scholarly journals Feeding Twins with Human Milk and Factors Associated with Its Duration: A Qualitative and Quantitative Study in Southern Italy

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3099
Author(s):  
Pasqua Anna Quitadamo ◽  
Laura Comegna ◽  
Giuseppina Palumbo ◽  
Massimiliano Copetti ◽  
Paola Lurdo ◽  
...  
Keyword(s):  
Breast Milk ◽  
Southern Italy ◽  
Feeding Rates ◽  
Breast Feed ◽  
Nutritional Needs ◽  
Training And Support ◽  
Qualitative And Quantitative Study ◽  
Insufficient Milk ◽  
Milk Feeding

Background: Over the past year, there has been a rise in twin births. The current scientific consensus recommended breast-feed milk for all newborns for at least 6 months. They stated that it is possible to meet the nutritional needs of two or more newborns with only one mother’s milk. More information would be desirable about the factors that influence or lead to the initiation and interruption of breastfeeding. The quality of the evidence available from multiple studies has been inconclusive and therefore led to controversial interpretations and practices. Aims: The first aim of this study was to analyze the extent of the feeding of multiples with breast milk in the experience of our clinical unit in terms of incidence and duration. The second objective was to evaluate the correlation between maternal, perinatal and neonatal variables with breast milk feeding rates and duration. Methods: The study was conducted between 2015 and 2020, in a NICU in Southern Italy (San Giovanni Rotondo, Foggia). Sixty-one women who have given birth to multiples were enrolled into the study. Newborn data were retrospectively collected by informatic database and breastfeeding information were collected by a questionnaire. Results: In our centre, the percentage of twins out of the total number of births over the years has almost doubled from 1.28% in 2015 to 2.48% in 2020 and the 88% of twins are premature. 18.1% received breast milk for more than 6 months and 6.3% received it for more than 12 months. Infants of lower gestational age and weight, born to multiparous, more mature and medium-high schooling mothers received breast milk for a longer period. 35% of women explained that the interruption of breastfeeding was due to the insufficient milk production and 41% to the stress and difficulties in managing the twins. Qualitative analysis of maternal narrative revealed, for many of them, the awareness of the importance of breastfeeding and the efforts made to try to give breast milk, but also fears about the quantity of milk and satiety of their children. Conclusions: It is important to identify the factors both favoring and obstructing maternal milk feeding of multiples and it would be desirable the activation of a network of training and support for mothers after discharge, with particular regard to the categories found to be less inclined.

Breast-feeding: motivation and outcome

1984 ◽  
Vol 16 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Donelda J. Ellis ◽  
Roberta J. Hewat
Keyword(s):  
British Columbia ◽  
Breast Milk ◽  
Infant Feeding ◽  
Influencing Factors ◽  
Breast Feeding ◽  
Post Partum ◽  
Hospital Records ◽  
Feeding Motivation ◽  
Breast Feed ◽  
Insufficient Milk

SummaryTo determine patterns of infant feeding and influencing factors, 131 women, interested in breast-feeding and giving birth in one hospital in British Columbia, Canada, were followed for 6 months post-partum. Data were collected from hospital records and each participant completed mail-in questionnaires when their babies were 1, 3 and 6 months old. At 6 months 3·9% were exclusively breast-feeding, 26·5% were feeding their infants breast-milk and semi-solids and 26·5% were combining breast-feeding with formula and/or semi-solids. Over 50% discontinued breast-feeding before their stated intentions. Most women had chosen to breast-feed because of benefits to the baby, and most gave up breastfeeding because of perceived insufficient milk.

Breast Milk Feeding Rates in Patients with Cleft Lip and Palate at a North American Craniofacial Center

2017 ◽  
Vol 54 (3) ◽  
pp. 334-337 ◽  
Author(s):  
Michael Alperovich ◽  
Jordan D. Frey ◽  
Pradip R. Shetye ◽  
Barry H. Grayson ◽  
Raj M. Vyas
Keyword(s):  
Breast Milk ◽  
North American ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Feeding Habits ◽  
Feeding Rates ◽  
Initiation Rate ◽  
Oral Clefts ◽  
The North ◽  
Milk Feeding

Objective Our study goal was to evaluate the rates of breast milk feeding among patients with oral clefts at a large North American Craniofacial Center. Methods Parents of patients with oral clefts born from 2000 to 2012 and treated at our center were interviewed regarding cleft diagnosis, counseling received for feeding, and feeding habits. Results Data were obtained from parents of 110 patients with oral clefts. Eighty-four percent of parents received counseling for feeding a child with a cleft. Sixty-seven percent of patients received breast milk for some period of time with a mean duration of 5.3 months (range 0.25 to 18 months). When used, breast milk constituted the majority of the diet with a mean percentage of 75%. Breast milk feeding rates increased successively over the 13-year study period. The most common method of providing breast milk was the Haberman feeder at 75% with other specialty cleft bottles composing an additional 11%. Parents who received counseling were more likely to give breast milk to their infant ( P = .02). Duration of NasoAlveolar Molding prior to cleft lip repair did not affect breast milk feeding length ( P = .72). Relative to patients with cleft lip and palate, patients with isolated cleft lip had a breast milk feeding odds ratio of 1.71. Conclusion We present breast milk feeding in the North American cleft population. Although still lower than the noncleft population, breast milk feeding with regards to initiation rate, length of time, and proportion of total diet is significantly higher than previously reported.

Increasing Exclusive Breast Milk Feeding Rates at an Urban Academic Hospital

2012 ◽  
Vol 41 ◽  
pp. S39
Author(s):  
Laurie Dohnalek ◽  
Cynthia Heer ◽  
Elizabeth Starrels ◽  
Carol A. Ryan ◽  
Margaret Howland ◽  
...  
Keyword(s):  
Breast Milk ◽  
Feeding Rates ◽  
Academic Hospital ◽  
Milk Feeding

A Multipronged Approach Is Associated with Improved Breast Milk Feeding Rates in Very Low Birth Weight Infants of an Inner-City Hospital

2014 ◽  
Vol 31 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Narendra R. Dereddy ◽  
Ajay J. Talati ◽  
Ashley Smith ◽  
Ravi Kudumula ◽  
Ramasubbareddy Dhanireddy
Keyword(s):  
Birth Weight ◽  
Breast Milk ◽  
Low Birth Weight ◽  
Inner City ◽  
Very Low Birth Weight ◽  
City Hospital ◽  
Feeding Rates ◽  
Low Birth Weight Infants ◽  
Milk Feeding

Breast Milk Feeding Rates of Mothers of Multiples Compared to Mothers of Singletons

2004 ◽  
Vol 4 (3) ◽  
pp. 226-231 ◽  
Author(s):  
Sheela R. Geraghty ◽  
Susan M. Pinney ◽  
Gopalan Sethuraman ◽  
Ashwini Roy-Chaudhury ◽  
Heidi J. Kalkwarf
Keyword(s):  
Breast Milk ◽  
Feeding Rates ◽  
Milk Feeding

Simple Method for Determining the Caloric and Fat Content of Human Milk

PEDIATRICS ◽  
1980 ◽  
Vol 66 (4) ◽  
pp. 626-628 ◽  
Author(s):  
James A. Lemons ◽  
Richard L. Schreiner ◽  
Edwin L. Gresham
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Breast Feeding ◽  
Simple Method ◽  
American Academy Of Pediatrics ◽  
Breast Feed ◽  
Expressed Breast Milk ◽  
The World ◽  
Nutritional Needs ◽  
Preterm Babies

The Committee on Nutrition of the American Academy of Pediatrics has recently advocated breast-feeding for the normal, full-term newborn, unless contraindicated for specific reasons (including a desire by the mother not to breast-feed) or when breast-feeding is unsuccessful.1 This recommendation reflects the renewed interest throughout the world in providing human milk to the healthy infant. Further, expressed breast milk (either from the infant's mother or from donors) is being fed with increased frequency to the preterm or sick infant.2,3 The adequacy of human milk to meet the nutritional needs of all preterm babies has not been documented, however, as recently reviewed by Fleischman and Finberg.4

Penatalaksanaan IMD pada Ibu Postpartum Sectio Caesarea Mempengaruhi Status Gizi dan Kecepatan Produksi ASI

2020 ◽  
Vol 2 (2) ◽  
pp. 112-120
Author(s):  
Nursari Abdul Syukur ◽  
Susi Purwanti
Keyword(s):  
Breast Milk ◽  
Nutritional Status ◽  
Milk Production ◽  
Quantitative Research ◽  
Milk Protein ◽  
Sectio Caesarea ◽  
Control Group ◽  
P Value ◽  
Study Results

Many mothers who give birth to Sectio Caesarea (SC) do not Initiate Early Breastfeeding (IMD), which fails exclusive breastfeeding. This study aimed to determine the effect of IMD management in postpartum SC mothers on nutritional status, speed of milk production, and quality of breast milk protein. Method: quantitative research with quasi approach experiment. The research design used was a pre-post-test control non-equivalent control group. A sampling of this study used the Consecutive method sampling with a sample of 20 mothers who gave birth by cesarean section (SC). Hypothesis testing uses the independent t-test and the Mann-Whitney test. The study results showed an influence on the management of IMD in postpartum SC mothers on the speed of ASI production (p-value=0.004) and nutritional status (p-value=0.028). There was no effect of IMD management on postpartum SC mothers on the quality of breast milk protein (p-value = 0.543). This study recommends that the hospital implement an IMD promotion program before the abdominal wall is closed as a form of intervention to increase milk production and maternal nutritional status

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