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Breastfeeding Is Associated with Decreased Hospitalization for Neonatal Fever / Hila Netzer-Tomkins in Breastfeeding Medicine, Vol. 11, n°5 (Juin 2016)
Titre : Breastfeeding Is Associated with Decreased Hospitalization for Neonatal Fever Type de document : document cartographique imprimé Auteurs : Hila Netzer-Tomkins, Auteur ; Lisa Rubin, Auteur ; Moshe Ephros, Auteur Année de publication : 2016 Article en page(s) : pp. 218-221 Langues : Anglais (eng) Catégories : Durée d'hospitalisation
Résumé : "Background: Breastfeeding is the recommended method for feeding newborns and infants. It confers significant health benefits upon both infant and mother and provides developmental, social, and economic advantages.
Objective: This study explored possible correlations between breastfeeding and neonatal fever (NF).
Materials and Methods: One hundred and forty infants hospitalized for fever during the first month of life (NF) were identified by retrospective chart review. These were matched with healthy infants born on the same day in the study hospital and who were not hospitalized in the first month of life. A structured telephone interview to determine breastfeeding practice was conducted with the parents of all study participants.
Results: The prevalence of children who were formula fed or only partially breastfed was significantly higher among hospitalized children compared to healthy controls (66% versus 34%, respectively, p < 0.001). This association remained after adjusting for exposure to smoke, gender, and household crowding. Exposure to household smoke was also independently associated with hospitalization for NF.
Conclusion: Increased rates of breastfeeding should result in fewer hospitalizations for NF, fewer laboratory investigations, less intravenous antibiotic therapy and its complications, and lower indirect expenses. This study demonstrates that exclusive or predominant breastfeeding, as opposed to formula or partial breastfeeding, of infants less than 1 month of age reduces the risk of NF-related hospitalization by over two-fold. Our data provide new evidence of the health benefits of breastfeeding. The retrospective nature of the study and possible recall bias are limitations of the study." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 11, n°5 (Juin 2016) . - pp. 218-221[article]Hospital Supplementation Differentially Impacts the Association Between Breastfeeding Intention and Duration Among Women With and Without Gestational Diabetes Mellitus History / Yiska Loewenberg Weisband in Breastfeeding Medicine, Vol. 12, n°6 (Juillet - Août 2017)
Titre : Hospital Supplementation Differentially Impacts the Association Between Breastfeeding Intention and Duration Among Women With and Without Gestational Diabetes Mellitus History Type de document : texte imprimé Auteurs : Yiska Loewenberg Weisband, Auteur ; Joseph Rausch, Auteur ; Rashmi Kachoria, Auteur Année de publication : 2017 Article en page(s) : pp. 338-344 Langues : Anglais (eng) Catégories : Alimentation
Attitude vis à vis de l'allaitement
Comportement et mécanisme comportemental
Durée de l'allaitement
Résumé : "Background: Little is known about how in-hospital supplementation with water, infant formula, or sugar water affects the relationship between breastfeeding intentions and duration, and whether this differs by gestational diabetes mellitus (GDM) history. Our study objectives were to assess the associations between GDM and exclusive breastfeeding intentions, hospital supplementation, and breastfeeding duration, including whether hospital supplementation mediates the association between exclusive breastfeeding intentions and breastfeeding duration.
Study Design and Methods: Using data from the Infant Feeding Practices Study II (2005–2007), we included women with GDM (n = 160) and women without GDM or prepregnancy diabetes (no diabetes mellitus [NDM]) (n = 2,139). We used multivariable logistic and linear regressions to determine the associations between GDM history and exclusive breastfeeding intentions, and between breastfeeding intentions, hospital supplementation, and breastfeeding duration, by GDM. We used mediation analysis to assess whether hospital supplementation mediated the association between exclusive breastfeeding intention and breastfeeding duration, also by GDM. All analyses were adjusted for prepregnancy body mass index.
Results: GDM was associated with lower odds of intending to exclusively breastfeed (adjusted odds ratio [AOR] 0.71; 95% confidence interval [CI, 0.51–0.99]). GDM and NDM women who did not intend to exclusively breastfeed had similarly increased odds of hospital supplementation (GDM: AOR 3.52; 95% CI [1.44–8.57], NDM: AOR 3.66; 95% CI [2.93–4.56]). Breastfeeding duration was similar by exclusive breastfeeding intentions and by hospital supplementation, regardless of GDM. Hospital supplementation partially mediated the association between breastfeeding intentions and duration in NDM women, but it did not mediate the association in women with GDM.
Conclusions: Breastfeeding intentions, rather than hospital supplementation, are particularly important for women with GDM to optimize breastfeeding outcomes." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°6 (Juillet - Août 2017) . - pp. 338-344[article]The Association Between Breastfeeding and Length of Hospital Stay Among Infants Diagnosed with Neonatal Abstinence Syndrome: A Population-Based Study of In-Hospital Births / Vanessa L. Short in Breastfeeding Medicine, Vol. 11, n°7 (Septembre 2016)
Titre : The Association Between Breastfeeding and Length of Hospital Stay Among Infants Diagnosed with Neonatal Abstinence Syndrome: A Population-Based Study of In-Hospital Births Type de document : texte imprimé Auteurs : Vanessa L. Short, Auteur ; Meghan Gannon, Auteur ; Diane J. Abatemarco, Auteur Année de publication : 2016 Article en page(s) : pp.343-349 Langues : Anglais (eng) Catégories : Drogue
Nourrisson et enfant de 0 à 2 ans
SSNN Syndrome Sevrage Néonatal
Résumé : Objective: The incidence of neonatal abstinence syndrome (NAS), a drug withdraw syndrome mainly associated with intrauterine opioid exposure, has increased considerably in the United States since 2000. Nonpharmacological options, including breastfeeding, may be effective at improving outcomes in this population. The objective of this population-based study was to examine the association between breastfeeding and length of hospital stay among infants diagnosed with NAS.
Methods: This was a retrospective cohort study of singleton in-hospital births to resident mothers in Pennsylvania. Hospital discharge data from births occurring between 2012 through 2014 were linked with corresponding birth certificate data. International Classification of Diseases, Ninth Revision, Clinical Modification discharge diagnosis codes were used to identify NAS neonates (N = 3,725). Breastfeeding at discharge was used to determine breastfeeding status. Infant and maternal characteristics were compared by breastfeeding status and the association between breastfeeding and infant length of hospitalization was assessed.
Results: Less than one-half of infants diagnosed with NAS were breastfed at discharge. Significant differences in infant birth weight and gestational age, and maternal education, marital status, prenatal care, smoking, and insurance status were found by breastfeeding status. A significant inverse relationship existed between breastfeeding and hospital length of stay for infants diagnosed with NAS. Specifically, length of hospitalization was reduced by 9.4% in the breastfed group compared to the nonbreastfed group.
Conclusion: Breastfeeding may be beneficial for infants diagnosed with NAS by shortening the length of hospital stay. Future prospective studies are warranted to further examine the benefits of breastfeeding and other nonpharmaceutical interventions in NAS populations. [Extrait de l'auteur]
in Breastfeeding Medicine > Vol. 11, n°7 (Septembre 2016) . - pp.343-349[article]