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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]Psychometric 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)
Titre : Psychometric Assessment and Precision Remodeling of the Iowa Infant Feeding Attitude Scale to Improve Clinical Use and Efficacy Among Prenatal Women in Canada Type de document : texte imprimé Auteurs : Nouf M. AlKusayer, Auteur Année de publication : 2018 Article en page(s) : pp.20-29 Langues : Anglais (eng) Catégories : Attitude vis à vis de l'allaitement
Résumé : "Background:
The 17-item Iowa Infant Feeding Attitude Scale (IIFAS) has been widely used to assess maternal attitudes toward infant feeding and to predict breastfeeding intention. The IIFAS has been validated among prenatal women located in Newfoundland and Labrador in Canada, although its length may prove challenging to complete in a clinical setting.
The authors aimed to reduce the number of items from the original 17-item IIFAS scale while maintaining reliability and validity.
A nonexperimental cross-sectional design was used among 1,283 women in their third trimester residing in Newfoundland and Labrador. Data were collected from August 2011 to June 2016. An exploratory factor analysis using principal component analysis was performed to explore the underlying structure of the IIFAS. The internal consistency of both the 17-item and reduced version was assessed using Cronbach’s alpha and item-total correlation. The area under the curve and linear regression model were used to assess predictive validity of intention to breastfeed.
Our findings revealed that a 13-item IIFAS (Cronbach’s α = .870) had relatively similar internal consistency to the original IIFAS (Cronbach’s α = .868). Three themes were extracted from the factor analysis, resulting in the removal of four items. The reduced scale demonstrated an excellent ability to predict breastfeeding intention (area under the curve = 0.914).
The reduced 13-item version of the IIFAS is a psychometrically sound instrument that maintains its accuracy and validity when measuring maternal feeding attitudes during pregnancy and can be more time efficient in clinical settings compared with the 17-item IIFAS."[Resume de l'auteur]
in Journal of Human Lactation > Vol. 34, n°1 (Février 2018) . - pp.20-29[article]Public Attitudes Toward Breastfeeding in Public Places in Ottawa, Canada / Katherine Russell in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Public Attitudes Toward Breastfeeding in Public Places in Ottawa, Canada Type de document : texte imprimé Auteurs : Katherine Russell, Auteur ; Amira Ali, Auteur Année de publication : 2017 Article en page(s) : pp. 401-408 Langues : Anglais (eng) Catégories : Allaitement exclusif
Promotion de l'allaitement
Résumé : "Background:
In Ontario, Canada, breastfeeding in public is a protected right, yet even with these laws, attitudes toward breastfeeding in public can serve as a barrier to breastfeeding.
This study assesses public support for breastfeeding in public among adults in Ottawa, Ontario, and examines sociodemographic associations with negative attitudes toward public breastfeeding.
Data from the 2015 Rapid Risk Factor Surveillance System (RRFSS), a population health telephone survey, were obtained for Ottawa. Adults ages 18 years and older were asked whether it was acceptable for a mother to breastfeed her baby in a restaurant and shopping mall (n = 1,276). Descriptive statistics and regression were used to describe sociodemographic characteristics associated with negative attitudes.
Overall, 75% of respondents agreed that it was acceptable for a mother to breastfeed her baby in both a restaurant and shopping mall (restaurant: 78%; shopping mall: 81%). Respondents who did not have children at home, were less educated, had a mother tongue language other than French or English and who were retirees were less likely to support breastfeeding in restaurants and shopping malls. In addition, women and immigrants living in Canada for more than 15 years were less likely to support breastfeeding in shopping malls.
Despite a law to support public breastfeeding in Ontario, there is room to improve attitudes toward public breastfeeding. Increased public support for public breastfeeding can support women and children to achieve their feeding goals, particularly for those wanting to exclusively breastfeed." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 401-408[article]The 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)