Safety of Breast Pumps and Expressed Breast Milk Use Amongst Nursing Mothers and Healthy Term Babies: Narrative Review

2021 ◽  
Author(s):  
Temitope John Alabi
Author(s):  
MRS. SUJATHA S ◽  
DR. REBECCA SAMSON ◽  
DR. BRIDGITTE AKILA ◽  
DR. SUNDARE SAN

Author(s):  
L. Cordero ◽  
M.R. Stenger ◽  
M.B. Landon ◽  
C.A. Nankervis

BACKGROUND: Timely delivery and magnesium sulfate (MgSO4) are mainstay in the treatment of preeclampsia with severe features (PWSF). Premature delivery, severity of illness and mother-infant separation may increase the risk for breastfeeding (BF) initiation failure. OBJECTIVE: To compare BF initiation among women with late-onset PWSF for women with late-onset preeclampsia without severe features (WOSF). METHODS: Retrospective study of 158 women with PWSF and 104 with WOSF who delivered at ≥34 weeks. Intention to BF, formula feed (FF) or partially BF was declared prenatally. At discharge, exclusive BF included direct BF or direct BF with expressed breast milk (EBM). RESULTS: PWSF and WOSF groups were similar in age, race, and obstetric history. PWSF and WSOF differed in primiparity (65 & 51%), late preterm births (73 vs 15%), admission to NICU (44 &17%) and mother (5 & 4d) and infant (6 & 3d) hospital stay. Both groups were similar in intention to BF (80 & 84%), to FF (16 & 13%) and to partially BF (5 & 5%). At discharge, exclusive BF (37 & 39%), partial BF (33 & 31%) and FF (30 & 30%) were similar. Exclusive BF in the PWSF group was 43% direct BF, 28% direct BF and EBM and 29% EBM alone whereas in the WOSF group exclusive BF was 93% direct BF and 7% direct BF and EBM. CONCLUSION: BF initiation rates for women with PWSF and WOSF were similar. EBM alone or with direct BF enabled infants in the PWSF group to exclusively BF at discharge.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 486 ◽  
Author(s):  
Elvira Verduci ◽  
Maria Lorella Giannì ◽  
Giulia Vizzari ◽  
Sara Vizzuso ◽  
Jacopo Cerasani ◽  
...  

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.


Author(s):  
M S Fewtrell ◽  
K Kennedy ◽  
J S Ahluwalia ◽  
R Nicholl ◽  
A Lucas ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 974 ◽  
Author(s):  
Luke E. Grzeskowiak ◽  
Mary E. Wlodek ◽  
Donna T. Geddes

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.


2020 ◽  
Vol 7 (1) ◽  
pp. 27-30
Author(s):  
Ririn Probowati ◽  
Monika Sawitri Prihatini ◽  
Mamik Ratnawati

Counseling is a series of contacts or direct relationships with individuals whose purpose is to provide assistance in changing their attitudes and behavior (Taufik, 2010). In order for mothers to maintain exclusive breastfeeding for 6 months, WHO recommends initiating breastfeeding within the first hour of life, babies only receive breast milk without additional food or drink, including water, breastfeed as requested or as often as the baby wants, and do not use bottles or pacifiers. (WHO, 2018). Based on data from the Ministry of Health, there is an increase in the provision of breastfeeding (breast milk) during a pandemic COVID-19 by 52 percent. This figure has increased significantly compared to last year. "Compared to the 2019 period, there is an increase in breastfeeding in 2020. It increases from 20 percent to 52 percent in the first trimestes of 2020. East Java is currently not far from the national figure, reaching 26.91 percent with the highest risk of stunting in the districts of Probolinggo, Trenggalek, Jember, Bondowoso and Pacitan . The stunting rate in Jombang Regency has decreased by 1 percent compared to 2019. Namely from 18 percent to 17 percent in 2020. According to her, the highest stunting cases in Jombang are in five areas, namely Plabuhan, Plandaan, Mayangan and Distance Kulon districts, Jogoroto, Kabuh, districts. and Blimbing Kesamben District. The purpose of this activity is to provide guidelines for members of the   counselor group at PONED puskesmas in the Jombang district health office . The results of this activity , terbetuknya breastfeeding counselor groups in each puskesmas PONED in Jombang district, a group of counselors will provide assistance to the motivator and mother - pregnant women and nursing mothers in order to give exclusive breastfeeding are one factor un tuk prevent stunting in bali ta . In this activity the number of participants who took part in the Breastfeeding Counseling Training in the Context of Stunting Prevention through Breastfeeding in Jombang district was 19 participants during the pandemic period . .   Keywords : Breastfeeding Counseling , Stunting , Breastfeeding


2019 ◽  
Vol 5 (1) ◽  
pp. 39-42
Author(s):  
Heriza Syam ◽  
Jehanara Jehanara ◽  
Nurdjasmi Nurdjasmi

Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.  


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