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https://www.readbyqxmd.com/read/28333552/treatment-of-multiple-sclerosis-during-pregnancy-safety-considerations
#1
Jan Thone, Sandra Thiel, Ralf Gold, Kerstin Hellwig
Women with multiple sclerosis (MS) are treated early in the disease course with disease modifying therapies (DMT). Updated information is needed on pregnancy outcomes of DMT-exposed pregnancies and the effect of the drug withdrawal on MS disease activity. Areas covered: In this review, we will cover the most important updated management strategies in planning a pregnancy when having MS. Expert opinion: MS itself does not increase the risk of adverse pregnancy outcomes and does not negatively influence the long-term course of the disease...
March 23, 2017: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/28327118/sociodemographic-and-delivery-risk-factors-for-developing-postpartum-depression-in-a-sample-of-3233-mothers-from-the-czech-elspac-study
#2
Adam Fiala, Jan Švancara, Jana Klánová, Tomáš Kašpárek
BACKGROUND: In the postpartum period, certain groups of women are at a higher risk for developing depressive episodes. Several studies have described risk factors for developing postpartum depression (PPD). However, these studies have used limited numbers of participants, and therefore the estimated prevalence of PPD varies greatly. METHODS: The objective of this study is to identify the main risk factors for developing PPD by using data collected via the Czech version of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC)...
March 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28320478/postpartum-intentions-on-contraception-use-and-method-choice-among-breastfeeding-women-attending-a-university-hospital-in-ohio-a-cross-sectional-study
#3
Yiska Loewenberg Weisband, Lisa M Keder, Sarah A Keim, Maria F Gallo
BACKGROUND: Few postpartum women use effective contraception and those who use less effective methods have increased rates of unintended pregnancy. Little is known about postpartum contraception intentions among breastfeeding women. Our objectives were to measure the extent of prenatal contraceptive counseling, to assess contraceptive intentions, and to identify correlates of both among postpartum women who were planning to breastfeed. METHODS: We conducted a cross-sectional study using a convenience sample of 100 breastfeeding women before their discharge following delivery at a large university hospital in 2015...
March 20, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28306659/do-workplace-policies-influence-a-woman-s-decision-to-breastfeed
#4
Rhonda Winegar, Alisha Johnson
This literature review addresses workplace breastfeeding policies in the United States. Breastfeeding yields many important benefits to both mother and infants, yet workplace barriers contribute to low rates of breastfeeding. NPs often serve as the initial point of education for new mothers and may impact decisions to breastfeed.
April 16, 2017: Nurse Practitioner
https://www.readbyqxmd.com/read/28303701/breastfeeding-knowledge-and-exclusive-breastfeeding-of-infants-in-first-six-months-of-life
#5
Monika A Zielińska, Aneta Sobczak, Jadwiga Hamułka
Background: Exclusive breastfeeding is the gold standard in infant nutrition. The maternal decision to breastfeed is affected by various factors, including breastfeeding knowledge. Objective: The purpose of this study was the assessment of the breastfeeding knowledge in selected group of mothers of infants under 7 months and its relationship to the exclusivity of breastfeeding. Material and methods: The study was carried out using the CAWI method from Dec 2014 till Feb 2015 among 446 mothers (aged 18-42) of infants under 7 months...
2017: Roczniki Państwowego Zakładu Higieny
https://www.readbyqxmd.com/read/28296240/hiv-positive-malawian-women-with-young-children-prefer-overweight-body-sizes-and-link-underweight-body-size-with-inability-to-exclusively-breastfeed
#6
Samantha E Croffut, Gloria Hamela, Innocent Mofolo, Suzanne Maman, Mina C Hosseinipour, Irving F Hoffman, Margaret E Bentley, Valerie L Flax
Before the prevention of mother-to-child transmission (PMTCT) program was widely implemented in Malawi, HIV-positive women associated exclusive breastfeeding with accelerated disease progression and felt that an HIV-positive woman could more successfully breastfeed if she had a larger body size. The relationship between breastfeeding practices and body image perceptions has not been explored in the context of the Option B+ PMTCT program, which offers lifelong antiretroviral therapy. We conducted in-depth interviews with 64 HIV-positive women in Lilongwe District, Malawi to investigate body size perceptions, how perceptions of HIV and body size influence infant feeding practices, and differences in perceptions among women in PMTCT and those lost to follow-up...
March 10, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28295465/quantification-of-piritramide-in-human-colostrum
#7
A Van Eeckhaut, P Vanfleteren, J Van Schoors, Y Van Wanseele, J Poelaert, Y Michotte
WHAT IS KNOWN AND OBJECTIVE: In our university hospital (UZBrussel), one of the options to control post-operative pain after a Caesarean section under general anaesthesia is to administer piritramide by patient-controlled intravenous analgesia (PCIA). As no information is available about the possible transfer of this synthetic narcotic analgesic into breastmilk, women are frequently advised not to breastfeed their newborn. A sensitive liquid chromatographic (LC) method coupled with UV detection will therefore be developed and validated for the quantification of piritramide in colostrum samples to evaluate the presence of the analgesic in the first milk...
March 13, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28280392/maternal-experiences-with-and-sources-of-information-on-galactagogues-to-support-lactation-a-cross-sectional-study
#8
Alessandra N Bazzano, Lauren Cenac, Amelia J Brandt, Josephine Barnett, Shelley Thibeau, Katherine P Theall
An increase in the marketing and use of herbal galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical galactagogues for lactation in the US...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/28267020/effect-of-educational-and-support-interventions-to-increase-long-term-breastfeeding-rates-in-primiparous-women-a-systematic-review-protocol
#9
Shahla Meedya, Ritin Fernandez, Kathleen Fahy
The objective of this review is to identify the effects of educational and supportive interventions provided by health professionals on long-term breastfeeding rates at six months and up to two years post partum among primiparous women who intend to breastfeed.
March 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28263726/prevalence-and-predictors-of-breastfeeding-after-childhood-abuse
#10
Meghan Eagen-Torkko, Lisa Kane Low, Ruth Zielinski, Julia S Seng
OBJECTIVE: To describe the prevalence and predictors of breastfeeding intent and outcomes in women with histories of childhood maltreatment trauma (CMT), including those with posttraumatic stress disorder (PTSD). DESIGN: Secondary analysis of a prospective observational cohort study of the effects of PTSD on perinatal outcomes. SETTING: Prenatal clinics in three health systems in the Midwestern United States. PARTICIPANTS: Women older than 18 years expecting their first infants, comprising three groups: women who experienced CMT but did not have PTSD (CMT-resilient), women with a history of CMT and PTSD (CMT-PTSD), and women with no history of CMT (CMT-nonexposed)...
March 2, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28257588/lactation-induction-in-a-commissioned-mother-by-surrogacy-effects-on-prolactin-levels-milk-secretion-and-mother-satisfaction
#11
Emilie Zingler, Angélica Amorim Amato, Alysson Zanatta, Maria de Fátima Brito Vogt, Miriam da Silva Wanderley, Coríntio Mariani Neto, Alberto Moreno Zaconeta
Case report of a 39-year-old intended mother of a surrogate pregnancy who underwent induction of lactation by sequential exposure to galactagogue drugs (metoclopramide and domperidone), nipple mechanical stimulation with an electric pump, and suction by the newborn. The study aimed to analyze the effect of each step of the protocol on serum prolactin levels, milk secretion and mother satisfaction, in the set of surrogacy. Serum prolactin levels and milk production had no significant changes. Nevertheless, the mother was able to breastfeed for four weeks, and expressed great satisfaction with the experience...
February 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28244065/breastfeeding-education-and-support-for-women-with-twins-or-higher-order-multiples
#12
REVIEW
Heather M Whitford, Selina K Wallis, Therese Dowswell, Helen M West, Mary J Renfrew
BACKGROUND: There are rising rates of multiple births worldwide with associated higher rates of complications and more hospital care, often due to prematurity. While there is strong evidence about the risks of not breastfeeding, rates of breastfeeding in women who have given birth to more than one infant are lower than with singleton births. Breastfeeding more than one infant can be more challenging because of difficulties associated with the birth or prematurity. The extra demands on the mother of frequent suckling, coordinating the needs of more than one infant or admission to the neonatal intensive care unit can lead to delayed initiation or early cessation...
February 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28238109/erythrocyte-fatty-acid-composition-of-nepal-breast-fed-infants
#13
Sigrun Henjum, Øyvind Lie, Manjeswori Ulak, Andrew L Thorne-Lyman, Ram K Chandyo, Prakash S Shrestha, Wafaie W Fawzi, Tor A Strand, Marian Kjellevold
PURPOSE: Essential fatty acids play a critical role in the growth and development of infants, but little is known about the fatty acid status of populations in low-income countries. The objective was to describe the fatty acid composition of red blood cells (RBC) in breastfeed Nepali infants and a subsample of their mothers and to identify the main sources of fatty acids in the mother's diet, as well as the fatty acid composition of breast milk. METHODS: RBC fatty acid composition was analyzed in a random sample of 303 infants and 72 mother, along with 68 breastmilk samples...
February 25, 2017: European Journal of Nutrition
https://www.readbyqxmd.com/read/28236348/fixed-time-interval-compared-with-on-demand-oral-analgesia-protocols-for-post-caesarean-pain-a-randomised-controlled-trial
#14
E Yefet, H Taha, R Salim, J Hasanein, Y Carmeli, N Schwartz, Z Nachum
OBJECTIVES: To compare the efficacy, safety and satisfaction from two modes of oral analgesia administration for the treatment of post-caesarean pain in the first 48 h following surgery: on-demand versus fixed time interval administration. DESIGN: Open label parallel-group, randomised-controlled trial from February to December 2013. SETTING: University-affiliated hospital in Israel. POPULATION: Two-hundred women who underwent caesarean delivery with regional anaesthesia...
February 25, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28215560/-determined-to-breastfeed-a-case-study-of-exclusive-breastfeeding-using-interpretative-phenomenological-analysis
#15
Samantha J Charlick, Andrea Fielder, Jan Pincombe, Lois McKellar
BACKGROUND: Given the significant benefits of breastfeeding, the World Health Organization (WHO) recommend exclusive breastfeeding for six months. Despite numerous strategies aimed at increasing the percentage of babies who are exclusively breastfed, Australia currently has one of the lowest six-month exclusive breastfeeding rates in the developed world. Notably, most research focuses on the early postnatal period (birth-two months) yet the largest decline in exclusive breastfeeding rates is observed between two and six months...
February 16, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28203331/mothers-attitudes-toward-feeding-twin-babies-in-the-first-six-months-of-life-a-sample-from-sakarya-turkey
#16
Nursan Cinar, Dilek Kose, Muge Alvur, Ozlem Dogu
BACKGROUND: It is stated in the literature that a mother's breast milk is sufficient for more than one baby. OBJECTIVES: This descriptive study aimed to determine whether twin babies are breastfed during their first six months of life. MATERIALS AND METHODS: We studied the twin birth cases in a state hospital in Sakarya, Turkey between October 2011 and March 2013. The population of the study consisted of entire mothers who had delivered twins in the maternity ward of the hospital...
October 2016: Iranian Journal of Pediatrics
https://www.readbyqxmd.com/read/28196329/breastfeeding-mode-and-risk-of-breast-cancer
#17
Mishel Unar-Munguía, Gabriela Torres-Mejía, M Arantxa Colchero, Teresita González de Cosío
BACKGROUND: Breastfeeding reduces women's risk of breast cancer. Since exclusive breastfeeding has a stronger hormonal effect, it could theoretically result in a greater reduction in breast cancer risk than any breastfeeding mode. No meta-analysis has examined breast cancer risk by breastfeeding mode. Research aim: The authors conducted a meta-analysis for breast cancer risk in parous women who breastfed exclusively or in any mode versus parous women who formula fed their infants, and they estimated the summary dose-response association by the accumulated duration of any breastfeeding mode...
February 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28194877/focused-breastfeeding-counselling-improves-short-and-long-term-success-in-an-early-discharge-setting-a-cluster-randomized-study
#18
Ingrid M S Nilsson, Katrine Strandberg-Larsen, Christopher H Knight, Anne Vinkel Hansen, Hanne Kronborg
Length of postnatal hospitalization has decreased and has been shown to be associated with infant nutritional problems and increase in readmissions. We aimed to evaluate if guidelines for breastfeeding counselling in an early discharge hospital setting had an effect on maternal breastfeeding self-efficacy, infant readmission and breastfeeding duration. A cluster randomized trial was conducted and assigned nine maternity settings in Denmark to intervention or usual care. Women were eligible if they expected a single infant, intended to breastfeed, were able to read Danish, and expected to be discharged within 50 hr postnatally...
February 14, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28188249/breastfeeding-and-defeasible-duties-to-benefit
#19
Fiona Woollard, Lindsey Porter
For many women experiencing motherhood for the first time, the message they receive is clear: mothers who do not breastfeed ought to have good reasons not to; bottle feeding by choice is a failure of maternal duty. We argue that this pressure to breastfeed arises in part from two misconceptions about maternal duty: confusion about the scope of the duty to benefit and conflation between moral reasons and duties. While mothers have a general duty to benefit, we argue that this does not imply a duty to carry out any particular beneficent act...
February 10, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28181214/aspirin-single-dose-for-perineal-pain-in-the-early-postpartum-period
#20
REVIEW
Sujana Molakatalla, Emily Shepherd, Rosalie M Grivell
BACKGROUND: Perineal trauma (due to spontaneous tears, surgical incision (episiotomy) or in association with operative vaginal birth) is common after vaginal birth, and is often associated with postpartum perineal pain. Birth over an intact perineum may also lead to perineal pain. There are adverse health consequences associated with perineal pain for the women and their babies in the short- and long-term, and the pain may interfere with newborn care and the establishment of breastfeeding...
February 9, 2017: Cochrane Database of Systematic Reviews
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