Premature Cessation Of Breastfeeding Research Articles

Efektifitas Tindakan Frenektomy Pada Bayi Tongue Tie Dengan Kemampuan Menyusu

Tongue tie cases at the Columbia Asia Surgical Hospital in Semarang in the last two years have experienced an increase, where in 2021 there were 438 cases and in 2022 there were 447 cases. Tongue tie babies have a poor breastfeeding mechanism, this is caused by limited tongue movement, so tongue tie babies cannot attach properly when breastfeeding. These conditions result in the maximum intake of breast milk not being obtained and the mother feeling uncomfortable due to sore nipples which can cause premature cessation of breastfeeding. This study aims to analyze the effectiveness of frenectomy in tongue tie babies with breastfeeding ability. This research is a type of quasi-experimental research with a one group pretest-posttest design. The population in this study were tongue-tie babies without complications who were still being hospitalized at the Columbia Asia Surgical Hospital in Semarang. Using a purposive sampling technique, a sample of 30 babies was obtained. The instruments used in this study were LATCH and ATLFF scores. Data analysis was performed using univariate analysis and bivariate analysis. The results of the study showed that the Frenectomy procedure was effective in increasing the ability to suckle in tongue tie babies, the Wilcoxon test results were obtained (pvalue 0.000 <0.05), where all (100%) tongue tie babies experienced an increase in the ability to suckle after a frenectomy. The action of a frenectomy is effective in increasing the ability to suckle, this can be due to the fact that with a frenectomy the mobility of the tongue increases, so that the baby can latch on properly, can swallow milk well, the mother feels comfortable while breastfeeding because the nipples are not painful.

Education for Husbands about Successful Breastfeeding (A Literatur Review)

WHO has recommended mothers to breastfeed their babies until at least six months after birth. The success of this WHO recommendation depends on several factors, and one of these factors is husband's support. From the three journal articles reviewed in this research, husband's support was proven to be very supportive of the success of early initiation of breastfeeding and exclusive breastfeeding. With the husband's support and the husband's presence when breastfeeding mothers are still active to provide breast milk to their babies, premature cessation of breastfeeding can be prevented because breastfeeding mothers feel appreciated for their efforts so far in conceiving, giving birth and breastfeeding their babies. Therefore, husband's support is considered a very significant intervention for successful breastfeeding.

Early cessation of breastfeeding and the associated factors among mothers with children aged 2 to 3 years in rural Southern Ethiopia: a community-based cross-sectional study

BackgroundBreast milk is the first natural food for babies. It has nutritional, immunological, developmental, psychological, societal and environmental advantages. Failing to feed children for twenty-four months has so many negative consequences to children. Though studies have well documented the duration of breast feeding in the first six months, the proportion of women completing the recommended duration and factors associated with it has not been well investigated in rural places of Ethiopia. Therefore, this study aims to fill this gap in evidence among mothers with children aged 2 to 3 years in Arba Minch Health and Demographic Surveillance Site in 2021 E.C.MethodsA community-based cross-sectional study was conducted in all kebeles of the surveillance site by employing multi-stage sampling technique. Descriptive statistics was done to summarize findings and binary logistics regression model was used to identify factors significantly associated with early breast-feeding cessation respectively. OR with its 95% CI was obtained to quantify the degree of association between explanatory variables and early breastfeeding cessation.ResultThe proportion of early cessations of breast feeding was 29.30% (25.02, 33.64%). Being from a household with no fathers ‘education or primary education [AOR=0.22; 95%CI (0.07, 0.74)] and [AOR=0.30; 95%CI (0.12, 0.76)], farmer mothers [AOR=6.40; 95%CI: (1.38, 29.74)], birth interval of less than 2 years [AOR=2.07; 95%CI: (1.03, 4.16)], and with mothers’ one or two to three antenatal care visits [AOR = 2.73; 95%CI: (1.27,5.88)] were factors significantly associated with early cessations of breast feeding.Conclusion and recommendationThe proportion of early cessations of breast feeding was high. Father’s education, being farmer, birth interval and ante natal care visit were significant factors. Health education about proper breast feeding practice and improving ante natal care attendance might improve premature cessation of breast feeding among women.

Influence of intranasally administered insulin on metabolic and hormonal parameters in adult male rats, impaired due to three-day fasting in the early postnatal period

Temporary cessation or restriction of breastfeeding can lead to metabolic disorders in adulthood. However, data on the effect of fasting in the early postnatal period on the functions of the endocrine system in adulthood are rare and contradictory. Approaches for the correction of metabolic and hormonal disorders caused by premature cessation of breastfeeding have not been developed yet. The aim of the work was to study the metabolic and hormonal parameters and changes in the hormonal status of the gonadal and thyroid systems in 10-month-old male rats with interruption of breastfeeding on days P19-P21, as well as to evaluate the restorative effect on them of four weeks of treatment with intranasal insulin (II) administered in the postnatal period (P28-P55) or in adulthood (P183-P210). Lactation interruption has been induced by treatment of lactating females with bromocriptine (10 mg/day/rat, P19-P21). Male rats with temporary cessation of breastfeeding developed characteristic signs of the metabolic syndrome (obesity, dyslipidemia, impaired glucose tolerance, hyperleptinemia), decreased levels of testosterone and thyroid hormones (fT4, tT3) and weakened the synthesis of testosterone and thyroxine, stimulated respectively by GnRH and thyroliberin. This was due to a decrease in the sensitivity of the testes to luteinizing hormone (LH) and the thyroid gland to thyroid-stimulating hormone (TSH). Treatment with II in early ontogenesis reduced body weight and fat, improved lipid profile, sensitivity to insulin, leptin, LH and TSH, restored the levels of testosterone and thyroid hormones and their stimulation by releasing factors. Treatment with II in adulthood normalized the levels of testosterone, thyroid hormones, their stimulation by releasing factors, but had a little effect on metabolic and hormonal parameters. The obtained data point to a wide range of metabolic and hormonal disorders in adult male rats with the "neonatal" model of metabolic syndrome and to the effectiveness of various strategies for their correction using long-term II treatment.

Mastitis While Breastfeeding: Prevention, the Importance of Proper Treatment, and Potential Complications

Mastitis is an inflammation in the breast, which may involve a bacterial infection. Breast infection during breastfeeding is a common phenomenon that requires immediate and appropriate treatment. Without proper treatment, inflammation may lead to the cessation of breastfeeding. Another potential complication is the development of an abscess. Based on the nutritional and immunological value of breast milk, the recommendations of the American Academy of Pediatrics (AAP) and the World Health Organization (WHO) is exclusive breastfeeding up to 6 months of age, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infanRecent meta-analyses indicate breastfeeding protects against childhood infections, allows for a possible increase in intelligence, and for a reduction in overweight and diabetes. Breastfeeding is beneficial for nursing women as well. It is therefore important to help the mother overcome difficulties such as mastitis and to continue breastfeeding. The choice of a proper treatment and the provision of therapeutic instructions to the patient are crucial for a cure, for a successful duration of breastfeeding, and for preventing complications for mother and baby. In this article, we provide the latest clinical guidelines regarding drug treatment and supportive therapy in mastitis. We also discuss the latest guidelines of candida treatment, as candida infection may develop as a result of antibiotic therapy. Overall, improperly treated mastitis may cause the premature cessation of breastfeeding, and will cause suffering to both mother and baby; giving proper treatment and instructions to the mother are hence of the utmost importance.

Moralising Rhetoric and Imperfect Realities: Breastfeeding Promotions and the Experiences of Recently Delivered Mothers in Urban Yogyakarta, Indonesia

Exclusive breastfeeding is embedded in National Health Law and Regulation in Indonesia and is vigorously promoted by health workers, breastfeeding counsellors and religious leaders. This article explores the transformation of state legislation into breastfeeding promotions that are imbued with moralising assumptions directed at expectant women, new mothers and their partners. Drawing on an 18-month ethnographic study, the rhetoric of breastfeeding promotion messages is contrasted with the narratives of urban middle-class mothers in Yogyakarta. This article highlights the challenges women experience in their attempts to breastfeed and the divergence between the moralising rhetoric of breastfeeding promotions and women’s imperfect lived realities. It demonstrates how dominant health promotion messages construct breastfeeding as a moral issue, insist women are obligated to breastfeed their infants, and fail to acknowledge women’s choice, reproductive agency and bodily autonomy. Such messaging assumes the right of infants to be breastfed, and emphasises the developmental problems likely to befall children who are not breastfed. Gendered expectations that all mothers will assume their breastfeeding role selflessly and dutifully are also embedded in breastfeeding promotion messages. We conclude that breastfeeding promotion messages need to be more inclusive and less moralising in their substance and delivery to better serve Indonesian women. Women are likely to feel more supported and less alienated by breastfeeding promotion messages that recognise the possibility of common breastfeeding challenges, such as difficulty establishing successful breastfeeding, the baby blues, the likelihood of suffering discomfort from breastfeeding in public, and issues with the premature cessation of breastfeeding.

A study on Infant Feeding practices among mothers of a Rural hilly area of District Dehradun

Background: Optimal infant and young child-feeding (IYCF) practices are crucial for nutritional status, growth, development, health, and ultimately the survival of infants and young children. Practices like premature cessation of breastfeeding, early and unnecessary introduction of top feeding in incorrect dilutions and unhygienic pattern are also quite prevalent in many communities thereby aggravating malnutrition in children. The present study was undertaken to assess the feeding practices in the first six months among children less than three years, to know the barriers for the same and to study the effect of feeding practices on their nutritional status.Methodology: A cross sectional study was conducted in all the villages under Rural Health Training Centre, the field practice area of Department of Community Medicine. A total of 500 mothers with their under three children were included in the study. A Predesigned pretested semi structured questionnaire was used to collect information on feeding practices within the first six months of life.Results: In the present study a total of 160 (33%) children were on top milk of which majority consumed cow’s milk and were fed by bottle (91%). Majority of the mothers diluted milk (87.5%) in the proportion of 1:1 (38%). In appropriate feeding practices were more common males. Infants who had inappropriate feeding practices in the initial six months were found to be maximally undernourished.Conclusion: The present study revealed suboptimal feeding practices in the first six months, which was again found as one of the major risk factor for malnutrition among children.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.103-110

A prospective study of the introduction of complementary foods in contemporary Australian infants: What, when and why?

To accurately establish the extent to which breastfeeding exclusivity and duration and the introduction of foods other than breast milk are congruous with Australian infant feeding guidelines among a cohort of primiparous women and their infants in Australia. The Feeding Queensland Babies Study is primarily a questionnaire-based prospective birth cohort study of infant feeding attitudes and behaviours but also collected significant data on feeding patterns in infancy. These data were extracted from the demographic questionnaire and from questionnaires administered at 4 and 6 months of infant age. Participants were healthy primiparous Australian women aged between 18 and 40 years, recruited by convenience sampling in Queensland, Australia. Data were collected by self-administered questionnaire both online and on paper between October 2010 and September 2011. Breastfeeding initiation in this cohort is high; however, by 4 months of age, 15.4% of mothers had completely ceased any breastfeeding, 28.7% of infants had been given formula and 18.5% had been introduced to baby cereal. By 6 months of age, 98.4% of infants had been introduced to non-milk foods, most commonly at a rate of one new food every 4 to 5 days. Contemporary prospective data on infant feeding have value in describing trends that may influence the health outcomes of a generation of Australian children. Even in this group of relatively well-educated Australian women, premature cessation of breastfeeding and the early introduction of foods other than breast milk to infants demonstrate behaviours not congruous with evidence-based guidelines.

Behavioral Sleep Interventions in the First Six Months of Life Do not Improve Outcomes for Mothers or Infants

The United Kingdom's National Institute for Health Research has recently invited proposals for the design of a multicomponent primary care package of behavioral interventions to reduce parental distress caused by excessive infant crying in the first 6 months of life. A systematic review was performed to determine whether behavioral interventions for sleep, when applied by parents to infants younger than 6 months, improve maternal and infant outcomes. Searches of PubMed, CINAHL, and Cochrane Database of Systematic Reviews were conducted to identify systematic reviews, meta-analyses, clinical trials, and cohort studies investigating the effects of behavioral sleep interventions in infants younger than 6 months (January 1993-March 2013). The evidence is critically analyzed, according to PRISMA guidelines. Cry-fuss, feeding, and sleep problems emerge out of multiple dynamically interacting and co-evolving variables in early life and are for this reason generically referred to as regulatory problems. Studies that link behavioral interventions for sleep in the first 6 months with positive effects on maternal and infant health demonstrate 3 methodological constraints. They fail to identify and control for feeding difficulties, fail to distinguish between the neurodevelopmentally different first and second halves of the first year of life, and apply reductive analyses to evaluations of complex interventions. Despite substantial investment in recent years in implementation and evaluation of behavioral interventions for infant sleep in the first 6 months, these strategies have not been shown to decrease infant crying, prevent sleep and behavioral problems in later childhood, or protect against postnatal depression. In addition, behavioral interventions for infant sleep, applied as a population strategy of prevention from the first weeks and months, risk unintended outcomes, including increased amounts of problem crying, premature cessation of breastfeeding, worsened maternal anxiety, and, if the infant is required to sleep either day or night in a room separate from the caregiver, an increased risk of SIDS. The belief that behavioral intervention for sleep in the first 6 months of life improves outcomes for mothers and babies is historically constructed, overlooks feeding problems, and biases interpretation of data.

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Five large public primary health-care facilities of Rio de Janeiro, Brazil. The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31% higher than those who were not exposed (hazard ratio = 1·30, 95% CI 1·01, 1·69). The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train health-care personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

The unsettled baby: crying out for an integrated, multidisciplinary primary care approach

Unsettled behaviour in the first few months of life is a common clinical problem, with the associated risks of postnatal depression, premature cessation of breastfeeding, long-term psychological disturbance, and child abuse. Parents of new babies complain of difficulty accessing appropriate care and receiving conflicting advice. Although organic disturbance is implicated in only 5% of cases, gastro-oesophageal reflux disease, food allergies and lactose intolerance are often mistakenly diagnosed in unsettled babies. There is no evidence that acid-suppressive medications help in treating unsettled behaviour and, until the hypothesis that proton-pump inhibitors may predispose to food allergies has been properly investigated, treatment with acid-suppressive medications should be avoided in this population. Although unsettled behaviour in infants is commonly a transient neurodevelopmental phenomenon that peaks at 6 weeks of age, failure to diagnose other correctable problems, including breastfeeding difficulty and cows milk allergy, risks entrenching anxiety and disrupted mother-infant interactions in the long term. In the current climate of health system reform, the design and evaluation of an integrated, evidence-based, multidisciplinary primary care approach to management of unsettled babies and their mothers is a priority.

Regression of conjunctival tumor during dietary treatment of celiac disease

A 3-year-old girl presented with a hemorrhagic conjunctival lesion in the right eye. The medical history revealed premature cessation of breast feeding, intolerance to the ingestion of baby foods, anorexia, and abdominal distention. Prior to her referral, endoscopic small intestinal biopsy had been carried out under general anesthesia with a possible diagnosis of Celiac Disease (CD). Her parents did not want their child to undergo general anesthesia for the second time for the excisional biopsy. We decided to follow the patient until all systemic investigations were concluded. In evaluation, the case was diagnosed with CD and the conjunctival tumor showed complete regression during gluten-free dietary treatment. The clinical fleshy appearance of the lesion with spider-like vascular extensions and subconjunctival hemorrhagic spots, possible association with an acquired immune system dysfunction due to CD, and spontaneous regression by a gluten-free diet led us to make a presumed diagnosis of conjunctival Kaposi sarcoma.

Les arrêts prématurés d’allaitement maternel

This study was performed to describe the factors associated with a premature cessation of breastfeeding. Background and methods – Three hundred and forty nine women with a plan for prolonged breastfeeding over two months were interviewed during their hospital stay to define sociological and medical variables. One month after discharge, mothers were contacted by a physician for making out evolution of the breastfeeding. Results – Eighty-eight (28%) women were no more breastfeeding their infant and were compared to the other 224 (64%) mothers. The main sociological factors influencing the cessation of breastfeeding were low education level (odds ratio 4.2 [95% CI 2.2–8.3]), and primiparity (odds ratio 2.1 [95% CI 1.1–3.9]). Pacifier use was associated with a lower duration of breastfeeding (odds ratio 2.5 [95% CI 1.4–4.5]). Medical predictive factors were infant weight loss (odds ratio 4.3 [95% CI 1.7–10.6]), respect of intervals between feeding times (odds ratio 2.1 [95% CI 1.1–4.4]), delay before the first feeding (odds ratio 1.9 [95% CI 1.0–3.6]). On the other hand formula supplementation was not related with cessation of breastfeeding. Discussion and conclusion – As the success of breastfeeding depends on maternal motivation, it seems essential to take into account mothers' plan to study breastfeeding duration. The knowledge of predictive factors of the cessation of breastfeeding should allow to identify mothers who need particularly the attention of healthcare professionals.

Premature cessation of breastfeeding in infants: development and evaluation of a predictive model in two Argentinian cohorts: the CLACYD study*, 1993–1999

The objective of this study was to develop a model to predict premature cessation of breastfeeding of newborns, in order to detect at-risk groups that would benefit from special assistance programmes. The model was constructed using 700 children with a birthweight of 2000 g or more, in 2 representative cohorts in 1993 and 1995 (CLACYD I sample) in Córdoba, Argentina. Data were analysed from 632 of the cases. Mothers were selected during hospital admittance for childbirth and interviewed in their homes at 1 mo and 6 mo. To evaluate the model, an additional sample with similar characteristics was drawn during 1998 (CLACYD II sample). A questionnaire was administered to 347 mothers during the first 24-48 h after birth and a follow-up was completed at 6 mo, with weaning information on 291 cases. Premature cessation of breastfeeding was considered when it occurred prior to 6 mo. A logistic regression model was fitted to predict premature end of breastfeeding, and was applied to the CLACYD II sample. The calibration (Hosmer-Lemeshow C statistic) and the discrimination [area under the receiver operating characteristics (ROC) curve] of the model were evaluated. The predictive factors of premature end of breastfeeding were: mother breastfed for less than 6 mo [odds ratio (OR) = 1.84, 95% confidence interval (CI) 1.26-2.70], breastfeeding of previous child for less than 6 mo (OR = 4.01, 95% CI 2.58-6.20), the condition of the firstborn child (OR = 2.75, 95% CI 1.79-4.21), the first mother-child contact occurring after 90 min of life (OR = 1.88; 95% CI 1.22-2.91) and having an unplanned pregnancy (OR = 1.50, 95% CI 1.05-2.15). The calibration of the model was acceptable in the CLACYD I sample (p = 0.54), as well as in the CLACYD II sample (p = 0.18). The areas under the ROC curve were 0.72 and 0.68, respectively. A model has been suggested that provides some insight onto background factors for the premature end of breastfeeding. Although some limitations prevent its general use at a population level, it may be a useful tool in the identification of women with a high probability of early weaning.

Premature cessation of breastfeeding in infants: development and evaluation of a predictive model in two Argentinian cohorts: the CLACYD study, 1993-1999

Premature cessation of breastfeeding in infants: development and evaluation of a predictive model in two Argentinian cohorts: the CLACYD study, 1993-1999

Premature cessation of breastfeeding in infants: development and evaluation of a predictive model in two Argentinian cohorts: the CLACYD study, 1993-1999

Premature cessation of breastfeeding in infants: development and evaluation of a predictive model in two Argentinian cohorts: the CLACYD study, 1993-1999

Sociodemographic factors associated with early cessation of breastfeeding in Guadalajara, Mexico

This paper seeks to estimate the prevalence of early cessation of maternal lactation, and to identify sociodemographic factors associated with the premature cessation of breastfeeding. A cross‐sectional study was carried out in the population covered by the Mexican Social Security Institute in the metropolitan area of Guadalajara; a multistage random sample of all live births that occurred at this institution in 1995 took place and, 1,036 infants were studied. A questionnaire was administered to the children's mothers in their homes, although data were also obtained from medical records. The association among the variables studied and the early cessation of breastfeeding was assessed through a logistic regression model. Almost a third—29.1% of the studied infants (95% CI 26.8%‐31.4%) were completely weaned before the first month—; four variables were identified in multivariate analysis as predictors of early cessation of breastfeeding: primiparity (OR=1.68, 95% CI 1.23–2.28); unmarried mother (OR=1.65, 95% CI 1.12–2.44); low socioeconomic status (OR=1.41, 95% CI 1.03–1.94) and mother with health problems during pregnancy (OR=1.45, 95% CI 1.05–1.99). Primiparity presented the highest Population Attributable Risk (23%). This study reveals the importance of early cessation of breastfeeding in the analysed population. Several maternal factors (especially primiparity) were clearly identified as predictors of this situation and should be considered—with the necessary caution—by health care providers to design strategies focused to prolong maternal lactation.

Reasons for continuing and ceasing breastfeeding in low income Hispanics and Whites

The benefits of breastfeeding for both the mother and infant are well documented. Among these benefits are convenience, cost savings, increased uterine contractions resulting in a more rapid return to the pre-pregnancy state, emotional bonding between the mother and the infant, decreased rate of infections and illness, and a lower rate of allergies (1-4). It is now commonly accepted by most professionals in the health care field that breast milk is the milk of choice for infants (1, 5-7). Perhaps due to the recognition by professionals of the importance ofbreastfeeding, its incidence in the United States has been increasing over the past two decades (5-12). However, the proportion of women who breastfeed and the median duration ofbreastfeeding still fall below recommended levels. Results from the National Survey of Family Growth, Cycle III, found that 53% of mothers initiated breastfeeding in 1981, but only 33% of these mothers continued to breastfeed their infants for at least three months (8). The Ross Laboratories Mothers' Survey found that 55% of mothers initiated breastfeeding in 1987, but that only 10% of full time employed mothers and 24% of nonworking mothers breastfed their infant at six months (11). This incidence is substantially lower than the Surgeon General's objective that by 1990, 75% of women breastfeed and 35% continue to do so for six months (13). Table 1 lists a number of the reasons that have been suggested for the premature cessation ofbreastfeeding (5-28). In contrast with the large amount of research on the incidence and duration of breastfeeding by White and Black Americans is the relative paucity of information about breastfeeding by Hispanic Americans. Although several studies have found the incidence ofbreastfeeding to be lower in Hispanics than in non-Hispanic Whites (12, 19, 29-31), fewer have considered the duration of breastfeeding in Hispanics (19, 31-33) or the reasons that Hispanic women give for initiating and continuing breastfeeding (19, 32-34). The present study reports on a survey of 123 low income Hispanic and White women who had begun to breastfeed a baby, in order to