Early Breastfeeding Cessation Among Post-partum Women: A Prospective Observational Study

2020 ◽  
Author(s):  
Abeer Salem Al Shahrani ◽  
Hessah Mamdouh Hushan ◽  
Noura Khalid Binjamaan ◽  
Wajd Abdulrahman Binhuwaimel ◽  
Jawaher Jazaa Alotaibi ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Age ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Bottle Feeding ◽  
University Hospital ◽  
World Health ◽  
Breastfeeding Rate ◽  
Breastfeeding Cessation ◽  
Health Organization

Abstract Background: The World Health Organization (WHO) recommends that breastfeeding is initiated within an hour of birth and breastfeeding exclusively is performed for the first six months. However, the exclusive breastfeeding rate is dropping in most countries. In this study, we aimed to assess the breastfeeding cessation rate during the early post-partum period. Moreover, we aimed to prospectively identify the risk factors for early breastfeeding cessation during hospitalization and after discharge.Methods: This prospective study included all post-partum women who had given birth to full term, singleton, and healthy newborns and were breastfeeding at discharge from Mar – Jun 2020 at King Abdullah bin Abdulaziz University Hospital (KAAUH) in Riyadh, Saudi Arabia. With an instrument that was designed based on previous studies, data were collected at the time of admission and 10 – 14 days and 6 – 8 weeks post-partum.Results: This study included 136 mothers. The mean age of the participants was 29.5 ±5.07 years, and the majority of the participants had a bachelor’s degree and were unemployed. A total of 37.5% of the participants were exclusively breastfeeding their newborns for the first two weeks; however, this rate later dropped to 19%. However, bottle feeding was performed by two-thirds of the participants for the first 2 weeks, and this rate increased to 80.9% at 6 – 8 weeks post-partum. Many factors, such as maternal age, the mode of delivery and previous breastfeeding experience, were strongly associated with breastfeeding. Bottle feeding was associated with maternal age as well as employment status.Conclusions: This study reported an unacceptably low exclusive breastfeeding rate within the first two months post-partum. Multiple factors were strongly associated with breastfeeding, and some of them were modifiable. Moreover, more attention should be given to mothers who have a high risk for early breastfeeding cessation, such as employed mothers.Trial registration: Not applicable

scholarly journals Hubungan umur dan pekerjaan ibu menyusui dengan pemberian ASI eksklusif

2020 ◽  
Vol 9 (2) ◽  
pp. 153
Author(s):  
Rolita Efriani ◽  
Dhesi Ari Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Age ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Mother’S Age ◽  
Health Organization ◽  
Yogyakarta City

One of the efforts of the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) to reduce the Infant Morbidity and Mortality Rate (IMR) is to recommend that babies should only be breastfed for the first six months of life (exclusive breastfeeding). The coverage of exclusive breastfeeding in the Special Region of Yogyakarta was 73.3%. The lowest was in the city of Yogyakarta at 59.52%. This achievement had not yet reached the government's target of 80%. Puskesmas Umbulharjo 1 is the health center with the lowest exclusive breastfeeding coverage in Yogyakarta City at 39.15%. This study aims to determine the relationship between mothers' age and occupation with exclusive breastfeeding at Puskesmas Umbulharjo 1 Yogyakarta City. This research is an analytic survey with a cross-sectional approach. A sample of 64 mothers was taken from a population of 179 mothers who had babies aged 6-12 months. Data were analyzed by using the Chi-Square test. The results of the analysis of maternal age with exclusive breastfeeding obtained a p-value of 0.007 (p <0.05), while the analysis of maternal age with exclusive breastfeeding showed a p-value of 0.000 (p <0.05). In conclusion, there is a relationship between the mother's age and occupation and exclusive breastfeeding in the working area of Puskesmas Umbulharjo 1 Yogyakarta City

scholarly journals Getting the Green Light: Experiences of Icelandic Mothers Struggling with Breastfeeding

2016 ◽  
Vol 21 (4) ◽  
pp. 82-94 ◽  
Author(s):  
Sunna Símonardóttir
Keyword(s):  
Exclusive Breastfeeding ◽  
Cultural Context ◽  
Green Light ◽  
Point Of View ◽  
World Health ◽  
Mother And Child ◽  
Breastfeeding Cessation ◽  
Breastfeeding Rates ◽  
Anglo American ◽  
Health Organization

The World Health Organization recommends exclusive breastfeeding for the first six months of life, with continued breastfeeding up to two years of age or beyond. This policy has been adopted by the Nordic countries, including Iceland, where there has been an upward trend towards higher breastfeeding rates and duration. The high breastfeeding rates in Iceland indicate that the idea that all women should breastfeed is culturally very strong. Exclusive breastfeeding is constructed as a pillar of successful bonding and absolutely paramount when it comes to promoting the close primary relationship between mother and child. Previous research on breastfeeding from a socio-cultural point of view remains very much rooted in an Anglo-American context and has mostly been conducted in countries where breastfeeding rates remain relatively low and the cultural context of breastfeeding similar. This paper addresses that particular knowledge gap by making visible the identity work that Icelandic mothers perform in order to be able to construct themselves as “good” responsible mothers and how dominant biomedical discourses on infant feeding and ‘good mothering’ discursively position women as powerless and unable to make decisions on breastfeeding cessation. The reaction that they experience from their immediate surroundings indicates that their ‘failures’ in breastfeeding can rarely be constructed as anything other than a personal shortcoming. Whilst the surveillance that they come to expect from other mothers and the general public results in them having to account for their ‘lack’ of breastfeeding in order to avert the hostile gaze of others.

scholarly journals Effect of Kangaroo Mother Care on the Likelihood of Breastfeeding from Birth up to 6 Months of Age: A Meta-analysis

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Angelica Joyce A. Gacutno-Evardone ◽  
Fay S. De Ocampo ◽  
Maria Esterlita T. Villanueva-Uy
Keyword(s):  
Exclusive Breastfeeding ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Kangaroo Mother Care ◽  
World Health ◽  
Randomized Controlled ◽  
Trial Quality ◽  
Breastfeeding Rate ◽  
Health Organization ◽  
Review Manager

Background. One of the World Health Organization (WHO) nutrition target by 2025 is 50% exclusive breastfeeding rate among infants until age 6 months. Kangaroo mother care (KMC) known to increase breastfeeding rates, especially in preterm and low birth weight (LBW) infants. Objectives. This study determined the effect of KMC to the rate of exclusive breastfeeding among preterm and LBW infants at 6 months of age. Methods. Conducted searches in MEDLINE and CENTRAL databases, likewise hand searched local publications December 1996 until June 2018. Included several randomized controlled trials and prospective observational studies comparing KMC and conventional care among preterm and LBW infants. The primary outcome was exclusive breastfeeding of infants at six months of age. Two authors independently assessed trial quality and extracted data the statistical analysis applied using Review Manager version 5.3. Results. Identified nine eligible trials involving 1,202 neonates. All studies had low-to-moderate risk of bias. KMC significantly noted to increase the likelihood of exclusive breastfeeding by 1.9 times at birth up to 6 months (OR 1.93 [1.18,3.17], p=0.009). Conclusion. KMC can increase exclusive breastfeeding among preterm and LBW infants from birth up to 6 months of age.

scholarly journals Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

2014 ◽  
Vol 32 (2) ◽  
pp. 171-177 ◽  
Author(s):  
Maria Alexsandra da S. Menezes ◽  
Daniela Cavalcante Garcia ◽  
Enaldo Vieira de Melo ◽  
Rosana Cipolotti
Keyword(s):  
Birth Weight ◽  
Premature Infants ◽  
Gestational Age ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
World Health ◽  
Average Weight ◽  
Average Birth Weight ◽  
Breastfeeding Rate ◽  
Health Organization

OBJECTIVE:To evaluate clinical outcomes, growth and exclusive breastfeeding rates in premature infants assisted by Kangaroo Mother Care at birth, at discharge and at six months of life.METHODS: Prospective study of a premature infants cohort assisted by Kangaroo Mother Care in a tertiary public maternity in Northeast Brazil with birth weight ≤1750g and with clinical conditions for Kangaroo care.RESULTS: The sample was composed by 137 premature infants, being 62.8% female, with average birth weight of 1365±283g, average gestational age of 32±3 weeks and 26.2% were adequate for gestational age. They have been admitted in the Kangaroo Ward with a median of 13 days of life, weighing 1430±167g and, at this time, 57.7% were classified as small for corrected gestational age. They were discharged with 36.8±21.8 days of chronological age, weighing 1780±165g and 67.9% were small for corrected gestational age. At six months of life (n=76), they had an average weight of 5954±971g, and 68.4% presented corrected weight for gestational age between percentiles 15 and 85 of the World Health Organization (WHO) weight curve. Exclusive breastfeeding rate at discharge was 56.2% and, at six months of life, 14.4%.CONCLUSIONS: In the studied sample, almost two thirds of the children assisted by Kangaroo Mother Care were, at six months of life, between percentiles 15 and 85 of the WHO weight curves. The frequency of exclusive breastfeeding at six months was low.

scholarly journals Oxytocyn Massage Using Innovative Massage Tool and Conventional Effleurage Techniques to Increase Breastmilk Production in Post Partum Mothers

2020 ◽  
Author(s):  
Nining Istighosah ◽  
◽  
Aprilia Nurtika Sari ◽  
Keyword(s):  
Treatment Group ◽  
Breast Milk ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
World Health ◽  
Breast Milk Production ◽  
The World ◽  
Massage Treatment ◽  
Health Organization

ABSTRACT Background: Exclusive breastfeeding for the first six months of life is recommended by the World Health Organization and United Nations Children’s Fund. The World Health Organization (WHO) recommends exclusive breastfeeding for up to 6 months and continuous breastfeeding for up to 2 months. Exclusive breastfeeding is the most effective intervention to reduce infant mortality. It is estimated that it can prevent 13% of under-five mortality in low-income countries. This study aimed to analyze the difference in breastmilk volume before and after the mother received the oxytocin massage using innovative massage tool and conventional effleurage techniques. Subjects and Methods: This was a quasi-experiment study with a non-randomized control trial pretest-posttest design was conducted in Kediri from August to September 2020. The sample used was post-partum women on days 4 to 10 using purposive sampling technique. The dependent variable was amount of breast milk production. The independent variables were oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage, effleurage technique and innovation massage tool. The data was analyzed by T-Test. Results: In the oxytocin massage treatment group used the conventional Effleurage method (Mean = 42; SD = 29) while in the massage treatment group using an innovative massage tool (Mean = 60; SD = 51) this was very different in the control group (Mean = 3.4; SD = 8.8) and it was statistically significant (p= 0.005). Conclusion: Giving oxytocin massage using an innovative massage device were higher than oxytocin massage using the conventional Effleurage method and massage using this innovative massage device had a statistical impact on increasing breast milk production Keywords: oxytocin massage, breast milk production, innovative massage tool Correspondence: Nining Istighosah. School of Midwifery Dharma Husada Kediri. Jl. Penanggungan No. 41-A Kediri. E-mail: [email protected]. Mobile: +6281231352032. DOI: https://doi.org/10.26911/the7thicph.03.48

scholarly journals Breastfeeding Prevalence in Austria according to the WHO IYCF Indicators—The SUKIE-Study

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2096
Author(s):  
Bernadette Bürger ◽  
Karin Schindler ◽  
Tanja Tripolt ◽  
Hans Peter Stüger ◽  
Karl-Heinz Wagner ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Infant Nutrition ◽  
Post Partum ◽  
International Comparisons ◽  
World Health ◽  
Breastfeeding Duration ◽  
Online Questionnaire ◽  
Child Feeding ◽  
Right Censored Data ◽  
Breastfeeding Rate

Breastfeeding and infant nutrition have an important impact on child health. The last representative data on breastfeeding in Austria was collected in 2006. The SUKIE-Study (Säuglings- und Kinderernährung) is a representative, longitudinal survey (online questionnaire) for participating mothers at four time points (14 days, four, six and 12 months post-partum). Questions on when other foods were first introduced were asked retrospectively. To ensure international comparisons, the World Health Organization’s definitions for breastfeeding, including “Infant and Young Child Feeding” indicators, were used. After eligibility screening, 1214 of 1666 invited mothers were included in the analysis. The initial breastfeeding rate was 97.5% and was reduced to 40.8% after 12 months. The rate of exclusive breastfeeding at one week of age was 55.5% and decreased to 1.9% after six months. Half of the infants received infant formula for the first time within the first three days of life (median). Out of the mothers that did wean breastfeeding in the first 12 months, the median duration was 27 weeks (right-censored data). Compared with 2006, an increase (93.2% to 97.5%) in the initial breastfeeding rate was found. However, other findings show that breastfeeding duration, including exclusive breastfeeding rates, need further improvement.

scholarly journals Newborns at risk of Covid-19 ― lessons from the last year

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Malika D. Shah ◽  
Ola Didrik Saugstad
Keyword(s):  
Horizontal Transmission ◽  
Mode Of Delivery ◽  
Newborn Infants ◽  
World Health ◽  
Premature Delivery ◽  
Mortality And Morbidity ◽  
Skin Contact ◽  
Cord Clamping ◽  
Increased Risk ◽  
Health Organization

Abstract After more than 1 year of the SARS-CoV-2 pandemic, a great deal of knowledge on how this virus affects pregnant women, the fetus and the newborn has accumulated. The gap between different guidelines how to handle newborn infants during this pandemic has been minimized, and the American Academy of Pediatrics (AAP)’s recommendations are now more in accordance with those of the World Health Organization (WHO). In this article we summarize present knowledge regarding transmission from mother to the fetus/newborn. Although both vertical and horizontal transmission are rare, SARS-CoV-2 positivity is associated with an increased risk of premature delivery and higher neonatal mortality and morbidity. Mode of delivery and cord clamping routines should not be affected by the mother’s SARS-CoV-2 status. Skin to skin contact, rooming in and breastfeeding are recommended with necessary hygiene precautions. Antibodies of infected or vaccinated women seem to cross both the placenta and into breast milk and likely provide protection for the newborn.

scholarly journals Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 557
Author(s):  
Kingsley Agho ◽  
Tahmeed Ahmed ◽  
Catharine Fleming ◽  
Mansi Dhami ◽  
Chundung Miner ◽  
...  
Keyword(s):  
Adolescent Mothers ◽  
Antenatal Clinic ◽  
Economic Benefits ◽  
Bottle Feeding ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices ◽  
Health Organization ◽  
At Home

Optimal breastfeeding practices among mothers have been proven to have health and economic benefits, but evidence on breastfeeding practices among adolescent mothers in Bangladesh is limited. Hence, this study aims to estimate breastfeeding indicators and factors associated with selected feeding practices. The sample included 2554 children aged 0–23 months of adolescent mothers aged 12–19 years from four Bangladesh Demographic and Health Surveys collected between 2004 and 2014. Breastfeeding indicators were estimated using World Health Organization (WHO) indicators. Selected feeding indicators were examined against potential confounding factors using univariate and multivariate analyses. Only 42.2% of adolescent mothers initiated breastfeeding within the first hour of birth, 53% exclusively breastfed their infants, predominant breastfeeding was 17.3%, and 15.7% bottle-fed their children. Parity (2–3 children), older infants, and adolescent mothers who made postnatal check-up after two days were associated with increased exclusive breastfeeding (EBF) rates. Adolescent mothers aged 12–18 years and who watched television were less likely to delay breastfeeding initiation within the first hour of birth. Adolescent mothers who delivered at home (adjusted OR = 2.63, 95% CI:1.86, 3.74) and made postnatal check-up after two days (adjusted OR = 1.67, 95% CI: 1.21, 2.30) were significantly more likely to delay initiation breastfeeding within the first hour of birth. Adolescent mothers living in the Barisal region and who listened to the radio reported increased odds of predominant breastfeeding, and increased odds for bottle-feeding included male infants, infants aged 0–5 months, adolescent mothers who had eight or more antenatal clinic visits, and the highest wealth quintiles. In order for Bangladesh to meet the Sustainable Development Goals (SDGs) 2 and 3 by 2030, breastfeeding promotion programmes should discourage bottle-feeding among adolescent mothers from the richest households and promote early initiation of breastfeeding especially among adolescent mothers who delivered at home and had a late postnatal check-up after delivery.

Cryopreservation of sperm before gonadotoxic treatment at the University Hospital Brno in the years 1995–2020

2021 ◽  
Vol 86 (3) ◽  
pp. 156-162
Author(s):  
Pavel Ventruba ◽  
◽  
Jana Žáková ◽  
Michal Ješeta ◽  
Igor Crha ◽  
...  
Keyword(s):  
Testicular Cancer ◽  
Assisted Reproduction ◽  
University Hospital ◽  
World Health ◽  
Hematopoietic Tissue ◽  
Severe Oligozoospermia ◽  
Sperm Bank ◽  
Long Term Storage ◽  
Health Organization ◽  
Hodgkin's Lymphomas

Summary Objective: Sperm cryopreservation before gonadotoxic treatment is the basic and mos teffective method of preserving reproduction, which can be used during adolescence. The communication summarizes 26 years of experience in the operation of an oncological sperm bank, analyzes spermiograms of oncological patients, assesses the relationship between sperm pathology and diagnosis, and determines the number of deaths and the use of frozen sperm. Methods: During the existence of CAR 01 (assisted reproduction center), more than 50,000 spermiograms were performed. From January 1995 to December 2020, a total of 24,729 men were examined within the sperm bank, of which 1,448 (5.9%) had an oncological diagnosis. The spermiograms were evaluated according to current WHO (World Health Organization) manuals. Cryopreservation of sperm has undergone a major development. The rules for the storage of frozen cells have been laid down by Act No. 296/2008 Coll. since 2008. In 2019, the methodology „Cryopreservation of reproductive cells and tissues in patients before cancer treatment“ was updated. In all cases, the standard thawing technique was used. The sperms were processed by the swim-up method. As part of the treatment with assisted reproduction methods, oocytes were fertilized by the ICSI (intracytoplasmatic sperm injection) micromanipulation technique. Results: Out of 1,448 examined spermiograms in men with oncological diagnoses, testicular cancer was present in 43.7% of patients and malignant diseases of lymphatic and hematopoietic tissue were found in 24.1%, of which 70,1% included Hodgkin‘s lymphomas and 29,9% were non-Hodgkin‘s lymphomas. Leukemia was found in 7.9%, bone and cartilage cancers in 6.8%. The age of the clients of the whole group ranged from 13 to 64 years (27.2 ± 6.8 years). A total of 38.3% of men had normozoospermia, 54.2% of spermiograms showed pathological findings in 1 to 3 evaluated parameters and 7.5% of patients had azoospermia. Severe asthenozoospermia (mobility ≤ 10%) was detected in 57.2% of men and severe oligozoospermia (concentration ≤ 1 × 106 mm3) in 22.3% of patients. The lowest values of the spermiogram were found in men with testicular cancer; the best values were seen in CNS (central nervous system) cancers. The cryopreservation of sperm was performed in 1,340 cases (92.5%). So far, a total of 160 men (11.9%) have used frozen sperm, of which 6.2% in our center. In these 83 cases, the ICSI technique was always used, 38 clinical pregnancies (45.8%) and 32 births were achieved. We have registered 424 completed storages of semen (31.6%), of which 148 (11.0% of all oncology patients) were made due to death and the others at patients’ request. Using the sperm of the dead is a specific issue. Conclusion: In cancer patients, sperm pathologies occur in high percentage. The lowest spermiogram values were found in men with testicular cancer. It is necessary to take into account long-term storage and fertilization by micromanipulation methods. The number of men who die is significantly higher than the number of those who use sperm to treat infertility. Cryopreservation of sperm should be offered to each patient prior to the therapy leading to the destruction of spermatogenesis.

scholarly journals Breast Feeding versus Formula Feeding and Diarrheal Diseases in Infants and Children- A Review

2014 ◽  
Vol 32 (1) ◽  
pp. 26-30 ◽  
Author(s):  
MUH Begum
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Diarrheal Disease ◽  
Formula Feeding ◽  
Infants And Children ◽  
World Health ◽  
Human Breast Milk ◽  
Diarrheal Diseases ◽  
Health Organization ◽  
In Infants And Children

The World Health Organization (WHO) and the American Academy of Pediatrics (AAP) emphasize the value of breastfeeding for mothers as well as children. Both recommend exclusive breastfeeding for the first six months of life. Human breast milk is the healthiest form of milk for babies. Breastfeeding promotes health and helps to prevent diseases including diarrheal diseases. It contains all nutrients including antibodies (IgA),and lactoferrin, that potentially prevent infection and diarrhea in infants and children. Studies conducted in both developed and under developed nations have found that breast feeding is associated with significantly ( upto 64%) less diarrheal disease and the protective effect of breast feeding does not persist beyond two months after breast feeding is stopped. On the other hand, formula fed infants are found an upto 80% increased in the risk of developing diarrhea compared to breast fed infants and there is significantly more diarrheal disease in formula fed infants. Infection may be attributable to contamination of bottles, teats, milk, and food in infants who are not exclusively breastfed. Exclusive breastfeeding for the first six months of life and there after complementary feedings while breastfeeding continues for up to two years of age or beyond, enthusiastic support and involvement from clinicians, obstetricians and pediatricians, are essential in “breastfeeding vs formula feeding” issue and to reduce incidence of diarrheal diseases in infants and children. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21033 J Bangladesh Coll Phys Surg 2014; 32: 26-30

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