scholarly journals Mothers in Need of Lactation Support May Benefit from Early Postnatal Galactagogue Administration: Experience from a Single Center

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 140
Author(s):  
Eleni Karapati ◽  
Alma Sulaj ◽  
Adamantia Krepi ◽  
Abraham Pouliakis ◽  
Nicoletta Iacovidou ◽  
...  
Keyword(s):  
Telephone Interview ◽  
Evidence Based ◽  
Single Center ◽  
Maternal Factors ◽  
Milk Supply ◽  
Item Questionnaire ◽  
Specific Subgroup ◽  
Breastfeeding Rates ◽  
Duration Of Breastfeeding ◽  
Support Methods

Background: Galactagogues are substances that promote lactation, although data on their effects on humans remain limited. We investigated the efficacy of Silitidil to increase milk supply and duration of breastfeeding of a specific subgroup of mothers in need of lactation support. Methods: 161 mothers from November 2018 until January 2021 were the study subjects in this retrospective study; during their hospitalization, due to neonatal or maternal factors that inhibited lactation, they were prescribed galactagogues. Mothers were surveyed by telephone interview via a 13-item questionnaire. Results: 73.91%, were primigravidas, 78.26% gave birth by cesarean section (CS) and 72.05% continued to take galactagogues after hospital discharge. Of the neonates, 24.22% were preterm ≤37 weeks of gestation, and 55.9% had birth weight (BW) between 2500 and 3500 g. With respect to breastfeeding rates, 100% were breastfed during their first week, 98.8% breastfed during the first month, 87% during the first 4 months, dropping to 56.5% at 6 months, 41% at 1 year and 19.3% over 1 year of age. Conclusions: This study demonstrates that administration of a galactagogue containing Silitidil (Piulatte-Humana) improves breastfeeding rates at from 1 until 12 months of life in mothers with low milk supply during their hospital stay. Further studies are needed to generate evidence-based strategies to improve breastfeeding outcomes.

Amamentação na prevenção do câncer de mama: revisão de literatura

2021 ◽  
Vol 5 (9) ◽  
pp. 52-61
Author(s):  
Fernanda Odete Souza Rodrigues ◽  
João Vítor Flores Silveira ◽  
Marina Santos Costa ◽  
Giovanna Nogueira Torres ◽  
Iwens Moreira de Faria
Keyword(s):  
Breast Cancer ◽  
Positive Impact ◽  
Google Scholar ◽  
Cáncer De Mama ◽  
Hormonal Changes ◽  
Milk Supply ◽  
Breastfeeding Rates ◽  
Las Mujeres ◽  
The Relationship

Pouco tem sido estudada a relação entre câncer de mama e amamentação. É possível que a sucção da mama, realizada pelo recém-nascido, promova alterações hormonais que repercutam sobre o desenvolvimento dessa doença. Esta revisão objetivou analisar estudos publicados sobre a influência da prática da amamentação na redução do risco da neoplasia mamária. Os artigos selecionados foram pesquisados nas bases de dados PubMed, LILACS, Scielo e Google Acadêmico e publicados entre os anos 2002 e 2020. Entre os 11 artigos revisados, 10 atestaram o papel da amamentação na redução do surgimento de câncer de mama, tendo esta redução sido maior quanto mais longo o tempo da oferta de leite materno. Apesar dos benefícios, as taxas de aleitamento materno no Brasil ainda são insuficientes. Tendo em vista o impacto positivo dessa prática sobre a redução da incidência do câncer de mama, orientações às gestantes sobre esse processo se fazem necessárias.                                      Descritores: Câncer de Mama, Aleitamento Materno, Lactação. Breastfeeding in breast cancer prevention: literature reviewAbstract: Little has been studied the relationship between breast cancer and breastfeeding. It is possible that breast sucking, performed by the newborn, promotes hormonal changes that affect the development of this disease. This review aimed to analyze published studies on the influence of breastfeeding in reducing the risk of breast cancer. The selected articles were searched in the PubMed, LILACS, Scielo and Google Scholar databases and published between the years 2002 and 2020. Among the 11 reviewed articles, 10 attested to the role of breastfeeding in reducing the appearance of breast cancer, with this reduction greater the longer the time of breast milk supply. Despite the benefits, breastfeeding rates in Brazil are still insufficient. In view of the positive impact of this practice on reducing the incidence of breast cancer, guidance to pregnant women on this process is necessary.Descriptors: Breast Cancer, Breastfeeding, Lactation. Lactancia en la prevención del cáncer de mama: revisión de la literaturaResumen: Poco se ha estudiado la relación entre el cáncer de mama y la lactancia materna. Es posible que la succión de los senos, realizada por el recién nacido, promueva cambios hormonales que afectan el desarrollo de esta enfermedad. Esta revisión tuvo como objetivo analizar los estudios publicados sobre la influencia de la lactancia materna en la reducción del riesgo de cáncer de mama. Los artículos seleccionados se buscaron en las bases de datos PubMed, LILACS, Scielo y Google Scholar y se publicaron entre los años 2002 y 2020. Entre los 11 artículos revisados, 10 atestiguaron el papel de la lactancia materna en la reducción de la aparición de cáncer de mama, con esta reducción mayor es el tiempo de suministro de leche materna. A pesar de los beneficios, las tasas de lactancia materna en Brasil siguen siendo insuficientes. En vista del impacto positivo de esta práctica en la reducción de la incidencia de cáncer de mama, es necesaria una guía para las mujeres embarazadas sobre este proceso.Descriptores: Cáncer de Mama, Amamantamiento, Lactancia.

Patient Expectations about Communication in the Perioperative Setting of Elective Knee Surgery – a Questionnaire-based Cross-sectional Study

2019 ◽  
Vol 158 (05) ◽  
pp. 490-496
Author(s):  
Sebastian G. Walter ◽  
Florian Naal ◽  
Franco M. Impellizzeri ◽  
Berthold Moser ◽  
Frank A. Schildberg ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Patient Expectations ◽  
Knee Surgery ◽  
Sectional Study ◽  
Single Center ◽  
Cross Sectional ◽  
Item Questionnaire ◽  
Patient Responses ◽  
Answer Option

Abstract Background Patient expectations are an issue which is attracting increased interest in outcome research for knee surgery procedures. So far, research into patient expectations has mainly focused on the procedure and postoperative functional improvements. The purpose of this study was to identify patient expectations in the perioperative setting. Material and Methods This was a single-center prospective study. A 17-item questionnaire (ordinal answer scale) about patientsʼ perioperative expectations was developed and completed by patients undergoing elective joint-preserving knee surgery. The study covered a period of 3 months and included all patients consecutively undergoing knee surgery. Subgroup analysis was performed for gender, age and type of insurance. Results 111 consecutive patients completed the questionnaire on admission. Significant preferences for one answer option were found for 13 out of 17 items. Patients considered it “unimportant” whether or not the physician wore a white coat during the consultation and “very important” that the first medical consultation after the patient was discharged from hospital was with the surgeon who had performed their operation. A concise explanation of the surgical procedure using images, talking to the surgeon the day before surgery and immediately after surgery, having their wound personally inspected by the surgeon, and, finally, the availability of the surgeon by phone were regarded as “important”. There were no differences in patient responses between the different subgroups. Conclusion Patients expect a high personal commitment and availability of the surgeon during the entire perioperative setting, starting from the first consultation and continuing during follow-up examinations.

scholarly journals Association of Maternal Factors with Perinatal Complications in Pregnancies Complicated with Diabetes: A Single-Center Retrospective Analysis

2018 ◽  
Vol 7 (1) ◽  
pp. 5
Author(s):  
Sho Endo ◽  
Yoshifumi Saisho ◽  
Kei Miyakoshi ◽  
Daigo Ochiai ◽  
Tadashi Matsumoto ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Single Center ◽  
Maternal Factors ◽  
Perinatal Complications

Increasing Exclusive Breastfeeding Rates in the Well-Baby Population: An Evidence-Based Change Project

2012 ◽  
Vol 16 (6) ◽  
pp. 460-470 ◽  
Author(s):  
Susan Kinney Davis ◽  
Jaynelle F. Stichler ◽  
Debra M. Poeltler
Keyword(s):  
Exclusive Breastfeeding ◽  
Evidence Based ◽  
Breastfeeding Rates

Major Factors Influencing Breastfeeding Rates: Mother's Perception of Father's Attitude and Milk Supply

PEDIATRICS ◽  
2000 ◽  
Vol 106 (5) ◽  
pp. e67-e67 ◽  
Author(s):  
Samir Arora ◽  
Cheryl McJunkin ◽  
Julie Wehrer ◽  
Phyllis Kuhn
Keyword(s):  
Milk Supply ◽  
Factors Influencing ◽  
Breastfeeding Rates ◽  
Major Factors

scholarly journals Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Andrea Guala ◽  
Luigina Boscardini ◽  
Raffaella Visentin ◽  
Paola Angellotti ◽  
Laura Grugni ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Operating Room ◽  
Exclusive Breastfeeding ◽  
Statistical Association ◽  
Cesarean Birth ◽  
Skin Contact ◽  
Breastfeeding Rates ◽  
Duration Of Breastfeeding ◽  
Skin To Skin

Early skin-to-skin contact (SSC) after birth is a physiological practice that is internationally recommended and has well-documented importance for the baby and for the mother. This study aims to examine SSC with a cohort of mothers or fathers in the operating room after a Cesarean section (C-section) and its relationship with duration of breastfeeding. From January 1, 2012, to December 31, 2012, at the Castelli Hospital in Verbania, Italy, a Baby Friendly designated hospital, 252 consecutive women who had a C-section were enrolled in the study and followed for 6 months. The sample was later divided into three groups depending on the real outcomes in the operating room: SSC with the mother (57.5%), SSC with the father (17.5%), and no SSC (25%). Our study showed a statistical association between skin-to-skin contact with the mother and the exclusive breastfeeding rates on discharge. This effect is maintained and statistically significant at three and six months, as compared to the groups that had paternal SSC or no SSC. After a C-section, skin-to-skin contact with the mother can be an important practice for support, promotion, and duration of breastfeeding.

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