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Clinical Opinion Letters Regarding Breastfeeding and Neonatal Abstinence Syndrome for Child Apprehension Family Court Proceedings / Martha J. Paynter in Journal of Human Lactation, Vol. 35, n°2 (Mai 2019)
Titre : Clinical Opinion Letters Regarding Breastfeeding and Neonatal Abstinence Syndrome for Child Apprehension Family Court Proceedings Type de document : texte imprimé Auteurs : Martha J. Paynter, Auteur Année de publication : 2019 Article en page(s) : pp. 349-353 Langues : Anglais (eng) Catégories : Bénéfices de l'allaitement
Développement de l'enfant
Frein à l'allaitement
Résumé : "The accelerating reach of opioid use disorder in North America includes increasing prevalence among pregnant people. In Canada, the rate of Neonatal Abstinence Syndrome (NAS) rose 27% between 2012–2013 and 2016–2017, and it is estimated that 0.51% of all infants now experience NAS after delivery. Pregnant people are a priority population for access to opioid replacement therapy programs. Participation in such programs demonstrates significant commitment to self-care among pregnant people and concern for fetal and infant wellbeing. Participation in opioid replacement therapy often results in family surveillance by Child Protection Services and infant apprehension. Children of Indigenous descent are held in foster care at high and disproportionate rates.The Convention on the Rights of the Child principle of Best Interests of the Child governs family law and child access decisions. The value of breastfeeding for all children and in particular for children recovering from NAS can be a consideration in the Best Interest of the Child. Clinicians with expertise in lactation may support the breastfeeding dyad to remain together by preparing Clinical Opinion Letters for the court. This Insights into Policy presents a how-to description of the content of clinical opinion letters in such cases, including context and process considerations, client background, breastfeeding science, and factors specific to neonatal abstinence syndrome."[Résumé de l'auteur] Permalink :
in Journal of Human Lactation > Vol. 35, n°2 (Mai 2019) . - pp. 349-353[article]Exploration of Responsive Feeding During Breastfeeding Versus Bottle Feeding of Human Milk: A Within-Subject Pilot Study / Kyly C. Whitfield in Breastfeeding Medicine, Vol. 14, n°7 (Septembre 2019)
Titre : Exploration of Responsive Feeding During Breastfeeding Versus Bottle Feeding of Human Milk: A Within-Subject Pilot Study : Clinical Practice Type de document : texte imprimé Auteurs : Kyly C. Whitfield, Auteur ; Alison K. Ventura, Auteur Année de publication : 2019 Article en page(s) : pp.482–486 Langues : Anglais (eng) Catégories : Alimentation au biberon
Comportement de la mère
Lien mère enfant (attachement)
Nutrition du nourrisson
Note de contenu : "Background: Responsive feeding promotes optimal feeding patterns and growth trajectories. Breastfeeding is thought to facilitate responsive feeding, but research to date has been limited to comparing formula-feeding and breastfeeding dyads. Using a within-subject approach, we aimed to assess maternal responsiveness to infant cues during two human milk feeding sessions differing by feeding modality (breastfeeding versus bottle feeding).
Materials and Methods: Nine mother–infant dyads (infants ≤6 months) were recruited from the Halifax Regional Municipality, Nova Scotia, from April to May 2018. Two human milk-feeding sessions, directly from the breast and from a bottle, were video-recorded in participants' homes, then scored using the validated Nursing Child Assessment Satellite Training (NCAST) Caregiver/Parent-Child Interaction Feeding Scale. The second half of feeding sessions were coded for infant satiation cues.
Results: All women earned a college degree or higher, and were partnered. Mothers were aged mean ± standard deviation 33.2 ± 4.0 years; infants were 14.6 ± 6.9 weeks old and six (67%) were female. Mothers were more sensitive to infant cues during breastfeeding (NCAST Maternal Sensitivity to Cues sub-scale score, 15.0 ± 1.0) than bottle feeding (13.4 ± 1.6; p = 0.016). There was a significantly longer latency from feeding session midpoint to the first satiation cue during breastfeeding (minutes:seconds; 3:00 ± 1:53 versus 0:45 ± 1:18 bottle feeding, p = 0.038). There was no difference in the number of infant cues by feeding modality.
Conclusions: Despite the small sample with high socioeconomic status, this pilot study highlights differences in maternal responsiveness to infant cues by feeding modality with human milk, which warrants further investigation."[Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 14, n°7 (Septembre 2019) . - pp.482–486[article]Factors Associated With Newborn In-Hospital Weight Loss: Comparisons by Feeding Method, Demographics, and Birthing Procedures / Patricia J. Martens in Journal of Human Lactation, Vol. 23 n°3 (Août 2007)
Titre : Factors Associated With Newborn In-Hospital Weight Loss: Comparisons by Feeding Method, Demographics, and Birthing Procedures Type de document : texte imprimé Auteurs : Patricia J. Martens, Auteur Année de publication : 2007 Article en page(s) : pp. 233-241 Langues : Anglais (eng) Catégories : Canada
Poids de naissance
Résumé : "Full-term newborn normative weight loss and factors influencing this were determined through chart audits (n = 812) at 6 hospitals in Manitoba, Canada. The effects of parity, gestational age, birth weight, sex, length of stay, type of delivery (cesarean vs vaginal), epidural use, and type of infant feeding (exclusively breastfed, partially breastfed, exclusively formula-fed) on percentage weight loss in hospital were analyzed using multiple regression analysis. In-hospital weight loss was 5.09% ± 2.89% (95% CI, 4.89-5.29), varying by feeding category: exclusively breastfed 5.49% ± 2.60% (95% CI, 5.23-5.74), partially breastfed 5.52% ± 3.02% (95% CI, 5.16-5.88), and formula-fed 2.43% ± 2.12% (95% CI, 2.02-2.85). Factors significantly increasing the percentage weight loss included higher birth weight, female sex, epidural use, and longer hospital stay. Lower percentage weight loss was associated with greater gestational age and exclusive formula feeding. Parity and type of delivery were not significant. Controlling for demographic and delivery-related variables, exclusive formula feeding had the largest impact, with 3.1% less weight loss than exclusive breastfeeding." [Résumé de l'auteur] Permalink :
in Journal of Human Lactation > Vol. 23 n°3 (Août 2007) . - pp. 233-241[article]Hospital Staff's Perceptions with Regards to the Baby-Friendly Initiative: Experience from a Canadian Tertiary Care Center / Catherine Pound in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : Hospital Staff's Perceptions with Regards to the Baby-Friendly Initiative: Experience from a Canadian Tertiary Care Center Type de document : texte imprimé Auteurs : Catherine Pound, Auteur ; Natalie Ward, Auteur ; Marine Freuchet, Auteur Année de publication : 2016 Article en page(s) : pp. 648-657 Langues : Anglais (eng) Catégories : Canada
Education personnel hospitalier
IHAB Initiative Hôpital Ami des Bébés
Maternité Niveau 3
Résumé : BACKGROUND: Adherence to Baby Friendly Initiative (BFI) practices is low in Canadian hospitals, despite evidence showing a positive impact of BFI practicies on breastfeeding rates and duration. In 2012, the provincial Ontario Ministry of Health and long Term Care added BFI status to its progress indicators for public Health Units, which are now riquired to begin BFI implementation.
OBJECTIVE: This study aims to explore health care workers' self-reported knowledge of the BFI and their perception of the importance of its components.
METHODS: A questionnaire was electronically sent to 2237 employees working at our institution.
RESULTS: Questionnaires were completed by 651 participants, of which 110 ( 16.9%) and 87 (13.5%) participants reported having good knowledge of the BFI and the Ten Steps to Successful Breastfeeding, respectively. Multiple logistic regression showed that having children and having received formal breathfeeding education were associated with higher self-reported knowledge. Additionally, 481 (75%) participants reported that it was important or very important to them that the institution adopt the BFI. Having children and being an allied health professional were associated with perceiving the implementation of the BFI as important.
CONCLUSION: The result of our study have allowed us to identify potential barriers to implementation of the BFI, which can be targeted through system changes and staff education. Through this approach, we hope to facilitate acceptance of the BFI at our institution and increase support for optimal breastfeeding practices among our patients. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 648-657[article]Human-Based Human Milk Fortifier as Rescue Therapy in Very Low Birth Weight Infants Demonstrating Intolerance to Bovine-Based Human Milk Fortifier / Amanjot Sandhu in Breastfeeding Medicine, Vol 12, n°9 (Novembre 2017)
Titre : Human-Based Human Milk Fortifier as Rescue Therapy in Very Low Birth Weight Infants Demonstrating Intolerance to Bovine-Based Human Milk Fortifier Type de document : texte imprimé Auteurs : Amanjot Sandhu, Auteur ; Sharla Fast, Auteur ; Kari Bonnar, Auteur ; Ronald John Baier, Auteur ; Michael Narvey, Auteur Année de publication : 2017 Article en page(s) : pp. 570-573 Langues : Anglais (eng) Catégories : Canada
Etude de cas ou de cohorte
Grand prématuré (avant 34 semaines)
Nourrisson très faible poids à la naissance
Mots-clés : Fortifiant à base de protéines bovines, fortifiant à base de lait maternel, intolérance Résumé : "Objective: To describe the results of utilizing a human milk-based human milk fortifier (HMHMF) as rescue therapy to meet nutritional requirements in very low birth weight and preterm infants demonstrating feeding intolerance to bovine-based human milk fortifier (BHMF) in the Canadian Neonatal Intensive Care Unit (NICU) setting.
Materials and Methods: At two Level III NICUs in Winnipeg, MB, Canada, a rescue protocol was implemented to provide HMHMF for infants demonstrating intolerance to BHMF. To qualify for rescue, infants were required to experience two episodes of significant gastrointestinal (GI) symptoms associated with fortification with BHMF. A case series report was conducted retrospectively examining the success of rescue therapy, growth rates, protein, and calorie intakes before and after initiation of HMHMF in seven infants.
Results: Seven infants (birth weight 723 ± 247 g, gestation 25.3 ± 3.4 weeks) were treated with rescue fortification with HMHMF. All infants were transitioned off parenteral nutrition (PN) without relapse of GI symptoms. Growth rate, protein, and calorie intakes improved with the use of HMHMF.
Conclusions: Very low birth weight and preterm infants with GI intolerance to BHMF were successfully rescued with use of HMHMF. Improvements in growth were achieved without need for supplementation with PN through achievement of sufficient enteral calorie and protein intakes."[résumé de l'auteur]
in Breastfeeding Medicine > Vol 12, n°9 (Novembre 2017) . - pp. 570-573[article]Initiative des Amis des Bébés : indicateurs de résultats pour les Dix conditions et le code de l'OMS pour les hôpitaux et les services de santé communautaire / CCA Comité Canadien pour l'Allaitement
PermalinkMieux vivre avec notre enfant de la grossesse à deux ans / Nicole Doré
PermalinkPsychometric Assessment and Precision Remodeling of the Iowa Infant Feeding Attitude Scale to Improve Clinical Use and Efficacy Among Prenatal Women in Canada / Nouf M. AlKusayer in Journal of Human Lactation, Vol. 34, n°1 (Février 2018)
PermalinkPublic Attitudes Toward Breastfeeding in Public Places in Ottawa, Canada / Katherine Russell in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
PermalinkThe Effect of Breastfeeding Education on Adolescent Beliefs and Attitudes: A Randomized School Intervention in the Canadian Ojibwa Community of Sagkeeng / PJ Martens in Journal of Human Lactation, Vol.17 n°3 (Août 2001)