Breastfeeding Medicine / Academy of Breastfeeding Medicine . Vol. 13, n°2Mention de date : Mars 2018
Paru le : 01/03/2018
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Exclusive Breastfeeding and Complementary Feedings Are Not Mutually Exclusive / Arthur I. Eidelman in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : Exclusive Breastfeeding and Complementary Feedings Are Not Mutually Exclusive : Editorial Type de document : texte imprimé Auteurs : Arthur I. Eidelman, Auteur Année de publication : 2018 Article en page(s) : p. 93 Langues : Anglais (eng) Catégories : Allaitement exclusif
Résumé : "This past year has seen a dramatic increase in the intensity of the discussions regarding how we should relate to the standard recommendation for what should be the duration of exclusive breastfeeding (EBF). The World Health Organization (WHO) continues to recommend 6 months to be followed with the introduction of complementary food (CF), whereas the American Academy of Pediatrics (AAP) recommends “about 6 months.”1
Few if any debate the appropriateness of these recommendations for mothers in the developing world given the reality in those countries of a significant infectious disease risk, the unavailability, all too often, of adequately nutritious CFs and the economic realities of the population. In contrast, in the developed world, such as the United States where the rate of EBF is much lower, that is, at 3 months it is 44% whereas it is only 22% at 6 months,2 this recommendation is best adhered to with “lip service.” Of note, the 2020 United States Healthy Peoples Goal for 6 months of “exclusivity” is 25%, surely not anticipating adherence to either the WHO or the AAP recommendation. Similar statistics from Europe confirm this phenomenon of a varied but still small percentage of mothers providing EBF at 6 months (United Kingdom 1%, Czech Republic 17%, Sweden 9%, and The Netherlands 39%.3"
[Extrait de l'article]
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - p. 93[article]Treating Hypertension During Breastfeeding / Philip O. Anderson in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : Treating Hypertension During Breastfeeding Type de document : texte imprimé Auteurs : Philip O. Anderson, Auteur Année de publication : 2018 Article en page(s) : pp. 95-96 Langues : Anglais (eng) Catégories : Cardiologie
Résumé : "More nursing mothers might be receiving antihypertensive drugs under the new, stricter hypertension guidelines. The information on antihypertensive drugs during lactation is quite variable, with some drugs well established as acceptable and others with no human lactation information at all. This column reviews the various options for treating hypertension. Further study details and references can be found in the corresponding drug records in LactMed.®"
[Extrait de l'article]
En ligne : https://www.liebertpub.com/doi/full/10.1089/bfm.2017.0236 Permalink :
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - pp. 95-96[article]Implementation and Organization of a Perioperative Lactation Program: A Descriptive Study / Elisabeth F. Rieth in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : Implementation and Organization of a Perioperative Lactation Program: A Descriptive Study Type de document : texte imprimé Auteurs : Elisabeth F. Rieth, Auteur ; Kara M. Barnett, Auteur ; Jennifer A. Simon, Auteur Année de publication : 2018 Article en page(s) : pp. 99-103 Langues : Anglais (eng) Catégories : Anesthésie générale
Démarrage de l'allaitement
Durée de l'allaitement
Résumé : "AbstractIntroduction: As breastfeeding rates rise, perioperative care of lactating women is an increasingly important issue. There is a lack of reports describing the implementation of perioperative lactation programs. Beginning in 2014, Memorial Sloan Kettering Cancer Center developed a perioperative lactation program to address the comprehensive care of lactating patients. The aim of this study was to determine the incidence of lactation in our perioperative population, as well as to describe preliminary data and experiences during the implementation of our program.Materials and Methods: This retrospective descriptive study included lactating patients who underwent procedures requiring anesthesia care at our institution from August 2014 to February 2017. This period coincided with implementation of the lactation program, which focused on patient identification, education, and support, as well as staff education and collaboration. Patient volume and characteristics, procedure types, and intraoperative non-narcotic analgesic use were analyzed.Results: Over the 30-month study period, we identified 80 lactating perioperative patients, with ∼2–3 patients presenting monthly. The median (range) age of the child was 5 (0.6–24) months. Most of our lactating patients were American Society of Anesthesiologists class I–II patients (81%), who underwent general anesthesia (89%), and received at least one non-narcotic analgesic intraoperatively (89%).Conclusion: Our study showed that we cared for lactating patients undergoing a wide range of procedures on a regular basis. The results from this study are intended to inform the next phase of our research, which will focus on determining how this work impacts outcomes such as postoperative lactation complications, breastfeeding resumption, and overall patient satisfaction."[Résumé de l'auteur] Permalink :
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - pp. 99-103[article]The Impact of the Professional Qualifications of the Prenatal Care Provider on Breastfeeding Duration in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : The Impact of the Professional Qualifications of the Prenatal Care Provider on Breastfeeding Duration Type de document : texte imprimé Année de publication : 2018 Article en page(s) : pp. 106-111 Note générale :
Langues : Anglais (eng) Catégories : Durée de l'allaitement
Epidémiologie« Etude de la distribution et des déterminants des états ou des évènements liés à la santé
dans des populations spécifiques, et l’utilisation de cette connaissance pour le contrôle de
la santé »
Last JM, A Dictionary of Epidemiology, 2001
Professionnel de santé
Résumé : "Background: A prenatal commitment to breastfeed is a strong predictor for breastfeeding success. Prenatal care providers have the opportunity to educate and promote breastfeeding. However, differences in education and training between healthcare providers such as physicians and midwives may result in differing breastfeeding outcomes. This study explores whether breastfeeding initiation and duration differ by prenatal care provider.
Materials and Methods: Longitudinal data from the Infant Feeding Practices Survey II were analyzed (N = 2,832 women). Prenatal care providers were categorized as obstetrician, family/other physician, and midwife/nurse-midwife. Breastfeeding initiation was dichotomized (yes; no). Breastfeeding duration and exclusive breastfeeding duration were reported in weeks. Logistic regression was used to investigate the relationship between prenatal care provider and breastfeeding initiation. Cox proportional hazard models provided crude and adjusted hazard ratios and 95% confidence limits to determine the relationship between type of prenatal care provider and breastfeeding duration.
Results: After adjusting for confounders, women who received care from a midwife were 68% less likely to never breastfed than women whose prenatal care was provided by an obstetrician. Women whose prenatal care was provided by a midwife had 14% lower risk of discontinuing breastfeeding and 23% lower risk of discontinuing exclusive breastfeeding. No significant association was found between women whose prenatal care was provided by a family physician or other type of physician and breastfeeding initiation and duration.
Conclusion: Findings highlight the importance of prenatal care providers on breastfeeding duration. Future studies should examine factors (i.e., training, patient–provider interaction) that contribute to differences in breastfeeding outcomes by type of prenatal care provider." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - pp. 106-111[article]Breastfeeding Peer Support Program Increases Breastfeeding Duration Rates Among Middle- to High-Income Women / Alena Clark in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : Breastfeeding Peer Support Program Increases Breastfeeding Duration Rates Among Middle- to High-Income Women Type de document : texte imprimé Auteurs : Alena Clark, Auteur ; Susan S. Baker, Auteur ; Kathryn McGirr, Auteur Année de publication : 2018 Article en page(s) : pp. 112-115 Langues : Anglais (eng) Catégories : Démarrage de l'allaitement
Durée d'allaitement et tétée
Durée de l'allaitement
Soutien par les pairs
Résumé : "Background: Research has shown that women with low socioeconomic status and lack of breastfeeding support often breastfeed for shorter durations. Little research has been done on the effects of a breastfeeding peer support program for women from middle- to high-socioeconomic status.
Objective: The objective of this project was to determine whether a breastfeeding peer support program would increase breastfeeding duration rates among middle- to high-socioeconomic status women.
Materials and Methods: One hundred thirteen women were recruited from local OB/GYN offices to participate in a breastfeeding peer support program that included prenatal visits, phone calls, and anticipatory breastfeeding guidance throughout the infants' first year of life.
Results: Factors associated with a significant increase (p < 0.05) in breastfeeding duration included marital status, mother's ethnicity, mother's medical history, and delivery type. Mothers who remained enrolled in the study had the following breastfeeding duration rates: 85% at 6 months and 65% at 12 months. These are all higher than current national goals and statewide rates.
Conclusion: Results indicate that consistent breastfeeding support during the infants' first year of life may increase breastfeeding duration rates for women of higher socioeconomic status." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - pp. 112-115[article]Pediatric Care Providers, Family, and Friends as Sources of Breastfeeding Support Beyond Infancy / Alexis Tchaconas in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : Pediatric Care Providers, Family, and Friends as Sources of Breastfeeding Support Beyond Infancy Type de document : texte imprimé Auteurs : Alexis Tchaconas, Auteur ; Sarah A. Keim, Auteur ; Debbi Heffern, Auteur ; Andrew Adesman, Auteur Année de publication : 2018 Article en page(s) : pp. 116-122 Langues : Anglais (eng) Catégories : Allaitement long
de 12 à 24 mois
Durée de l'allaitement
Professionnel de santé
Résumé : "Objective: To examine women's perceptions about support from pediatric primary care providers (PCPs), family, and friends for breastfeeding beyond 12 months, which is an increasing common practice.
Study Design: Women who breastfed at least one child beyond 12 months completed an online questionnaire distributed via La Leche League USA (2013). Questionnaire content focused on sources of support for breastfeeding beyond 12 months, support ratings, and participant characteristics. Bivariate statistics and multivariable log-binomial regression compared ratings of support across sources, by PCP sex, and with breastfeeding duration.
Results: Of 48,379 eligible U.S. women, about half discussed their decision to breastfeed beyond infancy with their child's PCP. In contrast, almost all (91.4%) did so with their spouse, partner, or significant other. Women were consistently more comfortable discussing their decision to breastfeed for more than a year with their family and closest friend than they were with their child's PCP (all p < 0.001). Three-fourths of PCPs were rated as supportive, but 11.1% were somewhat or very unsupportive. Female pediatricians received similar ratings as males (adjusted risk ratio = 1.01, 95% confidence interval: 1.00, 1.03). Thirty-eight percent of women who reported their PCP was unsupportive changed PCPs.
Conclusion: Family and PCP support is likely to be important for the growing proportion of U.S. mother–child dyads who are breastfeeding beyond 12 months. Many, but not all, women rated their child's PCP as supportive, and lack of support was a reason women reported for changing PCPs. Evidence-based interventions in primary care to support breastfeeding beyond infancy are needed." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018) . - pp. 116-122[article]