scholarly journals Randomised trial comparing hand expression with breast pumping for mothers of term newborns feeding poorly

2011 ◽  
Vol 97 (1) ◽  
pp. F18-F23 ◽  
Author(s):  
Valerie J Flaherman ◽  
Barbara Gay ◽  
Cheryl Scott ◽  
Andrew Avins ◽  
Kathryn A Lee ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Recent Trial ◽  
Term Infants ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Breast Pumping ◽  
Breastfeeding Rates ◽  
Randomised Controlled

ObjectiveBreast pumping or hand expression may be recommended when newborns latch or suck poorly. A recent trial found worse outcomes among mothers who used a breast pump in the early postpartum period. The objective of this study was to compare bilateral electric breast pumping to hand expression among mothers of healthy term infants feeding poorly at 12–36 h after birth.DesignRandomised controlled trial.SettingWell-baby nursery and postpartum unit.Patients68 mothers of newborns 12–36 h old who were latching or sucking poorly were randomly assigned to either 15 min of bilateral electric pumping or 15 min of hand expression.Mainoutcome measuresMilk transfer, maternal pain, breastfeeding confidence and breast milk expression experience (BMEE) immediately after the intervention, and breastfeeding rates at 2 months after birth.ResultsThe median volume of expressed milk (range) was 0.5 (0–5) ml for hand expressing mothers and 1 (0–40) ml for pumping mothers (p=0.07). Maternal pain, breastfeeding confidence and BMEE did not differ by intervention. At 2 months, mothers assigned to hand expression were more likely to be breastfeeding (96.1%) than mothers assigned to breast pumping (72.7%) (p=0.02).ConclusionsHand expression in the early postpartum period appears to improve eventual breastfeeding rates at 2 months after birth compared with breast pumping, but further research is needed to confirm this. However, in circumstances where either pumping or hand expression would be appropriate for healthy term infants 12–36 h old feeding poorly, providers should consider recommending hand expression.

scholarly journals Fibroblast growth factor 23 concentrations in healthy term infants during the early postpartum period

Bone ◽  
2010 ◽  
Vol 47 (2) ◽  
pp. 256-262 ◽  
Author(s):  
Masanori Takaiwa ◽  
Kunihiko Aya ◽  
Takayuki Miyai ◽  
Kosei Hasegawa ◽  
Motofumi Yokoyama ◽  
...  
Keyword(s):  
Growth Factor ◽  
Fibroblast Growth Factor ◽  
Postpartum Period ◽  
Fibroblast Growth Factor 23 ◽  
Fibroblast Growth ◽  
Term Infants ◽  
Early Postpartum Period ◽  
Early Postpartum

The Effect of Ginger on Breast Milk Volume in the Early Postpartum Period: A Randomized, Double-Blind Controlled Trial

2016 ◽  
Vol 11 (7) ◽  
pp. 361-365 ◽  
Author(s):  
Panwara Paritakul ◽  
Kasem Ruangrongmorakot ◽  
Wipada Laosooksathit ◽  
Maysita Suksamarnwong ◽  
Pawin Puapornpong
Keyword(s):  
Breast Milk ◽  
Postpartum Period ◽  
Controlled Trial ◽  
Double Blind ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Milk Volume

scholarly journals Breastfeeding peer counselling for mothers of preterm neonates: protocol of a stepped-wedge cluster randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032910
Author(s):  
Sophie Laborie ◽  
Angelique Denis ◽  
Antje Horsch ◽  
Pauline Occelli ◽  
Jennifer Margier ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Controlled Trial ◽  
Neonatal Morbidity ◽  
Cluster Randomised Controlled Trial ◽  
Stepped Wedge ◽  
Term Infants ◽  
Cluster Randomised ◽  
Breastfeeding Rates ◽  
Randomised Controlled ◽  
Peer Counselling

IntroductionAmong preterm infants, mother’s own milk feeding reduces neonatal morbidity and decreases the length of hospital stay. However, breastfeeding rates and duration are lower than among term infants. It is reported that peer counselling is effective in increasing breast feeding in term infants in low-income and middle-income countries, but results are mixed in high-income countries. We aim to investigate herein whether peer counselling may be a feasible and effective breastfeeding support among preterm infants in French-speaking high-income countries.Methods and analysisEight European centres will participate in this stepped-wedge cluster randomised controlled trial. We plan to include 2400 hospitalised neonates born before 35 gestational weeks. Each centre will begin with an observational period. Every 3 months, a randomised cluster (centre) will begin the interventional period with peer counsellors until the end of the study. The counsellors will be trained and supervised by the trained nurses. They will have a weekly contact with participating mothers, with a face-to-face meeting at least once every fortnight. During these meetings, peer counsellors will listen to mothers’ concerns, share experiences and help the mother with their own knowledge of breast feeding. The main outcome is breastfeeding rate at 2 months corrected age. Secondary outcomes are breastfeeding rates at hospital discharge and at 6 months, breastfeeding duration and severe neonatal morbidity and mortality. The mental health of the mother, mother–infant bonding and infant behaviour will be assessed using self-report questionnaires. A neurodevelopmental follow-up, a cost-effectiveness analysis and a cost–consequence at 2 years corrected age will be performed among infants in a French subgroup.Ethics and disseminationFrench, Belgian and Swiss ethics committees gave their agreement. Publications in peer-reviewed journals are planned on breast feeding, mental health and economic outcomes.Trial registration numberNCT03156946

The effect of kangaroo mother care applied to the healthy newborns in the early postpartum period on breastfeeding: a randomized controlled trial

2021 ◽  
Vol 71 (9) ◽  
pp. 2124-2129
Author(s):  
Sevda Korkut Oksuz ◽  
Sevil Inal
Keyword(s):  
Postpartum Period ◽  
Controlled Trial ◽  
Kangaroo Mother Care ◽  
Care Group ◽  
Control Group ◽  
Study Group ◽  
Randomized Controlled ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
And Control

Objective: This study aims to determine the effect of kangaroo mother care applied to the healthy newborns in the early postpartum period on breastfeeding. Methods:  Our research was conducted over the period June 1 - August 25, 2016 at the obstetrics and maternity units in Istanbul. A of 112 healthy newborns and their mothers (56 in the study group and 56 in the control group) were recruited into a randomized controlled experimental study. The newborns in the study group were administered kangaroo mother care for 3 hours after birth while the control group of newborns was cared for using the unit’s standard postpartum procedures. The time the newborns in the study and control groups first started to breastfeed, the number of breastfeeding within the first 24 hours, the duration of their breastfeeding and suckling skills were evaluated. Results:  It was found that newborns subjected to kangaroo mother care provided immediately after delivery started suckling at the breast sooner (P = .001), for a longer period (P = .001) and more frequently (P = .001) than the newborns provided with standard post-delivery care. While there was no difference between the groups in terms of initial suckling skills (P = .862), the newborns in the kangaroo mother care group were better at suckling in the 24th hour (P = .001). Continuous...

scholarly journals Exclusive Breastfeeding Is Not Associated with Maternal–Infant Bonding in Early Postpartum, Considering Depression, Anxiety, and Parity

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1184
Author(s):  
Naoki Fukui ◽  
Takaharu Motegi ◽  
Yuichiro Watanabe ◽  
Koyo Hashijiri ◽  
Ryusuke Tsuboya ◽  
...  
Keyword(s):  
Mental Health ◽  
Path Analysis ◽  
Exclusive Breastfeeding ◽  
Postpartum Period ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Women’S Mental Health ◽  
Women's Mental Health ◽  
Early Postpartum Period ◽  
Early Postpartum

It is important to clarify how the breastfeeding method affects women’s mental health, and how women’s mental health affects the breastfeeding method in the early postpartum period when major depression and other psychiatric problems are most likely to occur. This study aimed to examine this bidirectional relationship in the early postpartum period. Participants were 2020 postpartum women who completed the Hospital Anxiety and Depression Scale (HADS) and Mother-to-Infant Bonding Scale (MIBS). We obtained data for participants’ breastfeeding method for four weeks after childbirth. We performed a path analysis with factors including breastfeeding method (exclusive breastfeeding or non-exclusive breastfeeding), parity (primipara or multipara), the two HADS subscales (anxiety and depression), and the two MIBS subscales (lack of affection and anger and rejection). The path analysis showed that breastfeeding method did not significantly affect depression, anxiety, and maternal–infant bonding in the early postpartum period. Women with higher anxiety tended to use both formula-feeding and breastfeeding. Our study suggests that exclusive breastfeeding is not associated with maternal-fetal bonding in early postpartum, considering depression, anxiety, and parity.

scholarly journals Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e046561
Author(s):  
Chantal Camden ◽  
Jill G Zwicker ◽  
Melanie Morin ◽  
Tibor Schuster ◽  
Melanie Couture ◽  
...  
Keyword(s):  
Early Intervention ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Parental Knowledge ◽  
Performance Measure ◽  
Performance Goals ◽  
Web Based ◽  
Study Results ◽  
Motor Difficulties ◽  
Randomised Controlled

IntroductionMild motor difficulties in children are underdiagnosed despite being highly prevalent, leaving such children often underserved and at higher risk for secondary consequences such as cardiovascular disease and anxiety. Evidence suggests that early patient-oriented interventions, coaching parents and providing children with early stimulation should be provided, even in the absence of a diagnosis. Such interventions may be effectively delivered via telerehabilitation.Methods and analysisA family-centred, pragmatic randomised controlled trial will be carried out to evaluate the real-world effectiveness of a Web-based Early intervention for Children using multimodAl REhabilitation (WECARE). Families of children with motor difficulties, 3–8 years of age, living in Quebec, Canada, and receiving no public rehabilitation services (n=118) will be asked to determine up to 12 performance goals, evaluated using the Canadian Occupational Performance Measure (COPM, the primary outcome). Families will be randomised to receive either usual care or the WECARE intervention. The WECARE intervention will be delivered for 1 year via a web-based platform. Families will have access to videoconferences with an assigned rehabilitation therapist using a collaborative coaching approach, a private chat function, a forum open to all intervention arm participants and online resources pertaining to child development. Participants will be asked to re-evaluate the child’s COPM performance goals every 3 months up to 1 year post allocation. The COPM results will be analysed using a mixed Poisson regression model. Secondary outcomes include measures of the child’s functional ability, parental knowledge and skills and health-related quality of life, as well as qualitative outcomes pertaining to parental satisfaction and service delivery trajectories. Investigators and quantitative data analysts will be blinded to group allocation.Ethics and disseminationThe CIUSSS de l’Estrie—CHUS ethics committee approved this trial (2020-3429). Study results will be communicated via peer-reviewed journal publications, conference presentations and stakeholder-specific knowledge transfer activities.Trial registration numberNCT04254302.

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