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Ramaiah R, Jothishanmugam A, Alshahrani SH, Innocent Rani V, Alshahrani BY, Rajagopal Sambasivan L, Xavier Dhas J. Kangaroo Mother Care Induced Serum Oxytocin Facilitates Prolactin and IL-10 Among Emergency Cesarean Mothers. J Multidiscip Healthc 2024; 17:2689-2699. [PMID: 38840703 PMCID: PMC11152167 DOI: 10.2147/jmdh.s444172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 04/18/2024] [Indexed: 06/07/2024] Open
Abstract
Background The rate of cesarean section is increasing from 15% to 40% in recent years. The type of delivery influences the hormonal, emotional and mental health of the mother, which correlates positively or negatively with the health benefits of the newborn. There have been many published studies on kangaroo mother care for mothers undergoing elective cesarean section, but there is still a lack of understanding about emergency cesarean section. Objective This study aimed to evaluate the benefits of KMC practice for mothers undergoing emergency cesarean section in terms of hormone levels such as oxytocin, cortisol, prolactin, interleukin-6 and interleukin-10. Methods This retrospective analysis used remnant serum (KMC group = 16; control group = 9), and clinical data such as KMC practice (15-30 minutes three or four times daily until discharge), breastfeeding initiation time, feeding time, crying time and hospital stay were extracted from the electronic database. All hormone and cytokine expressions were quantitatively determined by ELISA. Comparisons within and between groups were performed using appropriate statistical tests. Results In the KMC group, increased levels of the hormone oxytocin significantly reduced cortisol and IL-6 and negatively influenced prolactin and IL-10 levels. The elevated prolactin facilitates overall lactation behaviour, of which 64% reported breastfeeding directly at the breast. The cytokine analysis revealed a reduction in pro-inflammatory cytokines and thereby an improved wound healing was seen in the KMC group. Conclusion These quantitative results strongly encourage the use of KMC for mothers undergoing emergency cesarean section. These simple yet effective breastfeeding strategies promote maternal and infant health, which can reduce medication use.
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Affiliation(s)
- Ramasubbamma Ramaiah
- Medical and Surgical Department, College of Nursing, King Khalid University Abha, Khamis Mushait, Asir, Saudi Arabia
| | - Aruna Jothishanmugam
- Department of Nursing, University College at Aldair, Jazan University, Jazan, Saudi Arabia
| | - Shadia Hamoud Alshahrani
- Medical and Surgical Department, College of Nursing, King Khalid University Abha, Khamis Mushait, Asir, Saudi Arabia
| | - Vanitha Innocent Rani
- Psychiatric Nursing Department, Nursing College Mahayil, King Khalid University, Mahayil, Asir, Saudi Arabia
| | - Bader Yahya Alshahrani
- Supplies Warehouse Department, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia
| | - Logapriya Rajagopal Sambasivan
- Biochemistry Department, Government Medical College, Thiruvallur, The TN Dr.MGR Medical University, Thiruvallur, TN, India
| | - Justin Xavier Dhas
- Artificial Intelligence and Data Science Department, Velammal Institute of Technology, Viraganur, Anna University, TN, India
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Ding M, Li B, Chen H, Liang D, Ross RP, Stanton C, Zhao J, Chen W, Yang B. Human breastmilk-derived Bifidobacterium longum subsp. infantis CCFM1269 regulates bone formation by the GH/IGF axis through PI3K/AKT pathway. Gut Microbes 2024; 16:2290344. [PMID: 38116652 PMCID: PMC10761167 DOI: 10.1080/19490976.2023.2290344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 11/27/2023] [Indexed: 12/21/2023] Open
Abstract
Bifidobacterium longum subsp. infantis is a prevalent member of the gut microbiota of breastfed infants. In this study, the effects of human breastmilk-derived B.longum subsp. infantis CCFM1269 on bone formation in developing BALB/c mice were investigated. Newborn female and male mice were assigned to control group (administered saline), CCFM11269 group (administered B. longum subsp. infantis CCFM1269, 1 × 109 CFU/mouse/day) and I5TI group (administered B. longum subsp. infantis I5TI, 1 × 109 CFU/mouse/day) from 1-week-old to 3-, 4- and 5-week old. B. longum subsp. infantis I5TI served as a negative control in this study. The results demonstrated that B. longum subsp. infantis CCFM1269 promoted bone formation in growing mice by modulating the composition of the gut microbiota and metabolites. The expression of genes and proteins in the PI3K/AKT pathway was stimulated by B. longum subsp. infantis CCFM1269 through the GH/IGF-1 axis in growing mice. This finding suggests B. longum subsp. infantis CCFM1269 may be useful for modulating bone metabolism during growth.
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Affiliation(s)
- Mengfan Ding
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
| | - Bowen Li
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
| | - Haiqin Chen
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
| | - Dong Liang
- Department of Applied Nutrition I, China National Center for Food Safety Risk Assessment, Beijing, China
| | - R. Paul Ross
- International Joint Research Center for Probiotics & Gut Health, Jiangnan University, Wuxi, Jiangsu, China
- APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Catherine Stanton
- International Joint Research Center for Probiotics & Gut Health, Jiangnan University, Wuxi, Jiangsu, China
- APC Microbiome Ireland, University College Cork, Cork, Ireland
- Food Biosciences, Teagasc Food Research Centre, Fermoy, Cork, Ireland
| | - Jianxin Zhao
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
- National Engineering Research Center for Functional Food, Jiangnan University, Wuxi, Jiangsu, China
| | - Wei Chen
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
- National Engineering Research Center for Functional Food, Jiangnan University, Wuxi, Jiangsu, China
| | - Bo Yang
- State Key Laboratory of Food Science and Resources, Jiangnan University, Wuxi, Jiangsu, China
- School of Food Science and Technology, Jiangnan University, Wuxi, Jiangsu, China
- International Joint Research Center for Probiotics & Gut Health, Jiangnan University, Wuxi, Jiangsu, China
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Alsalem N, Rashid FA, Aljarudi S, Al Bazroun MI, Almatrouk RM, Alharbi FM, Al Mansour L, Abuzaid NB. Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia's Eastern Health Cluster. Pediatr Rep 2023; 15:571-581. [PMID: 37873798 PMCID: PMC10594518 DOI: 10.3390/pediatric15040052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/17/2023] [Accepted: 09/20/2023] [Indexed: 10/25/2023] Open
Abstract
(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients' safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151 nurses who work in NICUs in three main networks in the Eastern Health Province, Saudi Arabia: Dammam (n = 84), Qatif (n = 53), and Jubail (n = 14). The study uses a self-reported questionnaire (MISSCARE) and applies the 5-point Likert Scale. Statistical analysis data were analyzed using SPSS version 23.0. (3) Results: The primary reasons for missed care were shortage of nursing staff and unbalanced patient assignments. Missed nursing care negatively affects job satisfaction and was positively correlated with nurses' intentions to quit their jobs. Inadequate equipment, supplies, and breakdowns in communication between nurses and other healthcare professionals were also significant factors contributing to missed care. (4) Conclusions: Missed nursing care is associated with overwork, nursing shortages, and lower job satisfaction, impacting the quality of care provided in the NICU. Improving working conditions, nurse staffing, and patient assignment planning should be prioritized to address this issue effectively.
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Affiliation(s)
- Nasreen Alsalem
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatima Abu Rashid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Saleh Aljarudi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Roqayah Mirza Almatrouk
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatimah M. Alharbi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Nahid Baker Abuzaid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
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