scholarly journals Assessment of practices of exclusive breast milk feeding, Kangaroo mother care and Non Nutritive sucking among mothers of preterm neonates in PGIMER, Chandigarh, India:A Pilot project

2021 ◽  
Author(s):  
Sujata Sujata ◽  
Karobi Das ◽  
Kanaya Mukhopadhaya ◽  
Sukhwinder Kaur ◽  
Minakshi Rohilla
Keyword(s):  
Breast Milk ◽  
Pilot Project ◽  
Kangaroo Mother Care ◽  
Preterm Neonates ◽  
Nutritive Sucking ◽  
Milk Feeding

scholarly journals Current Practices Related to Feeding Preterm Neonates with Expressed Breast Milk: A Pilot Project

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Avinash kaur Rana
Keyword(s):  
Breast Milk ◽  
Pilot Project ◽  
North India ◽  
Preterm Neonates ◽  
Feeding Schedule ◽  
Night Feeding ◽  
Expressed Breast Milk ◽  
Level Hospital ◽  
Milk Feeding ◽  
Current Practices

A pilot project was conducted to assess current practices related to feeding pretermneonates with expressed breast milk. The present project was conducted with the objectives to assess current practices related to feeding preterm neonates with expressed breast milk admitted in tertiary level hospital, North India. Practices related to expressed breast milk feeding in preterm neonates was assessed in 4 steps. In step one of Information and current practices related to expression of breast milk among mothers was assessed. Practices in neonatal unit revealed that 92% of mothers had knowledge about feeding schedule of babies. In context to infection control practices 96% mothers washed hands, 92% wore gown, and all mothers (100%) used boiled utensils. Eighty two percent mothers expressed milk at least eight times in 24hour including once during night. Feeding detail of preterm neonates revealed that amount of expressed breast milk fed was very less as compare to enteral feed calculated per day

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals A quality initiative to improve exclusive breast milk feeding in preterm neonates

2018 ◽  
Vol 5 (4) ◽  
pp. 131-134 ◽  
Author(s):  
Nitasha Bagga ◽  
Ramya Nadipineni ◽  
Ashik Mohamed ◽  
Preetham Poddutoor ◽  
Dinesh Kumar Chirla
Keyword(s):  
Breast Milk ◽  
Preterm Neonates ◽  
Milk Feeding

Proportionate Postnatal Growth in Preterm Neonates on Expressed Breast Milk Feeding With Selected Fortification

2020 ◽  
Vol 35 (4) ◽  
pp. 715-723
Author(s):  
Vishal Vishnu Tewari ◽  
Ashutosh Kumar ◽  
Amit Singhal ◽  
Arya Prakash ◽  
Nayana Pillai ◽  
...  
Keyword(s):  
Breast Milk ◽  
Postnatal Growth ◽  
Preterm Neonates ◽  
Expressed Breast Milk ◽  
Milk Feeding

scholarly journals Enhancing early breast milk for sick and preterm neonates admitted at regional referral hospitals in Dar es Salaam, Tanzania

2020 ◽  
Author(s):  
Regina Hyera ◽  
Evelyne Assenga ◽  
Theodore Kazimoto ◽  
Germana Leyna ◽  
Francis Mchomvu ◽  
...  
Keyword(s):  
Birth Weight ◽  
Breast Milk ◽  
Neonatal Mortality ◽  
Enteral Feeding ◽  
Intervention Group ◽  
Dar Es Salaam ◽  
Preterm Neonates ◽  
Control Group ◽  
The Mean ◽  
Milk Feeding

Abstract Background: Feeding is a cornerstone in the management of sick or preterm neonates and early initiation of breastfeeding is the single most effective intervention associated with reduced neonatal mortality. However, enteral feeding is often delayed due to haemodynamic instability and the perceived risk of necrotizing enterocolitis (NEC). Alternative routes for early breast milk administration are either oropharyngeal colostrum or minimal enteral nutrition. One strategy to overcome delays in enteral feeds is the implementation of standardized feeding guidelines.Methods: This study was conducted in three regional hospitals in Dar es Salaam, consisting of a historical control group at baseline and an intervention group after implementation of locally developed feeding guidelines. Neonates were consecutively recruited and followed to a maximum of 28 days of life. The controls received routine standard care, while the intervention group received early enteral feeding. The outcomes measured were NEC, time to regain birth weight and neonatal mortality. Odds ratio was used to determine the association between feeding and outcomes, statistical significance was considered when p-value ≤0.05.Results: 292 neonates were enrolled in this study, 163 (55.8%) controls at baseline and 129 (44.2%) after the intervention. Study participants comprised of 130 (44.5%) neonates with very low birth weight and 162 (55.5%) with hypoxic ischemic encephalopathy. The mean age of initiating feeding was 45.34 ± 21.58 SD hours amongst the controls and 8.43 ± 3.02 SD hours in the intervention group. Overall, 1.4% (4 cases) of the neonates were diagnosed with NEC, 1.8% (3 cases) in the control group and 0.8 % (1 case) in the intervention group (P=0.4; 95% CI: 0.25-23.3). The mean duration of regaining birth weight was significantly reduced from 11.26 ± 4.34 SD days among controls to 8.25 ± 2.96 SD days in the intervention group (p=0.000; 95% CI: 1.61 - 4.41). Mortality in this high-risk groups of neonates remained high (40.8%), without significant difference between the control (41.7%) and intervention group (39.5%). Conclusions: Neonates who received early breast milk feeding following the implementation of feeding guidelines significantly regained birth weight earlier. No association was demonstrated between early breast milk feeding and increased NEC or mortality.

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (95% CI 1.53, 3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (95% CI 1.15, 2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (95% CI 1.81, 3.61)), and use breastfeeding method at follow-up (OR=2.09 (95% CI 1.44, 3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals The enablers and barriers to continue breast milk feeding in women returning to work

2016 ◽  
Vol 72 (4) ◽  
pp. 825-835 ◽  
Author(s):  
Zaharah Sulaiman ◽  
Pranee Liamputtong ◽  
Lisa H. Amir
Keyword(s):  
Breast Milk ◽  
Returning To Work ◽  
Milk Feeding

Breast milk leukocytes

PEDIATRICS ◽  
1976 ◽  
Vol 58 (5) ◽  
pp. 769-770
Author(s):  
Jane Pitt
Keyword(s):  
Gastrointestinal Tract ◽  
Breast Milk ◽  
Human Milk ◽  
Apparent Increase ◽  
Human Colostrum ◽  
Available Information ◽  
Portal Of Entry ◽  
Milk Feeding

The apparent increase in frequency of neonatal necrotizing enterocolitis1 and the recognition that the gastrointestinal tract is often the portal of entry in neonatal sepsis2 has renewed interest in breast milk as a source of newborn immunity. Attention has recently focussed on milk leukocytes. The purpose of this commentary is to summarize the available information on this subject and to examine the implications that this knowledge may have on the possible use of human milk-feeding to protect the newborn from infection. Human colostrum and early milk contain 1 to 2 x 106 leukocytes; 80% to 90% of these are monocytic phagocytes and the remainder are lymphocytes.3,4

Mothers’ perceptions of the practice of kangaroo mother care for preterm neonates in sub-Saharan Africa

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pontius Bayo ◽  
Gasthony Alobo ◽  
Caroline Sauvé ◽  
Garumma Tolu Feyissa
Keyword(s):  
Kangaroo Mother Care ◽  
Sub Saharan Africa ◽  
Preterm Neonates ◽  
Sub Saharan
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