Effect of obstacles/tips card on breastfeeding drop-off

2021 ◽  
Vol 29 (9) ◽  
pp. 510-515
Author(s):  
David A Comerford ◽  
Tracy McGillivray

Background Many mothers report having stopped breastfeeding sooner than they would have liked. Aim We test whether a planning card reduces breastfeeding drop-off. Method We recruited 81 women who were at least 36 weeks pregnant at antenatal classes in Lothian, Scotland. By systematic assignment, participants received no card; an obstacles/tips card, which details common breastfeeding obstacles and tips to overcome them; or an enhanced obstacles/tips card, which additionally featured an intentions prompt on its reverse side. Between 10–14 days after the due date, we measured rates of exclusive and any breastfeeding. Findings On discharge, feeding methods were similar across all three groups. At 10-14 days, drop-off was four-fold higher in the control group than in either of the two card groups (p=0.026). Conclusion The obstacles/tips cards offer potential as a means to achieve reductions in breastfeeding drop-off.

2021 ◽  
Vol 15 (7) ◽  
pp. 2039-2043
Author(s):  
Runjati . ◽  
Sri Rahayu ◽  
Ida Ariyanti ◽  
Sri Wahyuni ◽  
Emy Suryani

Background: Antenatal education is considered standard care for pregnant women. Unfortunately, this class does not provide sufficient skills for women to cope with stress during pregnancy and delivery. In the other side, study literature claims that coping skill is truly essential for the mother to cope with and minimize the anxiety which leads to a serious risk for both mother and baby. Objective: This study aims to prove the impact of smart mother classes to improve coping skills ability and decrease anxiety levels among pregnant women. Methods: This study used a randomized pre-test post-test control group design in which the ages of pregnancies were 28-35 weeks in Semarang City Region. The mothers were randomly assigned to be members of an experiment group (n=50) and a control group (n=50). The experiment group was given smart mother classes that did perform antenatal classes and coping skills, while the control group was given standard classes, antenatal education only. The data analysis employed a dependent sample t-test and independent sample t-test. Results: There is a significant change over coping skill ability for the intervention group (p<.01), but not in the control group. Furthermore, there is also a significant change in the decrease in anxiety levels in the intervention group (p<.01). Conclusion: Smart mother classes are predominantly effective to reduce anxiety levels and enhance coping skill ability among pregnant women. Thus, pregnant women need to join smart mother classes during pregnancy. Keywords: smart mother classes; coping skill, anxiety level, antenatal classes


2015 ◽  
Vol 84 (3) ◽  
pp. 167-182
Author(s):  
Ewelina Swora-Cwynar ◽  
Jacek Karczewski ◽  
Anna Musiał ◽  
Marian Grzymisławski ◽  
Emilia Marcinkowska ◽  
...  

Aim. The aim of this study was to evaluate diet of patients with IBD, their nutritional status and potential differences as compared to diet of healthy persons.Material and methods. The examination included the patients of Internal, Metabolic Diseases and Dietetics Ward and Gastroenterology, Internal Diseases and Human Nutrition Ward of Heliodor Święcicki Clinic in the Poznan University of Medical Sciences in Poznan. The criterion allowing participation into the study involved a diagnosed ulcerative or Crohn’s disease, basing on histopathology and radiological examination. The study was conducted on 50 patients, 25 women and 25 men. The control of group included 50 persons, 30 women and 20 men, potentially healthy and occupationally active. In the study the authors' own questionnaire was used, which contained questions related to diet and evaluating conditions of nutrition, based on the results of anthropometric measurements and selected biochemical parameters.Results. The study documented that IBD affected diet, which proved to be distinct from that of potentially healthy person. Course of the disease reduced some laboratory parameters in serum: decreased levels of total protein were detected in 40% patients, reduced levels of albumin in 28% patients and of haemoglobin in 72% patients with IBD. Most of patients introduced some modifications and dietary restrictions to reduce the symptoms and prolong remission. Presentation of such attitudes, indicates a need for an effective multidirectional education, which should affect a conscious decision making about the diet. The Body Mass Index and evaluation of nutrition demonstrated that IBD predisposed development of malnutrition: as compared to the control group, 28% of the patients manifested underweight.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Javad Seyyedi ◽  
Zahra Rooddehghan ◽  
Mostafa Mohammadi ◽  
Shima Haghani

Introduction. Patients who are under mechanical ventilation in intensive care units need to have nutritional support. Also, feeding methods affect serum phosphorus and glucose levels, which are very important in weaning patients off the ventilator. Thus, this study is to compare the effects of both bolus and continuous enteral feeding methods on serum phosphorus and glucose levels in patients with mechanical ventilation. Methods. In this clinical trial study, 34 patients in the intensive care unit of Imam Khomeini Hospital affiliated to the Tehran University of Medical Sciences satisfied inclusion criteria and were randomly divided into control and intervention groups. Sampling was done between October and February 2018. The intervention group received continuous enteral feeding for one week, and the control group received nutrition by the bolus method. The blood glucose level was measured every six hours, and the serum phosphorus level was recorded at the beginning and the end of the intervention, based on the data entry form with respect to all ethical considerations. Data analysis was done by SPSS-20 software. Results. The serum phosphorus level was significantly increased in the intervention group (P=0.004) and in the control group (P<0.001) and was compared with the previous intervention. No significant difference was found between the intervention and control groups before and after the intervention (P=0.22) and also one week after the intervention (P=0.14). There was also no significant difference between the glucose levels from day 1 to day 7 in the control group (P=0.33) and the intervention group (P=0.086). Discussion. Nutritional support in both bolus and continuous methods increased the serum phosphorus level. It indicates the importance of the nutritional method in controlling the phosphorus level in critically ill patients. However, there was no difference between the effects of dietary methods on blood glucose control.


2020 ◽  
Author(s):  
Xueyan Lin ◽  
Tian Zhang ◽  
Yue Jiang ◽  
Qiuling Hou ◽  
Yun Wang ◽  
...  

Abstract Background: The presence of the rumen makes the ruminant special, and the rumen flora has an important influence on the ruminant. The rumen is not fully developed in young ruminants. The purpose of this study was to investigate the effects of supplemental feeding of rumen fluid from high-yielding dairy cows with suckling calves on rumen microflora after weaning. For the experiment, 12 newborn Holstein male calves with the same feeding environment and similar ages were selected. They were randomly divided into 3 groups, with 4 in each group. The three treatments were: addition of sterilized rumen fluid to milk (Group M), addition of sterilized rumen fluid to starter feed (Group S), and a normal fed control group (Group C). The growth performance indices and blood indices were measured, and rumen fluid samples were collected after weaning. Furthermore, 16S rDNA sequencing and LC-MS metabolome detection were performed.Results: Compared with the control group, the growth performance of group S was significantly increased, and the difference between group M and group C was not significant. For the immune indicators in the blood, group M showed a greater difference from group C; the blood-related and energy-related indicators were less different between the two test groups and the control group. For the rumen fluid microbiome and metabolome detection, both groups M and S showed significant differences from group C.Conclusions: The microflora and metabolites were different due to different supplementary feeding methods. Metabolites with differential levels were mainly involved in metabolic pathways such as amino acid metabolism, nucleotide metabolism, and carbohydrate metabolism.


2015 ◽  
Vol 52 (2) ◽  
pp. 94-99 ◽  
Author(s):  
Camila Bitu Moreno BRAGA ◽  
Iahel Manon de Lima FERREIRA ◽  
Júlio Sérgio MARCHINI ◽  
Selma Freire de Carvalho da CUNHA

Background Patients with short bowel syndrome have significant fluid and electrolytes loss. Objective Evaluate the mineral and electrolyte status in short bowel syndrome patients receiving intermittent parenteral nutrition or oral feeding. Methods Twenty two adults with short bowel syndrome, of whom 11 were parenteral nutrition dependent (PN group), and the 11 remaining had been weaned off parenteral nutrition for at least 1 year and received all nutrients by oral feeding (OF group). The study also included 14 healthy volunteers paired by age and gender (control group). Food ingestion, anthropometry, serum or plasma levels of sodium, potassium, phosphorus, magnesium, calcium, zinc, iron and copper were evaluated. PN group subjects were evaluated before starting a new parenteral nutrition cycle. Results The levels of sodium, potassium, phosphorus, calcium and zinc were similar between the groups. The magnesium value was lower in the PN group (1.0 ± 0.4 mEq /L) than other groups. Furthermore, this electrolyte was lower in the OF group (1.4 ± 0.3 mEq /L) when compared to the Control group (1.8 ± 0.1 mEq/L). Lower values of copper (69±24 vs 73±26 vs 109±16 µg/dL) were documented, respectively, for the PN and OF groups when compared to the control group. Conclusion Hypomagnesemia and hypocupremia are electrolyte disturbances commonly observed in short bowel syndrome. Patients with massive intestinal resection require monitoring and supplementation in order to prevent magnesium and copper deficiencies.


2020 ◽  
Author(s):  
Xueyan Lin ◽  
Tian Zhang ◽  
Yue Jiang ◽  
Qiuling Hou ◽  
Yun Wang ◽  
...  

Abstract Background: The presence of the rumen makes the ruminant special, and the ruminal microbes has an important influence on the ruminant. The rumen have an important developed in young ruminants. This study want to investigate the ecological function of rumen fluid environmen from high-yielding dairy cows and effect of feeding of rumen fluid to suckling calves. For the experiment, 12 newborn Holstein male calves with the same feeding environment and similar ages were selected. They were randomly divided into 3 groups, with 4 in each group. The three treatments were: addition of sterilized rumen fluid to milk (Group M), addition of sterilized rumen fluid to starter feed (Group S), and control group fed milk and starter feed(Group C). The growth performance indices and blood indices were measured, and rumen fluid samples were collected after weaning,which used for 16S rDNA sequencing and LC-MS metabolome detection were performed. Results: Compared with the control group, the growth performance of group S was significantly increased. For the rumen fluid microbiome and metabolome detection, both groups M and S showed significant differences from group C.Conclusions: The microbes and metabolites were different due to different supplementary feeding methods. Metabolites with differential levels were mainly involved in metabolic pathways such as amino acid metabolism, nucleotide metabolism, and carbohydrate metabolism. These numerical differences indicate that there are specific ruminal microbes structures in the rumen fluid of high-yielding cows, which promoting better development of animals.


Author(s):  
Ye.M. Naumov ◽  
◽  
I.V. Kuvayev ◽  
V.N. Khaustov ◽  
◽  
...  

As an important branch of farming industry, dairy farm-ing always needs innovative ideas for its development. One of the areas of innovation is feed production which allows developing new feeding methods and types of feed sup-plements to increase the efficiency of livestock production and reduce its costs. The research goal was to investigate the effect of the TTK (G) feed supplementon the morpho-logical indices of pre-weaning calves. The studies were carried out on the training farm AO “Uchkhoz Prigo-rodnoye” of the Altai State Agricultural University; Black-Pied calves of the Priobskiy type were studied. Three groups of eight newborn calves were formed -1 control group and 2 trial groups. The experiment lasted was 50 days from the age of ten days. According to the experi-mental design, the animals received the basic diet; the second group -the basic diet supplemented with TTK (G) (1 kg t); the third group -the basic diet supplemented with TTK (G) (2 kg t). The calves were kept ingroups. The mi-croclimate met the requirements. The following was found: 1) supplementing the diets of pre-weaning calves with the TTK (G) feed supplement led to live weight gains (2nd trial group -by 7.9%; 3rd trial group -by 12.5%); average daily growth gain (14.3% and 25.7%) and some body measure-ment gains -by 2.4-17.1% and 3.8-20.1%; 2) the use of TTK (G) feed supplement contributed to immune system reinforcement and increase the blood corpuscle count; 3) the use of the TTK (G) feed supplement increased the profits by 1626.7 rubles per 1 head at a dose of 1 kg t.


Author(s):  
Angriy Zolotarev ◽  
Igor Sedyuk ◽  
Svetlana Zolotaryova

The article presents research materials to study the possibility of increasing the milk productivity of high-yielding cows through the use of new technology of their feeding - through the use of protected from cleavage in the rumen protein and starch in the feed additive TEP-mix. The scientific and economic experiment was carried out on dairy cows-analogues of the first half of lactation of the Ukrainian Black-Spotted dairy breed. During the study, the actual chemical composition of feed was determined, feeding rations and compound feed recipes were developed taking into account the content of fissile protein and milk productivity of experimental animals, the actual feed consumption by cows, milk productivity, milk quality, calculated cost-effectiveness of the studied energy supplement. The difference between the rations of the control and experimental groups was the structure and composition of the feed. In the experimental group, part of the concentrated feed was replaced by energy-protein supplement TEP-mix, with a high degree (65 %) of protection against splitting in the rumen, which increased this figure in the diet of cows in general. The use of new feeding methods increased the productivity of cows with natural milk by 2.0 kg compared to the control group, the amount of fat and protein in milk - by 0.20 % and 0.17 %, respectively. As a result, the average daily hopes for the period of the experiment in terms of basic fat in the experimental group was higher by 3.9 kg, which allowed to obtain 349.2 kg more milk per cow in 89 days. In determining the economic efficiency of the use of high-yielding cows in the feeding of additives TEP-mix allowed to obtain an additional average for the period of the experiment up to 32.59 UAH. per 1 cow per day or UAH 0.98. per 1 kg of milk. The use of feed additives with a high content of protein and starch TEP-mix will allow you to balance the feeding rations of cattle more accurately, adjust the diet of high-yielding dairy cattle in the early stages of lactation to obtain maximum productivity while maintaining health and productive longevity.


Author(s):  
Erlin Chusnia Putri ◽  
Rasipin . ◽  
Bedjo Santoso

The maternal mortality rate remain high in Indonesia. MMR in Indonesia around 80% of obstetric problems. Indonesia has developed the antenatal class program to improving knowledge and attitude for pregnant women. Antenatal class is an important component for pregnant women to improve their knowledge and skills during pregnancy, childbirth and the postnatal period. Educational methods using conventional methods are becoming obsolete and innovative educational methods have been developed. The aim of the research is to create antenatal education model based gamification to improve knowledge and attitude of pregnant women.The research we implemented Research and Development (R&D) method and quasi experimental with a control group pre-test and post-test design. Research subjects pregnant women were given education by ladder snakes and the control group by pregnancy booklets for 10 days meeting. The results show that antenatal education model is worthy of a education media with p-value of 0,000 and the application of this education based gamification after 10 days is effective in increasing knowledge (p=0,001) and attitudes (p=0,001) better than control group. According of the resultsAn antenatal education based on gamification is reliebel to improving knowledge and attitudes of pregnant women. An antenatal education based on gamification can be applied to antenatal classes


Author(s):  
A. Singh ◽  
A. Dykeman ◽  
J. Jarrelf ◽  
D. C. Villeneuve

Hexachlorobenzene (HCB), a persistent and mobile organochlorine pesticide, occurs in environment. HCB has been shown to be present in human follicular fluid. An objective of the present report, which is part of a comprehensive study on reproductive toxicity of HCB, was to determine the cytologic effects of the compound on ovarian follicles in a primate model.Materials and Methods. Eight Cynomolgus monkeys were housed under controlled conditions at Animal facility of Health and Welfare, Ottawa. Animals were orally administered gelatin capsules containing HCB mixed with glucose in daily dosages of 0.0 or 10 mg/kg b.w. for 90 days; the former was the control group. On the menstrual period following completion of dosing, the monkeys underwent an induction cycle of superovulation. At necropsy, one-half of an ovary from each animal was diced into ca. 2- to 3-mm cubed specimens that were fixed by immersion in 2.5% glutaraldehyde in 0.1 M cacodylate buffer (pH 7.3). Subsequent procedures followed to obtain thin sections that were examined in a Hitachi H-7000 electron microscope have been described earlier.


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