scholarly journals Breastfeeding in Disasters: A reminder for policymakers

2019 ◽  
Author(s):  
Mohammadreza Khajehaminian ◽  
Sayed Mohsen Hosseini Boroujeni ◽  
Vahid Ghanbari ◽  
Marjan Delkhosh
Keyword(s):  
Breast Milk ◽  
Healthcare Workers ◽  
Artificial Feeding ◽  
Narrative Review ◽  
Diarrheal Diseases ◽  
Unexpected Events ◽  
Breastfeeding Practices ◽  
The Status ◽  
English Articles

Introduction: Considering the unexpected events that may occur in disasters, breastfeeding and risks of the artificial feeding need more investigations in such severe conditions. To review the literature regarding to the status of breastfeeding practices during and after disasters.We conducted a narrative review to support and investigate breastfeeding in austere conditions of disasters. Furthermore, the consequences of depriving infants from breast milk were studied.  Methods: The electronic databases of PubMed, Scopus, and Science Direct were explored and English articles published in 2000-2014 over breastfeeding in disasters were extracted and reviewed. Results: According to the findings, despite the frequent emphasizes on breastfeeding, natural and manmade disasters are strong contributors to its disruption. Uncontrolled distribution of the artificial milk should be avoided, since it is associated with lower rate of breastfeeding. Artificially-fed infants are more prone to diarrheal diseases and malnutrition, particularly in disaster situations, which healthy water is not available for preparing the artificial milk. Conclusion: Healthcare workers should encourage mothers to continue lactation in austere conditions of disasters and monitor distribution of the artificial formula strictly.

Urgensi Ilmu Kedokteran Islam dengan Hukum Islam (Studi Identifikasi Deoxrybo Nucleic Acid (DNA) terhadap Sepersusuan)

2018 ◽  
Vol 12 (1) ◽  
pp. 133-146
Author(s):  
Li’izza Diana Manzil
Keyword(s):  
Nucleic Acid ◽  
Breast Milk ◽  
Legal Status ◽  
Islamic Law ◽  
Medical Science ◽  
Dna Identification ◽  
Islamic Medicine ◽  
Parents And Children ◽  
The Status ◽  
Brothers And Sisters

One sign of the rapidly growing world of medical science is its success in making one discovery about Deoxrybo Nucleid Acid (DNA). Islam does not prohibit the practice of DNA identification because it can be used in determining the legal status of relative relationships and related marital prohibitions among families because of the similarity of DNA genes between parents and their children. In Islam marriage prohibition can also occur between brothers and sisters. DNA identification can be done between siblings as a result of the presence of gene elements in breast milk. In addition, breast milk can also develop bone and grow meat if breastfeeding at least five times suction. But the results of DNA tests conducted between siblings cannot be more accurate if done to find relationships of parents and children. From this it clearly proves that Islamic medicine has an urgent value to Islamic law. This can be seen from one of its axiology in determining the status of brotherhood.

scholarly journals The Triad Mother-Breast Milk-Infant as Predictor of Future Health: A Narrative Review

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 486 ◽  
Author(s):  
Elvira Verduci ◽  
Maria Lorella Giannì ◽  
Giulia Vizzari ◽  
Sara Vizzuso ◽  
Jacopo Cerasani ◽  
...  
Keyword(s):  
Health Outcome ◽  
Breast Milk ◽  
Human Milk ◽  
Maternal Diet ◽  
Milk Composition ◽  
Narrative Review ◽  
Future Health ◽  
Interconnected System ◽  
Offspring Health ◽  
Diet And Lifestyle

The benefits of human milk for both mother and infant are widely acknowledged. Human milk could represent a link between maternal and offspring health. The triad mother-breast milk-infant is an interconnected system in which maternal diet and lifestyle might have effects on infant’s health outcome. This link could be in part explained by epigenetics, even if the underlining mechanisms have not been fully clarified yet. The aim of this paper is to update the association between maternal diet and human milk, pointing out how maternal diet and lifestyle could be associated with breast-milk composition, hence with offspring’s health outcome.

scholarly journals What Evidence Do We Have for Pharmaceutical Galactagogues in the Treatment of Lactation Insufficiency?—A Narrative Review

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 974 ◽  
Author(s):  
Luke E. Grzeskowiak ◽  
Mary E. Wlodek ◽  
Donna T. Geddes
Keyword(s):  
Clinical Practice ◽  
Breast Milk ◽  
Milk Composition ◽  
Narrative Review ◽  
Pharmacological Intervention ◽  
Future Research ◽  
Individual Treatment ◽  
Efficacy And Safety ◽  
Milk Supply ◽  
Insufficient Milk

Inadequate breast milk supply is a frequently reported reason for early discontinuation of breastfeeding and represents a critical opportunity for intervening to improve breastfeeding outcomes. For women who continue to experience insufficient milk supply despite the utilisation of non-pharmacological lactation support strategies, pharmacological intervention with medications used to augment lactation, commonly referred to as galactagogues, is common. Galactagogues exert their pharmacological effects through altering the complex hormonal milieu regulating lactation, particularly prolactin and oxytocin. This narrative review provides an appraisal of the existing evidence regarding the efficacy and safety of pharmaceutical treatments for lactation insufficiency to guide their use in clinical practice. The greatest body of evidence surrounds the use of domperidone, with studies demonstrating moderate short-term improvements in breast milk supply. Evidence regarding the efficacy and safety of metoclopramide is less robust, but given that it shares the same mechanism of action as domperidone it may represent a potential treatment alternative where domperidone is unsuitable. Data on remaining interventions such as oxytocin, prolactin and metformin is too limited to support their use in clinical practice. The review provides an overview of key evidence gaps and areas of future research, including the impacts of pharmaceutical galactagogues on breast milk composition and understanding factors contributing to individual treatment response to pharmaceutical galactagogues.

Human Immunodeficiency Virus and Artificial Feeding

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 804-804
Author(s):  
STANLEY A. PLOTKIN
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Developing Countries ◽  
Breast Milk ◽  
Infection Control ◽  
Hiv Infection ◽  
Developed Countries ◽  
The United States ◽  
Artificial Feeding ◽  
Immunodeficiency Virus

Dr Halsey has brought to my attention that a sentence in the human immunodeficiency virus (HIV) infection control statement (AAP News, September 1988) and perinatal statement (Pediatrics 1988;82:941-944) might be misinterpreted as advocating artificial feeding for HP/-infected infants in developing countries. It was our intention to advocate the use of artificial feeding by HIV-infected mothers only in the United States and other developed countries where safe water and hygienic practices are the norm. In other countries, the advantages of breast milk outweigh the possible risk of transmission to the newborn.

Breastfeeding

2017 ◽  
Author(s):  
Janet Medforth ◽  
Linda Ball ◽  
Angela Walker ◽  
Sue Battersby ◽  
Sarah Stables
Keyword(s):  
Breast Milk ◽  
Infant Nutrition ◽  
Milk Supply ◽  
Breastfeeding Practices ◽  
Returning To Work ◽  
Common Problems ◽  
Insufficient Milk

This chapter considers all aspects of breastfeeding. The latest Baby Friendly Initiative standards are detailed, along with the advantages of, and contraindications to, breastfeeding. The constituents of breast milk and their role in infant nutrition are identified. Recently recognized changes in the structure of the lactating breasts are presented. There are detailed sections on the management and support of breastfeeding. Practices shown to be detrimental to successful breastfeeding are highlighted. Expression of breast milk and breastfeeding and returning to work are fully explained, as well as discontinuation of breastfeeding. Common problems encountered whilst breastfeeding are considered, including sore/cracked nipples, engorgement, blocked ducts, mastitis, breast refusal, insufficient milk supply, and Candida infection (thrush). Breastfeeding in special situations is also explored. The importance of correct nutrition and breastfeeding is reviewed.

“Effective Disembodiment:” Female Patienthood and Reproductive Health in Elisa Albert’s After Birth and Pamela Erens’s Eleven Hours

2019 ◽  
Vol 13 (1) ◽  
pp. 34-52
Author(s):  
Haleigh R Williams
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Female Patient ◽  
Clinical Setting ◽  
Healthcare Workers ◽  
The United States ◽  
Pregnancy And Childbirth ◽  
Fictional Narratives ◽  
The Status ◽  
Shed Light

Abstract Historically, female patienthood has been defined by an expectation of passivity and the concession of bodily autonomy. After Birth by Elisa Albert (2015) and Eleven Hours by Pamela Erens (2016) shed light on the status of the modern female patient through the lens of her treatment throughout the process of childbirth in a clinical setting. The increasing medicalization of pregnancy and childbirth in the United States has added a compelling layer to the existing tension between women and the institution of medicine. Positioning these texts in conversation with the treatment of women at the hands of healthcare workers allows us to contextualize the fictional narratives, which themselves offer a dialectal framework to facilitate our understanding of female patienthood.

scholarly journals SARS, MERS and COVID-19 among healthcare workers: A narrative review

2020 ◽  
Vol 13 (6) ◽  
pp. 843-848 ◽  
Author(s):  
Jian Xiao ◽  
Min Fang ◽  
Qiong Chen ◽  
Bixiu He
Keyword(s):  
Healthcare Workers ◽  
Narrative Review

scholarly journals 569. Characterization of COVID-19 Vaccine Breakthrough Infections in Metropolitan Detroit

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S386-S386
Author(s):  
Nicholas sturla ◽  
Rita Kassab ◽  
Rafa Khansa ◽  
Thomas Chevalier ◽  
David Allard ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Vaccine Uptake ◽  
Effective Vaccine ◽  
Breakthrough Infection ◽  
Respiratory Sample ◽  
Asymptomatic Patients ◽  
The Status ◽  
Henry Ford ◽  
Heart Failure Exacerbation

Abstract Background Although COVID-19 vaccines are very effective, vaccine breakthrough infections have been reported, albeit rarely. When they do occur, people generally have milder COVID-19 illness compared to unvaccinated people. A total of 10,262 (0.01%) SARS-CoV-2 vaccine breakthrough infections had been reported as of April 30, 2021. The objective of this study was to evaluate the effectiveness of COVID-19 vaccines and characterize breakthrough infections in our patient population. Methods This was a retrospective review of all consecutive COVID-19 vaccine breakthrough infections at Henry Ford Health System (HFHS) in metropolitan Detroit, Michigan, from December 17, 2020 to June 7, 2021. Centers for Disease Control (CDC)'s breakthrough infection definition (detection of SARS-CoV-2 RNA or antigen in a respiratory sample ≥14 days after completion all recommended doses of COVID-19 vaccine) was used to identify cases. Vaccination status was extracted from the electronic medical records using Epic™ SlicerDicer. Results A total of 228,674 patients, including healthcare workers (HCW), were fully vaccinated in our healthcare system. We evaluate 299 patients for breakthrough infection but only 179 (0.08%) patients met the definition; 108 (60%) were female with median age of 59, 60 (33%) were HCW, and 11 (6%) were immunocompromised. The majority (92%) were asymptomatic (62 or 35%) or had mild/moderate illness (102 or 57%); 14 (8%) had severe or critical illness. The status of one patient was unknown. Of those who were symptomatic, 24 (13%) required hospitalization, and 3 (2%) required intensive unit care. One patient admitted for heart failure exacerbation died unexpectedly prior to being discharged. Nine had previous COVID-19 within 4 months but only one was symptomatic; this likely represented residual shedding in the asymptomatic patients. Conclusion COVID-19 vaccine was very effective among our patients and breakthrough infections were rare. Moreover, the vaccine reduced disease severity and mortality. Efforts should aim to increase vaccine uptake. Disclosures All Authors: No reported disclosures

scholarly journals The role of midwives in improving breastfeeding practices in protracted crises: The Gaza Strip example

2020 ◽  
Author(s):  
Alessandro Iellamo ◽  
Emily Monaghan ◽  
Samar AL Moghany ◽  
Jonathan Latham ◽  
Nihal Nassereddin
Keyword(s):  
Breast Milk ◽  
Data Collection ◽  
Gaza Strip ◽  
Healthcare Services ◽  
Lessons Learned ◽  
Security Officers ◽  
Breastfeeding Practices ◽  
Service Training ◽  
The Gaza Strip ◽  
The Impact

Abstract Background: The protection, promotion and support of breastfeeding is the most effective intervention to prevent child morbidity and mortality in all contexts. During the Palestine-Israel conflict that started in the middle of the 20th century, healthcare services are understaffed and lack basic resources, with frequent power cuts and stock-outs of essential drugs and equipment. This case study seeks to answer the questions: (1) How does the protracted crisis in Gaza affect the breastfeeding practices of the most vulnerable population; and (2) What is the role that midwives can play in improving breastfeeding practices?A mixed method (qualitative and quantitative) study was used to collect data. A total of 1044 respondents had a child less than 24 months at the time of the study. A total of 62.75 percent practice early initiation of breastfeeding and 42 percent confirmed that their new-borns were given liquids other than breast milk during the first three days of life. Fifty percent of mothers addressed breast milk insufficiency by drinking additional fluids and 40 percent by using infant formula. Discussion:This study confirms the need to a) implement the IYCF-E operational guidance in the Gaza strip and b) review the pre-service and in-service training for midwives. For vulnerable populations in humanitarian contexts, the impact of this cannot be underestimated. Conducting research in humanitarian settings is particularly challenging. Our experience included integration and linkage with international organizations security officers on the ground, co-ordination of activities with authorities and communities, regular supportive supervision during data collection, allocation of buffer days and geographical areas and in-country and remote assistance to data collection teams Conclusions:This research focuses on a protracted emergency in insecure populated areas. The unpredictable security situation meant that the team adopted a flexible approach during data collection. Lessons learned throughout this process include the importance of a) allocating additional research time, to account for potential interruption b) daily coordination with security officers to ensure safe access to localities c) identification of extra sites, in case escalation of conflict d) training of additional enumerators in case conflict escalation e) negotiation with authorities to ensure compliance with requirements.

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