scholarly journals Breastfeeding Practices Influence the Breast Milk Microbiota Depending on Pre-Gestational Maternal BMI and Weight Gain over Pregnancy

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1518
Author(s):  
Erika Cortés-Macías ◽  
Marta Selma-Royo ◽  
Cecilia Martínez-Costa ◽  
Maria Carmen Collado

Breastfeeding is critical for adequate neonatal microbial and immune system development affecting neonate health outcomes in the short and long term. There is a great interest in ascertaining which are the maternal factors contributing to the milk microbiota and the potential relevance for the developing infant. Thus, our study aimed to characterize the effect of mixed and exclusive breastfeeding practices on the milk microbiota and to determine the impact of pre-pregnancy body mass index (BMI) and weight gain over pregnancy on its composition. Breast milk samples from 136 healthy women were collected within the first month post-partum and milk microbiota profiling was analyzed by 16S rRNA gene sequencing. Information on breastfeeding habits and maternal-infant clinical data were recorded. Breastfeeding practices (exclusive vs. mixed), maternal pre-gestational BMI, and weight gain over pregnancy contributed to the milk microbiota variation. Pre-gestational normal-weight women with exclusive breastfeeding habits harbored a significantly higher abundance of Bifidobacterium genus, and also, higher alpha-diversity compared to the rest of the women. Our results confirm the importance of controlling weight during pregnancy and breastfeeding practices in terms of milk microbiota. Further studies to clarify the potential impact of these maternal factors on milk and infant development and health will be necessary.

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2670
Author(s):  
Aysegül Aksan ◽  
Izzet Erdal ◽  
Siddika Songül Yalcin ◽  
Jürgen Stein ◽  
Gülhan Samur

Background: Osteopontin (OPN) is a glycosylated phosphoprotein found in human tissues and body fluids. OPN in breast milk is thought to play a major role in growth and immune system development in early infancy. Here, we investigated maternal factors that may affect concentrations of OPN in breast milk, and the possible associated consequences for the health of neonates. Methods: General characteristics, health status, dietary patterns, and anthropometric measurements of 85 mothers and their babies were recorded antenatally and during postnatal follow-up. Results: The mean concentration of OPN in breast milk was 137.1 ± 56.8 mg/L. Maternal factors including smoking, BMI, birth route, pregnancy weight gain, and energy intake during lactation were associated with OPN levels (p < 0.05). Significant correlations were determined between body weight, length, and head circumference, respectively, and OPN levels after one (r = 0.442, p = < 0.001; r = −0.284, p = < 0.001; r = −0.392, p = < 0.001) and three months (r = 0.501, p = < 0.001; r = −0.450, p = < 0.001; r = −0.498, p = < 0.001) of lactation. A negative relation between fever-related infant hospitalizations from 0–3 months and breast milk OPN levels (r = −0.599, p < 0.001) was identified. Conclusions: OPN concentrations in breast milk differ depending on maternal factors, and these differences can affect the growth and immune system functions of infants. OPN supplementation in infant formula feed may have benefits and should be further investigated.


2021 ◽  
Vol 5 (1SP) ◽  
pp. 21
Author(s):  
Zakiudin Munasir

ABSTRACT Background: After birth, preterm infants face numerous challenges, including short and long-term morbidities, to survive and grow well with impaired immune and gastrointestinal systems. According to data from 184 countries, preterm birth rate ranges from 5-18%, accounting for 35% of all new born deaths. Purpose: This literature review aimed to summarize the evidence for the impact of prematurity on immune system development and the benefit of prebiotics on gut microbiota and immune responses. Discussion: Various studies in this narrative literature review showed that preterm infants have both qualitative and quantitative immune response deficits compared to term infants. Preterm newborns also have impaired intestinal immunity, underdeveloped intestinal mucosa barrier, and gut dysbiosis, which predisposes them to life-threatening infections. Early balanced gut microbiota in infants believed to be essential for adequate intestinal physiological functions and immune system maturation. The use of prebiotics, including human milk oligosaccharides (HMOs) in human breast milk, has been found to decrease the risk of various infections and cognitive impairment. A previous study found that prebiotic oligosaccharides supplementation was well-tolerated, significantly increased Bifidobacteria growth, and reduced the presence of gut pathogens. Conclusions: There was robust evidence that breast milk and prebiotics supplementation may support the gut microbiome and immune system in preterm infants. However, different types of synthetic prebiotics offer different benefits, and the protective effect seems to depend on the supplementation duration and dosage.


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.  


2021 ◽  
Vol 3 (3) ◽  
pp. 459-465
Author(s):  
Ayu Martiana ◽  
Rilyani Rilyani ◽  
Rahma Elliya

ABSTRAK ASI merupakan makanan yang terbaik bagi bayi produksi ASI dipengaruhi oleh beberapa faktor yaitu faktor nutrisi, perawatan payudara, isapan dan frekuensi menyusui, sosial budaya dan faktor psikologis. Data di Kabupaten Lampung Utara yang memberikan ASI secara eksklusif pada tahun 2015 sebesar 45,5% lebih rendah bila dibandingkan tahun 2016 yaitu 48% dari target 80%, bila dibandingkan di Lampung Timur pencapaian ASI eksklusif sebesar 54,3%. (Dinas Kesehatan Kabupaten Lampung Utara, 2017). Data RSD H.M Ryacudu Kotabumi pada Tahun 2016 cakupan pemberian ASI eksklusif sebesar 57,4% lebih tinggi bila dibandingkan Tahun 2017 dari jumlah bayi 73 yang memberikan ASI secara eksklusif sebesar 54,8. Tujuan penelitian untuk mengetahui hubungan tingkat kecemasan ibu post partum primipara dengan produksi asi di ruang nifas RSD H.M Ryacudu Kotabumi Tahun 2019Jenis penelitian kuantitatif dengan pendekatan Crossectional.   Populasi seluruh ibu post partum primipara yang ada di Ruang Nifas RSD H.M Ryacudu Kotabumi, sebanyak 87 responden tercatat dari tanggal 2- 29 April 2019.. Pengambilan sampel menggunakan teknik total sampling. Analisa menggunakan analisis univariat dan bivariat menggunakan chi squareHasil prasurvey terhadap 10 orang ibu post partum primipara di RSD H.M Ryacudu Kotabumi   menyimpulkan bahwa didapati 4 orang ibu atau (40,0%) tidak mengalami kecemasan paska melahirkan, dan dapat memberikan ASI eksklusif dengan baik kepada anaknya. Sedangkan sebanyak 6 orang ibu atau (60,0%) mengalami kecemasan paska melahirkan yaitu dengan gejala gelisah, gugup, bingung, sangat waspada, ketakutan, dan mengalami hambatan seperti menunda-nunda dalam pemberian ASI kepada anaknya. Kata Kunci      : Tingkat kecemasan, Produksi Asi ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH BREAST MILK PRODUCTION ABSTRACT Breast milk is the best food for babies. Breast milk production is influenced by several factors, namely nutrition, breast care, suction and frequency of breastfeeding, socio-cultural and psychological factors. Data in North Lampung Regency that exclusively provided breast milk in 2015 was 45.5% lower compared to 2016, which was 48% of the target of 80%, compared to in East Lampung the achievement of exclusive breastfeeding was 54.3%. (North Lampung Regency    1Health Office, 2017). RSD Mayjen HM Ryacudu Kotabumi data in 2016 the coverage of exclusive breastfeeding was 57.4% higher compared to 2017 of the number of 73 babies who exclusively provided breast milk at 54.8. The purpose of this study was to determine the relationship of anxiety levels of postpartum primipara mothers with breast milk production in the puerperal room of H.M Ryacudu Hospital in Kotabumi 2019This type of quantitative research with a cross-sectional approach. The population of all primipara postpartum mothers in the post-partum room of RSDH.M Ryacudu Kotabumi, as many as 87 respondents were recorded from 2- 29 April 2019 .. Sampling using total sampling techniques. Analysis using univariate and bivariate analysis using chi-squareThe results of pre-survey of 10 primipara postpartum mothers in H.M Ryacudu Kotabumi Hospital concluded that 4 mothers or (40.0%) did not experience postpartum anxiety, and were able to give exclusive breast milk to their children. While as many as 6 mothers or (60.0%) experience postpartum anxiety that is with symptoms of anxiety, nervousness, confusion, extreme caution, fear, and experiencing obstacles such as procrastinating in giving breast milk to their children. Keywords: Anxiety Level, Breast Milk Production 


2021 ◽  
pp. 1-20
Author(s):  
Thaynã Ramos Flores ◽  
Gregore I Mielke ◽  
Alicia Matijasevich ◽  
Iná S Santos ◽  
Mariângela Freitas da Silveira ◽  
...  

Abstract Purpose: To investigate the associations of maternal excess weight before pregnancy with (1) weaning at age 3mo, (2) duration of exclusive breastfeeding at age 6mo, (3) duration of any breastfeeding at age 12mo; and (4) to compare the magnitude of these associations over four decades. Methods: Data were from participants in the Pelotas (Brazil) Birth Cohorts born in 1982 (N=5,334), 1993 (N=1,442), 2004 (N=4,092) and 2015 (N=4,102). Maternal pre-pregnancy weight was collected after the delivery and breastfeeding status was assessed when children were three and 12 months old. Results: Only in the most recent cohort (2015), women with excess weight [body mass index (BMI) ≥ 25 kg/m2) before pregnancy had higher risk of discontinuing exclusive breastfeeding within the first six months post-partum than women with normal weight [HR= 1.22 (95%CI 1.15; 1.30)]. Duration of any type of breastfeeding until 12 months of age was not affected by pre-pregnancy weight. Conclusion: Excess weight before pregnancy is associated with exclusive breastfeeding only in the most recent birth cohort coinciding with increases in weight excess and breastfeeding over time.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1560-1560
Author(s):  
Inah Gu ◽  
Wing Shun Lam ◽  
Daya Marasini ◽  
Cindi Brownmiller ◽  
Brett Savary ◽  
...  

Abstract Objectives Arabinoxylan is a non-starch polysaccharide and rich in wheat, rice and many other cereal grains. Diets high in fiber help promoting gut health in obesity. The objective of this study was to investigate the impact of arabinoxylan from rice bran on the gut microbiota and short chain fatty acids (SCFA) in normal weight (NW) and overweight/obese (OO) subjects through in vitro fecal fermentation. Methods Arabinoxylan was extracted from rice bran fiber. For in vitro fecal fermentation, each fecal sample from NW (n = 6, 3 males and 3 females) and OO (n = 7, 3 males and 4 females) was diluted into anaerobic medium with three treatments: control (no substrates), fructooligosaccharides (FOS, a well-known prebiotic), and arabinoxylan. Samples were incubated at 37˚C and aliquots were taken at 0, 4, 8, 12 and 24 h. SCFA content from samples at all timepoints was analyzed using HPLC. Samples at 0 and 24 h were used for gut microbiota analysis through 16S rRNA gene sequencing. Statistical analyses were performed for the randomized complete block design, where the weight classes are confounded with blocks (subjects). Friedman test was used to determine the difference at 5% level of significance. Results As a result, arabinoxylan treatment significantly increased total SCFA concentration in both NW and OO subjects than control (P &lt; 0.05), comparable to FOS treatment. Between weight classes under arabinoxylan treatment, OO group showed a significantly higher total SCFA content than NW group (P &lt; 0.05). Arabinoxylan changed gut microbial population at the genus level, stimulating Bifidobacterium, Collinsella and Blautia and decreasing Clostridium XIVa and b, Dorea and Oscillibacter (P &lt; 0.05). In addition, different microbiome population was shown in weight classes with three treatments, showing higher Bacteroides in NW and higher Prevotella in OO. Conclusions These results showed that arabinoxylan from rice bran modified gut microbiota in both weight classes, increasing total SCFA content. This study suggests that arabinoxylan from rice bran may have a potential impact on microbial gut health in obesity with prebiotic activities. Funding Sources University of Arkansas.


2019 ◽  
Vol 2 (1) ◽  
pp. 45-48
Author(s):  
Milvan Hadi ◽  
Chrisma Mangku Ninina Sembiring ◽  
M. Dasril Samura

Exclusive breastfeeding is very important for babies aged 0-6 months and must be given in the first hour. Exclusive breastfeeding is one of the most powerful influences on children's survival, growth and development. Despite the many benefits of breastfeeding, the coverage of exclusive breastfeeding is still low. One of the causes of mothers not giving breast milk because the milk comes out very little. So the mother gives formula milk. This study aims to determine the production of breast milk produced in mothers given oxytocin massage and analyze the effect of oxytocin massage on breast milk production in post partum sectio caesarea mothers in sembiring delitua hospital . The design of this study was quasy experimental design with a total sample of 32 people with aaccidental sampling technique with the type of Posttest-Only Control Design. The results of the study showed that there was a significant the effect of Oxytocin Massage on Breast Milk Production. 


2020 ◽  
Author(s):  
Alessandro Iellamo ◽  
Emily Monaghan ◽  
Samar AL Moghany ◽  
Jonathan Latham ◽  
Nihal Nassereddin

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.


2021 ◽  
Vol 9 (1) ◽  
pp. 58
Author(s):  
PRICILYA MARGARETHA WARWURU ◽  
Siska Sibua ◽  
Novia Mokoagow

Abstract Breast Milk (ASI) is given directly by the mother to the baby without going through the ASI. Breast Milk also has the content as an antibody that can protect baby from various diseases. The impact happened of hospital general Kotamobagu about family support mother also breastfeeding becomes an obstacle in success of breastfeeding to her baby. The aim of this study is to know and giving breast milk to postpartum mothers of hospital general Kotamobagu. Kind of research is analytic descriptive by using the approach cross sectional that is to looking for relationship between independent and dependent variables, sampling technique that is accidental sampling a sample of 32 respondents includ in the research criteria. Statistical test results by using chi-squere (X2) at the level of significance (?: 0.05) the results obtained p value = 0,000 means that Ho is rejected, so the conclusion is that there is a significant relationship between the relationship of family support with breastfeeding at Kotamobagu Regional General Hospital. That is, there is a relationship between family support and breastfeeding in post partum mothers at Kotamobagu Regional General Hospital. Keywords: family support, breastfeeding, postpartum


2020 ◽  
Vol 1 (2) ◽  
pp. 155-164
Author(s):  
Winda Nurmayani M ◽  
Syamdarniati Syamdarniati ◽  
Misroh Mulianingsih ◽  
Indah Wasliah ◽  
Sopian Halid

Background: The Indonesian government has targeted exclusive breastfeeding 80%, but exclusive breastfeeding is not widely done, although the benefits of exclusive breastfeeding are very many, especially for babies and mothers, but in fact many mothers do not give exclusive breastfeeding to their babies, and in the field many mothers stop giving Breast milk in her baby before the age of 2 years. The process of early breastfeeding does not always run smoothly, sometimes mothers and babies experience various obstacles that hinder or complicate the process of breastfeeding, especially if this is the first experience for primigravida mothers who are still young and have a low level of knowledge about breastfeeding that hinders the practice of breastfeeding, and usually her child is not yet 2 years old ASI has been discontinued (Dewanetal., 2002; Yanikkeremetal., 2009). The purpose of this community service is to educate pregnant and post-partum mothers how to properly care for breast and breastfeeding techniques in an effort to increase exclusive breastfeeding coverage. Methods: This community service method is carried out by means of counseling in delivering material then followed by demonstrations and Q&A sessions. Results: The results of this dedication appear to be still many pregnant women and postpartum mothers who do not know the benefits of exclusive breastfeeding, how to care for the breast and how to breastfeed the right baby techniques, after health promotion and demonstration it appears that pregnant women and postpartum mothers are serious in understanding every step demonstrated. . Conclusion: Based on the results of the service, it is hoped that this activity can increase the coverage of breastfeeding mothers so that they can provide exclusive breastfeeding to their babies.


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