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

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.

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.

Due to the importance of breastfeeding and the necessity of identifying the factors affecting the creation and promotion of this behavior, this study aims to determine the relationship between sleeping place, duration of weaning time, and breastfeeding in Children aged 2-3 years.

This study was descriptive and analytical-correlational research in 2021. The participants were 214 children aged 2-3 years old from the health centers of Ramsar city, Iran. The sampling method of the present study was convenient. The tool of the study was a researcher-made questionnaire on infant sleeping places and breastfeeding. The data were entered into SPSS 16 and analyzed using the univariate chi-square test, Pearson correlation coefficient, and analysis of variance(P = 0.05).

Exclusive feeding 69.2% (148 people) of children who were exclusively breastfed and in the usual place of sleep, 36.4% (78 people) of children slept in a shared bed with adults, and 57.5% (123 people) shared a room. However, in a separate bed, 1.6% (13 people) slept in a separate room. The average age of weaning in children sleeping in a shared room in the mother’s bed and next to the mother is 1.27 times and 1.30 times that of children sleeping in a separate room, respectively. The relationship between Infant’s sleeping place and the duration of exclusive breastfeeding (P = 0.005), age of weaning onset (P = 0.007), length of weaning (P = 0.018), and definite age of weaning (P = 0.014) was significant. 56.5% of infants (n = 121) were female, and 56.1% (n = 120) had the first birth rank. Breast milk exclusively fed 69.2% (n = 148) of infants.

The results showed that the place of sleep has a significant relationship with the exclusive feeding of milk and the age at which the child is weaned. The results of this study can be useful in planning interventions to promote exclusive breastfeeding and increase the duration of feeding infants with breast milk.

Exploring the determinants of unmarried women’s attitude towards Exclusive Breastfeeding (EBF) can help develop context-specific interventions that create a safe EBF culture among future mothers. Investigating the determinants of attitude toward EBF among non-health college female students in Saudi Arabia using path analysis. A descriptive exploratory study was conducted at three randomly selected university campuses (Riyadh, Dammam, and Jeddah) in Saudi Arabia. Using multistage cluster random sampling, 500 unmarried female students were enrolled in the study. Data were collected from February to May 2022 using a digital survey of four sections: personal data and prior breastfeeding exposure, attitude toward EBF scale, knowledge scale, and perceived social support scale. The data were analyzed using multiple linear regression analysis and path analysis. The highest percentage of the participants had a positive attitude toward EBF (59.8%), average levels of knowledge (46.0%), prior breastfeeding exposure (60.8%), and positive perceived social support (54.0%). The path model fits the data perfectly [χ2=0.000, DF=0, CIMN=0.000, GFI=0.999, NFI=0.999, CFI=0.999, PCFI =0.999]. Knowledge (β=0.301) perceived social support (β=0.227), and prior breastfeeding exposure (β=0.211) (P<0.001) directly and significantly predicted attitude toward EBF, with significant positive correlations with each other (P<0.001). The linear regression model predicted a 3.8% variance in attitude toward EBF, where increasing age (β=0.139, P=0.002) and income level (β=0.124, P=0.006) were significant predictors of positive attitude, however, the place of residence was not (β=0.016, P=0.724). Unmarried Saudi female university students' knowledge of EBF was the strongest determinant of their attitude toward EBF followed by perceived social support, prior breastfeeding exposure, and increased age and income level. Thus, targeted educational interventions and mass campaigns on EBF are crucial to promote EBF among future generations.

The study was conducted to examine the traditional and complementary practices used by women to increase breast milk and wean their children from breastfeeding.

This is a descriptive and cross-sectional study. The population consisted of 254 mothers aged 20-45 lived in Cyprus. Mothers who had breastfed and stopped breastfeeding were included in the study. The data were collected by using an introductory information form prepared based on the literature, about breastfeeding and weaning process. Descriptive statistics were used to assess the data.

64% of the participants started breastfeeding within the first hour of birth, 58% only breastfed for the first 6 months, and 16% breastfed for 24 months or more. Also women consumed mostly water and herbal tea (mostly fennel) and bulgur to increase breast milk.

Although it was determined that mothers did not use many traditional methods when weaning their children, it was a remarkable finding that weaning by talking to the child was used less. It is recommended that education and counselling services be increased in order to increase rates of exclusive breastfeeding for the first six months, and to follow evidence-based practices at the stages of increasing breast milk and weaning.

This study aimed to assess the level of breastfeeding (BF) knowledge and the prevalence of musculoskeletal disorders associated with BF among mothers.

The participants were given a questionnaire containing 20 questions regarding their knowledge of BF practices and the prevalence of musculoskeletal disorders. The responses were reported as mean, standard deviation (SD), number (n), frequencies (f), and percentages (%).

The study included 941 participants aged 18 to 49, with a median age of 31-35. Nearly half (47.9%; n = 451) of participants had no knowledge of the health advantages of BF. Furthermore, 82.6% (n = 777) of participants did not receive educational courses or information about childbirth during pregnancy or postnatal. Moreover, 42.7% (n = 402) reported BF-related musculoskeletal pain. The results showed that the least common information provided by doctors or other healthcare providers to mothers was that BF could reduce the risk of some types of cancer (13.6%; n = 128) and asthma and shortness of breath in children (14.1%; n = 133). The most common information was that breastfed children are at a lower risk of getting sick than formula-fed children (41.7%; n = 392).

The study showed a lack of knowledge regarding the benefits of BF and a high prevalence of musculoskeletal disorders among BF mothers in Saudi Arabia. We strongly recommend increasing the number of educational courses that provide knowledge and skills related to BF practices and appropriate positioning during BF.