Szoptatás Portál ... naprakész információk a szoptatásról

Vianna MN, Barbosa AP, Carvalhaes AS, Cunha AJ.
J Pediatr (Rio J). 2011 May-Jun 8;87(3):206-12.

Abstract

OBJECTIVE:To evaluate the impact of music therapy on breastfeeding rates among mothers of premature newborns.

METHOD: In this open randomized controlled trial, mothers of premature neonates weighting ≤ 1,750 g were submitted to music therapy sessions three times a week for 60 minutes. The endpoints were breastfeeding rates at the moment of infant hospital discharge and at follow-up visits (7-15 days, 30 and 60 days after discharge).

Practical Interventions for "Little Imposters"

Marsha Walker
Clinical Lactation 2010 1(1):22-26

Abstract

Infants who are late preterm (34–36 weeks) may appear mature, but they are physiologically, metabolically and neurologically immature. Late preterm infants are at higher risk for a number of problems including poor feeding, jaundice, hospital re–admittance and potential breastfeeding failure. This article provides specific strategies for working with late preterm infants and avoiding these negative health outcomes.

Lawn JE, Mwansa-Kambafwile J, Horta BL, Barros FC, Cousens S.
Int J Epidemiol. 2010 Apr;39 Suppl 1:i144-54.

Abstract

Background ‘Kangaroo mother care’ (KMC) includes thermal care through continuous skin-to-skin contact, support for exclusive breastfeeding or other appropriate feeding, and early recognition/response to illness. Whilst increasingly accepted in both high- and low-income countries, a Cochrane review (2003) did not find evidence of KMC’s mortality benefit, and did not report neonatal-specific data.

Objectives The objectives of this study were to review the evidence, and estimate the effect of KMC on neonatal mortality due to complications of preterm birth.

Utrera Torres MI, Medina Lopez C, Vazquez Roman S, Alonso Diaz C, Cruz-Rojo J, Fernandez Cooke E, Pallas Alonso CR.
Int Breastfeed J. 2010 Mar 8;5(1):4.

Abstract

Background Donor human milk banks are much more than simple centers for collection, storage, processing, and distribution of donor human milk, as they cover other aspects and represent a real opportunity to promote and support breastfeeding. The aim of our study is to assess the impact that opening a human milk bank has had on the proportion of infants receiving exclusive breast milk at discharge and other aspects related to feeding children with birth weight < or = 1500 g or < 32 weeks gestation admitted to the neonatal unit.

NEW YORK (Reuters Health) Január 15. – Az extrém kis súlyú koraszülöttek kizárólag humán tej alapú táplálása csökkenti a nekrotizáló enterokolitisz előfordulását és súlyosságát a humán és tehéntejalapú kevert táplálással összehasonlítva – állítja egy új tanulmány.

„A nekrotizáló enterokolitisz 50%-kal, a sebészeti beavatkozást igénylő nekrotizáló enterokolitisz pedig majdnem 90%-kal kevesebbszer fordult elő a kizárólag humán tejjel táplált csecsemőknél a tehéntejalapú termékeket is kapó csecsemőkkel összehasonlítva” - írja a kutatócsoport a Journal of Pediatrics c. szakfolyóirat januári számában.

Sullivan S, Schanler RJ, Kim JH, Patel AL, Trawöger R, Kiechl-Kohlendorfer U, Chan GM, Blanco CL, Abrams S, Cotten CM, Laroia N, Ehrenkranz RA, Dudell G, Cristofalo EA, Meier P, Lee ML, Rechtman DJ, Lucas A.
J Pediatr. 2009 Dec 24. [Epub ahead of print]

Abstract

Objective To evaluate the health benefits of an exclusively human milk–based diet compared with a diet of both human milk and bovine milk–based products in extremely premature infants.

Campbell-Yeo ML, Allen AC, Joseph KS, Ledwidge JM, Caddell K, Allen VM, Dooley KC.
PEDIATRICS Vol. 125 No. 1 January 2010, pp. e107-e114 (doi:10.1542/peds.2008-3441)

Abstract

Objective Domperidone is increasingly prescribed to improve breast milk volume despite a lack of evidence regarding its effects on breast milk composition. We examined the effect of domperidone on the nutrient composition of breast milk.

Berger I, Weintraub V, Dollberg S, Kopolovitz R, Mandel D.

PEDIATRICS Vol. 124 No. 6 December 2009, pp. e1149-e1152

Abstract

OBJECTIVE: We hypothesized that resting energy expenditure (REE) would be higher after breastfeeding than after bottle-feeding.

Premature infants who receive human milk have the best outcomes; medically, nutritionally, and developmentally.

The Supporting Premature Infant Nutrition (SPIN) program was developed to address the challenges of helping mothers produce sufficient breastmilk for their premature infants, and to improve the manner in which Neonatal Intensive Care Units support optimal nutrition and growth in their most vulnerable population of patients.

Renfrew MJ, Craig D, Dyson L, McCormick F, Rice S, King SE, et al.

Health Technol Assess 2009;13(40).

Objectives: To evaluate the effectiveness and costeffectiveness of interventions that promote or inhibit breastfeeding or feeding with breastmilk for infants admitted to neonatal units, and to identify an agenda for future research.

Rangmar Goelz, Eva Hihn, Klaus Hamprecht, Klaus Dietz, Gerhard Jahn, Christian Poets,
and Martin Elmlinger
Pediatr Res 65: 458–461, 2009

Preterm infants can inoculate virulent cytomegalovirus (CMV) through their mothers’ raw breast milk. Complete virus inactivation is achieved only by heat treatment, but the effect on growth factors has never been assessed systematically.

Levy I, Comarsca J, Davidovits M, Klinger G, Sirota L, Linder N.
Pediatr Nephrol. 2009 Mar;24(3):527-31.

Abstract

Urinary tract infection (UTI) differs between preterm and older infants and children in terms of prevalence, clinical presentation, causative organism, and rate of underlying renal anomalies. Data on risk factors of UTI in preterm infants are limited. The aim of this study was to characterize UTI both clinically and microbiologically in premature infants and to define possible risk factors and the role of breastfeeding in its development.

Sarah N. Taylor, Laura A. Basile, Myla Ebeling, and Carol L. Wagner
BREASTFEEDING MEDICINE Volume 4, Number 1, 2009

Abstract

Background and Objective: Intestinal permeability in preterm infants represents a critical balance between absorption of nutritional agents and protection from dangerous pathogens. This study identified the relationship between feeding type (human milk and formula) and intestinal permeability as measured by lactulose to mannitol ratio in preterm infants in the first postnatal month.

Study Design: Sixty-two preterm (≤32 weeks of gestation) infants had assessment of feeding type and evaluation with enteral lactulose and mannitol administration and urinary measurement at three time points in the first postnatal month.

Results: Infants who received the majority of feeding as human milk (>75%) demonstrated significantly lower intestinal permeability when compared to infants receiving minimal or no human milk (<25% or none) at postnatal days 7, 14, and 30 (p = 0.02, 0.02, and 0.047, respectively). When infants receiving any human milk were compared to infants receiving formula only, a significant difference existed at day 7 and day 14 but not for day 30 (p = 0.04, 0.02, and 0.15, respectively). With evaluation over the complete study period, exclusively formulafed infants demonstrated a 2.8-fold higher composite median lactulose/mannitol ratio when compared with those who received any human milk. Infants who received >75% of enteral feeding as mother’s milk demonstrated a 3.8-fold lower composite median ratio when compared to infants receiving <25% or no mother’s milk.

Conclusion: Preterm infant intestinal permeability was significantly decreased for those receiving human milk versus formula in a dose-related manner in the first postnatal month.

A cikk teljes szövege

Breastfeeding Medicine főoldal

J Meinzen-Derr, B Poindexter, L Wrage, A L Morrow, B Stoll and E F Donovan

Journal of Perinatology (2009) 29, 57–62

Objective: To determine the association between human milk (HM) intake and risk of necrotizing enterocolitis (NEC) or death among infants 401 to 1000 g birth weight.

N A Rodriguez, P P Meier, M W Groer and J M Zeller

Journal of Perinatology (2009) 29, 1–7

Own mother's colostrum (OMC) is rich in cytokines and other immune agents that provide bacteriostatic, bacteriocidal, antiviral, anti-inflammatory and immunomodulatory protection against infection. OMC may be especially protective for the extremely low birth weight (ELBW) infant in the first days of life; however clinical instability typically precludes enteral feedings during this period.