جستجوی مقالات مرتبط با کلیدواژه « expressed breast milk » در نشریات گروه « پزشکی »
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BackgroundMother-to-child transmission of Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) has become a matter of great concern in post-partum wards and neonatal units. With little prior experience of this novel infection, there are contradictory findings in the literature regarding breastfeeding androoming-in for newborns of mothers with COVID-19 disease. To assess the transmission risk of SARS-CoV- 2 in neonates who were fed expressed breast milk of COVID-19 positive mothers.MethodsThis prospective study included 16 neonates born to COVID-19 positive mothers. The neonates were nursed in a neonatal unit separate from their mother. Expressed breast milk was fed by health care givers ensuring proper safety measures. Nasal and throat swabs of neonates were tested twice for SARS CoV-2, firstly, at 48 h of life and secondly, before discharge.ResultsPneumonia was present in 3 (20%) mothers, and C- reactive protein was raised in 9 (60 %) mothers. Birth weight was low in 8 (50%) neonates. Respiratory distress syndrome and meconium aspiration syndrome were present in two and one newborns, respectively. Nasal and throat swabs of all 16 newborns tested negative for SARS-CoV- 2 infection twice, at 48 h of life and before discharge.ConclusionExpressed breast milk feeding can be considered safe in neonates born to COVID-19 positive mothers. Even sick mothers with COVID-19 can continue to express breast milk after ensuring proper safety measures.Keywords: Breastfeeding, COVID 19, Expressed Breast Milk, Lactation, Newborn, SARS-CoV-2}
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Background And AimIt is estimated that 80-90 % of breastfeeding women experience some nipple injury and soreness، with 26% progressing to cracking and extreme nipple pain that could lead to breastfeed failure. The aim of this study was to examine the effect of Calendit –E cream and expressed of breast milk in the treatment of nipple crack.Materials And MethodsThis study is a single blind randomized clinical trial. 82 breastfeeding women with age older than 18، who suffered from nipple crack were included in the study. After explaining methods of the study and obtaining written consent، the samples randomly assigned into two groups: Calendit -E cream and expressed breast milk and they were treated for one week. The correct method of breastfeeding and using of cream or mother’s milk were instructed to both groups. The nipple crack scores were measured and recorded by the researcher before treatment and third and seventh days of the study. A questionnaire was used for collecting demographic data، the severity of crack was measured by observing the nipple using Storr score check list، and evaluation form of breastfeeding. Data were analyzed by SPSS software and t-test، paired t-test، chi-square، Mann-Whitney، Wilcoxon and repeated measurement tests.FindingThe statistical tests showed the severity of crack between the two groups، before the study was highly homogeneous the severity of cracks reduced on the third day with no significant difference between two groups (P = 0. 2). But in the seventh day this decrease was more significant in the Calendit-E group (p = 0. 006).ConclusionCalendit -E cream is more effective than expressed breast milk on the nipple crack’s treatment.Keywords: Calendit, E cream, Expressed breast milk, Nipple crack, Breastfeeding mother}
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بحث و نتیجه گیریشیر دوشیده شده به صورت ثری درد در هنگام خونگیری وریدی را در نوزادان کاهش می دهد و می تواند به عنوان یک ضد درد طبیعی، غیر تهاجمی و در دسترس به ویژه هنگامی که مادر قادر به حضور در بخش نوزادان جهت شیردهی نیست، مورد استفاده قرار گیرد.مواد و روش هااین مطالعه یک کار آزمایی بالینی بود که در آن 30 نوزاد ترم مورد بررسی قرار گرفتند. هر نوزاد قبل از هر یک از سه نوبت خونگیری متوالی، شیر دوشیده شده مادر، شیر خشک و دکستروز 50% را به صورت تصادفی و بدون ترتیب خاصی دریافت کرد و پاسخ رفتاری وی به درد با استفاده از معیارهای امتیاز بندی درد در نوزادانDAN Score))اندازه گیری و ثبت گردید. مطالعه به صورت دو سویه کور انجام شد و مشاهده گر از نوع ماده تجویز شده کاملا بی اطلاع بود.یافته هانتایج حاصل از این پژوهش نشان داد نمره درد به طور معنی داری در نوزادانی که شیر دوشیده شده مادر دریافت کردند نسبت به دریافت کنندگان شیر خشک و دکستروز 50% کمتر بود. دریافت کنندگان شیر خشک بیشترین نمره درد را داشتند. جنس، سن و وزن نوزاد تاثیری در پاسخ به درد نداشتند.مقدمهنوزادان حتی وقتی سالم متولد می شوند ممکن است تحت اقدامات تهاجمی و درناک قرار بگیرند. شواهدی وجود دارد که نوزادان به خوبی درد را احساس می کنند و حساسیت و عوارض طولانی مدت به درد در آنها بیش از کودکان بزرگ تر است. درمان های غیر دارویی برای کاهش درد هنگام اقدامات دردناک نوزادان ارزشمند می باشد. هدف از این پژوهش بررسی اثر ضد درد شیر دوشیده شده مادر در کاهش درد نوزادان حین خونگیری وریدی و مقایسه آن با شیر خشک و دکستروز 50% می باشد.
کلید واژگان: اثر ضد درد, شیر دوشیده شده, نوزاد}Yafteh, Volume:14 Issue: 5, 2013, PP 23 -28BackgroundNewborn infants routinely may undergo invasive procedures، even after uncomplicated birth. Evidence shows that neonates do feel pain and may even have increased sensitivity to pain and to its long term effects compared with older infants. Non pharmacologic interventions are valuable for pain relief during minor procedures in neonates. The aim of this study was to asses the effectiveness of expressed breast milk)EBM (in reducing pain due to venipuncture and its comparison with formula and 50% dextrose solution.Materials And MethodsA clinical trial study was conducted in 30 term neonates. Each infant received 3 treatments with EBM، formula and 50% dextrose solution during consecutive venus blood sampling and their responses were measured by behavioral acute pain rating scale for neonates (DAN Score). This study was done in form of double blind and observers were unaware of the prescribed matter.ResultsThis study showed that pain score significantly is lower in neonates who received EBM (P<0. 001). There was no statistical relationship between age، sex and weight with pain score.ConclusionExpressed breast milk effectively reduces pain of venipuncture in term neonates and it could be natural، noninvasive and available analgesic particularly when mother can not be present to breastfeeding.Keywords: Analgesia, Expressed breast milk, Neonate}
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