Newborn Weight Loss During Birth Hospitalization and Breastfeeding Outcomes Through Age 1 Month

2017 ◽  
Vol 33 (1) ◽  
pp. 225-230 ◽  
Author(s):  
Valerie J. Flaherman ◽  
Eric W. Schaefer ◽  
Michael K. Kuzniewicz ◽  
Sherian Li ◽  
Eileen Walsh ◽  
...  
Keyword(s):  
Weight Loss ◽  
Exclusive Breastfeeding ◽  
Predictor Variable ◽  
Kaiser Permanente ◽  
Newborn Weight ◽  
Breastfeeding Cessation ◽  
Early Weight Loss ◽  
The Relationship ◽  
Birth Hospitalization ◽  
Newborn Weight Loss

Background: Weight loss is universal for exclusively breastfed newborns in the first few days after birth. Many newborns exclusively breastfed during birth hospitalization receive formula in the first month after discharge and thus cease exclusive breastfeeding. However, the relationship between early weight loss and subsequent cessation of breastfeeding and exclusive breastfeeding is unknown. Research aim: This study aimed to determine the relationship between newborn weight loss and duration and exclusivity of breastfeeding among newborns breastfed exclusively during the birth hospitalization. Methods: Retrospective cohort study at Kaiser Permanente Northern California hospitals between 2009 and 2013. The main predictor variable was weight loss during birth hospitalization. The main outcomes were cessation of breastfeeding and cessation of exclusive breastfeeding in the first 25 days after discharge. Results: Among our sample, 83,344 were exclusively breastfed during birth hospitalization. At 25 days after discharge, 15.6%, 95% confidence interval (CI) [14.6%, 16.6%], of those delivered vaginally and 17.6%, 95% CI [14.5%, 20.6%], of those delivered by cesarean section were estimated to have completely ceased breastfeeding; 57.0%, 95% CI [55.5%, 58.4%], and 57.9%, 95% CI [53.6%, 61.8%], respectively, had ceased exclusive breastfeeding. Survival curves depicting rates of breastfeeding cessation through 1 month did not differ by degree of weight loss or by weight loss trajectory. However, curves depicting rates of exclusive breastfeeding demonstrated significantly more formula use among those with more weight loss at discharge. Conclusion: Among those exclusively breastfed during birth hospitalization, weight loss nomograms may help identify newborns at higher risk of cessation of exclusive breastfeeding. Lactation support targeted to those with exacerbated weight loss trajectories may improve duration of exclusive breastfeeding.

scholarly journals An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss

2011 ◽  
Vol 6 (1) ◽  
pp. 9 ◽  
Author(s):  
Joy Noel-Weiss ◽  
A Kirsten Woodend ◽  
Wendy E Peterson ◽  
William Gibb ◽  
Dianne L Groll
Keyword(s):  
Weight Loss ◽  
Observational Study ◽  
Newborn Weight ◽  
Newborn Weight Loss

Health Care Utilization in the First Month After Birth and Its Relationship to Newborn Weight Loss and Method of Feeding

2018 ◽  
Vol 18 (6) ◽  
pp. 677-684 ◽  
Author(s):  
Valerie Flaherman ◽  
Eric W. Schaefer ◽  
Michael W. Kuzniewicz ◽  
Sherian X. Li ◽  
Eileen M. Walsh ◽  
...  
Keyword(s):  
Health Care ◽  
Weight Loss ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Newborn Weight ◽  
Newborn Weight Loss

scholarly journals First-Day Newborn Weight Loss Predicts In-Hospital Weight Nadir for Breastfeeding Infants

2010 ◽  
Vol 5 (4) ◽  
pp. 165-168 ◽  
Author(s):  
Valerie J. Flaherman ◽  
Seth Bokser ◽  
Thomas B. Newman
Keyword(s):  
Weight Loss ◽  
Newborn Weight ◽  
Newborn Weight Loss

Maternal Worry About Infant Weight and its Influence on Artificial Milk Supplementation and Breastfeeding Cessation

2021 ◽  
pp. 089033442110002
Author(s):  
Diane DiTomasso ◽  
Karen Ann Wambach ◽  
Mary B. Roberts ◽  
Debra A. Erickson-Owens ◽  
Aimee Quigley ◽  
...  
Keyword(s):  
Support Groups ◽  
Exclusive Breastfeeding ◽  
The United States ◽  
Weight Changes ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Breastfeeding Cessation ◽  
Cross Sectional Design ◽  
First Time ◽  
The Relationship

Background Maternal worry about infant weight has inconsistently been reported as a breastfeeding barrier. Weight monitoring is a critical tool to assess adequacy of infant feeding. Yet, little is known about the intensity of maternal worry about infant weight or associated breastfeeding outcomes. Research aims To examine (1) the frequency and intensity of maternal worry about infant weight; (2) the relationship between worry about weight and use of artificial milk; and 3) the relationship between worry about weight and breastfeeding cessation. Methods A prospective cross-sectional design was used. A questionnaire was completed by women in the United States ( N = 287) from 12 web-based maternal support groups. Results Sixty-three percent of women ( n = 182) had some worry about infant weight. Participants breastfeeding for the first time had more worry ( p = .035). Participants still breastfeeding had less worry about weight compared to those who had stopped (67%, n = 147 vs. 41%, n = 28). Exclusive breastfeeding participants had less worry ( p < .001) compared to those who supplemented with artificial milk. Increased worry was associated with the use of artificial milk within 1 week of birth ( p < .001) and early breastfeeding cessation ( p < .001). Conclusions Worry about weight is a significant breastfeeding barrier. It is associated with first time breastfeeding, less exclusive breastfeeding, use of artificial milk, and earlier breastfeeding cessation. Lactating mothers need anticipatory guidance about expected neonatal weight changes and interventions to help relieve worry about infant weight.

scholarly journals Intrapartum intravenous fluids for caesarean delivery and newborn weight loss: a retrospective cohort study

2017 ◽  
Vol 1 (1) ◽  
pp. e000070
Author(s):  
Sherif Eltonsy ◽  
Alain Blinn ◽  
Brigitte Sonier ◽  
Steven DeRoche ◽  
Aubin Mulaja ◽  
...  
Keyword(s):  
Weight Loss ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Caesarean Delivery ◽  
Intravenous Fluids ◽  
Newborn Weight ◽  
Newborn Weight Loss

scholarly journals The relationship between early weight loss and weight loss at 1 year with naltrexone ER/bupropion ER combination therapy

2016 ◽  
Vol 40 (9) ◽  
pp. 1369-1375 ◽  
Author(s):  
K Fujioka ◽  
R Plodkowski ◽  
P M O'Neil ◽  
K Gilder ◽  
B Walsh ◽  
...  
Keyword(s):  
Weight Loss ◽  
Combination Therapy ◽  
Early Weight Loss ◽  
The Relationship

The Healthy Newborn Hydration Model

2014 ◽  
Vol 17 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Pamela J. Mulder ◽  
Sue E. Gardner
Keyword(s):  
Weight Loss ◽  
Birth Weight ◽  
Fluid Loss ◽  
Compensatory Mechanisms ◽  
Healthy Newborn ◽  
Adequate Hydration ◽  
Newborn Weight ◽  
Hydration Model ◽  
Breast Fed ◽  
Newborn Weight Loss

The normal small volume of breast milk produced in the first 2 days following birth may raise concerns about adequate hydration in breast-fed newborns. These concerns are further magnified when breast-fed infants lose ≥7% of their birth weight within 2 days postnatally. Weight loss following birth is presumably mostly water loss that could result in hypohydration and subsequent hypernatremic dehydration. However, excess fluid loss immediately following birth is a normal and necessary process. Furthermore, newborns exposed to excess fluid intake during labor may need to lose ≥7% of birth weight in the first 2 days following birth in order to achieve euhydration. Normal newborn fluid loss following birth confounds the use of weight loss as the sole measure of newborn hydration. We thus propose the healthy newborn hydration model that highlights the normalcy of newborn weight loss immediately following birth and the healthy newborn’s compensatory mechanisms for preserving adequate hydration. We also recommend the use of serum sodium to measure intravascular osmolarity in addition to monitoring weight loss to obtain a more comprehensive newborn hydration assessment. Research is necessary in healthy newborns to identify relationships among fluids received in utero, newborn weight loss, and hydration, as evaluated with laboratory measures, in the first 2 days following birth. This information will guide clinicians in correctly identifying newborns with inadequate hydration who are in need of supplementary fluids versus newborns with adequate hydration for whom exclusive breast-feeding can be supported and encouraged.

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