Breastfeeding In First Hour Research Articles

The influence of gestational age at term on breastfeeding: a cohort study.

To identify the effect of the category gestational age at term on breastfeeding in he first hour of life, the duration of exclusive breastfeeding, and practice of breastfeeding twelve months from birth. Single cohort, with a one-year prospective follow-up of 541 children. A hierarchical analysis was performed, with models adjusted per Cox regression, considering critical p < 0.05. During raw analysis there was a statistical difference on breastfeeding in the first hour of life (RR = 1.54; CI 95% = 1.12-2.12; p = 0.008). However, in the final analysis, there was no association between gestational age at term and breastfeeding in the first hour of life, duration of exclusive breastfeeding, and the practice of breastfeeding twelve months from birth. Secondarily, higher age and education, cesarean section, birth at private services, and the need for resuscitation were observed to have a negative influence. Duration of previous pregnancy favored breastfeeding in the first hour of life. Using baby bottle and pacifier was negative for breastfeeding in the first year of life. There was no association between the category gestational age at term and breastfeeding. The association of outcomes pointed out by the scientific literature have been confirmed.

Os benefícios do aleitamento materno na primeira hora de vida

The aim was to identify in the scientific literature the importance of breastfeeding in the newborn's first hour of life. This is an integrative literature review, based on the guiding question “What is the importance of breastfeeding in the first hour of life?”. Searches were carried out in LILACS, SciELO, Medline and BDENF databases, using the descriptors “Breastfeeding”, “Postpartum period”, “Maternity Hospitals”, “Maternal and Child Health Services” and “Newborn”. Using the inclusion criteria: articles in Portuguese, published at interval of the last five years, fully available through electronic access. And the exclusion criteria: dissertations, duplications, which did not answer the guiding question and review articles. Breastfeeding in the first hour of life reduces the neonatal mortality rate, immunological protection and promotes conditions for the development of the newborn's body systems, in addition to producing oxytocin, reducing the risk of developing hemorrhage and other maternal complications. It is noted that breastfeeding in the first hour of the newborn's life offers numerous maternal benefits and especially for the newborn, promoting an improvement in the child's overall health.

The Effect of Health Problems at Birth on Breastfeeding: A Cross-Sectional Study in a Third Step Hospital

Objective: The health status at birth can affect infant’s ability to start suckling and the breastfeeding process. The aim of this study is to compare the process of starting and continuing breastfeeding of healthy babies and infants born with health problems and also to evaluate the effect of health problems at birth on breastfeeding.&#x0D; Method: 460 mothers with infants between 6-24 months of age who admitted to the pediatric outpatient clinics were enrolled in the study.&#x0D; Results: It was found that 19.2% health problems at birth. Among healthy babies the rate of breastfeeding as first nutrition and breastfeeding in first hour after delivery was found to be 82% and 67% respectively. These rates were 49.5% and 32.3% in infants born with health problems, respectively (p

First Hour Initiation of Breast Feeding &amp;amp; Associated Factors, among Mothers at Post Natal Ward in Fort Portal Referral Hospital, Uganda

Background: Breast milk is recommended as the best feeding option to neonates and infants for it confers immunological benefits that help to reduce neonatal and infant morbidities and mortalities. WHO recommends that all infants should start breast feeding within one hour of birth i.e. early initiation of breast feeding (EIBF). Unfortunately, studies show that less than 40% of infants in resource limited settings Uganda inclusive are initiated on breast feeding practice, with no documented study done in Kabarole district to assess the problem. This study therefore, set out to establish the prevalence and associated factors with the practice of first hour initiation of breast feeding at Fort Portal Regional Hospital, Kabarole district, Uganda. Methods: With a cross-sectional design, we collected data from 330 post natal mothers and their live-born infants at Fort Portal Regional Referral hospital from 5th-20th August 2019. With a standard interviewer administered tool, mothers who initiated breast feeding within the first hour after delivery of their newly born babies responded with yes and those that did not with a no. Prevalence of one hour initiation was got considering infants that were initiated on breast within one hour over the total live birth times 100 to get the percent prevalence. With Stata version 13 software, statistically significant relationships of the predisposing factors were determined at a p-value (p ≤ 0.05) at bivariate and at multivariate regression coefficient. Results: A total of 330 postnatal mothers targeted for this study, 100% response rate was covered. Mothers’ age ranged from 18 - 45 years with mean age 31 SD ± 6. The prevalence of initiation of breast feeding in the first hour of birth was 68%, a third of (32%) mothers had not initiated breast feeding in the first hour. A half (50%) of the direct predisposing factors for non-initiation of timely breastfeeding were due to birth asphyxia, almost a quarter 23% due to mother’s ill health and 7% due mother not being guided by the health worker on what to do. In this study mothers’ knowledge and awareness of the practice were very low at 20% while that of health workers was fair at 53%. Social demographic factors that influence 1st hour breast feeding practice were; young maternal age being less than 34 years, mothers occupation being self-employed (83%) or unemployed (73%) with 3 times higher odds of initiating breastfeeding within 1st (OR = 3, p = 0.003) than working class mothers (civil servants). Marital status of mothers being married (73%) significantly influenced early breastfeeding practice (p = 0.001). Health workers’ knowledge of the practice was significantly associated (OR = 2.7, X2 = 11.32, *p = 0.00078) with enforcement of mother initiation of breast feeding in first hour compared to the less knowledgeable ones. Conclusion: The practice of timely initiation of breastfeeding at Fort Portal Regional Referral hospital at 68.2% was sub-optimal against WHO universal practice recommendations. Mothers’ low knowledge on timely initiation of breast feeding practice was the most deterrent factor for first hour initiation of breastfeeding practice. Providing breastfeeding counselling to all mothers during ANC and training on best breastfeeding practices and counselling skills for health staff at Fort Portal Referral hospital are urgent recommendation in this study to improve the practice.

Improving exclusive breast feeding in the first 24 h of life using Plan-Do-Study-Act cycle in a tertiary care hospital

BackgroundBreast milk is the most ideal form of nutrition for neonates, but the rate of early initiation of breast feeding is as low as 41.6% in India. We aimed to improve the proportion of new-borns on exclusive breast feeds in first 24h after birth in our hospital from a baseline rate of 33% to more than 90% by 6 weeks using concepts of quality improvement (QI) initiative. MethodsWe implemented this QI initiative using Plan-Do-Study-Act (PDSA) cycles and the project was conducted from 07 May 2017 to 17 Jun 2017. All singleton term neonates with birth weight above 2.5kg were included. Neonates requiring any form of resuscitation at birth, respiratory distress requiring any form of respiratory support, and neonates requiring observation in NICU for any other reason were excluded. We ran PDSA cycles (including educating residents and nurses on breast feeding, initiating skin to skin contact and breast feeding in first hour of birth, demonstrating all mothers face to face about attachment and positioning and restriction on issue of formula milk) to improve breast feeding exclusivity. ResultsA total of 199 neonates were enrolled, over a span of 6 weeks. We could achieve sustained exclusive breast feeding in first 24h of life in more than 90% of the enrolled neonates by adhering to the QI initiative. ConclusionThis QI project using PDSA methodology has significantly improved the rates of exclusive breast feeding in first 24h of life in normal neonates roomed in with their mothers.