جستجوی مقالات مرتبط با کلیدواژه "breastfeeding" در نشریات گروه "پزشکی"

Breastfeeding self-efficacy (BSE) is a modifiable factor that can enhance breastfeeding rates. Telemedicine constitutes safe and low-cost health services that can be developed for the interaction between professionals and clients. Therefore, this study aimed to review the effectiveness of telemedicine-based intervention on BSE in Iranian women.

This systematic and meta-analysis review was performed according to PRISMA guidelines. English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex was searched until Aug 1, 2023 to identify randomized control trials about telemedicine-based interventions on BSE in Iran. The search strategy was focused on terms and eligibility criteria. Data analysis was done using CMA V.2 software. The risk of bias in the included studies was assessed.

Out of 385 articles, eight articles that met the inclusion criteria were included in the meta-analysis. The overall result demonstrated that telemedicine-based interventions have a positive impact on BSE compared with the control, especially in the long-term intervention (pooled SMD= 1.27; 95% CI= 1.01–1.53, P-value<0/001); heterogeneity (Cochrane’s Q‐value=51.94, P<0/001, I2=76.90%). In addition, twelve weeks of postpartum had more effect on BSE than the others. Also, breastfeeding intervention in the postpartum period was more effective compared with pregnancy. The publication bias among included studies was assessed by funnel plot.

This review could give insight to healthcare providers into the effect of telemedicine on BSE. Therefore, by strengthening BSE through telemedicine interventions, especially for women who do not have the conditions for face-to-face counseling, we can expect positive results.

Support for breastfeeding by female nursing students has a beneficial impact during the exclusive breastfeeding. This study was conducted to compare the effect of distance and face-to-face breastfeeding education on female nursing students’ knowledge. This is a quasi-experimental study conducted on 138 female nursing students in their third to eighth semesters at nursing and midwifery school in Shiraz. One hundred and thirty eight students were selected using convenient sampling and divided equally into two experimental groups (face-to-face education with 46 participants and distance education with 46 participants) and one control group (46 participants). Sampling started at the beginning of May 2023 and ended at the end of October 2023. The experimental groups (Groups A and B received face-to-face training and distance education, respectively) received the educational program in three 45-minute sessions over three weeks. Data were collected using a demographic questionnaire and a knowledge questionnaire regarding breastfeeding nutrition at three stages: before, immediately after, and one month after the intervention. The data were entered into SPSS 22 software and analyzed using descriptive and inferential statistics. There was a statistically significant difference in the two interventional groups compared to the control group regarding the mean score of breastfeeding knowledge immediately (P=0.049) and one month (P<0.001) after the intervention. Distance breastfeeding education led to more increase in nursing students’ knowledge one month after the intervention, compared to the face-to-face training. It could provide a suitable method for improving the knowledge of health professionals regarding breastfeeding.

Breastfeeding (BF) is the natural way for infants’ nutrition, it provides the ideal nutrients they need for healthy development and growth. The purpose of this study was to evaluate mothers' knowledge and practice of BF and its determinants and to determine the association between knowledge and certain characteristics. 200 moms who were patients at the Bint Al-Huda teaching hospital between November 1, 2021, and February 1, 2021, were chosen at random with their consent for this cross-sectional study, and their answers to a standardized questionnaire were analyzed. Of the 200 women, 26% were between the ages of 20 and 25, with a mean and SD of 29.24±7.829 and 24.5% having completed elementary school. Prior to our study, nearly (67%) mothers had received education on BF. A mother who practices breast cancer has a low risk of developing the disease (62.5%). Proper positioning is also important for achieving effective breast cancer (68.5%). Breastfeeding should begin within 30 minutes of delivery (62%), and once the baby begins taking complementary foods (54.5%), mothers can combine breastfeed and formula feeding. We found that most mothers had engaged in exclusive BF and knew only a moderate amount about its benefits. Better educational initiatives are required to raise public awareness of its long-term benefits for the nation's health status.

We investigated the effect of earthquakes on the six-month breast milk intake rate in infants.

In this single-centre prospective cohort study, 35 mother-baby dyads who were in the earthquake zone during the February 6, 2023, Turkey-Syria earthquakes were included as the study group, while 29 mother-baby dyads who were not in the earthquake zone were included as the control group. The physical, environmental, and social characteristics of the settlements after the earthquake, along with the nutritional characteristics of the infants, were evaluated through questionnaires during interviews and online assessments. The Breastfeeding Self-Efficacy Form and the Edinburgh Postnatal Depression Scale were administered to the mothers, and their scores were calculated.

No significant difference was found between the exclusive breastfeeding rates at six months in the study and control groups [18 (62.9%) vs. 22 (61.9%), n (%), P = 0.95]. The breastfeeding self-efficacy score was significantly higher in the study group [64 (33 - 70) vs. 54 (31 - 70), median (min-max), P = 0.02]. Although the Edinburgh Postpartum Depression Scale (EPDS) score was higher in the control group [10 (0 - 21) vs. 7 (0 - 26), median (min-max)], this difference was not statistically significant.

In general, earthquakes do not affect breastfeeding rates in infants at six months. The continuation of breastfeeding, supported by increased resilience in difficult conditions, enhances breastfeeding self-efficacy and provides protection for the mother-baby dyad. Breastfeeding should be continued and supported during natural disasters.

In Morocco, the breastfeeding (exclusive) prevalence has decreased from 51% in 1992 to 35% in 2018. This prevalence was lower in neonatal intensive care units with 12.4% in 2014. This study aimed to estimate the prevalence and identify the associated factors of breastfeeding (BF) practice in the NICU of Casablanca Ibn Rochd teaching hospital. A cross-sectional study was performed between 04 January and 26 June 2021 in NICU. Moroccan mother/newborn couples were consecutively recruited after meeting the study inclusion criteria. We used face-to-face interviews using a pretested questionnaire. Our income variable was the proportion of mothers who exclusively or partially breastfed at least one time after admission, categorized by yes and no. Multiple binary logistic regression was used to test the association of income variable with predictors. We included 170 mother/newborn couples. Around 74% of mothers practiced partial breastfeeding. The mother factors associated with BF practice were educational level (OR=0,10; 95% CI : 0,01-0,87 ;p=0,037781), family monthly income (OR=4,3 ; 95% CI: 1,12-16 , 56 ; p=0,033606), and marital status (OR=14,3 ; 95%CI:1,37-148,43 ; p=0,025853). The newborns' factors associated to BF practice were hospital stay length (OR= 1, 12 95%CI: 1, 00-1, 25; p=0.047726), and hospitalization motif (OR=0.27; 95% CI: 0,076-0.95; p=0.042085). And healthcare facility factors associated to BF practice included healthcare staff support (OR=6, 7; 95% CI: 2, 2-20, 54; p=0.000891). The newborns hospitalized for respiratory distress from single mothers with lower educational levels and social standards who did not have enough (or any) support from healthcare staff were the ones who received less breast milk in the NICU of Casablanca Ibn Rochd teaching hospital.

Breastfeeding practices differ greatly across world health organization regions and continued innovative efforts are needed to achieve the right feeding practices.

This study was aimed to identify the role of internet access to women population and accredited social health activist (ASHA) workers in improving infant and young child feeding practices.

Data for current study was collected from the national family health survey-5 (NFHS-5), India which is openly available to the public. The sample was sub-grouped as urban and rural women and children. Data was analysed using Pearson correlation coefficient and multiple linear regression model.

Compared to national family health survey- 4 data (9.6%), our study based on NFHS-5 data (11.3%) has shown marginal improvement in the number of children getting an adequate diet in the age group of 6-23 months. Urban women (51.8%) have higher access to internet as compared to rural (24.6%) women. The correlation coefficient between percentage of women with internet access and children receiving adequate diet was 0.513 (P=0.001), indicating a direct relationship between the two variables. The multiple linear regression model showed that percentage of women with internet access has independent association with children getting an adequate diet (B=0.23, P=0.002) adjusted for ASHA workers. 

Despite robust government programs like home based newborn care (HBNC) and home-based care for young child (HBYC) where around 1.04 million ASHAs are perceiving one of the objectives of an adequate diet for every child, the prevalence of children with adequate nutrition is not encouraging. This study suggests access to the internet to women especially ASHA workers and lactating mothers can help to promote infant and young child feeding practices.

Throughout history, herbalists and traditional healers have wielded the power of plant-based remedies, an ancient practice now embraced by modern science. Delving into the therapeutic properties of conventional herbs and spices is a recent pursuit. Galactogogues, compounds known for their ability to heighten prolactin levels by modulating dopamine receptors, stand as agents amplifying milk production—a vital function for lactation. This study endeavors to meticulously explore medicinal spices and herbs recognized for their remarkable capacity to augment breast milk production. Methodologically, information pertaining to medicinal herbs and spices recognized for promoting lactation was extracted from reputable literature. A meticulous exploration across multiple academic databases, encompassing PubMed, Science Direct, Scopus, Google Scholar, and Web of Science, was undertaken to authenticate the impacts of these medicinal plants on lactation, considering their identifi ed pharmacological properties. The fi ndings underscored the potency of Trigonella foenum-graecum L., Asparagus racemosus W., Zingiber offi cinale Roscoe, Moringa oleifera L., Cuminum cyminum L., and Trachyspermum ammi L., contribute to increased lactation. They achieve this through mechanisms such as phytoestrogenic eff ects, vasodilation, stimulation of mammary growth, and facilitation of breast milk production. In conclusion, the fusion of traditional wisdom with contemporary scientifi c inquiry off ers a promising avenue for discovering potent phyto pharmaceuticals that eff ectively boost breast milk production. Leveraging this amalgamation may yield impactful advancements in maternal health and lactation support.

The impact of the coronavirus disease 2019 (COVID‑19) pandemic on health systems worldwide has been associated with less attention to maternal support in breastfeeding. The objective of this study was to explore the experiences of breastfeeding mothers, during the COVID‑19 pandemic, and the impact of the pandemic on breastfeeding initiation and maintenance.

A qualitative, descriptive study was conducted by means of in‑depth semi‑structured interviews. The study participants included 28 mothers who had children aged 0 to 12 months, lived in Guilan Province, Iran, and had breastfed their children at least once after March 2021. Conventional content analysis was performed simultaneously with data collection.

Data analysis led to the extraction of three main categories and nine subcategories: in the shadow of peace (receiving correct information from reliable sources, observing health and quarantine principles, and enjoying the awareness of not having COVID‑19 [both the mother and the infant]), under the stress (information poverty, invalid and stressful information, and stressful association of underlying diseases), and in the delusion of exposure (refusal to breastfeed, and non‑compliance with recommendations).

Mothers’ breastfeeding experiences during the COVID‑19 pandemic indicate factors such as receiving or not receiving breastfeeding support, quarantine and the resulting stress, and exposure to conflicting information. Mothers felt that their experience with breastfeeding during the pandemic encouraged them to continue breastfeeding, but it is important to support breastfeeding mothers. Monitoring and supporting vulnerable groups such as breastfeeding mothers, for mental health problems during the COVID‑19 pandemic, should be considered during the planning phase.

 Breastfeeding provides several positive health benefits for the newborn child, yet breastfeeding rates remain low in the United States (US). Theory-based approaches have the potential to improve breastfeeding promotion interventions. Hence, the study examined the correlates of intention to breastfeed among US pregnant women based on the multi-theory model (MTM) of health behavior change.

 Using a cross-sectional design, a 36-item online survey was administered to a nationally representative sample of 315 pregnant women in the US. The instrument was psychometrically validated for face, content, and construct validity by a panel of six experts over two rounds. Further, construct validation was done by confirmatory factor analysis (CFA). Hierarchical regression modeling was employed to explain the intention to start breastfeeding and sustain exclusive breastfeeding for up to six months and with complementary foods for up to 24 months.

 Internal consistency using Cronbach’s alpha was found to be acceptable. It was found that behavioral confidence and changes in the physical environment positively affected the initiation of breastfeeding (P<0.01; adjusted R2=0.478). All three constructs of MTM namely practice for change, emotional transformation, and changes in the social environment were significant predictors for the sustenance of breastfeeding at six months (P<0.01; adjusted R2=0.591) and at 24 months (P<0.01; adjusted R2=0.347).

 Based on the findings of this study it is essential for educators and healthcare providers to design MTM-based interventions to promote breastfeeding among pregnant women in the US.

The prevalence and mortality of CVD in women increase over time. We conducted this research to evaluate the severity of coronary artery disease with the number of live births and breastfeeding duration.

Patients aged 30-50 years old with positive exercise tests or evidence of cardiac ischemia who were candidates for coronary angiography were included. All the participants had at least one child. Syntax score was used to evaluate the severity of coronary arteries.

Mean number of children was 3.72±1.85, in those patients with <2 live births no one had a syntax score≥1, but in the>5 live births group most patients had a syntax score≥1. In patients with zero syntax score, it was estimated as 4.91±39.7; in patients with 1≤ syntax score, it was 4.48±7.29 (P =0.76). Among patients with > 5 birth lives, those with higher syntax scores had older ages (P=0.497). After adjusting age, the association between live births and syntax score became non-significant (P=0.850).

By increasing the number of live births >5, the severity of coronary artery disease, increases. However, this association was not significant after adjusting the age of patients.

The prevalence of breastfeeding is less common among adolescent mothers than adultmothers. These mothers experience various issues during breastfeeding. The present study aimed toexplore the normative needs of adolescent mothers during breastfeeding from health care providers’perspective. This qualitative content analysis study was conducted from October 2022 until June 2023.14 health care providers who had worked in the field of breast milk were purposefully selected withmaximum variation. Face-to-face semi-structured interviews were conducted and sampling continueduntil data saturation. Data analysis was performed using Graneheim and Lundman’s method withMAXQDA software version 10. The main concepts obtained from the data were classified into one theme entitled,“comprehensive support”, and seven categories including “need to correct wrong traditional beliefs”,“educational and counseling needs”, “providing quality services”, “need for psychological support”,“need for protective laws”, “financial needs”, and “the need for social network support”. Adolescent mothers in Iran have various needs during breastfeeding, and they requirethe assistance of their families, healthcare providers, and the government to fulfill them. Therefore, itis also recommended that policymakers in the health system should design policies to accommodatethe requirements of this group of mothers. In addition to policy development in the health system, theinfrastructure required for policy and law to be executed should be considered.

Undoubtedly, breastfeeding has beneficial consequences for the health of infants and their mothers as well as many benefits for families. Restrictions, quarantine, and social distancing from COVID-19 have led to the separation of mothers and infants after birth. This study aims to consolidate the results of studies on the effects of COVID-19 on breastfeeding since the beginning of the pandemic.

A systematic review was conducted to investigate the effect of the COVID-19 pandemic on breastfeeding. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) standard guidelines were used to follow up the review process and report results. Based on this, from the beginning of December 2019 to January 30, 2023, all relevant articles were extracted from CINAHL, EMBASE, Medline, Cochrane CENTRAL, Science Direct, Google Scholar, and PubMed databases. Risk bias assessment of articles was performed using the Joanna Briggs Institute critical appraisal checklist.

Of the 110 articles searched, 11 articles on the effects of the COVID-19 pandemic on breastfeeding in 2020 and 2021 were finally included in the systematic review. COVID-19 hurt the breastfeeding process in various studies. Also, it led to adverse effects on maternal performance in neonatal care, change in the hospital admission procedure for delivery, no skin-to-skin contact between mother and baby at birth, hospitalization of the baby in a separate room, and no recommendation for breastfeeding.

Mother-baby separation hurts the mother-child relationship and can disrupt breastfeeding. Therefore, further studies should be conducted in this area to examine the possibility of vertical transmission of the COVID-19 virus through breast milk with more determination and to take effective steps to improve the health of mothers and children.

Mother's breast milk is the sole and best food for a neonate. It is one of the blessings of Almighty God that is physiologically given to the child through the mother’s breast. Breastfeeding is one of the issues receiving special attention in the Holy Quran. Nowadays, this issue has been explored and investigated in scientific and medical literature. In the present review, the importance of breastfeeding was examined from the reported medical scientific studies and articles and compared with the verses of the Holy Quran and authentic Islamic traditions.

This scoping review was developed by PubMed, Web of Science, and Google Scholar using predetermined keywords. Authentic narrations related to breastfeeding in Arabic and articles published in English during 2014-2024 on its importance in neonatal health were selected by the present researchers. After applying inclusion criteria, the papers related to this topic were screened by experts for suitability.

This review included one verse of the Holy Quran, 3 valid authentic Islamic traditions, and 6 scientific medical literature highlighting the importance of mothers’ breastfeeding. Thematic analysis indicated the health and safety of mothers during breastfeeding. Breastfeeding duration and breastfeeding time are important points in the Holy Quran and traditions emphasized by researchers.

The present study revealed that the results of scientific medical literature, like the Holy Quran, emphasizes the importance of breastfeeding. There are special instructions for breastfeeding in the Holy Quran. Today, the guidelines of the Quran in this field of study are emphasized in scientific research articles.

Gavage feeding is associated with adverse effects, such as irritations in the mouth, hyperactivity, problems in gag reflex, bradycardia, and the parents’ unacceptance. Accordingly, it is essential to undertake a comprehensive review of the effects of breast milk and other pleasant odors that may reduce the transition time from gavage to oral feeding in preterm infants.

Aim of review is to compare of effects of breast milk and other pleasant odors with the control group on the transition from gavage to oral feeding in preterm infants.

In this systematic review, online English databases, such as PubMed, Scopus, ISI Web of Science, and Cochrane Library were systematically searched without any time limitation up to February 10, 2022. The modified Jadad scale was also used to assess the quality of the articles. The inclusion criteria comprised all clinical trials evaluating the effect of aromatherapy on odors on the transition from gavage to oral feeding in preterm infants.

8 studies were assessed with the effects of aroma inhalation on the transition from gavage to oral feeding. Meta-analysis of these studies showed that preterm infants transitioned from tube feeding (gavage) to oral feeding earlier in the groups stimulated by pleasant odors (standardized mean difference [SMD]=₋0.47, 95% CI, ₋0.64%, ₋0.3%, heterogeneity, P=0.32; I2=13%, 8 trials) and odor of breast milk (SMD=₋0.61, 95% CI, ₋0.64%, ₋0.31%, heterogeneity, P=0.85, I2=0%, 6 trials) in comparison to the control group. 

Our meta-analysis supports using breast milk and other pleasant odors as a safe and noninvasive way of reducing the transition time from gavage to oral feeding in preterm infants. Health providers should use effective and family-friendly interventions to care for their premature infants.