Breastfeeding initiation among women with preeclampsia with and without severe features

2020 ◽  
pp. 1-8
Author(s):  
L. Cordero ◽  
M.R. Stenger ◽  
M.B. Landon ◽  
C.A. Nankervis
Keyword(s):  
Retrospective Study ◽  
Breast Milk ◽  
Hospital Stay ◽  
Late Onset ◽  
Preterm Births ◽  
Severity Of Illness ◽  
Premature Delivery ◽  
Breastfeeding Initiation ◽  
Expressed Breast Milk ◽  
Timely Delivery

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.

scholarly journals Probiotic Supplementation and Its Effect on Weight and Feed tolerance in Preterm Low Birth Weight Newborns: A Clinical Trial

2017 ◽  
Vol 39 (2) ◽  
pp. 82-87
Author(s):  
Sadeka Choudhury Moni ◽  
MA Mannan ◽  
Sanjoy Kumer Dey ◽  
Arjun Chandra Dey ◽  
Debashish Saha ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Weight Gain ◽  
Birth Weight ◽  
Breast Milk ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Neonatal Intensive Care ◽  
Control Group ◽  
Probiotic Supplementation ◽  
Expressed Breast Milk

Background: Establishment of full enteral feed is a major challenge in the care of preterm low birth weight (LBW) neonates. Probiotics are live microbial supplements that colonize preterm bowel with favourable flora, improve tolerance to feed and promotes growth of these premies.Objective: To determine the effect of probiotic supplementation on feed tolerance, postnatal weight gain, duration of hospital stay in preterm low birth weight babies.Methods : This prospective clinical trial was conducted in the Neonatal Intensive Care Unit (NICU), Bangabandhu Sheikh Mujib Medical University, (BSMMU) from February, 2012 to November, 2012. A total of 65 preterm, low birth weight ( LBW) newborns were included in this study. A multistrain probiotic suspension was given once daily to the infants in probiotic group along with expressed breast milk (EBM) through the nasogastric tube/ dropper from the first day of feed which was continued till attainment of full feed. Those in controls received only expressed breast milk. Weight, feed volume increment, features of intolerance were followed up daily. Relevant investigations were done whenever indicated.Results: The mean time to reach full enteral feed in probiotic and control group was 13.71±3.4 vs 16.53±6.13; p<0.05. But weight gain was not affected by supplementation. Hospital stay was shorter in supplemented group.Conclusion: Probiotic supplementation in preterm low birth weight babies improves feed tolerance and decreases hospital stay but does not affect weight gain.Bangladesh J Child Health 2015; VOL 39 (2) :82-87

scholarly journals Feeding Practices of Sick Newborns Admitted in Neonatal Ward of ICMH: Breast Milk as the Only Food

2012 ◽  
Vol 35 (1) ◽  
pp. 1-5
Author(s):  
Nasima Akter ◽  
Soofia Khatoon ◽  
Wahida Khanom
Keyword(s):  
Weight Gain ◽  
Breast Milk ◽  
Hospital Stay ◽  
Breast Feeding ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Expressed Breast Milk ◽  
Nasogastric Tube Feeding ◽  
Neonatal Ward

Background: Breast milk is uniquely adopted most appropriate natural, preferred food for all infants including premature and sick newborns. It protects babies against many diseases and infections, better intelligence and greater academic achievement, lower risk for developing recurrent wheezing than children who were infant-formula fed. Objectives: The objective of the study is to see how early breast feeding could be started and when exclusive breast feeding could be established in admitted sick newborn. Materials and methods: This was a observational prospective study through a structured questionnaire conducted in Neonatal ward of Institute of Child and Mother Health. One hundred and sixty three sick newborns admitted in neonatal ward during November, 2005 to January, 2006 with weight more than 1200 gm, gestational age more than 32 weeks without major congenital anomaly were studied. Admitted babies were kept nill by mouth or nasogastric tube feeding and/or oral feeding as clinical condition permitted. Parenteral fluid was started as recommended daily fluid and gradually was advanced to oral or nasogastric tube feeding or spoon feeding of expressed breast milk as 1 to 3 hourly feeding which was individualized. During hospital stay, mothers were encouraged and motivated to breast feed and/or to expression of breast milk. Patients discharged when full breast feeding was established. Daily weight measurement and follow up were done after 7, 15, 30 days of discharge. Results: Among 330 admitted neonates, 163 were enrolled in this study. Mean age at presentation was 2.8 days. About one third of babies 55 (33.7%) had appropriate birth weight, seventy eight (47.8%) had perinatal asphyxia, and one third 55 (33.7%) had septicemia. Mean age of 1st feed was 2.9 days. Minimal and maximal days for initiation of breast feeding were 1st and 24th - day respectively. Mean days of full feeding was 3.6 days. About 67 (41%) of babies received and tolerated 1st feeding in between 24-72 hours and 48 babies (29.5%) in between 3rd-5th day. Out of 163 patients, weight gained in 22 (13%) babies during hospital stay. Average weight gain was 10 gram/day. Ninety two (55%) of study neonates needed assisted feeding with nasogastric tube. In spite of sickness breast feeding could be started in 22 (13.5%) neonates. Full feeding was established on 1st day in 44 (27%) of study neonates and in 80 (49%) neonates full feeding was established by 10 days. Expressed breast milk was from beginning in 66 (70%) of neonate. One hundred and thirty six neonates (83.4%) came for 1st follow up, 110 (67%) came for 2nd follow up, 144 (88%) babies came for 3rd follow up. Weight gain were found in 85%, 63.8%, 82% respectively. Conclusion: We can say from the present study that breast milk either by suckling or through nasogastric tube can safely be given to sick neonates under supervision and by that baby can maintained on normal weight gain. DOI: http://dx.doi.org/10.3329/bjch.v35i1.10365 BJCH 2011; 35(1): 1-5

Efficacy of sucrose verses expressed breast milk for pain among neonates receiving vaccination, in india

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
MRS. SUJATHA S ◽  
DR. REBECCA SAMSON ◽  
DR. BRIDGITTE AKILA ◽  
DR. SUNDARE SAN
Keyword(s):  
Breast Milk ◽  
Expressed Breast Milk

Predictors of expressed breast milk volume in mothers expressing milk for their preterm infant

2016 ◽  
Vol 101 (6) ◽  
pp. F502-F506 ◽  
Author(s):  
M S Fewtrell ◽  
K Kennedy ◽  
J S Ahluwalia ◽  
R Nicholl ◽  
A Lucas ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infant ◽  
Expressed Breast Milk ◽  
Milk Volume

Recurrent late-onset neonatal sepsis traced to breast milk: A case report

2021 ◽  
pp. 1-4
Author(s):  
G. Stepanovich ◽  
S.M. Donn
Keyword(s):  
Breast Milk ◽  
Neonatal Intensive Care ◽  
Late Onset ◽  
Bacterial Load ◽  
Gi Tract ◽  
Reduction Strategy ◽  
Late Onset Sepsis ◽  
Nutritional Benefits ◽  
Culture Positive ◽  
Milk Feeding

Breast milk feeding is an important late-onset sepsis reduction strategy in the Neonatal Intensive Care Unit (NICU). However, multiple studies have reported transfer of bacteria-contaminated breast milk to infants. We describe a case of culture-positive breast milk resulting in persistent Enterococcus bacteremia in an infant. Beyond the development of an infant’s innate and specific immunity as well as colonization of the gastrointestinal (GI) tract with commensal organisms, the risk of bacterial translocation from the GI tract into the bloodstream is shaped and modified by maternal health, birth history, and an infant’s NICU course. While freezing and/or pasteurizing breast milk reduces or eliminates its bacterial load, it also diminishes its immunologic and nutritional benefits.

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