Egyptian Mother’s Breast Milk: Protein and Lipid Content in Correlation with Growth of Their Newborns

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Sanaa Y Shaaban ◽  
Enas Abd El Hameed ◽  
Yasmin G Abdo El Gendy ◽  
Athar FM Abd Elazim

Abstract Background Infant growth is a big concern among the community, mothers and the pediatricians, this study focused on what can affect newborns growth in Egyptian community. Objective Primary objective to detect the relationships between protein and lipid content of the breast milk of Egyptian women with their infant’s growth. Secondary objective is to correlate protein and lipid content in the mother’s milk and their diet. Patients and Methods This is a cohort study done on 30 infant in Ain Shams University for a period of six months.history was taken by questionnaire about infant’s Gestational age. parity. Dietetic history of infant (breast fed, frequency of feeds),Mother’s age, education, address, body weight, height, BMI and maternal illness. Mother’s dietetic history by 24 hour recall.breast milk samples was collected by hand expression between 4 and 8 weeks of lactation, kept frozen at20 °C. Triglyceride (fat) concentrations were measured in homogenized HM samples using H-Nuclear magnetic resonance (NMR) spectra. For protein, total nitrogen was measured by the Dumas method. Results The growth rate range of infants under study was (18gm/day _ 28gm/day). Protein content of mother’s milk lowest value was 0.7gm, and highest value was 1.9gm. Lipid content of mother’s milk lowest value was 3.1gm, and highest value was 5.6gm. Lactose content of mother’s milk lowest value was 5.9gm, and highest value was 7.4gm.Caloric content of maternal diet lowest value was 1013kcal/day and highest value was 2818kcal/day. the protein of breast milk has a direct positive effect on Infant’s growthrate(r = 0.735,p=0.000)weight(r = 0.689,p=0.000)and z score(r = 0.573, p = 0.001).lipid content of breast milk has a positive effect on Infant’s growthrate(r = 0.677,p=0.000)weight(r = 0.742,p=0.000)and zscore(r = 0.592,p=0.001). Protein of maternal diet has an impact on the protein content of her breast milk(r = 0.719,p=0.000)and lipid content of breast milk(r = 0.712, p = 0.000).lipid of maternal diet has no effect on lipid content of breast milk(r = 0.127,p=0.52)and protein of breast milk (r = 0.118,p=0.536).caloric intake of mothers has positive effect on protein of breast milk(r = 0.599,p=0.000),and lipid of breast milk(r = 0.496,p=0.005). Conclusion Protein content of breast milk of mothers positively affects growth rate weight and height of their infants. (P value 0.000, 0.001,0.005 respectively). As protein content of breast milk exceeds 1.1gm/dl infant kept same or higher weight/height centile and z score. As lipid content of breast milk exceeds 4mg/dl infant kept same or higher weight/height centile and z score. Protein content of breast milk is positively affected by protein in maternal diet(r = 0.747,P 0.000) and her total caloric intake(r = 0.519,p 0.005).lipid content of breast milk is positively affected by protein content of maternal diet (r = 0.719,P 0.000)and her total caloric intake(r = 0.496,p 0.005).

2021 ◽  
Vol 1 (19) ◽  
pp. 224-226
Author(s):  
I.A. Galvidis ◽  
A. Raysyan ◽  
R.J. Schneider ◽  
S.A. Eremin

When antibiotics are given to nursing women, clarithromycin (CLA), roxithromycin (ROK), erythromycin (ERI), azithromycin (AZI), dirithromycin (DIR), and oleandomycin (OLE) are excreted in breast milk. A rapid group-specific antibody test for these analytes in breast milk has been developed as a self-monitoring tool for safe feeding in infants.


Author(s):  
N. I. Zakharova ◽  
V. A. Yanin ◽  
L. V. Malyutina ◽  
V. L. Krikunova ◽  
O. A. Khalimova ◽  
...  

Organizing an individual bank of breast milk helps to preserve an alternative possibility to continue breast-feeding of a newborn baby with pumped and (or) frozen mother’s milk. Pumped milk (milk defrosted not later than 3–6 months) is microbiologically safe food for a baby. Frozen pumped milk is much better than mixtures for babies. Sanitary Regulations and Standards 2.1.3.2630.-10 clause 3.5 are to be updated to reflect the technology of breast-feeding preservation forsick babies who do not have breast-feeding since the first days of life.


2019 ◽  
Author(s):  
Igori Balta ◽  
Zamfir Marchis ◽  
Adina Lia Longodor ◽  
Aurelia Coroian

Mother's milk is a very valuable food for newborns, providing all the nutrients necessary for children's health.Colostrum is an important source of biologically active natural components and due to antimicrobial agents, canreduce gastrointestinal infections in newborns. Physical and chemical parameters were analyzed from maternal breast milk and colostrum for five days. The fat content of the colostrum shows the lowest values in the first postpartum days, after which it increases, reaching the highest values on day 5. Heavy metals in colostrum and mother's milk were evaluated considering their area of origin and all the samples were positive regarding Al, Pb, Rb, Sr, Cr. The variation in the metal concentration in maternal breast milk and colostrum could be due to their geographical origin and furtherly can affect the quality of milk.


2020 ◽  
Vol 8 (B) ◽  
pp. 845-850
Author(s):  
Enas R. Abdelhamid ◽  
Alyaa H. Kamhawy ◽  
Alshaimaa A. Elkhatib ◽  
Amr S. Megawer ◽  
Amal I. El Shafie ◽  
...  

BACKGROUND: Breast milk (BM) is the main nutritional source for newborns before they are capable to eat and consume other foods. BM has carbohydrates, lipids, complex proteins, and other biologically active components which have a direct effect on infant growth. AIM: The aim of the study was to correlate anthropometric data of the infant to macronutrients in BM (fat, protein, and carbohydrates) and to find some modifiable issues affecting macronutrient contents of BM for the benefits of upcoming infants. METHODS: One hundred breastfeeding mothers participated in the study, they were recruited from the outpatient clinic, El Demerdash Hospital, Ain Shams University, from September 2019, to December 2019. BM was expressed by an electric pump, macronutrient content was assessed. Anthropometric data of the babies and mothers were obtained, gestational age, parity, age of the women, and the route of birth were recorded. RESULTS: For the macronutrients content of milk, a positive significant correlation was observed between BM fat, protein, and lactose. Infants’ body mass index (BMI) was negatively related to the fat content of BM, while no relation was found between BMI and protein or lactose content of the milk. BM fat content was negatively correlated with gestational age and maternal age. Positive correlations were found between BMI and protein, lactose and infant age. Protein content was negatively correlated with parity. No impact of infant’s sex on BM composition and as regards maternal diet, high protein consumption leading to increase BM protein content. CONCLUSIONS: The current study confirms that BM macronutrient composition has a wide variability; this variability is associated with each macronutrient, respectively. To improve BM composition, one could aim for improving the nutritional balance in lactating women, especially for protein intake. More well-designed longitudinal studies about factors that influence human milk compositions are warranted.


2019 ◽  
Vol 9 (2) ◽  
pp. 144-151
Author(s):  
Maswarni Maswarni ◽  
Wahyu Hildayanti

Mother's milk (ASI) is a white liquid produced by breast milk. Coverage of breast milk in Indonesia is still low, including in the city of Pekanbaru, which is 46.81%. Exclusive breastfeeding according to the World Health Organization only provides breast milk without providing food and drinks for babies from birth to 6 months, except drugs and vitamins. But that does not mean after giving exclusive breastfeeding for 6 months after the milk is released, but still given to babies until the baby receives 2 years. To promote ASI assistance from an early age, it is necessary to continue supporting factors needed to obtain assistance, including the necessary roles: maternal age, education, employment, tradition / culture, support of husband / family and health workers. The purpose of this study was to find out the factors needed by nursing mothers not to give exclusive breastfeeding at Sidomulyo Health Center, Tampan District, Pekanbaru. The sampling technique uses accidental sampling with a sample of 32 respondents with infants aged 0-6 months. The instrument used in this study was a questionnaire. The data analysis technique used with univariate analysis consists of frequency distribution. The results showed that the average maternal age of 18-35 years was 21 respondents (65.6%) while the age of 36-40 was 11 respondents (34.4%), the motivation of maternal education was as high as 29 respondents (90.6%) , the influence of maternal work was obtained by working data as many as 12 respondents (37.5%), the influence of knowledge was obtained less than 27 respondents (84.4%), for traditional / cultural interactions obtained there were 26 respondents (81.2%), for Husband / family support was obtained by supporting 25 respondents (78.1%) and for support from health workers, there was support for 24 respondents (75%).  Keywords: mother, exclusive mother's milk, Factors Affecting Mother Income in Exclusive Breastfeeding


2019 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Normadiah Daud ◽  
Nadhirah Noordin ◽  
Zurita Mohd Yusof ◽  
Nur Hidayah Ashar ◽  
Paramitha Amelia Kusumawardhani

Breast milk (ASI) is the best and most perfect source of nutrition for babies, especially premature babies. ASI contains complete nutrients for optimal growth and development in terms of mental and physical aspects of the baby, especially in the first six months of life. The features and advantages of mother's milk not only recognized in Islam have even been recognized by researchers from medical, science and lactation experts. The writing of this article aims to discuss the need for sharia compliant milk banks for premature babies. This study uses a qualitative approach using content analysis methods that focus on the textbooks, books, journals, articles and reports. The results of the discussion found that mother's milk contained many of the benefits needed by premature babies. When compared with formula milk, the nutritional content of breast milk is much better. There are several reasons why breastfeeding is now the main requirement in Malaysia, one of them is for premature babies. With this, the government seeks to meet ASI's needs by establishing a shariah compliant milk bank for mothers with breastfeeding problems. The results of the discussion found that Islam not only acknowledged the efficacy of ASI, it also emphasized the problem of maternal and adolescent mahram relationships. Therefore, the established milk bank must be in accordance with the guidelines set by the jurisprudence and the schools of Imam Shafi'i. In addition to needs, milk banks also provide benefits for Muslims by seeing an increase in premature baby birth statistics in Malaysia. It is in this condition of the emergency phase that a compliant sharia milk bank needs to be established. The milk bank that will be established can avoid the occurrence of problems overlapping the mahram according to the principle of Maqasid al-Shari'ah in the maintenance of implantable mahram purity.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 424
Author(s):  
Réka A. Vass ◽  
Gabriella Kiss ◽  
Edward F. Bell ◽  
Robert D. Roghair ◽  
Attila Miseta ◽  
...  

Hormones are important biological regulators, controlling development and physiological processes throughout life. We investigated pituitary hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL) and total protein levels during the first 6 months of lactation. Breast milk samples were collected every fourth week of lactation from mothers who gave birth to preterm (n = 14) or term (n = 16) infants. Donor milk is suggested when own mother’s milk is not available; therefore, we collected breast milk samples before and after Holder pasteurization (HoP) from the Breast Milk Collection Center of Pécs, Hungary. Three infant formulas prepared in the Neonatal Intensive Care Unit of the University of Pécs were tested at three different time points. Our aim was to examine the hormone content of own mother’s milk and donor milk. There were no significant changes over time in the concentrations of any hormone. Preterm milk had higher PRL (28.2 ± 2.5 vs. 19.3 ± 2.3 ng/mL) and LH (36.3 ± 8.8 vs. 15.9 ± 4.1 mIU/L) concentrations than term milk during the first 6 months of lactation. Total protein and FSH concentrations did not differ between preterm and term breast milk. Holder pasteurization decreased the PRL concentration (30.4 ± 1.8 vs. 14.4 ± 0.6 ng/mL) and did not affect gonadotropin levels of donor milk. Infant formulas have higher total protein content than breast milk but do not contain detectable levels of pituitary hormones. Differences were detected in the content of pituitary hormones produced for preterm and term infants. Divergence between feeding options offers opportunities for improvement of nutritional guidelines for both hospital and home feeding practices.


PEDIATRICS ◽  
1969 ◽  
Vol 43 (4) ◽  
pp. 539-539
Author(s):  
T. E. C.

Until almost the beginning of this century, a commonly and widely accepted belief was that an infant imbibes with the breast milk the character of the nurse. Even as late as the 1890's there were physicians who vigorously supported this hypothesis. None was more convinced of this erroneous concept than Dr. Joseph Simms, who in 1891 wrote: The child that sucks the milk of the mother who bore it will naturally take on the mother's moral characteristics; while the orphan, compelled to take in the milk of an animal, will reveal in its character some of those idiosyncracies peculiar to that animal. This is not a visionary statement; it is founded on fact, and can be testified to by those who have paid any attention to the subject. An illustration of what we mean was found in 1870 in the family of Captain P. M. Choutea, of Kansas City, Mo. In the captain's family there was a little girl, five years of age, who had been deprived of a mother's milk and nursed on the milk of a goat, and when she grew up and was able to run about, she gave unmistakable evidence of the truth of that law for which we contend. She had a strong and very unusual desire for climbing. She would mount rocks, fences, and go to the tops of houses, and, in fact, jump about in every respect like the animal whose milk she had sucked. Nor when in her climbing moods did she manifest any tokens of fear; and these peculiarities became apparent in her climbing moods did she had sucked.


2021 ◽  
Vol 7 (1) ◽  
pp. 42-46
Author(s):  
Debora Paninsari ◽  
Clarita Angelina ◽  
Viona Rozalina ◽  
Patimah

Breast milk (breast milk) is an emulsion of fat contained in a solution of protein, lactose, and organic salts which will be secreted by both breast glands as the main source of food for the baby. Increasing milk is very necessary for mothers by consuming foods such as: sweet potato leaves, the content contained in sweet potato leaves is low in fat and cholesterol etc. Sweet potato leaves can increase milk production because sweet potato leaves contain lactagogum. The purpose of this study was to determine whether or not there was a relationship between consuming sweet potato leaf extract and an increase in breast milk production at the SitiHajar Medan clinic, Marelan. Methods: pre = post test. This study measured the mother's milk before and after being given sweet potato leaves from January 2021 to February 2021. Samples were taken at the SitiHajar Medan clinic with a total of 50 samples, with the inclusive criteria being mothers who gave birth normally and healthy babies. Univariate analysis was carried out to describe the variables with the results of 46% as many as 23 (people) intervention of mother's milk production increased after consuming sweet potato leaves compared to before consuming with a result of 4% as many as 2 (people). Bivarate analyst to determine the relationship between independent and variables using the Wilcoxon test, based on the results of the Wilcoxon test, the p-value is 0.000 (<0.05). and In conclusion, there is a significant relationship between consuming sweet potato leaves and increasing breast milk production.


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