Effect of early skin-to-skin contact after delivery on duration of breastfeeding: a prospective cohort study

Early skin-to-skin contact (SSC) after birth is a physiological practice that is internationally recommended and has well-documented importance for the baby and for the mother. This study aims to examine SSC with a cohort of mothers or fathers in the operating room after a Cesarean section (C-section) and its relationship with duration of breastfeeding. From January 1, 2012, to December 31, 2012, at the Castelli Hospital in Verbania, Italy, a Baby Friendly designated hospital, 252 consecutive women who had a C-section were enrolled in the study and followed for 6 months. The sample was later divided into three groups depending on the real outcomes in the operating room: SSC with the mother (57.5%), SSC with the father (17.5%), and no SSC (25%). Our study showed a statistical association between skin-to-skin contact with the mother and the exclusive breastfeeding rates on discharge. This effect is maintained and statistically significant at three and six months, as compared to the groups that had paternal SSC or no SSC. After a C-section, skin-to-skin contact with the mother can be an important practice for support, promotion, and duration of breastfeeding.

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Duration of breastfeeding, age at introduction of complementary foods and allergy-related diseases: a prospective cohort study

International Breastfeeding Journal ◽

10.1186/s13006-020-00352-2 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Louise Ekelund ◽

Inga Gloppen ◽

Torbjørn Øien ◽

Melanie Rae Simpson

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Sensitivity Analyses ◽

Breastfeeding Duration ◽

Reverse Causality ◽

Complementary Foods ◽

Duration Of Breastfeeding ◽

Reduced Risk ◽

Prevention Of Allergy

Abstract Background The influences of breastfeeding and infant diet in the prevention of allergy-related diseases are uncertain and many of the studies conducted on the topic are limited by methodological challenges. Our aim was to assess whether the duration of breastfeeding and age at complementary food introduction affected the prevalence of asthma, wheeze, allergic rhinoconjunctivitis (ARC) and eczema at two and six years of age. Methods We used information gathered between 2000 and 2014 through questionnaires in the Prevention of Allergy among Children in Trondheim (PACT) study, a prospective cohort study in Trondheim, Norway. The current study includes 6802 children who submitted questionnaires detailing breastfeeding duration and or age at introduction to complementary foods, as well as at least one of the child health questionnaires completed at two and six years of age. Adjusted odds ratios (aORs) were calculated for each combination of exposure and outcomes and sensitivity analyses were performed to assess the possible influence of recall bias and reverse causality. Results The mean duration of breastfeeding was 11 months (SD 5.6) in this study population and 5695 of 6796 (84%) infants had been breastfed for at least 6 months. We did not find any conclusive preventative effect of longer breastfeeding on parental reported doctor-diagnosed asthma, aOR 0.79 (95% CI 0.51, 1.21). However, at 6 years of age we observed a reduction in the less strictly defined outcome wheeze, aOR 0.71 (95% CI 0.53, 0.95). Longer breastfeeding was associated with a reduced risk of ARC at 2 years, aOR 0.65 (95% CI 0.49, 0.86), with a continued protective trend at 6 years, aOR 0.77 (95% CI 0.58, 1.04). Conclusions Longer breastfeeding resulted in a reduced risk of wheeze and a trend towards a protective effect on ARC up until school age. No conclusive associations were seen between the duration of breastfeeding or age at introduction to complementary foods and prevention of asthma, wheeze, ARC and eczema. Trial registration The trial is registered in Current Controlled Trials as ISRCTN28090297.

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Does exclusive breastfeeding relate to the longer duration of breastfeeding? A prospective cohort study

Midwifery ◽

10.1016/j.midw.2018.11.008 ◽

2019 ◽

Vol 69 ◽

pp. 163-171 ◽

Cited By ~ 3

Author(s):

Kun A. Susiloretni ◽

Hamam Hadi ◽

Mia M. Blakstad ◽

Emily R. Smith ◽

Anuraj H. Shankar

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Exclusive Breastfeeding ◽

Prospective Cohort ◽

Duration Of Breastfeeding

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Knowledge on Breastfeeding and Breastfeeding Behavior among Working Mothers and Housewives : A Cohort Study

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v2i1.3941 ◽

2019 ◽

Vol 2 (1) ◽

pp. 11-17

Author(s):

Nurhasmadiar Nandini ◽

Novia Handayani ◽

Djazuly Chalidyanto ◽

Widodo Jatim Pudjirahardjo ◽

Nuzulul Kusuma Putri

Keyword(s):

Cohort Study ◽

Exclusive Breastfeeding ◽

Prospective Cohort ◽

Working Mothers ◽

Average Rate ◽

Observational Research ◽

Formula Milk ◽

Skin Contact ◽

Skin To Skin ◽

Low Coverage

Background : Surabaya is one of the cities with low coverage of exclusive breastfeeding in East Java. The average rate of babies who got exclusive breastfeeding in Surabaya from 2012 to 2015 was 63.13% (target 80%). Decision about whether to breastfeed or not is a challenge for every mother, especially for working mothers. This research aimed to identify breastfeeding behavior among working mothers and housewives.Methods : This was descriptive observational research with prospective cohort study design.The sample size was 79 mothers in the eastern part of Surabaya chosen by purposive sampling technique.Results : Result showed that 56.6% of housewives have low knowledge on breastfeeding. Both working mothers (100%) and housewives (90.6%) already give colostrum right after baby born. However, There were 54.7% of housewives and 46.2% of working mothers already give formula milk during the first month after baby born.Conclusion : There were not much difference between working mothers and housewives in knowledge, feeding colostrum and skin to skin contact aspects. But, working mothers mostly give formula milk during the first month of baby born than housewives.

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242 Duration of Breastfeeding and Childhood Obesity in Australian Children: A Prospective Cohort Study

Pediatric Research ◽

10.1203/00006450-200409000-00265 ◽

2004 ◽

Vol 56 (3) ◽

pp. 505-505

Author(s):

K Simmer ◽

V Burke ◽

L J Beilin ◽

W H Oddy ◽

K V Blake ◽

...

Keyword(s):

Cohort Study ◽

Childhood Obesity ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Duration Of Breastfeeding

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COVID-19 mRNA vaccine and antibody response in lactating women: a prospective cohort study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04051-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nadia Charepe ◽

Juliana Gonçalves ◽

A. Margarida Juliano ◽

David G. Lopes ◽

Helena Canhão ◽

...

Keyword(s):

Cohort Study ◽

Antibody Response ◽

Human Milk ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Serum Antibody ◽

Lactating Women ◽

Lactating Mothers ◽

Immunological Protection ◽

Duration Of Breastfeeding

Abstract Background Immunological protection via breastfeeding is well known. The immunological profile of human milk changes during lactation. No clinical trials have been conducted in lactating women with the newest mRNA vaccines against SARS- CoV-2. A Few studies have shown the presence of antibodies in breastmilk after vaccination. The aim of this work is to study possible antibodies transfer via breastmilk and also the immunological characteristics of lactating women compared to non-lactating women, after using the BNT162b2 Pfizer vaccine. Methods This is a prospective cohort study with a convenience homogenous sample of 24 healthcare workers (14 lactating and 10 non-lactating women) enrolled at the time of COVID-19 vaccination. Clinical data was registered in a questionnaire. Titers of SARS-CoV-2 spike IgG, IgA and IgM were quantified in post vaccination blood and human milk. Antibody quantification was performed by an in-house ELISA to SARS-CoV-2 trimeric spike protein. Results All women showed immunity after vaccination with positive antibodies for IgM, IgA and IgG antibodies. The dominant serum antibody response was IgG. Modest levels of antibodies in breastmilk of lactating mothers were observed in this study, especially IgG in 42.9%. There was a moderate association between higher titers of IgG and a longer duration of breastfeeding (R= 0.55, p=0.041). Conclusions Evidence of antibody transfer in human milk after COVID-19 vaccination is scarce. The presence of antibodies in human milk is reported, but immunization through breastfeeding is still to be established.

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