals Determination of Nickel Concentration in the Breast Milk of Lactating Mothers Living In Hilla City, Babylon, Iraq

2018 ◽  
Vol 26 (8) ◽  
pp. 84-91
Author(s):  
Ishtar Munim Nassir ◽  
Abaas Noor Al-Sharify ◽  
Hasan Alwan Baiee
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Tap Water ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
The Body ◽  
Nickel Concentration ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
High Concentrations

Background Human milk is the only source of food for infants during the first four to five months of their life. Some chemicals compood can be transferred from the body stores and from blood into the breast milk of a lactating mother. Objectives       To determining and measurements of Nickel leval the human milk and to identify the associations of certain potential variables with the concentrations of these heavy metals. Subjects and Methods        This is a cross-sectional study carried included a milk test by a randomly selected (68) women apparently healthy lactating women, who attended Babylon  Maternity & children hospital in Al – Hilla city during the period mid of February through the end of April 2012. Breast milk was collected and analyzed to detect and measure Nickel using atomic absorption. A questionnaire paper was prepared to recorded the demographic variables. Weights and heights were measured to calculate the Body Mass Index. Results       This study revealed that the mean concentrations of Nickel in the human milk was (23.83±15.57 ppb) which was remarkably high as compared with the concentrations reported by other studies done in other countries. The study shows that there was a statistically significant association (p<0.0s) between  the high concentrations of  Nickel and the followings associates ; living in urban regions ,living near highways , living near industrial regions and drinking river or tap water, being younger (<3oyears of  age) or heaver increase weight and being cigarettes smokers. The prevalence rates of lactating mothers with abnormal concentrations of was 99%and 93% respectively indicating the serious environmental pollution in Hilla city. Conclusion        Breast milk of lactating mothers in Hilla city is abnormally contaminated with; Nickel this public health problem need to be addressed.

scholarly journals Cow’s milk exposure and atopic dermatitis after six months of age

2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede
Keyword(s):  
Atopic Dermatitis ◽  
Maternal Diet ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Cow’S Milk ◽  
Milk Formula ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cow's Milk ◽  
Study Population

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 

scholarly journals How Knowledge about Stem Cells Influences Attitudes towards Breastfeeding: Case Study of Polish Women

2021 ◽  
Vol 18 (5) ◽  
pp. 2382
Author(s):  
Malgorzata Witkowska-Zimny ◽  
Dorota Majczyna
Keyword(s):  
Stem Cells ◽  
Breast Milk ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
General Knowledge ◽  
Cross Sectional ◽  
Maternal Experience ◽  
Positive Attitudes ◽  
Survey Results ◽  
University Degree

Maternal breastfeeding is associated with multiple health benefits, both for the child and the mother. Since breastfeeding rates are declining, finding new, future-oriented strategies to strengthen and support mothers’ positive attitudes towards breastfeeding need to be developed. In this paper, we describe how information about the presence of stem cells in breast milk can influence the willingness to breastfeed in the population of Polish pregnant women. A cross-sectional study involving a group of 150 pregnant women was conducted to assess the correlation between their knowledge about stem cells and their attitude towards breastfeeding. Among the respondents, only 6% claimed that they did not know anything about stem cells, but general knowledge about stem cells in the research group was poor. The survey results indicated that city residence, university degree, maternal experience and advanced pregnancy correlated with higher general knowledge regarding stem cells. Most respondents (77.3%) had no knowledge regarding the presence of stem cells in breast milk. Approximately two-thirds of mothers with earlier negative breastfeeding experience declared that information about the presence of stem cells in breast milk could have influenced the decision to continue and extend the time of breastfeeding. Hence highlighting the presence of stem cells in breast milk can be used to encourage breastfeeding as a unique activity.

Sign in / Sign up

Export Citation Format

Share Document