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Arguelles-López A, Trujillo-Rivera OA, Calderón-de la Barca AM. Dietary patterns of Sonoran breastfeeding women are associated to exclusive or partial breastfeeding regimes. Bol Med Hosp Infant Mex 2024; 81:3-9. [PMID: 38503321 DOI: 10.24875/bmhim.23000084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 12/27/2023] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND During breastfeeding, the maternal diet ensures mothers and infants health. Therefore, it is necessary to update information about the diet of exclusively or partially breastfeeding women in each population. We evaluated the diet of Sonoran breastfeeding women, identified their dietary patterns, and examined their association with the breastfeeding regime. METHODS In this cross-sectional study, 62 women breastfeeding exclusively (n = 43) or partially (n = 19) participated. The diet was assessed using a food frequency questionnaire, and patterns were identified through principal component analysis. RESULTS Overall, fats and sodium intake were higher, while potassium intake was lower than recommended. Two dietary patterns were identified: "regional" (n = 36) and "prudent" (n = 26). Women following the "prudent" pattern consumed more protein, calcium, and potassium than those following the "regional" pattern (p < 0.05). The probability of exclusively breastfeeding women having a "prudent" dietary pattern was higher than that of partially breastfeeding women (adjusted odds ratios = 7.29, p = 0.019). CONCLUSIONS Exclusive breastfeeding possibly motivated mothers to follow a more prudent diet than those who partially breastfed. Therefore, it is crucial to promote a healthy diet among breastfeeding mothers.
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Affiliation(s)
- Alejandra Arguelles-López
- Coordinación de Nutrición, Centro de Investigación en Alimentación y Desarrollo A.C., Hermosillo, Sonora, Mexico
| | - Omar A Trujillo-Rivera
- Coordinación de Nutrición, Centro de Investigación en Alimentación y Desarrollo A.C., Hermosillo, Sonora, Mexico
| | - Ana M Calderón-de la Barca
- Coordinación de Nutrición, Centro de Investigación en Alimentación y Desarrollo A.C., Hermosillo, Sonora, Mexico
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2
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Ayuzo-Del-Valle NC, Flores-Osorio X. Pink colored breast milk! Serratia marcescens infection, series of 4 cases. Bol Med Hosp Infant Mex 2024; 81:114-117. [PMID: 38768495 DOI: 10.24875/bmhim.23000087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 12/08/2023] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND Pink coloration of breast milk is uncommon and it´s associated with colonization by Serratia marcescens, which is most frequently isolated in intensive care settings. Misinterpretation of the pink coloration may lead to premature cessation of breastfeeding. The objective is to present four cases of pink discoloration. METHODS Two retrospective and two prospective cases of pink discoloration in breast milk are described, which were reported to the lead author. RESULTS Four healthy mother-infant pairs with documented pink discoloration are presented. S. marcescens was isolated from breast milk samples. All four infants were asymptomatic and underwent enterobacteria cultures. The mothers received outpatient antibiotic treatment, and two infants received treatment as well. Subsequent cultures yielded negative results, and the pink discoloration ceased. All mothers successfully resumed breastfeeding. CONCLUSIONS There are very few reported cases of pink breast milk in the global literature. Colonization by S. marcescens is not an indication for discontinuation of breastfeeding.
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Affiliation(s)
- Norma C Ayuzo-Del-Valle
- Instituto de Pediatría, Hospital Zambrano Hellio, Tecnologico de Monterrey, San Pedro Garza García, Nuevo León, México
| | - Ximena Flores-Osorio
- Instituto de Pediatría, Hospital Zambrano Hellio, Tecnologico de Monterrey, San Pedro Garza García, Nuevo León, México
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3
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Bautista-Hernández MA, Argueta-Figueroa L, Gómez-Jiménez DC, Torres-Rosas R. Evidence of the acupuncture points stimulation for the treatment of hypogalactia: A systematic review and meta-analysis. Enferm Clin (Engl Ed) 2024; 34:61-73. [PMID: 38185370 DOI: 10.1016/j.enfcle.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/03/2023] [Indexed: 01/09/2024]
Abstract
OBJECTIVE To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity. METHOD Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, electroacupuncture, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis. RESULTS A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI = 1.63 [1.13-2.13]; p < 0.0001). CONCLUSION The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.
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Affiliation(s)
- Mario Alberto Bautista-Hernández
- Programa de Doctorado en Biociencias, Facultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca (UABJO), Oaxaca, Mexico
| | - Liliana Argueta-Figueroa
- Tecnológico Nacional de México/Instituto Tecnológico de Toluca, Estado de México, Mexico; Consejo Nacional de Humanidades, Ciencias y Tecnologías (CONAHCYT), Mexico
| | | | - Rafael Torres-Rosas
- Laboratorio de Medicina Complementaria, Centro de Estudios en Ciencias de la Salud y la Enfermedad, Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca (UABJO), Oaxaca, Mexico.
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Martín-Ramos S, Domínguez-Aurrecoechea B, García Vera C, Lorente García Mauriño AM, Sánchez Almeida E, Solís-Sánchez G. [Breastfeeding in Spain and the factors related to its establishment and maintenance: LAyDI Study (PAPenRed)]. Aten Primaria 2024; 56:102772. [PMID: 37741187 PMCID: PMC10520303 DOI: 10.1016/j.aprim.2023.102772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 08/21/2023] [Accepted: 08/26/2023] [Indexed: 09/25/2023] Open
Abstract
OBJECTIVE To find out actual statistics on breastfeeding in Spain, as well as sociocultural and perinatal factors that affect its initiation and maintenance. DESIGN Prospective, multicentre, longitudinal, nationwide study (XXX study). SITE: Primary care paediatricians' office. PARTICIPANTS Cohort of newborns born between April 2017 and March 2018 in Spain who were followed up to two years of age in 8 visits. MAIN MEASURES Rates of different types of breastfeeding were analysed at each visit and variables related to gestation, delivery, neonatal period, social, economic and biological variables were also analysed. RESULTS Initial sample of 1946 (50.1% male). 90.7% decided to initiate breastfeeding at birth. Exclusive breastfeeding (EBF) was 66.4% at 15days and 35.2% at 6months. Any type of breastfeeding (total breastfeeding [TBF]) at 6months was 61.7%. Median survival from TBF was 6.0months (95%CI: 6.0-6.1). Variables related to EBF at 15days: previous children, mother's level of education, absence of illness during pregnancy, no separation of mother and child at birth, no dummy use, no nipple problems, and time of decision to breastfeed. Variables related to longer duration of TBF: relationship of parents older than 5years, no dummy use, co-sleeping at one month of life, deciding to breastfeed before pregnancy, receiving information on breastfeeding during pregnancy and using support from associations. CONCLUSIONS Early abandonment of breastfeeding is a major problem in Western societies. There are factors that can be worked on to improve outcomes.
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Affiliation(s)
- Silvia Martín-Ramos
- Servicio de Pediatría, Unidad de Neonatología, Hospital Río Hortega, Valladolid, España.
| | - Begoña Domínguez-Aurrecoechea
- Pediatría de Atención Primaria, Miembro del equipo coordinador PAPenRed, Instituto de investigación sanitaria del Principado de Asturias (ISPA), Oviedo, España
| | - César García Vera
- Pediatría, Centro de Salud «José Ramón Muñoz Fernandez», Coordinador de la red de investigación PAPenRED, Profesor Asociado de la Facultad de Medicina de la Universidad de Zaragoza, Zaragoza, España
| | - Ana María Lorente García Mauriño
- Pediatría de Atención Primaria, Centro de Salud Juan de la Cierva, Miembro del Equipo Coordinador nacional de PAPenRED y Coordinadora autonómica de PAPenRED por la Comunidad de Madrid, Getafe, Madrid, España
| | - Elena Sánchez Almeida
- Pediatría de Atención Primaria, Centro de Salud La Guancha-San Juan de la Rambla, Miembro del Equipo Coordinador nacional de PAPenRED y Coordinadora autonómica por la Comunidad de Canarias, Formadora en lactancia materna por la IHAN, Miembro de la Comisión de lactancia materna de atención primaria de Tenerife, Presidenta de la Asociación de Pediatría de atención primaria de Canarias, La Guancha, Santa Cruz de Tenerife, España
| | - Gonzalo Solís-Sánchez
- Servicio de Pediatría, Unidad Neonatología, Hospital Universitario Central de Asturias, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Universidad de Oviedo, Oviedo, España
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Sanz Durán L. Nursing care for women with rusty-pipe syndrome: About a case. Enferm Clin (Engl Ed) 2023; 33:438-444. [PMID: 37717604 DOI: 10.1016/j.enfcle.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 08/09/2023] [Indexed: 09/19/2023]
Abstract
At the beginning of breastfeeding, difficulties such as rusty-pipe syndrome may appear. Very little known, it presents with colostrum that is brown in color, rusty or bloody in appearance bilaterally. Despite having a spontaneous resolution and being painless, it requires education and training in its approach by health personnel. This syndrome generates stress and maternal concern. The clinical case of a postpartum woman who wishes to breastfeed is presented, the situation experienced during the first postpartum week and the care plan that is designed and applied in the midwife's primary care consultation to achieve the initial objective are reported. and maintenance of breastfeeding. Resolution is spontaneous during the first days, it is recommended to assess the newborn's tolerance to colostrum and not suspend breastfeeding in general for this reason. More research is required to publicize this syndrome and improve the advice and counselling of breastfeeding professionals.
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Affiliation(s)
- Lidia Sanz Durán
- Matrona Atención Primaria, Centro de Salud Fuentelarreina, Madrid, Spain.
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Boswell L, Perea V, Amor AJ, Seguí N, Bellart J, Roca D, Giménez M, Conget I, Vinagre I. Impaired hypoglycaemia awareness in early pregnancy increases risk of severe hypoglycaemia in the mid-long term postpartum irrespective of breastfeeding status in women with type 1 diabetes. ENDOCRINOL DIAB NUTR 2023; 70 Suppl 2:18-26. [PMID: 37268354 DOI: 10.1016/j.endien.2022.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/14/2022] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Information regarding the postpartum period in women with type 1 diabetes (T1D) is scarce. We aim to evaluate the relation of impaired hypoglycaemia awareness (IAH) in early pregnancy and breastfeeding status (its presence and duration) with severe postpartum hypoglycaemia (SH). MATERIALS AND METHODS Retrospective cohort study of women with T1D followed during pregnancy between 2012 and 2019. Data on SH were recorded before and during pregnancy. IAH was evaluated at the first antenatal visit. Data on breastfeeding and the long-term postpartum period were collected by questionnaire and from medical records. RESULTS A total of 89 women with T1D were included with a median follow-up after pregnancy of 19.2 [8.7-30.5] months. Twenty-eight (32%) women had IAH at the first antenatal visit. At discharge, 74 (83%) started breastfeeding during a median of 8 [4.4-15] months. A total of 18 (22%) women experienced ≥1 SH during postpartum. The incidence of SH significantly increased from pregestational to the gestational and post-partum period (0.09, 0.15 and 0.25 episodes/patient-year, respectively). Postpartum SH rates were comparable in breastfeeding and non-breastfeeding women (21.4% vs. 25%, respectively, p>0.05). Clarke test score at the first antenatal visit was associated with postpartum SH (for each 1-point increase: OR 1.53; 95% CI, 1.06-2.21) adjusted for confounders. No other diabetes and pregnancy-related variables were identified as predictors of SH in this period. CONCLUSIONS SH are common in the long-term postpartum period independently of breastfeeding. Assessing IAH in early pregnancy could identify those at an increased risk of SH in the postpartum period.
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Affiliation(s)
- Laura Boswell
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Barcelona, Spain; Endocrinology and Nutrition Department, Althaia University Health Network, Manresa, Spain
| | - Verónica Perea
- Endocrinology Department, Hospital Universitari Mútua de Terrassa, Terrassa, Spain.
| | - Antonio J Amor
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Núria Seguí
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Jordi Bellart
- Obstetrics and Gynecology Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Daria Roca
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Marga Giménez
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Ignacio Conget
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Irene Vinagre
- Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona, Spain.
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Gökduman-Keleş M, Akdolun-Balkaya N, Toker E. Attitudes and counselling of healthcare professionals on increasing breast milk: cross-sectional study. Enferm Clin (Engl Ed) 2023:S2445-1479(23)00022-X. [PMID: 37060944 DOI: 10.1016/j.enfcle.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/05/2023] [Indexed: 04/17/2023]
Abstract
OBJECTIVE To determine the breast milk-increasing practices healthcare professionals used with their children and their recommendations to mothers. METHOD A descriptive cross-sectional study in a Mediterranean region of Turkey. It was carried out with 301 healthcare professionals working in 64 Family Health Centers between January and June 2018. The data were collected by the researchers with a questionnaire including 28 questions. RESULTS The mean age of healthcare professionals was 36.89 ± 8.5. All the healthcare professionals encountered mothers with the perception of insufficient breast milk. 73.7% of those with children had breast milk-increasing practices. Increased age negatively affected these practices (OR: 0.923), and increased education positively affected the practices (OR: 3.489). Having received training on breastfeeding and breast milk-increasing measures positively affected the use of practices (OR: 2.118). The use of breast milk-increasing practices by healthcare professionals positively affected their recommendations to mothers (OR: 2.506). CONCLUSIONS Health professionals had their own breast milk boosting practices that they recommended to women as well. This result is especially significant in terms of guiding mothers who wish to increase breast milk supply and seek reliable information and contributes to the protection of maternal and newborn health.
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Affiliation(s)
| | - Nevin Akdolun-Balkaya
- Faculty of Health Sciences, Division of Nursing, Department of Obstetrics and Gynecologic Nursing, Muğla, Turkey.
| | - Eylem Toker
- Tarsus University Faculty of Health Sciences Department of Midwifery, Tarsus/Mersin, Turkey.
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Sarmiento-Aguilar A, Horta-Carpinteyro D, Prian-Gaudiano A. Percentage of birth weight loss as a reference for the well-being of the exclusively breastfed newborn. Bol Med Hosp Infant Mex 2022; 79:341-349. [PMID: 36477433 DOI: 10.24875/bmhim.22000032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
As health professionals, we have memorized that "newborns can lose up to 10% of their birth weight during the first week of life and should regain it by two weeks of age". However, this statement, which appears so accurate, comes from studies conducted in the 1960s, when medical knowledge and how newborns were fed were utterly different from what it is today. Currently, multiple factors contribute to the percentage of weight loss at birth and the rate at which this weight is regained. There are nomograms for exclusively breastfed and formula-fed newborns and those by vaginal or cesarean delivery. To meet the World Health Organization's goal of exclusively breastfeeding newborns, it is essential to recognize that "loss of more than 10% of birth weight" does not represent the need for formula supplementation. When assessing these cases, we must consider several factors that influence the percentage of weight loss in newborns. Therefore, diagnostic decisions should always be individualized in favor of breastfeeding.
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Oliva-Pérez J, Oliver-Roig A. Relationship of delayed lactogenesis II to maternal perception of insufficient milk: A longitudinal study. Enferm Clin (Engl Ed) 2022; 32:413-422. [PMID: 36096400 DOI: 10.1016/j.enfcle.2022.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 07/31/2022] [Indexed: 12/15/2022]
Abstract
AIM To analyze the relationship of delayed lactogenesis II with maternal perception of insufficient milk. METHODS A prospective, multicenter, longitudinal observational study was conducted. Data were obtained at discharge and between 1 and 5 months postpartum on the perception of insufficient milk and related variables, by means of a self-administered questionnaire, and subsequent postal and online follow-up. Logistic regression analysis was used to develop the explanatory model. RESULTS A total of 260 puerperal mothers participated. Of these, 31.9% had insufficient milk and 23.6% had delayed lactogenesis II. During postpartum admission, delayed lactogenesis II (OR = 2.26; 95%CI = 1.07-4.79), difficulty in breastfeeding (OR = 1.02; 95%CI = 1.00-1.03), and professional help in breastfeeding (OR = 0.70; 95%CI = 0.50-0.97) were associated with maternal perception of insufficient milk. CONCLUSIONS The occurrence of breastfeeding difficulties during postpartum admission and at discharge, especially when there is delayed lactogenesis II, should be considered risk indicators, suggesting the need for additional support to standardized care. The PIM is a suitable indicator to assess the quality of professional breastfeeding support in improvement interventions.
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Affiliation(s)
- José Oliva-Pérez
- Facultad de Enfermería, Universidad Católica San Antonio de Murcia, Campus de Los Jerónimos, Guadalupe de Maciascoque, Murcia, Spain
| | - Antonio Oliver-Roig
- Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Alicante, Campus de Sant Vicent del Raspeig, Sant Vicent del Raspeig, Alicante, Spain.
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Del Campo Giménez M, López-Torres Hidalgo J, Fernández Bosch A, Martínez de la Torre C, Minuesa García M, Córcoles García S, Párraga Martínez I. Influence of the mother's lifestyles on the initiation of breastfeeding: A case-control study. An Pediatr (Barc) 2022; 97:342-350. [PMID: 36114110 DOI: 10.1016/j.anpede.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 03/08/2022] [Accepted: 03/21/2022] [Indexed: 10/14/2022] Open
Abstract
INTRODUCTION Breast milk is the optimal food during the first months of life. The main objective was to analyse the factors associated with not initiating breastfeeding in terms of maternal lifestyles, epidemiological characteristics and information on breastfeeding. MATERIAL AND METHOD Observational analytical study of cases and controls in 6 primary care centres. The sample included women with a child under 5 years, with an estimated necessary sample size of 166 cases (women who did not initiate breastfeeding) and 166 controls (women who began breastfeeding). Sociodemographic and maternal lifestyle variables were measured before and during pregnancy, such as physical activity using the BPAAT questionnaire, diet with the MEDAS-14 questionnaire, and tobacco and alcohol consumption. We assessed the information and opinions about breastfeeding as well as previous experience with it. RESULTS The study included 348 women (174 cases and 174 controls) with a mean age of 33.4 years (SD, 5.4). The variables independently associated with not initiating breastfeeding were: absence of previous experience with breastfeeding (odds ratio [OR], 12.75), making the decision during pregnancy or delivery (OR, 10.55), not being married or in a partnership (OR, 3.42) and being sedentary for periods of 2 hours or greater/day during pregnancy (OR, 1.77). CONCLUSIONS In our study, the determining factors associated with not initiating breastfeeding were the lack of previous experience with breastfeeding, the timing of the decision about breastfeeding, and marital status. When it came to lifestyle, only a sedentary lifestyle was associated with not initiating breastfeeding, while dietary or other habits had no influence.
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Affiliation(s)
- María Del Campo Giménez
- Consultorio de Ledaña, Centro de Salud de Iniesta, Gerencia de Atención Integrada de Albacete, Albacete, Spain.
| | - Jesús López-Torres Hidalgo
- Centro de Salud Zona VIII de Albacete, Gerencia de Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
| | - Alba Fernández Bosch
- Centro de Salud Plaza Segovia, Gerencia de Atención Primaria Hospital Doctor Peset, Valencia, Spain
| | - Carlos Martínez de la Torre
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Albacete, Centro de Salud Zona VIII de Albacete, Albacete, Spain
| | - María Minuesa García
- Consultorio de Fonelas, Centro de Salud de Purullena, Área Sanitaria Nordeste, Granada, Spain
| | - Sara Córcoles García
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Albacete, Centro de Salud Zona VIII de Albacete, Albacete, Spain
| | - Ignacio Párraga Martínez
- Centro de Salud Zona VIII de Albacete, Gerencia de Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
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Doğan P, Karakul A, Akgül EA, Öztornaci BÖ, Sarı HY. [Examination of social media and technology use of mothers in breastfeeding period in a region of Turkey]. Enferm Clin (Engl Ed) 2022; 32:306-315. [PMID: 36084997 DOI: 10.1016/j.enfcle.2021.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 12/10/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The aim of this study is to examine the social media and technology use of mothers during breastfeeding. METHOD Descriptive cross-sectional study. The study was carried out with mothers who brought their children for follow-up in the pediatric outpatient clinics of a public hospital, a university hospital and a private hospital located in Turkey. A questionnaire developed «ad hoc» was used for data collection. RESULTS The total sample consisted of 275 mothers (n = 275). Mothers participating in the study 89.8% of the mothers used social media, 86.5% sought on the reliability of the information on the internet, 73.8% used the medical information on the internet to decide on any case about breastfeeding and 66.9% of them used cell phone or computer during breastfeeding. A statistically significant difference was determined between the education level of the mothers and social media use (p < 0.05). It was determined that the mothers who were secondary school graduate and those with three or more children talked on a cell phone while breastfeeding. CONCLUSIONS Most of the mothers used social media and technology at a level limiting their interaction with their children. It is recommended to protect mothers from digital addiction and improve their digital literacy levels.
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Affiliation(s)
- Pınar Doğan
- Faculty of Health Science, Department of Pediatric Nursing, Izmir Katip Celebi University, Çiğli-Izmir, Turkey.
| | - Atiye Karakul
- Faculty of Health Sciences, Nursing Department, Tarsus University, Tarsus, Mersin, Turkey
| | - Esra Ardahan Akgül
- Faculty of Health Science, Department of Pediatric Nursing, Izmir Katip Celebi University, Çiğli-Izmir, Turkey
| | - Beste Özgüven Öztornaci
- Faculty of Health Science, Department of Pediatric Nursing, Izmir Katip Celebi University, Çiğli-Izmir, Turkey
| | - Hatice Yıldırım Sarı
- Faculty of Health Science, Department of Pediatric Nursing, Izmir Katip Celebi University, Çiğli-Izmir, Turkey
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Borja Herrero C, Grau Muñoz A, Colomer Revuelta J, Donat Colomer F. What gypsy mothers say about breastfeeding. Enferm Clin (Engl Ed) 2022; 32:316-325. [PMID: 35705145 DOI: 10.1016/j.enfcle.2022.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 06/01/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To know and deepen in the evaluation, and experience of gypsy women with breastfeeding. METHOD Qualitative study with an interpretative phenomenological approach, through a focus group with the participation of six mothers of gypsy ethnicity, users of the Fuente de San Luis Health Center in the city of Valencia. RESULTS The barriers described by these mothers regarding breastfeeding refer to a lack of family support, an association of breastfeeding to sacrifice and to the dependence of the baby to the breast. From the accounts of these mothers it is perceived, a disinterest in breastfeeding and a lack of confidence in their own bilogy, which together with a low participation in maternal education activities, have meant the barriers that have mostly limited and largely hindered breastfeeding in this group of mothers. CONCLUSIONS It would be desirable to implement improvement actions that would pay more attention to promote, protect and support breastfeeding in this group.
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Affiliation(s)
- Cintia Borja Herrero
- Generalitat Valenciana Conselleria de Sanitat Universal i Salut Publica, Almassera, Valencia, Spain.
| | - Arantxa Grau Muñoz
- Departamento de Sociología i Antropo, Universitat de Valencia, Valencia, Spain
| | - Julia Colomer Revuelta
- Pediatría, Generalitat Valenciana Conselleria de Sanitat i Consum, Generalitat Valenciana Conselleria de Sanitat Universal i Salut Publica, Almassera, Valencia, Spain
| | - Francisco Donat Colomer
- Ginecología y Obstetricia, Facultat d'Infermeria i Podologia, Universitat de Valencia, Valencia, Spain
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Cabrera-Lafuente M, Alonso-Díaz C, Pumarega MTM, Díaz-Almirón M, Haiek LN, Maastrup R, Pallás-Alonso C. Breastfeeding practices in neonatal wards in Spain. Neo-BFHI international survey. An Pediatr (Barc) 2022; 96:300-308. [PMID: 35523686 DOI: 10.1016/j.anpede.2021.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 04/15/2021] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION In 2017, a worldwide survey was conducted on compliance with the practices promoted by Neo-BFHI (Baby-friendly Hospital Initiative expansion to neonatal wards). OBJECTIVE To present the results of the Spanish wards that participated in the global survey and compare them with those obtained internationally. MATERIAL AND METHODS Cross-sectional study through a survey on compliance with the Neo-BFHI ("Three basic principles", "Ten steps adapted to neonatal wards" and "the compliance with the International Code of Marketing of Breast-milk Substitutes" and subsequent relevant World Health Assembly resolutions). Compliance was calculated as the mean in each indicator and a final mean score for each neonatal unit. For the partial and final scores for each country and at the international level, the median was used. All scores ranged between 0 and 100. RESULTS The response rate in Spain was 90%. The range of the national mean for neonatal wards were from 37 to 99, with no differences in the final score according to the level of care. The global score for Spain (72) is below the international median (77) and this also occurs in 8 of 14 items. The neonatal wards from BFHI designated hospitals, obtained a significantly higher mean global score, and in 9 of 14 items than the non-accredited ones. CONCLUSIONS Both international and national results indicate an improvement in breast feeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
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Affiliation(s)
| | - Clara Alonso-Díaz
- Servicio de Neonatología, Hospital Universitario 12 de Octubre, Madrid, Spain
| | | | | | - Laura N Haiek
- Ministère de la santé et des Services sociaux, Direction générale de la santé publique, Quebec, Canada; McGill University, Department of Family Medicine, Montreal, Quebec, Canada
| | - Ragnhild Maastrup
- Department of Neonatology, Copenhagen University Hospital Rigshospitalet, University Hospital Rigshospitalet, Department of Neonatology, Blegdamsvej, Denmark
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14
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Martínez-Barrio J, Martínez López JA, Galindo M, Ais A, Martínez Sánchez N, Cano L. Importance of family planning in patients with immune-mediated inflammatory diseases: A multidisciplinary approach. Reumatol Clin (Engl Ed) 2022; 18:200-206. [PMID: 35440428 DOI: 10.1016/j.reumae.2020.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 11/26/2020] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND OBJECTIVES Family planning in women with immune-mediated inflammatory diseases is a challenge for healthcare teams, highlighting the need for standardized available evidence to provide patients with objective and agreed information. This study reflects the work performed by a multidisciplinary team in reviewing available scientific evidence, and the strategy agreed for family planning, pregnancy, postpartum, and breastfeeding in patients with immune-mediated inflammatory diseases. METHODS A literature search was conducted, information was structured across the different stages (preconception, pregnancy, postpartum and breastfeeding), and an on-site meeting was convened, in which patients and healthcare providers participated. RESULTS Specific materials, which are included in this work, were developed to guide clinical decisions to be agreed upon by patients and healthcare providers. CONCLUSION These materials meet the need for validated and updated information on the approach and use of indicated drugs for professionals responsible for the management of immune-mediated inflammatory diseases.
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Affiliation(s)
- Julia Martínez-Barrio
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | - María Galindo
- Servicio de Reumatología, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Arantza Ais
- Servicio de Farmacia Hospitalaria, Hospital Universitario Gregorio Marañón, Madrid, Spain
| | - Nuria Martínez Sánchez
- Consulta de Enfermedades Autoinmunes y Embarazo, Unidad de Tocología de Alto Riesgo y Obstetricia Médica, Servicio de Obstetricia y Ginecología, Hospital Universitario La Paz, Madrid, Spain
| | - Laura Cano
- Unidad de Gestión Clínica (UGC) Reumatología, Hospital Regional Universitario de Málaga, Málaga, Spain
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15
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Balaguer-Martínez JV, García-Pérez R, Gallego-Iborra A, Sánchez-Almeida E, Sánchez-Díaz MD, Ciriza-Barea E. Predictive capacity for breastfeeding and determination of the best cut-off point for the breastfeeding self-efficacy scale-short form. An Pediatr (Barc) 2021; 96:51-58. [PMID: 34961693 DOI: 10.1016/j.anpede.2020.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 12/23/2020] [Indexed: 10/19/2022] Open
Abstract
INTRODUCTION The most widely used tool for assessing breastfeeding self-efficacy is the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). This study assesses the relationship between the BSES-SF score and the risk of breastfeeding (BF) cessation and determines the cut-off point in the scale score that optimizes detection of this risk in primary health care pediatric consultations. METHODS Secondary data analysis of the LAyDI study. Cohort study carried out through a research network of primary care pediatricians (PAPenRed). A newborn was recruited every month for one year by 210 pediatricians. The cohort was followed for 24 months. Mothers responded to the BSES-SF at the first visit. General pregnancy and delivery data were collected and assessed to determine whether breastfeeding was exclusive or supplemented during the first 6 months. RESULTS N = 1845. The Area Under the ROC Curve for the exclusive BF was 0.790 (0.765-0.815) the first month and 0.760 (0.734-0.786) the second month. For 4 and 6 months, as well as for any age in mothers who give supplemented BF, the Area Under the Curve was less than 0.75 and its predictive capacity was not considered to be good. For a sensitivity of 80% in detecting mothers at risk of BF cessation with the BSES-SF, the cut-off score was 58. CONCLUSIONS Mothers with a BSES-SF score below 58 points in primary health care, are at risk of early withdrawal of exclusive BF within two months.
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Barberá-Pérez PM, Sierra-Colomina M, Deyanova-Alyosheva N, Plana-Fernández M, Lalaguna-Mallada P. Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital. Bol Med Hosp Infant Mex 2021; 78:418-423. [PMID: 34571520 DOI: 10.24875/bmhim.20000391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Ankyloglossia is a condition present in some newborns and can be associated with breastfeeding difficulties, leading to symptoms in the child and the mother. This study aimed to analyze the characteristics of newborns with tongue-tie and the symptoms reported by their mothers, and the short and long-term outcomes of frenotomy. Methods We conducted a prospective and observational 7-month study in a Baby-Friendly Hospital (BFH). We included all the breastfed newborns without comorbidities that underwent a frenotomy. Results A total of 33 frenotomies were performed. The most common findings before the procedure were maternal breastfeeding pain (29/33), ineffective latch (18/33), and maternal nipple lesions (18/33). We observed that newborns surgically intervened later showed a high incidence of jaundice (p = 0.03), weight loss greater than 10% at hospital discharge (p = 0.004), and their mothers experienced pain more often (p = 0.004). At one month of age, there was an improvement in breastfeeding-related pain (p = 0.012) and its intensity (p = 0.016), the presence of maternal cracked nipples (p < 0.01), and latching on (p < 0.01). Conclusions Ankyloglossia can prevent the correct establishment of breastfeeding. Frenotomy is associated with few complications, and when appropriately indicated, may have a positive impact on breastfeeding, reducing maternal pain, the presence of nipple lesions, and latching problems.
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Galindo-Sevilla NDC, Contreras-Carreto NA, Rojas-Bernabé A, Mancilla-Ramírez J. Breastfeeding and COVID-19. GAC MED MEX 2021; 157:194-200. [PMID: 34270527 DOI: 10.24875/gmm.20000665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has affected all dimensions of health care, including exclusive breastfeeding assurance and its promotion. The risk of contagion and the consequences of the pandemic have raised concerns among future mothers or in those who are already breastfeeding due to the risk of possible transmission of the virus through breast milk, although active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not yet been detected in breast milk. The fear of contagion has favored mother-child isolation policies. So far, there is no evidence of vertical transmission, and the risk of horizontal transmission in the infant is similar to that of the general population. In infants with COVID-19, breastfeeding can even favorably change the clinical course of the disease.
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Affiliation(s)
| | - Nilson A Contreras-Carreto
- Health Quality and Education Directorate, Secretaría de Salud.,Higher School of Medicine, Instituto Politécnico Nacional. Mexico City, Mexico
| | - Araceli Rojas-Bernabé
- Health Quality and Education Directorate, Secretaría de Salud.,Higher School of Medicine, Instituto Politécnico Nacional. Mexico City, Mexico
| | - Javier Mancilla-Ramírez
- Health Quality and Education Directorate, Secretaría de Salud.,Higher School of Medicine, Instituto Politécnico Nacional. Mexico City, Mexico
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Balaguer-Martínez JV, Esquivel-Ojeda JN, Valcarce-Pérez I, Ciriza-Barea E, García-Sotro C, López-Santiveri A, Hernández-Gil A. [Translation to Spanish and validation of a scale for the observation of breastfeeding: The Bristol Breastfeeding Assessment Tool]. An Pediatr (Barc) 2021; 96:S1695-4033(21)00181-8. [PMID: 34301524 DOI: 10.1016/j.anpedi.2021.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 04/21/2021] [Accepted: 04/23/2021] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION The observation of a feeding by a professional is important to strengthen breastfeeding. The Bristol Breastfeeding Assessment Tool (BBAT) was translated into Spanish and validated. MATERIAL AND METHODS Translation and back-translation of the original scale was done. Six pediatricians and six pediatric nurses collaborated. At the newborn's first visit, a feeding was observed and the pediatrician and nurse scored the BBAT scale independently. The nurse also scored the LATCH Breastfeeding Assessment (LATCH) and each mother filled out the Breastfeeding Self-Efficacy Scale (BSES-SF). Mothers were appointed a week later and the nurse re-scored the BBAT. RESULTS A total of 62 mothers participated. There was good internal consistency for the BBAT (Cronbach's alpha = 0.83 in the assessment made by the nurses and Cronbach's alpha = 0.79 in the assessment made by the pediatricians). Inter-rater consistency showed an intra-class correlation coefficient of 0.91, while for the test-retest was 0.67. Concurrent validity with the BSES-SF scale was good and with the LATCH scale very good. The factor analysis showed the one-dimensional character of the scale and a good homogeneity of the 4 items (positioning = 0.771, attachment = 0.852, sucking = 0.856 and swallowing = 0.679). CONCLUSIONS The scale obtained in Spanish shows good reliability and validity. The BBAT is an easy-to-use tool that allows breastfeeding assessment and determines the aspects that need to be improved.
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Affiliation(s)
| | | | | | | | | | - Amalia López-Santiveri
- Centro de Atención Primaria (CAP) Sant Ildefons, Cornellá de Llobregat, Barcelona, España
| | - Alícia Hernández-Gil
- Centro de Atención Primaria (CAP) Sant Ildefons, Cornellá de Llobregat, Barcelona, España
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19
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Llupià A, Torà I, Lladó A, Cobo T, Sotoca JM, Puig J. Factors related to inhibition of lactation by pharmacological means at birth in a Spanish referral hospital (2011-2017). Gac Sanit 2021; 36:6-11. [PMID: 34246499 DOI: 10.1016/j.gaceta.2021.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 04/29/2021] [Accepted: 05/17/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To describe the maternal, neonatal and pregnancy characteristics related to inhibition of lactation (IL) with cabergoline. METHOD We assessed 20,965 occasions of breastfeeding initiation, according to data collected from obstetric records at the Hospital Clinic of Barcelona (Spain) between January 2011 and December 2017. RESULTS IL decreased over the study period from 8.78% to 6.18% (odds ratio [OR]: 0.93 per year; 95% confidence interval [95%CI]: 0.90-0.95). Women with a lower educational level (OR: 2.5; 95%CI: 2.0-3.0), mothers living in more depressed areas (OR: 1.08 per 10 extra points over 100; 95%CI: 1.04-1.12), smokers (OR: 2.2; 95%CI: 1.9-2.6), and those with more children (OR: 1.2 for each sibling; 95%CI: 1.1-1.3), preterm birth (OR: 1.8; 95%CI: 1.4-2.3), multiple births (OR: 1.6; 95%CI: 1.2-2.1) and a higher risk pregnancy (OR: 1.3 per risk point; 95%CI: 1.2-1.4) showed a higher prevalence of IL. Compared to women born in Spain, IL was less likely in all other women with the exception of Chinese women (OR: 7.0; 95%CI: 5.7-8.6). These disparities remained during the study period. CONCLUSIONS Factors related to lower socioeconomic status and poor health were more likely to be associated with IL. The overall use of cabergoline decreased during the study period while inequalities persisted. Taking these inequalities into account is the first step to addressing them.
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Affiliation(s)
- Anna Llupià
- Preventive Medicine and Epidemiology Unit, Hospital Clínic, Barcelona, Spain; Department of Medicine, University of Barcelona, Barcelona, Spain.
| | - Isabel Torà
- Preventive Medicine and Epidemiology Unit, Hospital Clínic, Barcelona, Spain; Department of Medicine, University of Barcelona, Barcelona, Spain
| | - Alba Lladó
- BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, Barcelona, Spain
| | - Teresa Cobo
- BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, Barcelona, Spain; Fetal I+D Fetal Medicine Research Center, IDIBAPS, University of Barcelona, Barcelona, Spain; Center for Biomedical Research on Rare Diseases (CIBER-ER), Spain
| | | | - Joaquim Puig
- Department of Mathematics, Universitat Politècnica de Catalunya, Barcelona, Spain
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20
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Ortiz-Félix RE, Cárdenas-Villarreal VM, Miranda-Félix PE, Guevara-Valtier MC. Impact of a prenatal education intervention in pregnant women to prevent overweight in infants. GAC MED MEX 2021; 157:3-9. [PMID: 34125811 DOI: 10.24875/gmm.m21000529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION During the first 1000 days of life is the basis for a child's future health established. OBJECTIVE To evaluate the impact of a prenatal educational intervention in pregnant women on the nutritional status of the child from birth to 4 months of age. METHODS Quasi-experimental intervention design in women with at least 12 weeks of gestation, who were randomly assigned to an intervention group (IG) to participate in five group and three individual sessions on feeding practices and maternal perception of the child's weight and signals of hunger-satiety; the control group (CG) received routine care that included at least three prenatal consultations. RESULTS Thirty women were included in each group. After the intervention, women in the CG practiced less exclusive breastfeeding, were more likely to underestimate or overestimate the children's weight, and perceived hunger-satiety signals with less intensity (p < 0.05). 80 % of the infants in the IG had normal weight, whereas 63 % of those in the CG had a combination of overweight and obesity (p < 0.05). CONCLUSIONS The prenatal education program in pregnant women showed a significant effect on postnatal nutritional status of infants four months after birth.
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21
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Bermúdez Barrezueta L, Miñambres Rodríguez M, Palomares Cardador M, Torres Ballester I, López Casillas P, Moreno Carrasco J, Pino Vázquez A. Effect of prenatal and postnatal exposure to tobacco in the development of acute bronchiolitis in the first two years of life. An Pediatr (Barc) 2021; 94:385-395. [PMID: 34090635 DOI: 10.1016/j.anpede.2020.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Accepted: 05/06/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Environmental exposure to tobacco increases the risk of respiratory disease in infants. However, the impact of maternal smoking on the development of acute bronchiolitis has hardly been assessed. The aim of this study was to determine the incidence of acute bronchiolitis and to analyse the effect of prenatal and postnatal maternal smoking on the development of this disease. PATIENTS AND METHODS A prospective, observational study was performed on healthy newborns from a third level hospital born between October 2015 and February 2016. Questionnaires were completed by the mothers at discharge from maternity and followed-up for two years. These collected information about prenatal and postnatal smoking, lifestyle, family and personal history, and the development of bronchiolitis. A bivariate and multivariate logistic regression analysis was performed. RESULTS A total of 223 newborns were included, of whom 13.9% were exposed to tobacco smoking during gestation, 21.4% in the postnatal period, and 12.4% in both times. The incidence of bronchiolitis was 28.7% at one year of life, and 34.5% at two years. The multivariate analysis demonstrated that the prenatal and postnatal exposure to tobacco is an independent risk factor for the development of bronchiolitis (OR 4.38; 95% CI; 1.63-11.76), while prolonged breastfeeding is a protective factor (OR 0.13; 95% CI; 0.04-0.48). Other factors that were statistically significant were: atopic dermatitis (OR 2.91; 95% CI; 1.26-6.73), and gestational age (OR 1.42; 95% CI; 1.08-1.88). CONCLUSIONS Children exposed to prenatal and postnatal maternal smoking have a higher risk of suffering bronchiolitis. Reducing the smoking habit in women that intend to become pregnant must be a priority in preventive medicine.
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Affiliation(s)
- Lorena Bermúdez Barrezueta
- Unidad de Cuidados Intensivos Pediátricos y Neonatales, Hospital Clínico Universitario, Valladolid, Spain.
| | - María Miñambres Rodríguez
- Unidad de Cuidados Intensivos Pediátricos y Neonatales, Hospital Clínico Universitario, Valladolid, Spain
| | | | | | | | | | - Asunción Pino Vázquez
- Unidad de Cuidados Intensivos Pediátricos y Neonatales, Hospital Clínico Universitario, Valladolid, Spain
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22
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Cabrera-Lafuente M, Alonso-Díaz C, Moral Pumarega MT, Díaz-Almirón M, Haiek LN, Maastrup R, Pallás-Alonso C. [Breastfeeding practices in neonatal wards in Spain. Neo-BFHI international survey]. An Pediatr (Barc) 2021; 96:S1695-4033(21)00178-8. [PMID: 34045162 DOI: 10.1016/j.anpedi.2021.04.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 04/09/2021] [Accepted: 04/15/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION In 2017, a worldwide survey was conducted on compliance with the practices promoted by Neo-BFHI (Baby-friendly Hospital Initiative expansion to neonatal wards). OBJECTIVE Present the results of the Spanish wards that participated in the global survey and compare them with those obtained internationally. MATERIAL AND METHODS Cross-sectional study through a survey on compliance with the Neo-BFHI ("Three basic principles", "Ten steps adapted to neonatal wards" and "the compliance with the International Code of Marketing of Breast-milk Substitutes" and subsequent relevant World Health Assembly resolutions). Compliance was calculated as the mean in each indicator and a final mean score for each neonatal unit. For the partial and final scores for each country and at the international level, the median was used. All score ranged between 0 and 100. RESULTS The response rate in Spain was 90%. The range of the national mean for neonatal wards were from 37 to 99, with no differences in the final score according to the level of care. The global score for Spain (72) is below the international median (77) and this also occurs in 8 of 14 items. The neonatal wards from BFHI designated hospitals, obtained a significantly higher mean global score, and in 9 of 14 items than the non-accredited ones. CONCLUSIONS Both international and national results indicate an improvement in breastfeeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
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Affiliation(s)
| | - Clara Alonso-Díaz
- Servicio de Neonatología, Hospital Universitario 12 de Octubre, Madrid, España
| | | | - Mariana Díaz-Almirón
- Sección de Bioestadística, IdiPAZ, Hospital Universitario La Paz, Madrid, España
| | - Laura N Haiek
- Ministère de la Santé et des Services sociaux, Direction générale de la santé publique, Quebec, Canadá; McGill University, Department of Family Medicine, Montreal, Quebec, Canada
| | - Ragnhild Maastrup
- Department of Neonatology, Copenhagen University Hospital Rigshospitalet, University Hospital Rigshospitalet, Department of Neonatology, Blegdamsvej, Dinamarca
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Martín Ruiz N, García Íñiguez JP, Rite Gracia S, Samper Villagrasa MP. [Prospective study on influence of perinatal factors on the development of early neonatal hypoglycemia in late-preterm and term infants]. An Pediatr (Barc) 2021; 96:S1695-4033(21)00170-3. [PMID: 34001463 DOI: 10.1016/j.anpedi.2021.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/27/2020] [Accepted: 04/06/2021] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION AND OBJECTIVE Neonatal hypoglycemia offers multiple controversies. The study aims to assess the main factors involved in the development of early hypoglycemia in term and late preterm infants, and the implication of different environmental circumstances. METHODS A prospective cohort study, in infants born between 34 0/7 weeks and 36 6/7 weeks of gestation. Three capillary blood glucose determinations were performed during the eight first hours after birth. SAMPLE SIZE 207; 59 neonates developed hypoglycemia. RESULTS Prenatal risk factors include gestational diabetes with poor glycemic control, twin pregnancy and gestational age. The presence of meconium amniotic fluid and planned cesarean delivery are associated with a higher probability of hypoglycemia. After birth, skin to skin contact, breastfeeding, soft lightening, and normothermia are described as protective factors. The predictive model that combines the type of lightening, body temperature and the excess of bases level, correctly classifies 98% of the severe hypoglycemia cases, with a high Nagelkerke R2 value (0.645) and specificity of 99.5%. CONCLUSIONS Postnatal environmental factors seem to be directly related to early hypoglycemia development, so it is essential to support the maternal-child union and breastfeeding. Our results allow better identification of neonates who are not subsidiary to performing blood glucose determinations because they have little risk of developing it.
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Affiliation(s)
| | | | - Segundo Rite Gracia
- Unidad de Cuidados Intensivos Neonatales, Hospital Infantil Miguel Servet, Zaragoza, España
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Ortega-García JA, Aguilar-Ros E, Ares-Segura S, Agüera-Arenas JJ, Pernas-Barahona A, Sáenz de Pipaón M, Campillo I López F, Ferrís I Tortajada J. [Occupational exposures, diet and storing: Recommendations to reduce environmental pollutants in breastfeeding]. An Pediatr (Barc) 2021; 94:261.e1-261.e9. [PMID: 33653657 DOI: 10.1016/j.anpedi.2021.01.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 01/26/2021] [Accepted: 01/29/2021] [Indexed: 01/02/2023] Open
Abstract
The pollution of the planet also reaches the breastfeeding ecosystem, one of the most intimate and inviolable that links us as an animal species to the rest of mammals. Nursing mothers may be concerned about whether the quality of their milk will be adequate for their baby and whether environmental pollutants through work, diet, and storing may adversely affect their child. Breast milk is a source of exposure to environmental pollutants, and at the same time it counteracts much of the effects of these exposures. An approach based on the principles of reality and precaution of environmental health to avoid, reduce or eliminate the production and use of harmful chemicals during pregnancy and lactation would improve the human and planetary health for the offspring.
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Affiliation(s)
- Juan Antonio Ortega-García
- Comité de Salud Medioambiental, Asociación Española de Pediatría, Madrid, España; Unidad de Salud Medioambiental, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Environment and Human Health (EH(2)) Lab, IMIB-Murcia, Universidad de Murcia, Murcia, España.
| | - Estefanía Aguilar-Ros
- Comité de Salud Medioambiental, Asociación Española de Pediatría, Madrid, España; Unidad de Salud Medioambiental, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Environment and Human Health (EH(2)) Lab, IMIB-Murcia, Universidad de Murcia, Murcia, España
| | - Susana Ares-Segura
- Comité de Nutrición y Lactancia Materna, Asociación Española de Pediatría, Madrid, España; Servicio de Neonatología, Hospital Universitario La Paz, Madrid, España
| | - Juan José Agüera-Arenas
- Sección de Neonatología, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
| | - Almudena Pernas-Barahona
- Unidad de Salud Medioambiental, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Environment and Human Health (EH(2)) Lab, IMIB-Murcia, Universidad de Murcia, Murcia, España
| | | | - Ferran Campillo I López
- Comité de Salud Medioambiental, Asociación Española de Pediatría, Madrid, España; Equip Pediàtric Territorial de la Garrotxa i el Ripollès, Unitat de Salut Mediambiental Pediàtrica, Fundació Hospital d'Olot i Comarcal de la Garrotxa, Olot, Girona, España
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Balaguer-Martínez JV, García-Pérez R, Gallego-Iborra A, Sánchez-Almeida E, Sánchez-Díaz MD, Ciriza-Barea E. [Predictive capacity for breastfeeding and determination of the best cut-off point for the breastfeeding self-efficacy scale-short form]. An Pediatr (Barc) 2021; 96:S1695-4033(20)30536-1. [PMID: 33516627 DOI: 10.1016/j.anpedi.2020.12.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 12/14/2020] [Accepted: 12/23/2020] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The most widely used tool for assessing breastfeeding self-efficacy is the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). This study asses the relationship between the BSES-SF score and the risk of breastfeeding (BF) cessation and determine the cut-off point in the scale score that optimizes detection of this risk in primary health care pediatric consultations. METHODS Secondary data analysis of the LAyDI study. It is a cohort study. It was carried out through a research network of primary care pediatricians (PAPenRed). A newborn was recruited every month for one year by 210 pediatricians. The cohort was followed for 24 months. Mothers responded to the BSES-SF at the first visit. General pregnancy and delivery data were collected and assessed to determine whether breastfeeding was exclusive or supplemented during the first six months. RESULTS n = 1,845. The area under the ROC curve for the exclusive BF was 0.790 (0.765-0.815) the first month and 0.760 (0.734-0.786) the second month. For four and six months, as well as for any age in mothers who give supplemented BF, the Area Under the Curve was less than 0.75 and its predictive capacity was not considered to be good. For a sensitivity of 80% in detecting mothers at risk of BF cessation with the BSES-SF, the cut-off score was 58. CONCLUSIONS Mothers with a BSES-SF score below 58 points in primary health care, are at risk of early withdrawal of exclusive BF within two months.
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Martínez-Barrio J, Martínez López JA, Galindo M, Ais A, Martínez Sánchez N, Cano L. Importance of family planning in patients with immune-mediated inflammatory diseases: a multidisciplinary approach. Reumatol Clin (Engl Ed) 2021; 18:S1699-258X(20)30279-5. [PMID: 33483261 DOI: 10.1016/j.reuma.2020.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 10/14/2020] [Accepted: 11/26/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND AND OBJECTIVES Family planning in women with immune-mediated inflammatory diseases is a challenge for healthcare teams, highlighting the need for standardized available evidence to provide patients with objective and agreed information. This study reflects the work performed by a multidisciplinary team in reviewing available scientific evidence, and the strategy agreed for family planning, pregnancy, postpartum, and breastfeeding in patients with immune-mediated inflammatory diseases. METHODS A literature search was conducted, information was structured across the different stages (preconception, pregnancy, postpartum and breastfeeding), and an on-site meeting was convened, in which patients and healthcare providers participated. RESULTS Specific materials, which are included in this work, were developed to guide clinical decisions to be agreed upon by patients and healthcare providers. CONCLUSION These materials meet the need for validated and updated information on the approach and use of indicated drugs for professionals responsible for the management of immune-mediated inflammatory diseases.
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Affiliation(s)
- Julia Martínez-Barrio
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España.
| | | | - María Galindo
- Servicio de Reumatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - Arantza Ais
- Servicio de Farmacia Hospitalaria, Hospital Universitario Gregorio Marañón, Madrid, España
| | - Nuria Martínez Sánchez
- Consulta de Enfermedades Autoinmunes y Embarazo, Unidad de Tocología de Alto Riesgo y Obstetricia Médica, Servicio de Obstetricia y Ginecología, Hospital Universitario La Paz, Madrid, España
| | - Laura Cano
- Unidad de Gestión Clínica (UGC) Reumatología, Hospital Regional Universitario de Málaga, Málaga, España
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Solís-García G, Gutiérrez-Vélez A, Pescador Chamorro I, Zamora-Flores E, Vigil-Vázquez S, Rodríguez-Corrales E, Sánchez-Luna M. [Epidemiology, management and risk of SARS-CoV-2 transmission in a cohort of newborns born to mothers diagnosed with COVID-19 infection]. An Pediatr (Barc) 2020; 94:173-178. [PMID: 33431332 PMCID: PMC7833088 DOI: 10.1016/j.anpedi.2020.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/03/2020] [Accepted: 12/12/2020] [Indexed: 12/18/2022] Open
Abstract
INTRODUCTION The impact of maternal SARS-CoV-2 infection and its risk of vertical transmission is still not well known. Recommendations from scientific societies seek to provide safety for newborns without compromising the benefits of early contact. The aim of the study is to describe characteristics and evolution of newborns born to mothers with SARS-CoV-2 infection, as well as the implemented measures following recommendations from the Sociedad Española de Neonatología. METHODS Observational, prospective and single-center cohort study. A specific circuit was designed for mothers with SARS-CoV-2 infection and their newborns. Epidemiological and clinical data were collected. PCR were performed in newborns at delivery and at 14 days of age. RESULTS 73 mothers and 75 newborns were included in the study. 95.9% of maternal infections were diagnosed during the third trimester of pregnancy, 43.8% were asymptomatic. Median gestational age was 38 weeks (IQR: 37-40), 25.9% of newborns required admission to Neonatology. Skin-to-skin mother care was performed in 68% of newborns, 80% received exclusive maternal or donated breast milk during hospital stay. No positive PCR results were observed in newborns at delivery, one case of positive PCR was observed in an asymptomatic neonate at 14 days of age. CONCLUSIONS Risk of SARS-CoV-2 transmission is low when complying to the recommendations issued by Sociedad Española de Neonatología, allowing rooming-in and promoting breastfeeding.
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Affiliation(s)
- Gonzalo Solís-García
- Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Ana Gutiérrez-Vélez
- Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España.
| | | | - Elena Zamora-Flores
- Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Sara Vigil-Vázquez
- Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España
| | | | - Manuel Sánchez-Luna
- Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España
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Oliveira FS, Vieira F, Guimarães JV, Aredes ND, Campbell SH. Lanolin and prenatal health education for prevention of nipple pain and trauma: Randomized clinical trial. Enferm Clin (Engl Ed) 2021; 31:82-90. [PMID: 33277168 DOI: 10.1016/j.enfcli.2020.10.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 10/13/2020] [Accepted: 10/27/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To investigate the effect of lanolin on nipple pain and trauma in breastfeeding after application of a health education. METHOD Randomized controlled clinical trial, with two arms, open, with 66 participants during prenatal care in the primary health care network in Goiania - Goias, Brazil. Participants were randomized (1:1) using computer generated numbers in both experimental group (EG) and control group (CG). The EG received lanolin and health education on breastfeeding at two different times with clinical demonstration using cloth didactic breast and illustrative album as the intervention, while the CG received standard health education. Health education was carried out by the same researchers in both groups. Measurement of pain, nipple trauma, and breastfeeding technique occurred on postpartum day eight. The analysis included descriptive statistics and inferential analysis by means chi-square or Fisher test, and Student's t-test, significance level set at 0.05. RESULTS A majority of the participants experienced no nipple trauma (59.1%) in both groups, and 60.6% of women experienced pain. In both groups, women showed favorable breastfeeding behaviors, except in the condition of the breasts. There were no significant differences between groups in pain prevention (p=0.61), nipple lesions (p=0.21), and breastfeeding technique (p>0.05). CONCLUSION It is not clear whether the intervention, lanolin combined with health education, has a positive effect on the prevention of nipple pain and trauma. Further research is needed to elucidate this question. Registration number: RBR-7tvhq8. Registry website: http://www.ensaiosclinicos.gov.br/.
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Del Rio-Martínez P, López-García M, Nieto-Martínez C, Cabrera-Cabrera MA, Harillo-Acevedo FD, Mengibar-Carrillo A, González-Gallego M, Maestre-García MÁ. Application and evaluation of the best practice guideline: Breastfeeding. Enferm Clin (Engl Ed) 2020; 30:168-175. [PMID: 32417115 DOI: 10.1016/j.enfcli.2020.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 11/18/2019] [Accepted: 03/10/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To analyse the progress of care in the promotion of breastfeeding and describe breastfeeding results following the implementation of the RNAO guideline in various types of national health centres. METHOD Quantitative descriptive longitudinal study of the results of implementing the recommendations of the RNAO-Breastfeeding guideline in 9 national health centres following the implementation methodology of the programme of the Best Practice Spotlight Organization®. Process and result variables are collected at hospital level and in primary care by registering on the CAREVID platform. The weighted mean was calculated as a summary statistic. RESULTS The implementation of the recommendations of the Breastfeeding guideline was associated with a relative increase in: skin-to-skin contact 57,7% (p < 0,000), exclusive breastfeeding in the 1st intake 47,8% (p < 0,000), exclusive breastfeeding on hospital discharge 18,4% (p < 0,000) and prenatal education 63,95% (p < 0,00). CONCLUSION The implementation of the RNAO-Breastfeeding guideline in different national health centres has increased the application of the recommendations based on scientific evidence, generalising appropriate breastfeeding care (such as prenatal education, application of skin-to-skin contact and exclusive breastfeeding in the first intake) and is consequently significantly approaching the international recommendations on breastfeeding.
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Affiliation(s)
| | - Maribel López-García
- Unidad de Tocoginecología, Hospital de Mendaro, OSI Debabarrena, Gipuzkoa, España.
| | | | | | | | | | | | - Mª Ángeles Maestre-García
- Unidad de Ginecología y Obstetricia, Hospital Doctor José Molina Orosa, Área de Salud de Lanzarote, Gerencia de Servicios Sanitarios, Arrecife, Lanzarote, España
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Ruiz Botia I, Cassanello Peñarroya P, Díez Izquierdo A, Martínez Sánchez JM, Balaguer Santamaria A. [Sudden infant death syndrome: Do the parents follow the recommendations?]. An Pediatr (Barc) 2020; 92:222-228. [PMID: 31353309 DOI: 10.1016/j.anpedi.2019.06.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 06/11/2019] [Accepted: 06/17/2019] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Prone sleeping position is the main known modifiable risk factor for sudden infant death syndrome (SIDS). There are other SIDS recommendations although with less impact. The objective of this study is to describe the prevalence of prone position during sleep as well as other risk factors associated with SIDS in a sample of Spanish babies and infants. METHODS Cross-sectional study carried out on 640 families with children from 0 months to 11 months. In addition to the sleep position, the adherence to four other recommendations regarding SIDS was analysed: place where infant sleeps, breastfeeding, use of non-nutritive suction, and maternal smoking. RESULTS A total of 41.3% of infants under 6 months and 59.7% of infants aged 6 to 11 months slept in a non-recommended position. Only 6.4% of families analysed followed all five recommendations. DISCUSSION There is a high prevalence of modifiable risk factors for SIDS among the studied population. Personalized education should be promoted, along with other campaigns to raise awareness and prevent SIDS.
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Affiliation(s)
- Irene Ruiz Botia
- Servicio de Pediatría, Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, España.
| | - Pía Cassanello Peñarroya
- Servicio de Pediatría, Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, España; Universitat Internacional de Catalunya, Barcelona, España
| | - Ana Díez Izquierdo
- Servicio de Pediatría, Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, España; Universitat Internacional de Catalunya, Barcelona, España
| | | | - Albert Balaguer Santamaria
- Servicio de Pediatría, Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, España; Universitat Internacional de Catalunya, Barcelona, España
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Paca-Palao A, Huayanay-Espinoza CA, Parra DC, Velasquez-Melendez G, Miranda JJ. [Association between exclusive breastfeeding and obesity in children: a cross-sectional study of three Latin American countries]. Gac Sanit 2019; 35:168-176. [PMID: 31787405 DOI: 10.1016/j.gaceta.2019.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 07/01/2019] [Accepted: 09/04/2019] [Indexed: 12/25/2022]
Abstract
OBJECTIVE To determine if breastfeeding for at least the first six months of life is associated with overweight and obesity in children 2 to 5 years old. METHOD Cross sectional analysis of data from national demographic and health surveys conducted in Bolivia, Colombia and Peru. Overweight and obesity were defined using World Health Organization standard definitions. Odds ratios (OR) were calculated using multinomial logistic regression. RESULTS The prevalence of obesity in children 2 to 5 years old was 10.4% (95% confidence interval [95%CI]: 8.2-12.6) in Bolivia, 4.9% in Colombia (95%CI: 4.0-5.8), and 6.4% (95%CI: 5.2-8.0) in Peru. Prevalence of exclusive breastfeeding for at least the first 6 months in the study population was 89.9% (95%CI: 87.8-91.9) in Bolivia, 73.9% (95%CI: 72.2-75.6) in Colombia, and 92.8% (95%CI: 91.2-92.4) in Peru. Exclusive breastfeeding was associated with a decreased risk of obesity in children as compared to no breastfeeding or breastfeeding for less than 6 months in Bolivia (OR = .30; 95%CI: .16-.57) and a marginal association in Colombia (OR = .71; 95%CI: .47-1.06) and Peru (OR = .49; 95%CI: 0.23-1.04). No association between breastfeeding and overweight was found. CONCLUSION Exclusive breastfeeding for at least the first six months of life decreases the risk of obesity in children 2 to 5 years old in Bolivia. A similar but weaker pattern was observed for children in Colombia and Peru.
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Affiliation(s)
- Ada Paca-Palao
- Facultad de Salud Pública y Administración Carlos Vidal Layseca, Universidad Peruana Cayetano Heredia, Lima, Perú; Ex Beca Naval Medical Research Unit, NAMRU-6; CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú; Ministerio de Educación, Lima, Perú
| | - Carlos A Huayanay-Espinoza
- CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú
| | - Diana C Parra
- Program of Physical Therapy and Department of Surgery, Institute for Public Health, Washington University in St Louis School of Medicine, St Louis, MO, USA
| | - Gustavo Velasquez-Melendez
- Department of Maternal and Child Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil
| | - J Jaime Miranda
- CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú; Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú.
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Lechosa Muñiz C, Cobo Sánchez JL, Herrera Castanedo S, Cornejo Del Río E, Mateo Sota S, Sáez de Adana Herrero M. [ECoLaE: Validation of a questionnaire on breastfeeding knowledge and skills for Nursing]. Aten Primaria 2019; 52:373-380. [PMID: 31522791 PMCID: PMC7256807 DOI: 10.1016/j.aprim.2019.04.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 04/23/2019] [Indexed: 11/23/2022] Open
Abstract
Objetivo Validar en enfermeras el cuestionario «Encuesta sobre conocimientos en lactancia» (ECoLa). Diseño Estudio de validación, con una adaptación lingüística previa, acorde a las competencias y formación de las enfermeras. Emplazamiento Cantabria. Participantes Enfermeras generalistas, especialistas en pediatría y matronas del Servicio Cántabro de Salud, con responsabilidad en el cuidado madre-hijo. Mediciones principales Se evaluaron las propiedades psicométricas de la versión para enfermería del ECoLa. Consistencia interna: mediante α-Cronbach para las preguntas de respuesta múltiple y para el global, y la fórmula de Kuder-Richardson (KR20) para las preguntas con respuestas dicotómicas. Concordancia interobservadores: mediante el coeficiente kappa en los ítems 18 y 21. Fiabilidad test-retest: con 11 sujetos mediante el coeficiente de correlación intraclase. Resultados La puntuación media del cuestionario fue de 21,15 ± 4,67 puntos. No hubo diferencias estadísticamente significativas con respecto al sexo, ni al número de hijos. Hubo asociación entre la puntuación obtenida en el cuestionario y la experiencia previa en lactancia y con el perfil profesional (matrona 24,23 puntos, enfermera especialista en pediatría 21,20 puntos, enfermera 20 puntos; p < 0,01). Consistencia interna: KR20 de 0,802. El α-Cronbach para preguntas de respuesta múltiple fue de 0,719, y para la totalidad fue de 0,866. Concordancia interobservadores: ítem 18 (kappa = 0,6), ítem 30 (kappa = 0,825), puntuación total (kappa = 0,856). Fiabilidad test-retest: puntuación global (CCI = 0,856; IC 95% 0,55-0,96), pregunta 30 (CCI = 0,93; IC 95% 0,75-0,98). Conclusiones La escala posee propiedades psicométricas que hacen válido y fiable su uso en la evaluación de la formación de los profesionales de enfermería.
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Affiliation(s)
| | - José Luis Cobo Sánchez
- Área de Calidad, Formación, I+D+i de Enfermería, Hospital Universitario Marqués de Valdecilla, Santander, España
| | - Sara Herrera Castanedo
- Observatorio de Salud Pública de Cantabria, Fundación Marqués de Valdecilla, Santander, España
| | - Elsa Cornejo Del Río
- Servicio de Obstetricia, Hospital Universitario Marqués de Valdecilla, Santander, España
| | - Sonia Mateo Sota
- Servicio de Obstetricia, Hospital Universitario Marqués de Valdecilla, Santander, España
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Vila-Candel R, Soriano-Vidal FJ, Murillo-Llorente M, Pérez-Bermejo M, Castro-Sánchez E. [Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community]. Aten Primaria 2019; 51:91-98. [PMID: 29454498 PMCID: PMC6837006 DOI: 10.1016/j.aprim.2017.09.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 08/16/2017] [Accepted: 09/05/2017] [Indexed: 11/24/2022] Open
Abstract
AIMS To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation. DESIGN Observational, retrospective study. LOCATION Health department of La Ribera, Valencia, Spain. PARTICIPANTS Newborns between December 2012 to January 2017. METHODS Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information. MAIN MEASUREMENTS Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables. FINDINGS One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation. CONCLUSION The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.
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Affiliation(s)
- Rafael Vila-Candel
- Departamento de Obstetricia y Ginecología, Hospital Universitario de la Ribera, Alzira, Valencia, España; Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España.
| | - Francisco J Soriano-Vidal
- Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España; Departamento de Obstetricia y Ginecología, Hospital Lluis Alcanyis, Xàtiva, Valencia, España
| | - Mayte Murillo-Llorente
- Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España
| | - Marcelino Pérez-Bermejo
- Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España
| | - Enrique Castro-Sánchez
- National Institute for Health Research Health Protection Research Unit (NIHR HPRU), Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Londres, Reino Unido
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Nieto García A, Berbel Tornero O, Monleón Sancho J, Alberola-Rubio J, López Rubio ME, Picó Sirvent L. [Evaluation of pain in children of 2, 4 and 6 months after the application of non-pharmacological analgesia methods during vaccination]. An Pediatr (Barc) 2018; 91:73-79. [PMID: 30448108 DOI: 10.1016/j.anpedi.2018.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 09/28/2018] [Accepted: 10/03/2018] [Indexed: 10/27/2022] Open
Abstract
INTRODUCTION Young children perceive pain as much, or even more than adults, and the pain may have short- and long-term consequences. The literature describes the use of non-pharmacological interventions to alleviate pain during vaccination. The aim of this study was to assess 3such interventions for analgesia during vaccination: non-nutritive sucking (NNS), breastfeeding (BF), and administration of a 50% dextrose solution (D50W). MATERIALS AND METHODS A prospective, non-randomised cohort study was carried out on infants aged 2, 4 and 6 months that received 1, 2, or 3 vaccines, respectively, according to the routine immunisation schedule. There were 3treatments: NNS, BF, and 2mL of D50W combined with NNS. Pain was assessed using the LLANTO scale, and the duration of crying. RESULTS The study included 387 infants. The mean scores in the LLANTO scale at ages 2 and 6 months were significantly lower in breastfed infants compared to infants managed with NNS (P=.025 and P<.001, respectively), or infants given D50W (P=.025 and P=.001), and the difference was not statistically significant at age 4 months (P=.21 and P=.27). There were no significant differences between infants managed with NNS and D50W at 2, 4, and 6 months (P=.66, P=.93 and P=.45, respectively). The duration of crying was significantly lower at age 6 months in breastfeed infants compared to infants managed with NNS or D50W (P=.013 and P=.017). No breastfed child (n=129) experienced side effects. CONCLUSIONS In infants born to term with adequate weight for gestational age, breastfeeding reduces pain on the administration of 1 or 2 vaccines. When 3 vaccines are given, the reduction is minimal. Administration of D50W does not have any additional analgesic effect in infants compared to being held by a parent combined with NNS during vaccination. BF during vaccination is not associated with any side effects.
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Affiliation(s)
| | - Octavio Berbel Tornero
- Pediatría, Centro de Salud de Paterna, Departamento de Valencia-Arnau de Vilanova-Lliria; Facultad de Medicina. Universidad Católica San Vicente Mártir, Valencia
| | - Javier Monleón Sancho
- Unidad de Patología Uterina, Hospital Universitario Politécnico La Fe, Valencia, España
| | | | | | - Leandro Picó Sirvent
- Servicio de Pediatría, Hospital Universitario Casa Salud, Valencia, España; Facultad de Medicina. Universidad Católica San Vicente Mártir, Valencia
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Gancedo-García A, Fuente-González P, Chudáčik M, Fernández-Fernández A, Suárez-Gil P, Suárez Martínez V. [Factors associated with the anxiety level and knowledge about childcare and lactation in first-time pregnant women]. Aten Primaria 2018; 51:285-293. [PMID: 29803399 PMCID: PMC6839201 DOI: 10.1016/j.aprim.2017.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Revised: 11/16/2017] [Accepted: 12/13/2017] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVE To know the level of anxiety and knowledge of childcare and lactation of the current pregnant women, and the clinical-demographic variables with which they are related. DESIGN Cross-sectional study. SETTING Seven health centers of Area V (Asturias). PARTICIPANTS First-time pregnant women who completed preparatory courses from 01.06.2015 to 31.10.2015, excluding multiple gestation, risk pregnancy, contraindicated breastfeeding and language problems. INTERVENTIONS Sociodemographic variables questionnaire, STAI state anxiety questionnaire and 23 questions about childcare and lactation. MAIN MEASUREMENTS We performed descriptive and multivariate analysis (program R) of the variables of the questionnaire. RESULTS We captured 104 pregnant women; average age 34.2(SD: 4.5), 94.2% Spanish, 61.5% university, 17.3% smokers in pregnancy, 23.1% with psychopathological antecedents; 88.4% planned to give breastfeeding. The mean STAI-S was 18.1(SD: 7.4) and scored 4.5(SD: 2.3) mean errors. The most faulty ones were on causes of fever (56.7%), fever measurement (54.8%) and physiological stools (55.7%). The multivariate analysis between knowledge and profile showed statistically significant associations with: being foreign, university, pregnancy planning and matron. In relation to the STAI-S was significant for being a smoker, receiving breastfeeding, psychopathological antecedents and matron. CONCLUSIONS The current pregnant women who complete preparatory courses are mainly mature, university and Spanish. They have good concepts about breastfeeding but many are unaware of basic concepts of fever and stool of the infant. Foreign mothers with unwanted pregnancy and primary education seem to have more confusing concepts. Smoking mothers with psychopathological antecedents and who have not received breastfeeding present more anxiety. The matron significantly influences anxiety and acquired concepts.
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Affiliation(s)
- Ana Gancedo-García
- Medicina de Familia y Comunitaria, Área V, Gijón, Asturias, España; Mutua Fraternidad-Muprespa, Avilés, Asturias, España.
| | | | - Michal Chudáčik
- Medicina de Familia y Comunitaria, Área III, Avilés, Asturias, España
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Franco-Ramírez JA, Cabrera-Pivaral CE, Zárate-Guerrero G, Franco-Chávez SA, Covarrubias-Bermúdez MÁ, Zavala-González MA. [Social representations of Mexican pregnant teenagers about the puerperal care, lactation, and newborn care]. Bol Med Hosp Infant Mex 2018; 75:153-159. [PMID: 29799529 DOI: 10.24875/bmhim.m18000014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Puerperal care and feeding of the newborn are guided by entrenched cultural meanings between women, so it is important to know and identify how they are acquired and perpetuated. Regarding this knowledge, the social representations that Mexican pregnant teenagers have about puerperium, lactation and newborn care were studied. Methods An interpretative study was made based on principles of the theory of social representations. Interviews were conducted to obtain information from 30 Mexican adolescents who attended prenatal care at the gynecological obstetrics area in a second-level hospital during 2015. Classical content analysis strategies were applied to analyze the information; this process consisted of coding and categorizing information. A conceptual map was also developed to describe the social representations found. Results In this study, 190 codes and three social representations were identified: "breastfeeding is a practice based on myths", "newborns are fragile" and "mother and child must be synchronized". Conclusions Three social representations were identified that explain the practices of adolescents towards breastfeeding and the care of them and their children, which were acquired through family communication and strengthened by the need for support due to the temporary or permanent absence of the couple, personal crises motivated by bodily changes, fear of new modifications due to breastfeeding and ignorance about how carry out breastfeeding and care during the puerperium.
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Affiliation(s)
- Julieta A Franco-Ramírez
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Carlos E Cabrera-Pivaral
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Gabriel Zárate-Guerrero
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Sergio A Franco-Chávez
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | | | - Marco A Zavala-González
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
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Abstract
Background The best nourishment for infants during the first 6 months of life is exclusive breastfeeding. It is recommended along with other food to complement the diet until the child is 2 years old, as long as the mother and the child are willing to continue with it. The objectives of this study were to determine he exclusive breastfeeding rate in full term newborns at hospital discharge and 15 days later and to analyze the factors that positively affect the exclusive breastfeeding. Methods A prospective study was conducted in which a sample of postpartum women with full term newborns was recruited during hospital admission. Different variables were compiled and two interviews were made to determine the kind of feeding they were giving their children and if it was maintained at 15 days of birth. Results Exclusive breastfeeding rate at hospital discharge is much lower than recommended. It significantly decreases at 15 days of birth, increasing artificial feeding. It seems that having a vaginal birth, no complications giving birth, providing early breastfeeding and skin-to-skin contact in the delivery room are predisposing factors necessary to establish a good breastfeeding at hospital discharge. Conclusions Despite the efforts of professionals, the percentage of newborns with exclusive breastfeeding at birth is not enough for the current recommendations.
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Affiliation(s)
- Pedro Luis Del Mazo-Tomé
- Servicio de Neonatología, Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias (HUCA), Asturias, España
| | - Marta Suárez-Rodríguez
- Servicio de Neonatología, Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias (HUCA), Asturias, España
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Balaguer Martínez JV, Valcarce Pérez I, Esquivel Ojeda JN, Hernández Gil A, Martín Jiménez MDP, Bernad Albareda M. [Telephone support for breastfeeding by primary care: a randomised multicentre trial]. An Pediatr (Barc) 2018; 89:344-351. [PMID: 29576447 DOI: 10.1016/j.anpedi.2018.02.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Revised: 02/12/2018] [Accepted: 02/14/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To evaluate a telephone support programme for mothers who breastfeed for the first 6 months. METHODS A randomised unmasked clinical trial was conducted in 5 urban Primary Care centres that included mothers with healthy newborns who were breastfeeding exclusively (EBF) or partially (PBF). The control group received the usual care. The intervention group also received telephone support for breastfeeding on a weekly basis for the first 2months and then every 2weeks until the sixth month. The type of breastfeeding was recorded in the usual check-up visit (1, 2, 4 and 6 months). RESULTS The study included 193 patients in the intervention group, and 187 in a control group. The greatest increase in the percentage of EBF was observed at 6 months: 21.4% in the control group compared to 30.1% in the intervention group. However, in the adjusted odds ratios analysis, confidence intervals did not show statistical significance. The odds ratio at 1 month, 2 months, 4 months, and 6 months for EBF were 1.45 (0.91-2.31), 1.35 (0.87-2.08), 1.21 (0.80-1.81), and 1.58 (0.99-2.53), respectively. The odds ratio in the same age groups for any type of breastfeeding (EBF + PBF) were 1.65 (0.39-7.00), 2.08 (0.94-4.61), 1.37 (0.79-2.38), and 1.60 (0.98-2.61), respectively. CONCLUSIONS Telephone intervention was not effective enough to generalise it.
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García González A, Leante Castellanos JL, Fuentes Gutiérrez C, Lloreda García JM, Fernández Fructuoso JR, Gómez Santos E, García González V. [Five steps to decreasing nosocomial infections in large immature premature infants: A quasi-experimental study]. An Pediatr (Barc) 2016; 87:26-33. [PMID: 27449159 DOI: 10.1016/j.anpedi.2016.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Revised: 06/01/2016] [Accepted: 06/15/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES An evaluation is made of the impact of a series of five interventions on the incidence of hospital-related infections in a level iii neonatal unit. MATERIAL AND METHODS Quasi-experimental, pre-post intervention study, which included preterm infants weighing 1,500g at birth or delivered at <32 weeks gestation, admitted in the 12 months before and after the measures were implemented (January 2014). The measures consisted of: optimising hand washing, following a protocol for insertion and handling of central intravenous catheters, encouraging breastfeeding; applying a protocol for rational antibiotic use, and establishing a surveillance system for multi-resistant bacteria. The primary endpoint was to assess the incidence of hospital-acquired infections before and after implementing the interventions. RESULTS Thirty-three matched patients were included in each period. There was an incidence of 8.7 and 2.7 hospital-related infections/1,000 hospital stay days in the pre- and post-intervention periods, respectively (P<.05). Additionally, patients in the treatment group showed a statistically-significant decrease in days on mechanical ventilation, use of blood products, and vasoactive drugs. CONCLUSIONS The strategy, based on implementing five specific measures in a unit with a high rate of hospital-related infections, proved effective in reducing their incidence. This reduction could contribute to lowering the use of mechanical ventilation, blood products, and vasoactive drugs.
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Affiliation(s)
- Ana García González
- Sección de Neonatología, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España.
| | | | - Carmen Fuentes Gutiérrez
- Sección de Neonatología, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España
| | - José María Lloreda García
- Sección de Neonatología, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España
| | | | - Elisabet Gómez Santos
- Sección de Neonatología, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España
| | - Verónica García González
- Sección de Neonatología, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España
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Troncoso P, Villagrán A, Vera M, Estay A, Ortiz M, Serrano C, Hernández C, Harris PR. [Maternal infection due to Helicobacter pylori does not increase the risk of the infection in the first trimester of the life of their infants]. ACTA ACUST UNITED AC 2016; 87:474-479. [PMID: 27425773 DOI: 10.1016/j.rchipe.2016.06.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2016] [Revised: 06/07/2016] [Accepted: 06/09/2016] [Indexed: 12/26/2022]
Abstract
INTRODUCTION H. pylori infection is acquired early in childhood. However, there is little information available regarding the role of breastfeeding and neonatal acquisition of the infection. OBJECTIVE To evaluate factors affecting the acquisition of H. pylori in newborns and infants from infected mothers. PATIENTS AND METHOD Consecutive mothers and their newborns were recruited into the study from the maternity unit, immediately after delivery. After signing informed consent, one stool sample from the mother was obtained before hospital discharge. Three stool samples of the newborns were then collected at home at 15, 60, and 90 days of life, for the detection of H. pylori antigen (Monoclonal HpSAg, sensitivity 94% and specificity 97%). The socio-epidemiological and biomedical variables were also analysed using a questionnaire. RESULTS A total of 32 mother-child pairs (64 subjects) were enrolled. The mean maternal age was 30.1±5.1 years, with 53% vaginal delivery, and 85% exclusively breastfed. There were 13 (40%) infected mothers. No H. pylori infection was detected in newborns and infants up to 3 months of follow-up. No significant differences were found in socioeconomic level between infected versus non-infected mothers (both groups mostly in the very high socioeconomic category: 28% and 32%, respectively, P=.15) and in the number of family members between infected versus non-infected mothers (3.8±0.8 vs 4.2±1.8 persons, P=.18). CONCLUSION Despite having a significant percentage of H. pylori-infected mothers, no newborn was infected at the third month of life. The protective role of breastfeeding cannot be ruled out.
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Affiliation(s)
- Paula Troncoso
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Pediatría y Cirugía Infantil, Universidad de La Frontera, Temuco, Chile
| | - Andrea Villagrán
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Macarena Vera
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Alberto Estay
- Departamento de Neonatología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Marlene Ortiz
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Carolina Serrano
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Caroll Hernández
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Paul R Harris
- Laboratorio de Inmunología e Infección Gastrointestinal, Departamento de Gastroenterología y Nutrición Pediátrica, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
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Glisser MB, Barragán TDC, Weisstaub G. [Breastfeeding indicators produced at time of vaccination in four Primary Care Centres in southern Santiago, Chile]. Rev Chil Pediatr 2016; 87:11-17. [PMID: 26471313 DOI: 10.1016/j.rchipe.2015.07.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Revised: 06/15/2015] [Accepted: 07/01/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES To compare official breastfeeding (BF) data with those obtained by interviews conducted during regular vaccination visits. SUBJECTS AND METHOD A pilot descriptive study with convenience sampling was conducted by interviewing guardians of children attending vaccination in four Primary Care Centres in south Santiago. BF prevalence indicators were calculated and stratified by age and education of mothers. A comparison was made between the results and the official ones reported by each Centre. Chi-squared (X2) was calculated to evaluate differences (P<.05) RESULTS: A total of 1990 cases were analysed, in which exclusive BF prevalence was 43.4%, 34.2% and 8.8%, at 2, 4, and 6 months, respectively. At the sixth month, official data (41%) was significantly higher (P<.001). Mothers with less than 12 years of schooling have a lower prevalence of exclusive BF at the 4th month than those with higher education (28.4% vs. 37.8%, respectively, P<.05). CONCLUSIONS Even considering the small size of the sample studied, exclusive BF prevalence obtained is surprisingly lower than official reported data. That difference might be explained by: (a) children brought to vaccinations are roughly two fold the number brought to well-child clinics and, (b) potential bias in official data obtained by staff in charge of promotion and education on BF practices, which could distort the results. Further studies are needed to improve the methodology for collecting and analysis BF data.
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Gómez Fernández-Vegue M, Menéndez Orenga M. [Development And Validation Of A Breastfeeding Knowledge And Skills Questionnaire]. An Pediatr (Barc) 2015; 83:387-96. [PMID: 25818018 DOI: 10.1016/j.anpedi.2015.01.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 01/12/2015] [Accepted: 01/14/2015] [Indexed: 01/09/2023] Open
Abstract
INTRODUCTION Pediatricians play a key role in the onset and duration of breastfeeding. Although it is known that they lack formal education on this subject, there are currently no validated tools available to assess pediatrician knowledge regarding breastfeeding. OBJECTIVE To develop and validate a Breastfeeding Knowledge and Skills Questionnaire for Pediatricians. MATERIAL AND METHODS Once the knowledge areas were defined, a representative sample of pediatricians was chosen to carry out the survey. After pilot testing, non-discriminating questions were removed. Content validity was assessed by 14 breastfeeding experts, who examined the test, yielding 22 scorable items (maximum score: 26 points). To approach criterion validity, it was hypothesized that a group of pediatricians with a special interest in breastfeeding (1) would obtain better results than pediatricians from a hospital without a maternity ward (2), and the latter would obtain a higher score than the medical residents of Pediatrics training in the same hospital (3). The questionnaire was also evaluated before and after a basic course in breastfeeding. RESULTS Breastfeeding experts have an index of agreement of >.90 for each item. The 3 groups (n=82) were compared, finding significant differences between group (1) and the rest. Moreover, an improvement was observed in the participants who attended the breastfeeding course (n=31), especially among those with less initial knowledge. Regarding reliability, internal consistency (KR-20=.87), interobserver agreement, and temporal stability were examined, with satisfactory results. CONCLUSIONS A practical and self-administered tool is presented to assess pediatrician knowledge regarding breastfeeding, with a documented validity and reliability.
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Baquero-Artigao F, Mellado Peña MJ, del Rosal Rabes T, Noguera Julián A, Goncé Mellgren A, de la Calle Fernández-Miranda M, Navarro Gómez ML; Working Group on gestational, congenital, and postnatal tuberculosis, Spanish Society of Pediatric Infectious Diseases (PFIC). [Spanish Society for Pediatric Infectious Diseases guidelines on tuberculosis in pregnant women and neonates (ii): Prophylaxis and treatment]. An Pediatr (Barc) 2015; 83:286.e1-7. [PMID: 25754314 DOI: 10.1016/j.anpedi.2015.01.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Revised: 12/31/2014] [Accepted: 01/19/2015] [Indexed: 11/21/2022] Open
Abstract
In pregnant women who have been exposed to tuberculosis (TB), primary isoniazid prophylaxis is only recommended in cases of immunosuppression, chronic medical conditions or obstetric risk factors, and close and sustained contact with a patient with infectious TB. Isoniazid prophylaxis for latent tuberculosis infection (LTBI) is recommended in women who have close contact with an infectious TB patient or have risk factors for progression to active disease. Otherwise, it should be delayed until at least three weeks after delivery. Treatment of TB disease during pregnancy is the same as for the general adult population. Infants born to mothers with disseminated or extrapulmonary TB in pregnancy, with active TB at delivery, or with postnatal exposure to TB, should undergo a complete diagnostic evaluation. Primary isoniazid prophylaxis for at least 12 weeks is recommended for those with negative diagnostic tests and no evidence of disease. Repeated negative diagnostic tests are mandatory before interrupting prophylaxis. Isoniazid for 9 months is recommended in LTBI. Treatment of neonatal TB disease is similar to that of older children, but should be maintained for at least 9 months. Respiratory isolation is recommended in congenital TB, and in postnatal TB with positive gastric or bronchial aspirate acid-fast smears. Separation of mother and infant is only necessary when the mother has received treatment for less than 2 weeks, is sputum smear-positive, or has drug-resistant TB. Breastfeeding is not contraindicated, and in case of mother-infant separation expressed breast milk feeding is recommended.
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Toro Monjaraz EM, Ramírez Mayans JA, Cervantes Bustamante R, Gómez Morales E, Molina Rosales A, Montijo Barrios E, Zárate Mondragón F, Cadena León J, Cazares Méndez M, López-Ugalde M. Perinatal factors associated with the development of cow's milk protein allergy. Rev Gastroenterol Mex 2015; 80:27-31. [PMID: 25724742 DOI: 10.1016/j.rgmx.2015.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Revised: 12/09/2014] [Accepted: 01/12/2015] [Indexed: 12/17/2022]
Abstract
UNLABELLED The prevalence of cow's milk protein allergy (CMPA) has increased in recent years, and is associated with antimicrobial use during the perinatal period, prematurity, the type of childbirth, and the decrease in breastfeeding. The aim of this study was to analyze whether there is any association between these factors and the development of CMPA. MATERIAL AND METHODS A retrospective, comparative, cross-sectional, observational study was conducted by reviewing the case records of 101 children diagnosed with CMPA and seen at the Department of Gastroenterology and Nutrition of the Instituto Nacional de Pediatría within the time frame of January 2012 and August 2013. The following variables were included: age, sex, weeks of gestation, history of maternal infection and antimicrobial use during the pregnancy, type of delivery, and feeding with human milk, and its duration. Likewise, the case records of 90 children were reviewed as a control group on not having CMPA or any other allergy. The chi-square test was used for proportions, and the Mann-Whitney U test was used for comparing means in the statistical analysis. RESULTS The factors associated with CMPA were the use of antimicrobials during gestation and breastfeeding duration in months. Both factors were statistically significant (P<.001). No association was found between CMPA and gestational age or type of delivery. CONCLUSIONS The statistically significant associated factors were breastfeeding duration and the use of antimicrobials during the gestational stage. These results underline the necessity for prospective studies.
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Affiliation(s)
- E M Toro Monjaraz
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México.
| | - J A Ramírez Mayans
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - R Cervantes Bustamante
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - E Gómez Morales
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - A Molina Rosales
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - E Montijo Barrios
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - F Zárate Mondragón
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - J Cadena León
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - M Cazares Méndez
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
| | - M López-Ugalde
- Departamento de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, México, D.F., México
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Galindo Gómez A, Flores Scheufler P, Quevedo Escobar Y, González Magaña R, Rodríguez De Ita J. [Adiponectin levels in breast milk of overweight/obese and normal weight mothers in the metropolitan area of Monterrey, México]. Bol Med Hosp Infant Mex 2015; 72:242-248. [PMID: 29421143 DOI: 10.1016/j.bmhimx.2015.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 07/21/2015] [Accepted: 07/28/2015] [Indexed: 10/23/2022] Open
Abstract
BACKGROUND Given the current epidemic of childhood obesity, it has become increasingly important to understand the risks and protective factors associated with this disease. Breastfeeding has been identified as a protective factor; however, the mechanism responsible has not been elucidated. One of the current theories analyzes the role of hormones in breast milk, with special emphasis on adiponectin. This study aims to compare adiponectin levels in breast milk of mothers with normal weight with those in breast milk of overweight/obese mothers as well as to correlate these levels with the infant's weight gain. METHODS Forty samples of breast milk were analyzed for adiponectin levels using ELISA, 20 from mothers with normal weight and 20 from overweight/obese mothers. RESULTS Adiponectin levels were lower in breast milk obtained from overweight/obese mothers than in breast milk from mothers with normal weight (p <0.05). When comparing infant weight gain, those fed with breast milk containing higher concentrations of adiponectin had a lower weight gain than those fed with breast milk containing low levels of the hormone (p <0.05). CONCLUSIONS There is a strong negative correlation between mothers' BMI and adiponectin levels in breast milk. Mothers with a higher BMI had lower adiponectin levels in their breast milk. There is also a negative relationship between adiponectin levels in breast milk and weight gain of breastfed infants. Infants breast fed with adiponectin-rich breast milk had a lower weight gain.
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Affiliation(s)
- Abelardo Galindo Gómez
- Pediatría, Programa Multicéntrico de Residencias Médicas, Instituto Tecnológico de Estudios Superiores de Monterrey-Secretaría de Salud, Monterrey, Nuevo León, México.
| | - Pamela Flores Scheufler
- Pediatría, Programa Multicéntrico de Residencias Médicas, Instituto Tecnológico de Estudios Superiores de Monterrey-Secretaría de Salud, Monterrey, Nuevo León, México
| | - Yamile Quevedo Escobar
- Servicio Social, Escuela de Medicina del Tecnológico de Monterrey, Campus Monterrey, Monterrey, Nuevo León, México
| | - Regina González Magaña
- Servicio Social, Escuela de Medicina del Tecnológico de Monterrey, Campus Monterrey, Monterrey, Nuevo León, México
| | - Julieta Rodríguez De Ita
- Investigación de Pediatría, Escuela de Medicina del Tecnológico de Monterrey, Campus Monterrey, Monterrey, Nuevo León, México
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Oribe M, Lertxundi A, Basterrechea M, Begiristain H, Santa Marina L, Villar M, Dorronsoro M, Amiano P, Ibarluzea J. [Prevalence of factors associated with the duration of exclusive breastfeeding during the first 6 months of life in the INMA birth cohort in Gipuzkoa]. Gac Sanit 2015; 29:4-9. [PMID: 25258325 DOI: 10.1016/j.gaceta.2014.08.002] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Revised: 08/04/2014] [Accepted: 08/08/2014] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To estimate the prevalence of exclusive breastfeeding (EB) during the first 6 months of life in the Gipuzkoa birth cohort, identify the reasons for abandonment of EB, and establish the associated factors. METHODS The study population consisted of 638 pregnant women from the INMA-Gipuzkoa (Infancia y Medio Ambiente, www.proyectoinma.org) birth cohort, who were followed up from the third trimester of pregnancy until the child was aged 14 months. To determine the factors related to abandonment of EB, logistic regression models were used in two different stages (4 months or early stage and 6 months or late stage). RESULTS The prevalence of EB within the Gipuzkoa cohort was 84.8% after hospital discharge, 53.7% at 4 months of life and 15.4% at 6 months of life. The reasons given by the mothers for early EB cessation were: breastfeeding problems, low weight gain and hypogalactia. Other factors influencing the early phase were the intention to provide EB, parity, area of residence and social class. Abandonment in the late stage was influenced by the length of maternity leave. CONCLUSIONS From a public health perspective, the results of this study could help health professionals to develop strategies to support breastfeeding mothers, taking into account the main reasons for early and late abandonment.
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López Maestro M, Melgar Bonis A, de la Cruz-Bertolo J, Perapoch López J, Mosqueda Peña R, Pallás Alonso C. [Developmental centered care. Situation in Spanish neonatal units]. An Pediatr (Barc) 2013; 81:232-40. [PMID: 24290892 DOI: 10.1016/j.anpedi.2013.10.043] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Revised: 10/22/2013] [Accepted: 10/23/2013] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Developmental centered care (DC) is focused on sensorineural and emotional development of the newborns. In Spain we have had information on the application of DC since 1999, but the extent of actual implementation is unknown. OBJETIVE To determine the level of implementation of DC in Spanish neonatal units where more than 50 infants weighing under 1500g were cared for in 2012. A comparison was made with previous data published in 2006. MATERIAL AND METHODS A descriptive observational cross-sectional study was performed using a survey with seven questions as in the 2006 questionnaire. RESULTS The survey was sent to 27 units. The response rate was 81% in 2012 versus 96% in 2006. Noise control measures were introduced in 73% of units in 2012 versus 11% in 2006 (P<.01). The use of saccharose was 50% in 2012 versus 46% in 2006 (P=.6). Parents free entry was 82% in 2012 versus 11% in 2006 (P<.01). Kangaroo care was used without restriction by 82% in 2012 compared to 31% in 2006 (P<.01). CONCLUSIONS The implementation of the DC in Spain has improved. There is still room for improvement in areas, such as the use of saccharose or noise control. However, it is important to highlight the positive change that has occurred in relation to unrestricted parental visits.
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Affiliation(s)
- M López Maestro
- Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España; Red de Salud Materno Infantil y del Desarrollo (RED SAMID).
| | - A Melgar Bonis
- Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España
| | - J de la Cruz-Bertolo
- Departamento de Epidemiología e Investigación clínica, Hospital 12 de Octubre, Madrid, España
| | - J Perapoch López
- Red de Salud Materno Infantil y del Desarrollo (RED SAMID); Servicio de Neonatología, Hospital Vall d'Hebrón, Barcelona, España
| | - R Mosqueda Peña
- Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España
| | - C Pallás Alonso
- Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España; Red de Salud Materno Infantil y del Desarrollo (RED SAMID)
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González Jiménez D, Costa Romero M, Riaño Galán I, González Martínez MT, Rodríguez Pando MC, Lobete Prieto C. [Prevalence of ankyloglossia in newborns in Asturias (Spain)]. An Pediatr (Barc) 2013; 81:115-9. [PMID: 24286885 DOI: 10.1016/j.anpedi.2013.10.030] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Revised: 07/25/2013] [Accepted: 10/14/2013] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION The prevalence of ankyloglossia has been estimated at around 4% of live births. Its prevalence at national level is unknown. MATERIAL AND METHODS Multicenter, prospective observational study. Six hospitals in Asturias took part. All newborns were examined on Sundays, Tuesdays and Thursdays for 3 months. Coryllos and Hazelbaker criteria were used to diagnose ankyloglossia. RESULTS The prevalence in the 667 newborns examined was 12.11% (95% CI: 9.58 to 14.64), of whom 62% were male. One in 4 children with ankyloglossia had a family history. According to Coryllos' classification, type II was the most common (54%). CONCLUSIONS The prevalence of ankyloglossia in Asturias was 2 to t3 times higher than expected. The diagnostic criteria for ankyloglossia needs to be unified, and further studies are required to determine the association with breastfeeding difficulties and other health problems.
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Affiliation(s)
- D González Jiménez
- Servicio de Pediatría, Hospital Carmen y Severo Ochoa, Cangas del Narcea, España.
| | - M Costa Romero
- Neonatología, Área de Gestión Clínica de Pediatría, Hospital Central de Asturias, Oviedo, España
| | - I Riaño Galán
- Servicio de Pediatría, Hospital San Agustín, Avilés, España
| | | | | | - C Lobete Prieto
- Servicio de Pediatría, Hospital del Oriente de Asturias, Arriondas, España
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Sequi-Canet JM, Sala-Langa MJ, Collar Del Castillo JI. [Perinatal factors affecting the detection of otoacoustic emissions in vaginally delivered, healthy newborns, during the first 48 hours of life]. Acta Otorrinolaringol Esp 2013; 65:1-7. [PMID: 24079455 DOI: 10.1016/j.otorri.2013.07.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Revised: 06/24/2013] [Accepted: 07/02/2013] [Indexed: 11/19/2022]
Abstract
INTRODUCTION AND OBJECTIVES Most hospitals perform neonatal hearing screening because it is a very useful procedure. Otoacoustic emissions are an ideal technique for this screening. We analyse the possible influence on screening results of some perinatal factors. MATERIALS AND METHODS We collected retrospective data from 8,239 healthy newborns delivered vaginally at the maternity ward of our hospital. We compared multiple perinatal factors vs the results of otoacoustic emissions performed within the first 48 h of life, before discharge. RESULTS A total of 6.4% of newborns had an abnormal response and failed the screening. Univariate and multivariate analysis showed a significant (P<.0001) positive relationship between breastfeeding and normal otoacoustic emissions (OR: 0.65). Another, less significant factor was female gender. The remaining variables, including origin, education or employment status of the mother, maternal smoking, dystocic delivery, presentation, need for resuscitation, preterm labour (34-36 weeks), weight, length and frequent maternal pathology, such as streptococcus detection, hypothyroidism, hypertension or diabetes, were not significant. CONCLUSIONS Breastfeeding was the most important factor related to a normal response in otoacoustic emissions. It may improve final results and reduce the number of neonates who need to be rescheduled for a repeated test, as well as the associated anxiety and the possibility of losing patients during follow-up. These are major problems in neonatal hearing screening.
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Affiliation(s)
- José M Sequi-Canet
- Servicio de Pediatría, Hospital Francesc de Borja, Gandía, Valencia, España.
| | - María J Sala-Langa
- Servicio de Pediatría, Hospital Francesc de Borja, Gandía, Valencia, España
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Cuadrón Andrés L, Samper Villagrasa MP, Álvarez Sauras ML, Lasarte Velillas JJ, Rodríguez Martínez G. [Breastfeeding prevalence during the first year of life in Aragon. CALINA study]. An Pediatr (Barc) 2013; 79:312-8. [PMID: 23639422 DOI: 10.1016/j.anpedi.2013.03.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Revised: 02/27/2013] [Accepted: 03/12/2013] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES To study the current prevalence of breastfeeding (BF) in Aragon (Spain) during the first 12 months of life, and analyse its demographic, perinatal and social influential factors. MATERIAL AND METHODS Obstetric, perinatal and feeding aspects were evaluated in a longitudinal and observational study, in a representative cohort of infant population from Aragon born between March 2009 to March 2010, controlled until 12 months of age (N=1.602). RESULTS Exclusive or predominant BF was more frequent than the rest of feeding modalities during the first 4 months of life. Maintenance prevalence of any BF modality was 82.5% at 1(st) month of age, 71.8% at 3(rd), 54.3% at 6(th), and 27.8% at 12 months of age. Maternal variables that were significantly associated with BF maintenance both at 1 and 6 months of age were: delivery modality (higher probability in case of vaginal delivery), academic level (higher probability if university studies), origin (higher probability in mothers from Africa), adiposity (higher probability of normal weight or overweight mothers compared with obese ones), and not to smoke during gestation. CONCLUSIONS BF prevalence in Aragon (Spain) during the first 12 months of age is high and has increased compared with previous data. BF continues in more than half of infants at six months and in a quarter of infants at 12 months of age. Maternal factors that significantly influence BF initiation and maintenance are, delivery modality, academic level, origin (immigration), adiposity and smoking habit.
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Affiliation(s)
- L Cuadrón Andrés
- Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
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