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https://www.readbyqxmd.com/read/27828726/early-breast-milk-pumping-intentions-among-postpartum-women
#1
Yiska Loewenberg Weisband, Sarah A Keim, Lisa M Keder, Sheela R Geraghty, Maria F Gallo
INTRODUCTION: Milk expression has become common, but little is known about women's intentions and motivations for pumping. Our objectives were to measure, among newly postpartum women, intentions related to breast milk feeding and pumping, reasons for intending to pump, and timing of pumping initiation. METHODS: We conducted a cross-sectional study at a large university hospital in 2015 using a convenience sample of 100 women before their discharge following delivery, who intended to feed their infant breast milk for at least 6 months...
November 9, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27759411/tongue-tie-assessment-clinical-aspects-and-a-new-diode-laser-technique-for-its-management
#2
R Crippa, M Paglia, F Ferrante, A Ottonello, F Angiero
: BACKGROUND Often breastfeeding problems experienced by mothers and their babies may be attributed to the abnormal attachment of the infant's tongue (ankyloglossia) and/or maxillary lip-tie. Proper breastfeeding depends upon an infant's ability to correctly latch onto its mother's breast. If born with oral soft tissue abnormalities such as tongue-tie or lip-tie, it may be almost impossible for the infant to breastfeed. During the oral evaluation of an infant presenting with breastfeeding problems, one factor that is often overlooked and undiagnosed - and thus untreated - is the attachment of the upper lip to the maxillary gingival tissue...
September 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/27497378/management-of-posterior-ankyloglossia-and-upper-lip-ties-in-a-tertiary-otolaryngology-outpatient-clinic
#3
Lara Benoiton, Maggie Morgan, Katherine Baguley
OBJECTIVES: Recent studies have shown an association between ankyloglossia (tongue tie) and upper-lip ties to breastfeeding difficulties. Treatment is commonly multidisciplinary involving lactation consultants and surgical management with tongue tie and upper lip tie release. There is currently limited data looking at posterior ankyloglossia and upper lip ties. METHODS: Consecutive patients seen at an ENT outpatient clinic for ankyloglossia and upper-lip ties from May 2014-August 2015 were assessed for an outpatient frenotomy...
September 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27484410/the-outcomes-of-a-frenulotomy-on-breastfeeding-infants-followed-up-for-3%C3%A2-months-at-thammasat-university-hospital
#4
Junsujee Wakhanrittee, Jiraporn Khorana, Siriphut Kiatipunsodsai
PURPOSE: To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS: A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy...
October 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27452978/obese-women-experience-multiple-challenges-with-breastfeeding-that-are-either-unique-or-exacerbated-by-their-obesity-discoveries-from-a-longitudinal-qualitative-study
#5
Christine D Garner, Shanice A McKenzie, Carol M Devine, Loralei L Thornburg, Kathleen M Rasmussen
Obese women are at risk for shorter breastfeeding duration, but little is known about how obese women experience breastfeeding. The aim of this study was to understand obese women's breastfeeding experiences. We enrolled pregnant women in upstate New York, who were either obese [n = 13; body mass index (BMI) ≥30 kg/m(2) ] or normal weight (n = 9; BMI 18.5-24.9 kg/m(2) ) before conception and intended to breastfeed. A longitudinal, qualitative study was conducted from February 2013 through August 2014 with semi-structured interviews during pregnancy and at specific times post-partum through 3 months...
July 25, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/26859784/a-case-control-study-of-diabetes-during-pregnancy-and-low-milk-supply
#6
Sarah W Riddle, Laurie A Nommsen-Rivers
OBJECTIVE: The objective of this study was to determine whether a history of diabetes during pregnancy, as a marker of perinatal glucose intolerance, increases the odds of a diagnosis of low milk supply at a Breastfeeding Medicine Clinic (BMC). MATERIALS AND METHODS: A case-control analysis was conducted of electronic medical records for BMC visits <90 days postpartum. Diabetes was defined as documentation of gestational, type 1, or type 2 diabetes. Cases were defined as those with a low milk supply diagnosis but without latch or nipple problems, and controls as those with latch or nipple problems but without low milk supply...
March 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/26494433/understanding-the-relationship-between-breastfeeding-and-postnatal-depression-the-role-of-pain-and-physical-difficulties
#7
Amy Brown, Jaynie Rance, Paul Bennett
AIMS: To examine the relationship between specific reasons for stopping breastfeeding and depressive symptoms in the postnatal period. BACKGROUND: Difficulty breastfeeding has been connected to postnatal depression although it is unclear whether difficulty breastfeeding precedes or succeeds a diagnosis. However, the concept of 'breastfeeding difficulty' is wide and includes biological, psychological and social factors. DESIGN: A cross-sectional self-report survey...
February 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/25927109/sedating-drugs-and-breastfeeding
#8
Cheuk Kiu Chow, Gideon Koren
QUESTION: If a mother takes a sedating drug during breastfeeding, will it cause central nervous system (CNS) depression in her breastfed baby? ANSWER: In some cases (eg, with the use of codeine or oxycodone) sedating drugs will likely cause CNS depression in breastfed infants and in other cases (eg, with the use of benzodiazepines) they will likely not. Mothers using sedating drugs should monitor their breastfed infants for signs of CNS depression (eg, drowsiness; difficulty breathing, feeding, or latching; or cyanosis), paradoxical effects (eg, unusual excitement,irritability), or inadequate weight gain...
March 2015: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/25788970/-be-positive-as-well-as-realistic-a-qualitative-description-analysis-of-information-gaps-experienced-by-breastfeeding-mothers
#9
Marie Dietrich Leurer, Eunice Misskey
BACKGROUND: Early breastfeeding cessation is common in many regions of the world despite high breastfeeding initiation rates and strong evidence of the health benefits to both mother and infant. This research investigated mothers' perceived breastfeeding information needs in order to increase our understanding of this phenomenon. METHODS: Surveys were distributed by public health nurses in a health region in Western Canada to mothers who had initiated breastfeeding and whose infants were six to eleven months old to learn more about their infant feeding experiences during the birth to six month period...
2015: International Breastfeeding Journal
https://www.readbyqxmd.com/read/25671532/clinical-inquiry-does-frenotomy-help-infants-with-tongue-tie-overcome-breastfeeding-difficulties
#10
Jeanne Cawse-Lucas, Shannon Waterman, Leilani St Anna
No evidence exists for improved latching after frenotomy, and evidence concerning improvements in maternal comfort is conflicting. At best, frenotomy improves maternal nipple pain by 10% and maternal subjective sense of improvement over the short term (0 to 2 weeks).
February 2015: Journal of Family Practice
https://www.readbyqxmd.com/read/25616913/breastfeeding-infants-with-congenital-torticollis
#11
Catherine Watson Genna
Infants with unilateral sternocleidomastoid tension and associated craniofacial, spinal, and hip asymmetries may feed poorly. Anatomic and muscular asymmetry stress both biomechanics and state control, increasing the potential for difficulty latching and sucking. A combination of positioning modifications to allow the infant to maintain his or her comfortable head tilt and turn, supportive techniques to restore alignment of oral structures, and handling techniques to help activate the weak contralateral muscles have been effective in the author's practice...
May 2015: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/25506813/interventions-for-treating-painful-nipples-among-breastfeeding-women
#12
REVIEW
Cindy-Lee Dennis, Kim Jackson, Jo Watson
BACKGROUND: Leading health authorities all recommend exclusive breastfeeding to six months' postpartum. While most women initiate breastfeeding, many discontinue due to difficulties encountered rather than maternal choice. One common breastfeeding difficulty is painful nipples. Research has identified poor infant positioning or latch as a common cause of painful nipples. While many different interventions designed to reduce nipple pain in breastfeeding women have been evaluated, it is unclear which intervention is the most effective treatment...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25347567/active-management-of-the-third-stage-of-labor-may-reduce-breastfeeding-duration-due-to-pain-and-physical-complications
#13
Amy Brown, Sue Jordan
BACKGROUND: Evidence is growing that active management of the third stage of labor using prophylactic uterotonics may be associated with lower breastfeeding rates. The reasons underlying this relationship are incompletely understood. The aim of this article is to examine the experiences of mothers who stopped breastfeeding in relation to administration of parenteral uterotonics for postpartum hemorrhage prophylaxis. SUBJECTS AND METHODS: Two hundred eighty-eight mothers with an infant 0-6 months of age who had a vaginal birth completed a self-report questionnaire examining injections of uterotonics during the third stage of labor, breastfeeding at birth, breastfeeding duration, and, where applicable, reasons for breastfeeding cessation, whether physical, social, or psychological...
December 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/25188674/support-for-relactation-among-mothers-of-hiv-infected-children-a-pilot-study-in-soweto
#14
Mandisa Nyati, Hae-Young Kim, Ameena Goga, Avy Violari, Louise Kuhn, Glenda Gray
OBJECTIVES: Breastfeeding is accepted as the healthiest practice for human immunodeficiency virus (HIV)-infected infants, but decisions about infant feeding are made before the child's HIV status is known. We examined the feasibility of counseling to support breastfeeding for newly diagnosed HIV-infected infants, including relactation for those who had never initiated or who had stopped breastfeeding before the infant's HIV status was known. MATERIALS AND METHODS: Mothers of 30 HIV-infected infants <12 weeks of age were enrolled in Soweto, South Africa...
November 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/25170043/pierre-robin-sequence-in-a-neonate-with-suckling-difficulty-and-weight-loss
#15
Jeffery Summers, Jacob Ludwig, David Kanze
Pierre Robin sequence (PRS) is a combination of micrognathia and glossoptosis that leads to airway obstruction, feeding problems, and potentially other sequelae that can complicate early life. Currently, therapy for these newborns and infants is focused on preventing fatality or complications until the jaw can grow sufficiently to correct airway obstruction and associated problems. For patients with mild PRS, treatments include conservative measures such as airway maintenance and a feeding tube. For more severe cases, a surgical procedure is necessary...
September 2014: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/25123003/comparisons-of-the-latching-on-between-newborns-with-tongue-tie-and-normal-newborns
#16
Pawin Puapornpong, Kasem Raungrongmorakot, Visan Mahasitthiwat, Sukwadee Ketsuwan
BACKGROUND: Breastfeeding is recommended as the exclusive feeding for the first six months of the newborns life. Difficulty in latching and breastfeeding resulting from tongue-tie are believed to be a problem. OBJECTIVE: To compare the latching on between newborns with tongue-tie (ankyloglossia) and normal newborns. MATERIAL AND METHOD: The subjects were 833 normal, postpartum women who delivered without complications at HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok Province between January and June 2013...
March 2014: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/24978831/does-frenotomy-improve-breast-feeding-difficulties-in-infants-with-ankyloglossia
#17
REVIEW
Yasuo Ito
The aim of this systematic review was to critically examine the existing literature regarding the effectiveness of tongue-tie division in infants with ankyloglossia, using the new grades of recommendations, assessment, development, and evaluation (GRADE) rating system. A clinical question was structured according to patient, intervention, comparison, and outcome, as follows: in infants with poor breast-feeding and ankyloglossia (patient), does frenotomy (intervention), compared to lactation support alone (comparison), improve feeding (outcome)? An electronic literature search was systematically conducted from databases including PubMed, Japana Centra Revuo Medicina (Igaku Chuo Zasshi), CINAHL, and Cochrane Library using the key words "ankyloglossia," "tongue-tie," "frenotomy," and/or "breast-feeding" in English and equivalent terms in Japanese...
August 2014: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/24655291/prevalence-and-risk-factors-for-early-undesired-weaning-attributed-to-lactation-dysfunction
#18
Alison M Stuebe, Bethany J Horton, Ellen Chetwynd, Stephanie Watkins, Karen Grewen, Samantha Meltzer-Brody
BACKGROUND: Breastfeeding durations in the United States fall short of public health objectives. We sought to quantify the prevalence and identify risk factors for early, undesired weaning that mothers attribute to physiologic difficulties with breastfeeding. METHODS: We analyzed data from the Infant Feeding Practices Study (IFPS) II, a longitudinal study of US women. We defined disrupted lactation as early, undesired weaning attributed to at least two of the following three problems: breast pain, low milk supply, and difficulty with infant latch...
May 2014: Journal of Women's Health
https://www.readbyqxmd.com/read/24249695/randomised-controlled-trial-of-early-frenotomy-in-breastfed-infants-with-mild-moderate-tongue-tie
#19
RANDOMIZED CONTROLLED TRIAL
Alan Emond, Jenny Ingram, Debbie Johnson, Peter Blair, Andrew Whitelaw, Marion Copeland, Alastair Sutcliffe
TRIAL DESIGN: A randomised, parallel group, pragmatic trial. SETTING: A large UK maternity hospital. PARTICIPANTS: Term infants <2 weeks old with a mild or moderate degree of tongue-tie, and their mothers who were having difficulties breastfeeding. OBJECTIVES: To determine if immediate frenotomy was better than standard breastfeeding support. INTERVENTIONS: Participants were randomised to an early frenotomy intervention group or a 'standard care' comparison group...
May 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/23925281/lingual-frenulum-and-effect-on-breastfeeding-in-thai-newborn-infants
#20
Sopapan Ngerncham, Mongkol Laohapensang, Thidaratana Wongvisutdhi, Yupin Ritjaroen, Nipa Painpichan, Pussara Hakularb, Panidaporn Gunnaleka, Penpaween Chaturapitphothong
BACKGROUND: Breastfeeding has abundant biological and psychological benefits. Effective breastfeeding requires good latching on, which is possible when the infant is able to cup around the maternal areola with his tongue. One of the most common conditions resulting in poor latching on is tongue-tie. OBJECTIVE: To determine the prevalence of tongue-tie with subsequent breastfeeding difficulties and other factors affecting the success of breastfeeding in newborn infants...
May 2013: Paediatrics and International Child Health
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