Összefoglalók

The risks and benefits of infant feeding practices for women and their children

A. M. Stuebe and E. B. Schwarz
Journal of Perinatology (2010) 30, 155–162

Abstract

Infant feeding decisions affect maternal and child health outcomes, worldwide. Even in settings with clean water and good sanitation, infants who are not breast-fed face an increased risk of infectious, as well as non-infectious morbidity and mortality.

Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals

World Health Organization, 2009.

This Model Chapter brings together essential knowledge about infant and young child feeding that health professionals should acquire as part of their basic education. It focuses on nutritional needs and feeding practices in children less than two years of age – the most critical period for child nutrition after which sub-optimal growth is hard to reverse. The Chapter does not impart skills, although it includes descriptions of essential skills that every health professional should master, such as positioning and attachment for breastfeeding.

The Risks of Not Breastfeeding for Mothers and Infants

Alison Stuebe, MD, MSc
Rev Obstet Gynecol. 2009 Fall; 2(4): 222–231.

Abstract

Health outcomes in developed countries differ substantially for mothers and infants who formula feed compared with those who breastfeed. For infants, not being breastfed is associated with an increased incidence of infectious morbidity, as well as elevated risks of childhood obesity, type 1 and type 2 diabetes, leukemia, and sudden infant death syndrome.

Breastfeeding Practice Guidelines for the Healthy Term Infant

Winnipeg Regional Health Authority, 2005.
Revised in November 2009.

Világos, pontokba szedett, átlátható útmutató a szoptatás támogatásához és a szoptatási problémák megoldásához. Tünetek, hajlamosító tényezők, kezelés, teendők.

Growth of breastfed infants

Nommsen-Rivers LA, Dewey KG.
Breastfeed Med. 2009 Oct;4 Suppl 1:S45-9.

Understanding normal growth for the healthy breastfed infant is an important component of promoting and supporting child health in general and breastfeeding in particular. Appropriate characterization of normative growth patterns in the breastfed infant has implications ranging from the proper clinical management of the individual breastfed infant to accurate evaluation of the role of breastfeeding in the prevalence of over- and undernutrition at national and international levels.

Infant feeding and allergy prevention: a review of current knowledge and recommendations. A EuroPrevall state of the art paper

Grimshaw KE et al.
Allergy. 2009 Oct;64(10):1407-16.

Abstract

The relationship between infant feeding patterns and the later development of food allergies has been the focus of much debate and research over the last decade. National recommendations have been made by many countries on how to feed infants to reduce the risk of food allergy but due to the lack of firm evidence the recommendations differ widely. This review has been developed as part of EuroPrevall, a European multicentre research project funded by the European Union, to document the differing feeding recommendations made across Europe, to investigate the current evidence base for any allergy prevention feeding recommendations and to identify areas where further research is needed. This review will also provide information which, when combined with the infant feeding data collected as part of EuroPrevall, will give an indication of compliance to national feeding guidelines which can be utilised to assess the effectiveness of current dissemination and implementation strategies.

Strategies for Breastfeeding Success

Keister D, Roberts KT, Werner SL.
Am Fam Physician. 2008 Jul 15;78(2):225-32.

Abstract

Breastfeeding provides significant health benefits for infants and mothers. However, the United States continues to fall short of the breastfeeding goals set by the Healthy People 2010 initiative. The American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetrics and Gynecology have policy statements supporting breastfeeding that reflect recent advancements in understanding the mechanisms underlying the benefits of breastfeeding and in the clinical management of breastfeeding. Despite popular belief, there are few contraindications to breastfeeding.

A Breastfeeding-Friendly Approach to Depression in New Mothers

Curriculum and Resource Guide for Health Care Providers

Curriculum Objectives

After completing this curriculum, health care providers will be able to:

  • Identify women who may be at risk for depression in the perinatal period.
  • Recognize the symptoms of depression and other mood disorders in pregnant and postpartum women.
  • Describe how postpartum mood disorders may impact breastfeeding.
  • Describe the causes of postpartum depression.
  • Provide information to mothers so they can weigh the risks and benefits of various treatment options for depression.
  • Work with mothers to preserve the breastfeeding relationship whenever possible.

A teljes dokumentum letölthető innen.

Recognizing and Treating Delayed or Failed Lactogenesis II

Nancy M. Hurst
J Midwifery Womens Health 2007;52:588–594

Abstract

Delayed or failed achievement of lactogenesis II - the onset of copious milk volume - occurs as a result of various maternal and/or infant factors. Early recognition of these risk factors is critical for clinicians who interact with breastfeeding women so that intervention and achievement of full or partial breastfeeding can be preserved.

Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries

Stanley Ip, M.D., Mei Chung, M.P.H., Gowri Raman, M.D., Priscilla Chew, M.P.H., Nombulelo Magula, M.D., Deirdre DeVine, M.Litt., Thomas Trikalinos, M.D., Ph.D., Joseph Lau, M.D.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, April 2007

Structured Abstract

Objectives: We reviewed the evidence on the effects of breastfeeding on short- and long-term infant and maternal health outcomes in developed countries.

Data Sources: We searched MEDLINE®, CINAHL, and the Cochrane Library in November of 2005. Supplemental searches on selected outcomes were searched through May of 2006. We also identified additional studies in bibliographies of selected reviews and by suggestions from technical experts.

Evidence on the long-term effects of breastfeeding: systematic review and meta-analyses

Bernardo L. Horta, Rajiv Bahl, José C. Martines, Cesar G. Victora
World Health Organization 2007

Executive summary

Background: Breastfeeding presents clear short-term benefits for child health, mainly protection against morbidity and mortality from infectious diseases. On the other hand, there is some controversy on the long-term consequences of breastfeeding. Whereas some studies reported that breastfed subjects present a higher level of school achievement and performance in intelligence
tests, as well as lower blood pressure, lower total cholesterol and a lower prevalence of overweight
and obesity, others have failed to detect such associations.

Quantifying the Benefits of Breastfeeding: A Summary of the Evidence

Natalia León-Cava, Chessa Lutter, Jay Ross, Luann Martin

The Food and Nutrition Program (HPN)
Pan American Health Organization (PAHO)
The LINKAGES Project
2002 June

This annotated bibliography summarizes the published literature on the following six topics related to the benefits of breastfeeding:

  • Infant morbidity because of diarrhea, acute respiratory infections, otitis media and ear infections, and other infectious diseases
  • Infant mortality because of diarrhea, acute respiratory infection, and all causes
  • Child development
  • Chronic diseases, particularly obesity, diabetes, and cancer
  • Maternal health effects, with special emphasis on breast and ovarian cancers
  • Economic benefits

A Review of the Medical Benefits and Contraindications to Breastfeeding in the United States

Ruth A. Lawrence, M.D., 1997.

(Maternal and Child Health Technical Information Bulletin). Arlington, VA: National Center for Education in Maternal and Child Health

In any statement about breastfeeding and breastmilk (human milk), it is important first to establish breastmilk’s distinct and irreplaceable value to the human infant. Breastmilk is more than just good nutrition. Human breastmilk is specific for the needs of the human infant just as the milk of thousands of other mammalian species is specifically designed for their offspring. The unique composition of breastmilk provides the ideal nutrients for human brain growth in the first year of life.

Postpartum Breastfeeding Assessments

Verity Livingstone

Journal SOGC February 1996

Abstract

Despite a high initiation rate of breastfeeding in hospital, most mothers stop breastfeeding within a few weeks, "The window of professional unavailability" and lack of breastfeeding management skills among health professionals are partly to blame. This article, the third in a series, reviews the physiology of ongoing lactation, and outlines a protocol for post-partum breastfeeding that can be incorporated into routine postpartum management.

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