The premature newborn

Author(s):  
John Puntis

Infants born at 24 weeks’ gestation now have a 40% chance of survival, rising to 80% at 26 weeks. Many have difficulty tolerating enteral feeds because of gastrointestinal immaturity; during this time parenteral nutrition is commonly given. Undernutrition in the early weeks of life may have lasting effects on developmental outcomes and increase the risk of certain chronic diseases in adult life (e.g. hypertension, cardiovascular disease, diabetes). Breast milk appears to confer some protection against necrotizing enterocolitis and be good for brain development. There has been a resurgence of investment in milk banks so that donor milk from nursing mothers in the community can be processed and given to preterm infants whose mothers cannot provide sufficient milk of their own. When breast milk is unavailable, preterm formula should be used, and following discharge from hospital (when many infants are showing a growth deficit), a nutrient-enriched formula can be given.

2019 ◽  
Vol 80 (4) ◽  
pp. 186-189
Author(s):  
Nicole Clouthier ◽  
Cindy Ulrich ◽  
Dr. Brenda Hartman

Human milk is considered to be the best nutritional option for newborns. When a mother gives birth prematurely, she may have difficulty providing breast milk for her child. Pasteurized donor human milk (DM) is a better feeding alternative than preterm formula. Human milk banks in North America pool the milk from up to 5 women before distribution, a concept which does not pose a problem for most living in the Western world. Muslim families living in North America may reject the use of DM due to the idea of milk kinship and the anonymity of the donor. This paper aims to provide knowledge to Canadian clinicians on these Islamic religious beliefs relevant to DM and how they may impact their practice. Additionally, this paper provides Canadian clinicians with information to alleviate concerns Muslim families may have regarding the use of DM for their preterm infant.


2020 ◽  
Vol 7 (1) ◽  
pp. 27-30
Author(s):  
Ririn Probowati ◽  
Monika Sawitri Prihatini ◽  
Mamik Ratnawati

Counseling is a series of contacts or direct relationships with individuals whose purpose is to provide assistance in changing their attitudes and behavior (Taufik, 2010). In order for mothers to maintain exclusive breastfeeding for 6 months, WHO recommends initiating breastfeeding within the first hour of life, babies only receive breast milk without additional food or drink, including water, breastfeed as requested or as often as the baby wants, and do not use bottles or pacifiers. (WHO, 2018). Based on data from the Ministry of Health, there is an increase in the provision of breastfeeding (breast milk) during a pandemic COVID-19 by 52 percent. This figure has increased significantly compared to last year. "Compared to the 2019 period, there is an increase in breastfeeding in 2020. It increases from 20 percent to 52 percent in the first trimestes of 2020. East Java is currently not far from the national figure, reaching 26.91 percent with the highest risk of stunting in the districts of Probolinggo, Trenggalek, Jember, Bondowoso and Pacitan . The stunting rate in Jombang Regency has decreased by 1 percent compared to 2019. Namely from 18 percent to 17 percent in 2020. According to her, the highest stunting cases in Jombang are in five areas, namely Plabuhan, Plandaan, Mayangan and Distance Kulon districts, Jogoroto, Kabuh, districts. and Blimbing Kesamben District. The purpose of this activity is to provide guidelines for members of the   counselor group at PONED puskesmas in the Jombang district health office . The results of this activity , terbetuknya breastfeeding counselor groups in each puskesmas PONED in Jombang district, a group of counselors will provide assistance to the motivator and mother - pregnant women and nursing mothers in order to give exclusive breastfeeding are one factor un tuk prevent stunting in bali ta . In this activity the number of participants who took part in the Breastfeeding Counseling Training in the Context of Stunting Prevention through Breastfeeding in Jombang district was 19 participants during the pandemic period . .   Keywords : Breastfeeding Counseling , Stunting , Breastfeeding


2019 ◽  
Vol 5 (1) ◽  
pp. 39-42
Author(s):  
Heriza Syam ◽  
Jehanara Jehanara ◽  
Nurdjasmi Nurdjasmi

Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.  


1995 ◽  
Vol 16 (9) ◽  
pp. 352-352
Author(s):  
Heena A. Shah

Trace elements other than iron only recently have gained importance in infant nutrition. Zinc and copper are two of the most essential trace elements. Zinc is a constituent of more than 100 metalloenzymes and plays an important role in growth, reproduction, tissue repair, and cellular immunity. Copper is a component of several metalloenzymes and is required for oxidative metabolism. Nutritional deficiencies of zinc now are recognized as being fairly prevalent throughout the world. Symptomatic zinc deficiency among infants can be attributed to several factors. It can be secondary to low zinc concentration in breast milk, low stores (as in prematurity), malabsorption (as in acrodermatitis enteropathica), or absence or inadequate amount in parenteral nutrition.


1983 ◽  
Vol 21 (12) ◽  
pp. 48-48

Maprotiline (Ludiomil) should be deleted from the list of permissible antidepressives since significant amounts are present in breast milk (Lloyd AH. J Int Med Res 1977; 5, suppl.4: 122–38). The baby would receive less than the equivalent of the adult therapeutic dose, but the effects of the drug on the immature brain are unknown.


2019 ◽  
Vol 210 ◽  
pp. 69-80.e5 ◽  
Author(s):  
Panagiota Markopoulou ◽  
Eleni Papanikolaou ◽  
Antonis Analytis ◽  
Emmanouil Zoumakis ◽  
Tania Siahanidou

1993 ◽  
Vol 9 (1) ◽  
pp. 15-23 ◽  
Author(s):  
J. Fellague Ariouat ◽  
D.J.P. Barker

Recent research has shown that retarded growth during fetal life and infancy is linked to the development of cardiovascular disease (coronary heart disease and stroke) in adult life. Maternal nutrition has an important effect on early growth and the diets of young women may therefore influence cardiovascular disease in the next generation. Samples of women aged 80 years and over were interviewed in six areas of England and Wales with different cardiovascular death rates. The women, 281 in total, were asked about their diets when they were aged 10 to 15 years. Those who grew up in areas which now have low cardiovascular mortality tended to eat four meals a day rather than three, to live in households which had gardens, kept hens or livestock, and to go into domestic service, where diets were generally good. Those who grew up in areas which now have high cardiovascular mortality tended to eat less red meat, to live in houses without gardens, to enter industrial occupations and have higher fertility rates.


Sign in / Sign up

Export Citation Format

Share Document