scholarly journals Revision of the Beginning Breastfeeding Survey: A Cumulative Assessment of Breastfeeding

2013 ◽  
Vol 21 (1) ◽  
pp. 80-95
Author(s):  
Pamela Mulder

Background and Purpose: Women use their cumulative breastfeeding experiences, in combination with other factors, to make their infant feeding decisions. This pilot study assessed the reliability and predictive validity of the revised Beginning Breastfeeding Survey-Cumulative (BBS-C). Methods: 25 women were recruited prenatally from a university hospital. The BBS-C was completed before hospital discharge. Infant feeding outcomes were measured at 1 and 3 months postpartum. Results: Participants were 17–40 years old, mostly married, Whites, and well-educated. Coefficient alpha was .92–.94. The BBS-C predicted an infant not receiving breast milk, not feeding from the breast, and receiving infant formula feedings. Conclusions: In this sample, the BBS-C had strong reliability and predictive validity. Further testing should assess reliability and predictive validity in a wider range of populations and settings.

2020 ◽  
Vol 10 (17) ◽  
pp. 6135
Author(s):  
Federica Dal Bello ◽  
Enrica Mecarelli ◽  
Daniela Gastaldi ◽  
Francesco Savino ◽  
Claudio Medana

Leptin is a 16 kDa lipophilic protein hormone secreted by adipocytes and its most significant function is to inform the brain with negative feedback that regulates food intake. Recently the protein found in human breast milk was related to breast feeding and onset of obesity, and the evidence of a low probability to develop pediatric obesity in children fed with breast milk was also confirmed. Since leptin could have a critical role, its quantitation both in human breast, bovine milk and in infant formula products is interesting. For this reason, we developed an analytical method based on immunoaffinity purification followed by an analysis with nano-High Pressure Liquid Chromatography coupled with High Resolution Mass Spectrometry analyzer (nano-HPLC-HRMS) to identify and quantify leptin in milk samples and performed a pilot study using samples of human breast milk, bovine milk and infant formulas. With an obtained lower limit of quantitation (LLOQ) of 100 ng mL−1 we quantified leptin in human breast milk finding an average of 6.70 ng mL−1. Our results show that leptin was under LLOQ both in bovine milk and in infant formula products. In conclusion, the developed analytical method here described was suitable to quantify leptin in milk samples with a good sensitivity and selectivity, and without the use of radioactive reagents.


BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0016
Author(s):  
John Michael Broughan ◽  
Geoff McCombe ◽  
Gordana Avramovic ◽  
Des Crowley ◽  
Cheyenne Downey ◽  
...  

BackgroundAbout 10-35% of people with COVID-19 merit medical care within three weeks of infection. However, the prevalence of ongoing care needs among those experiencing severe COVID-19 illness is unclear.AimThis pilot study aimed to address this knowledge gap by examining GP attendance trends among patients attending a post-COVID-19 hospital follow-up clinic, 3-6 months after an initial clinic visit.Design, and SettingData was collected from adult patients attending a post-COVID-19 follow-up clinic at the Mater Misericordiae University Hospital, Dublin, Ireland.MethodParticipants completed questionnaires outlining their demographics, medical histories, emergency hospital admissions/re-admissions where applicable, and where relevant, GP attendances following hospital discharge. Analyses were conducted using descriptive/inferential statistics.ResultsParticipants’ (n=153) median age =43.5 (IQR =30.9–52.1 years). There were 105 females (68.6%, 95% CI=61.3%–75.9%). Various medical histories were reported among participants. 67 (43.2%, 95% CI=35.9%–51.6%) received emergency COVID-19 hospital care. Older adults, males, ICU admissions, and re-admissions were common among hospital attendees. Of the hospital attendees, 16 (24%, 95% CI=13.7%–34.2%) and 26 (39%, 95% CI=27.3%–50.7%) attended GPs within seven and 30 days of hospital discharge. Older adults, people with pre-existing medical conditions, and individuals admitted to ICU/readmitted to hospital were common among general practice attendees.ConclusionPersistent health issues appear to be common among severe COVID-19 patients, particularly those who are older adults, have pre-existing health problems, and had been in ICU and/or re-admission care. Larger scale studies of ongoing COVID-19 care needs in general practice/primary care are required.


Biomedika ◽  
2012 ◽  
Vol 4 (2) ◽  
Author(s):  
Putri Rahmitasari ◽  
Burhannudin Ichsan ◽  
Sahilah Ermawati

The main indicator of public health’s degree is infant mortility rate (IMR). One of the main things that cause infant mortility is diarrhea. The existence of diarrhea’s incidence in infants can be caused due to errors in the form of food other than breast milk feeding at the age of 4 months or the practise of infant feeding with formula milk (replacement feeding). This research was an observational analytic research with cross sectional approach. Samples obtained amounted to 80 respondents who are infants aged 2-4 months in various “posyandu” in the area of Central Klaten. This sample had fulfiilled the predetermined criteria. The research instrument used a questionnaire. for the result, there were 21 respondents of 80 respondents obtained who had diarrhea. Respondents of exclusive breastfeeding who had frequency of diarrhea is rarely as many as 5 babies, whereas 1 baby for often category. Respondents of infant formula who had frequency of diarrhea is rarely as many as 12 babies, whereas 3 babies for often category. There were significant differences between infants who were breastfed exclusively with formula-fed infants againts diarrhea frequency indicated by the value of p = 0,032.Keywords: Frequency of Diarrhea, Exclusive Breast Feeding, Formula Feeding Infant, Infants Aged 2-4 Months


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Andrea Hemmingway ◽  
Dawn Fisher ◽  
Teresa Berkery ◽  
Mairead E Kiely

AbstractRecognised as the optimum infant feeding method, breastfeeding affords substantial health benefits to mother and infant. Exclusive breastfeeding is recommended to 6 months, with continuation thereafter. In Ireland, data indicates that 60% breastfeed to any extent at hospital discharge and 40% do so at 3 months. However, nationally collected data is limited in detail, particularly with regard to breastfeeding continuation. The ongoing Cork-based COMBINE birth cohort study recruited 456 participants between 2015 and 2017. Through interviewer-led questionnaires, research midwives collected feeding data at hospital discharge, 1, 2, 4, 6 and 9 months of age. Infant feeding was classed as breast (breastmilk as main milk source), combination (both breastmilk and infant formula daily) or infant formula only feeding. Adherence to the World Health Organisation (WHO) recommendation to exclusively breastfeed (breastmilk only, no infant formula, supplementary fluids or solid foods) was examined longitudinally. To explore secular changes, breastfeeding rates in COMBINE were compared to the BASELINE birth cohort study, which recruited participants (n = 2116) between 2008 and 2011 in the same setting. In COMBINE, 75% of mothers provided any breastmilk (breast or combination) at hospital discharge, of whom 44% breastfed only. Two-fifths (40%), one-third (33%) and one-quarter (24%) breastfed at 1, 4 and 6 months, respectively. Combination feeding of breastmilk and infant formula was prevalent at discharge (31%) and 1 month (20%). Advice from healthcare professionals (31%) and concern baby was hungry (30%) were commonly reported reasons for this practice and throughout the study, mothers who combination fed were more likely to stop breastfeeding altogether than those who breastfed (all P < 0.001). Infant formula only feeding increased from 25% at discharge to 40% at 1 month, 49% at 2 months and 74% at 9 months. Half (45%) of mothers who breastfed did so for less than 4 months and insufficient milk/growth faltering was the most commonly cited reason for cessation (27%). The rate of WHO-defined exclusive breastfeeding was 40% from birth to discharge, 22% to 1 month, 15% to 4 months and 2% to 6 months. The breastfeeding (breastmilk as main milk source) rate at discharge did not differ between our two birth cohorts (44 vs. 40%, P = 0.23), but was significantly higher in COMBINE compared to BASELINE at 2 (36 vs. 27%) and 6 (24 vs. 12%) months (both P < 0.05). While these data provide evidence of some progress towards longer breastfeeding durations, there remains much scope to improve infant feeding practices in Ireland.


Nutrients ◽  
2016 ◽  
Vol 8 (5) ◽  
pp. 279 ◽  
Author(s):  
Camilia Martin ◽  
Pei-Ra Ling ◽  
George Blackburn

Author(s):  
Yahya R. Tahboub ◽  
Adnan M. Massadeh ◽  
Nihaya A. Al-sheyab ◽  
Diab El shrafat ◽  
Israa A. Nsserat

Appetite ◽  
2015 ◽  
Vol 85 ◽  
pp. 178-184 ◽  
Author(s):  
Alison K. Ventura ◽  
Rebecca Pollack Golen
Keyword(s):  

2015 ◽  
Vol 61 (suppl 7) ◽  
pp. S710-S715 ◽  
Author(s):  
Amy Desai ◽  
Laura E. Smith ◽  
Mduduzi N. N. Mbuya ◽  
Ancikaria Chigumira ◽  
Dadirai Fundira ◽  
...  

2021 ◽  
Vol 13 (7) ◽  
pp. 3860
Author(s):  
Anna Rita Corvino ◽  
Pasquale Manco ◽  
Elpidio Maria Garzillo ◽  
Maria Grazia Lourdes Monaco ◽  
Alessandro Greco ◽  
...  

Background: In this study, we promote a global approach to occupational risk perception in order to improve occupational health and safety training programs. The study investigates the occupational risk perception of operating room healthcare workers using an Analytic Hierarchy Process approach. Methods: A pilot study was carried out through a cross-sectional survey in a university hospital in Southern Italy. An ad hoc questionnaire was administered to enrolled medical post-graduate students working in the operating room. Results: Fifty medical specialists from seven fields (anaesthetists, digestive system surgeons, general surgeons, maxillofacial surgeons, thoracic surgeons, urologists, and gynaecologists) were questioned about perceived occupational risk by themselves. Biological, ionizing radiation, and chemical risks were the most commonly perceived in order of priority (w = 0.300, 0.219, 0.210). Concerning the biological risk, gynaecologists unexpected perceived this risk as less critical (w = 0.2820) than anaesthesiologists (w = 0.3354), which have the lowest perception of the risk of ionizing radiation (w = 0.1657). Conclusions: Prioritization methods could improve risk perception in healthcare settings and help detect training needs and perform sustainable training programs.


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