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Nazaruk D, Palacios AM, Chopak-Foss J, Mayo-Gamble TL, Marshall NA. Parental Knowledge and Perceptions on Prevention of Sudden Unexpected Infant Death and Infant Care. Children (Basel) 2023; 10:1550. [PMID: 37761510 PMCID: PMC10529227 DOI: 10.3390/children10091550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 08/28/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023]
Abstract
(1) Background: The study's purpose was to explore the knowledge, perceptions, and confidence of mothers about infant care to reduce the risk of sudden unexpected infant death. (2) Methods: A purposeful sampling method was used to recruit 15 first-time mothers from Georgia with infants under 1 year of age. The researchers utilized the Socio-ecological model to report the results. Participants also provided recommendations on how to improve infant care and reduce the risk of SUID. (3) Results: The confidence level of infant care among most participants was low but increased over time. Mothers' knowledge level about the prevention of SUID was high, but poor emotional health could hurt their parental abilities. Most participants recognized medical providers as the main source of reliable information. However, a lack of emotional and physical support was reported by mothers. (4) Conclusions: Results suggested that a more holistic approach to infant care is needed. The healthcare system and communities should provide more physical, social, and mental support to first-time mothers, a consolidated approach to care before and after birth, and easy access to services at all stages of the process to reduce the risk of SUID.
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Affiliation(s)
- Dziyana Nazaruk
- Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Sothern University, 11935 Abercorn Street, Savannah, GA 31419, USA
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Geist BK, Bammer-Zimmer R. Effects of Early Toilet Training and Elimination Communication With Respect to Diaper Types. Clin Pediatr (Phila) 2023; 62:901-907. [PMID: 36852780 DOI: 10.1177/00099228221145268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
To investigate effects of diaper-free times, elimination communication (EC) and early toilet training, a web-based survey was conducted for caregivers. The more diaper-free times an infant experienced during day, the earlier it was toilet trained (P < .001), which was enhanced by the usage of cloth diapers. The amount of diaper-free times significantly reduced the caregiver's continuous sleep, the occurrence of rashes and balm usage (P < .001) and lead to a more regular defecation frequency. Cloth diaper usage had no effect on rashes or balm usage, but on diaper change rate (P < .001). We could show that, although not as effective as full-time EC, part-time EC is more effective if cloth diapers are used, provided they are changed frequently. Furthermore, EC causes a more regular defecation in infants between 1 and 2 years.
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Baxter A, Karaskiewicz CL, Campbell LA, Kinnally EL, Ferrer E, Seelke AHM, Freeman SM, Bales KL. Parental experience is linked with lower vasopressin receptor 1a binding and decreased postpartum androgens in titi monkeys. J Neuroendocrinol 2023; 35:e13304. [PMID: 37267441 PMCID: PMC10521943 DOI: 10.1111/jne.13304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 04/10/2023] [Accepted: 05/03/2023] [Indexed: 06/04/2023]
Abstract
Parenting induces many neurological and behavioral changes that enable parents to rear offspring. Vasopressin plays an important role in this process via its effects on cognition, affect, and neuroplasticity, and in some cases, via interactions with decreased parental androgens. Thus far, the role of these hormones has been primarily studied in rodents. To address this gap, we explored vasopressin receptors and androgens in titi monkeys, a pair-bonding and biparental primate species. In Studies 1 and 2, we used receptor autoradiography to correlate arginine vasopressin receptor 1a (AVPR1a) binding in the hippocampus (Study 1, n = 10) and the rest of the forebrain (Study 2, n = 23) with parental status, parental experience, parity, infant carrying, and pair affiliation. We found that parents exhibited lower AVPR1a binding than non-parents throughout most brain regions assessed, with especially strong effects in the hippocampus (β = -.61), superior colliculus (β = -.88), lateral septum (β = -.35), and medial preoptic area (β = -.29). The other measures of parental experience also tended to be negatively associated with AVPR1a binding across different brain regions. In Study 3 (n = 44), we compared pre- and postpartum urinary androgen levels in parents and non-parents and found that mothers exhibited a sustained androgen decrease across 3-4 months postpartum (relative to 3 months prepartum; β ranged from -.72 to -.62 for different comparisons). For males, we found that multiparous fathers exhibited decreased androgen levels at 1-2 weeks postpartum (β = -.25) and at 3-4 months postpartum (β = -.40) compared to the prepartum, indicating both immediate and long-term reductions with subsequent paternal experience. Together, the results of this study suggest that decreases in AVPR1a binding and circulating androgens are associated with parental behavior and physiology in titi monkeys.
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Affiliation(s)
- Alexander Baxter
- Department of Psychology, University of California, Davis
- California National Primate Research Center
| | - Chloe L. Karaskiewicz
- Department of Psychology, University of California, Davis
- California National Primate Research Center
| | - Lindsey A. Campbell
- California National Primate Research Center
- Department of Animal Biology, University of California, Davis
| | - Erin L. Kinnally
- Department of Psychology, University of California, Davis
- California National Primate Research Center
| | - Emilio Ferrer
- Department of Psychology, University of California, Davis
| | - Adele H. M. Seelke
- Department of Psychology, University of California, Davis
- California National Primate Research Center
| | - Sara M. Freeman
- California National Primate Research Center
- Utah State University, Department of Biology
| | - Karen L. Bales
- Department of Psychology, University of California, Davis
- California National Primate Research Center
- Department of Neurobiology, Physiology, and Behavior, University of California, Davis
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4
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Schnell-Peskin LK, Day-Watkins J, Mery JN, Vladescu JC. The influence of video-based training on caregiver arrangement of infant sleeping environments. J Appl Behav Anal 2023. [PMID: 37191463 DOI: 10.1002/jaba.997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 04/27/2023] [Indexed: 05/17/2023]
Abstract
Recent behavior analytic studies have examined behavioral skills training to teach adults to arrange safe infant sleeping environments. These studies were conducted in an analogue environment and with all training components delivered by an expert staff trainer. The purpose of the current study was to replicate and extend this literature by substituting video-based training for behavioral skills training. We assessed whether expectant caregivers could arrange safe infant sleeping environments following video-based training. The results suggested that video-based training alone resulted in positive outcomes for a portion of participants, whereas a subset of participants required feedback to reach mastery criteria. The social validity data suggest that the participants found the training procedures favorable.
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Affiliation(s)
| | | | - Jacqueline N Mery
- Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD, USA
| | - Jason C Vladescu
- Department of Applied Behavior Analysis, Caldwell University, Caldwell, NJ, USA
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Abstract
PURPOSE To identify factors associated with parental participation in the feeding care of hospitalized preterm infants and determine associations between parental participation in feeding and infant neurobehavioral outcomes. STUDY DESIGN AND METHODS Secondary analysis of data collected during a larger study of preterm infants. Parental participation in gavage and oral feeding was measured as a proportion of all feeding opportunities. Neurobehavioral outcomes were measured using a neurobehavioral assessment and feeding milestones. Other data were collected from the electronic health record. RESULTS Parental participation in feeding was low. There were associations between parental participation in gavage feeding and infant sex, insurance type, maternal race, infant gestational age at birth, and birthweight. There were associations between parental participation in oral feeding and infant sex, insurance type, maternal race, and study group. Greater parental participation in feeding was associated with earlier achievement of some feeding milestones. CLINICAL IMPLICATIONS Parental participation in feeding can decrease the time required for infants to achieve feeding milestones, possibly leading to decreased length of hospitalization. Nurses should encourage parents to participate in caregiving for their preterm infants. Interventions are needed to remove barriers to parental participation in caregiving.
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Zimmerman D, Bartick M, Feldman-Winter L, Ball HL. ABM Clinical Protocol #37: Physiological Infant Care-Managing Nighttime Breastfeeding in Young Infants. Breastfeed Med 2023; 18:159-168. [PMID: 36927076 PMCID: PMC10083892 DOI: 10.1089/bfm.2023.29236.abm] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
A central goal of the Academy of Breastfeeding Medicine (ABM) is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. The ABM empowers health professionals to provide safe, inclusive, patient-centered, and evidence-based care. Pregnant and lactating people identify with a broad spectrum of genders, pronouns, and terms for feeding and parenting. There are two reasons ABM's use of gender-inclusive language may be transitional or inconsistent across protocols. First, gender-inclusive language is nuanced and evolving across languages, cultures, and countries. Second, foundational research has not adequately described the experiences of gender-diverse individuals. Therefore, ABM advocates for, and will strive to use language that is as inclusive and accurate as possible within this framework. For more explanation, please read ABM Position Statements on Infant Feeding and Lactation-Related Language and Gender (https://doi.org/10.1089/bfm.2021.29188.abm) and Breastfeeding As a Basic Human Right (https://doi.org/10.1089/bfm.2022.29216.abm).
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Affiliation(s)
- Deena Zimmerman
- Maternal-Child and Adolescent Division, Public Health Service, Israel Ministry of Health, Jerusalem, Israel
| | - Melissa Bartick
- Department of Medicine, Mount Auburn Hospital, Cambridge, Massachusetts, USA
- Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
| | - Lori Feldman-Winter
- Department of Pediatrics, Cooper Medical School of Rowan University, Camden, New Jersey, USA
| | - Helen L Ball
- Durham Infancy and Sleep Centre, Department of Anthropology, Durham University, Durham, United Kingdom
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Bagheri M, Salari E, Malaijerdi R, Nazari S. Investigating the Effect of Implementing a Web-Based Educational Program on Fathers' Involvement in Infant Care 0 to 6 Months. Iran J Nurs Midwifery Res 2023; 28:174-178. [PMID: 37332383 PMCID: PMC10275461 DOI: 10.4103/ijnmr.ijnmr_439_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 12/25/2022] [Accepted: 12/26/2022] [Indexed: 06/20/2023]
Abstract
Background Fathers need education to understand their role in infant care and its implications regarding the child's health. Virtual education has been able to compensate for the shortcomings of traditional training and education, and with respect to this, the present study was conducted to determine the effect of virtual education on fathers about infant care and their involvement in infant care. Materials and Methods The quasi-experimental study was performed on 83 participants in healthcare centers affiliated with North Khorasan University of Medical Sciences. The involvement of fathers in infant care was assessed with a questionnaire of the father's involvement in the care of the infant (mother-reported) in 4-time points: 3-5 days, and 2, 4, and 6 months after birth. Educational materials based on the child's growth and needs and as well as the latest references and national guidelines were prepared, and as the infant grew, were taught step by step to fathers using Soroush's messenger while their questions were answered. Results The mean score of total father involvement in infant care at two, four, and six months after childbirth was significantly higher in the intervention group than in the control group (p < 0.001). Conclusions With regard to the lack of access to fathers during their working hours, virtual education can be used to increase their involvement in infant care.
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Affiliation(s)
- Maryam Bagheri
- Department of Midwifery School of Medicine North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Elahe Salari
- Department of Midwifery School of Medicine North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Raziye Malaijerdi
- MSc Student in Midwifery, School of Nursing and Midwifery, Iran University of Medical Science (IUMS), Tehran, Iran
| | - Sakineh Nazari
- Department of Midwifery School of Medicine North Khorasan University of Medical Sciences, Bojnurd, Iran
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Mery JN, Day-Watkins J, Schnell LK, Vladescu JC. Evaluating caregivers arrangement of infant sleeping environments in the home. J Appl Behav Anal 2023; 56:483-493. [PMID: 36788659 DOI: 10.1002/jaba.978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 02/01/2023] [Indexed: 02/16/2023]
Abstract
Sleep-related infant deaths are one of the top causes of infant mortality in the United States. A few behavior analytic studies have examined behavioral skills training to teach adults to arrange safe infant sleeping environments. These studies were conducted in an analogue environment, and no data were collected outside the training setting. The purpose of the current study was to replicate and extend the extant literature. We taught caregivers to arrange safe infant sleeping environments in a community-based organization. Thereafter, we assessed the feasibility and effectiveness of a technology-based contingency management procedure to examine caregivers' adherence with arrangement of a safe sleeping environment for their newborns across a 2-week period. As in previous studies, behavioral skills training resulted in positive outcomes, and follow-up data suggested that the technology-based contingency management procedure may be a promising approach to promoting adherence with infant sleeping environment recommendations.
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Affiliation(s)
- Jacqueline N Mery
- Kennedy Krieger Institute, Department of Behavioral Psychology, Baltimore, MD, United States
| | - Jessica Day-Watkins
- Drexel University, A. J. Drexel Autism Institute, Philadelphia, PA, United States
| | - Lauren K Schnell
- Hunter College, Department of Special Education, New York, NY, United States
| | - Jason C Vladescu
- Caldwell University, Department of Applied Behavior Analysis, Caldwell, NJ, United States
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Muacevic A, Adler JR. Evaluation of Breastfeeding Applications Through the Eyes of Saudi Mothers. Cureus 2022; 14:e32790. [PMID: 36570106 PMCID: PMC9770544 DOI: 10.7759/cureus.32790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2022] [Indexed: 12/24/2022] Open
Abstract
INTRODUCTION Breastfeeding is crucial for an infant's health and plays a significant role in mothers' well-being. The recommendation from WHO is to breastfeed your baby for the first six months exclusively, then complementary food is introduced with the continuity of breastfeeding until 24 months or more. Breastfeeding can be challenging, especially for a first-time mom; some mothers also lack knowledge about breastfeeding benefits. Thus, mobile health (mHealth) intervention can raise awareness, provide educational information and emotional support, and offer consultation. Saudi mothers seek an application designed based on their needs. OBJECTIVES The objective of this study was to analyze the most common breastfeeding application, then extract standard and valuable features. The most useful features were added to the survey and distributed among Saudi mothers. Next, participants' responses to these features were evaluated for recommendation when building a breastfeeding application for Saudi mothers. METHOD This is a quantitative cross-sectional study designed to analyze and explore what Saudi women need in a breastfeeding application to help them make better decisions and provide support. The data was collected through a questionnaire instrument designed after collecting the most valuable features in mobile breastfeeding applications. RESULTS The number of Saudi mothers enrolled in this study was 492. Most mothers (90%) were currently breastfeeding or had previous experience with breastfeeding. The participant responses divided results into three categories: essential, recommended, and nice-to-be-added features. One of the highest percentages of important features was adding a section for baby food recipes and how to introduce food. CONCLUSION Saudi mothers need a trustable source of information, consultation, support, and tools to guide them through breastfeeding. With the help of the mHealth application, the breastfeeding experience can be improved.
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Photichai P, Luvira V. Family types and parenting styles for infants in Khon Kaen province. J Educ Health Promot 2022; 11:319. [PMID: 36567986 PMCID: PMC9768698 DOI: 10.4103/jehp.jehp_1623_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 06/15/2022] [Accepted: 06/29/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND The care of infants during their first six months is a significant matter. As there have been shifts in social and economic conditions, families are diverging into several forms. This study aimed to explore parenting styles for infants and the relation between parenting styles for infants and family types. MATERIAL AND METHOD This study was a cross-sectional study, focusing on the main caregivers of approximately six-month-old infants. The data was collected from February to July 2021. The research tool employed was an interview form. The collected data was then analyzed. RESULTS Two hundred sixty-four families of primary caregivers were included in the study. The family type most frequently found was the skipped generation family, accounting for 119 families (45%). All family types mostly practiced the uninvolved parenting style as the parenting style for infants. Regarding response to infants, most families practiced the permissive parenting style. When investigating relations between parenting style for infants and family type, it was found that skipped generation family caregivers practiced a less authoritative parenting style than the nuclear family, including holding family activities with the infant (0.16, 95%CI: 0.05-0.47); when the infant raises their voice to communicate (0.32, 95%CI: 0.14-0.71); training the infant to roll over (0.21, 95%CI: 0.06-0.69); when the infant cries (0.16, 95%CI: 0.05-0.47); and when the infant does not respond (0.19, 95%, CI: 0.05-0.74). CONCLUSION The most practiced parenting style for infants among all the three family types was the uninvolved parenting style. Regarding the response to infants, the permissive parenting style was mostly observed.
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Affiliation(s)
- Piyanan Photichai
- Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Varisara Luvira
- Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
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Dinour LM, Pole A. Evaluation of Breastfeeding App Features: Content Analysis Study. JMIR Pediatr Parent 2022; 5:e37581. [PMID: 36287596 PMCID: PMC9647452 DOI: 10.2196/37581] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 05/20/2022] [Accepted: 06/22/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND While a variety of health apps abound, less than half of adults in the United States report using a health app, despite the ubiquity of smartphones among users aged 18 to 49 years. Several studies have examined the use of breastfeeding apps; however, less is known about the types of features found on these apps and what factors might influence app ratings. OBJECTIVE This paper seeks to characterize breastfeeding apps, assess whether apps with higher user ratings differ from apps with lower user ratings in their tracking and nontracking features, and analyze whether the type and number of features predict user star ratings and whether an app is higher- or lower-rated. METHODS Using a cross-sectional design, a convenience sample of breastfeeding apps was culled from the Apple App Store (iOS) and Google Play Store (Android). Content analysis of the apps (N=82) was conducted using a schema of 87 items, which was then compiled into 9 topical indices for breastfeeding, bottle feeding, solid foods, infant health, infant care, technical characteristics, informatics, informational characteristics, and interactivity. Analysis consisted of descriptive statistics, the Mann-Whitney U test, and Spearman rank correlations. Linear regression and binary logistic regression analyses were conducted to determine which features predicted user star ratings. RESULTS On average, users rated breastfeeding apps 4.4 of 5 stars. Two-thirds of apps (n=54) were higher rated (≥4.5 stars), and one-third (n=28) were lower rated (<4.5 stars). Higher-rated apps offered more tracking features for breastfeeding, bottle feeding, solid foods, infant health, and infant care than lower-rated apps. The breastfeeding, solid-food, and technical indices explained 17% of user star ratings. For each additional breastfeeding and solid-food feature, we can expect to see a 27% and 35% increase, respectively, in user star ratings. Additionally, as the number of solid-food features increased, the odds that the app is higher rated increased 1.58 times. CONCLUSIONS Our findings suggest user ratings are driven in part by tracking features, specifically those related to breastfeeding and solid foods. The proliferation of mobile health apps offers opportunities for parents and caregivers to track behaviors associated with infant feeding and other health metrics in a dynamic, detailed, and comprehensive manner. Hence, breastfeeding apps have the potential to promote and support breastfeeding among users.
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Affiliation(s)
- Lauren M Dinour
- Department of Nutrition and Food Studies, College of Education and Human Services, Montclair State University, Montclair, NJ, United States
| | - Antoinette Pole
- Department of Political Science and Law, College of Humanities and Social Sciences, Montclair State University, Montclair, NJ, United States
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12
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Dinour LM. Infant Feeding Tracker Applications: Cross-Sectional Analysis of Use. J Nutr Educ Behav 2022; 54:835-843. [PMID: 35643748 DOI: 10.1016/j.jneb.2022.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 03/09/2022] [Accepted: 03/27/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Examine the extent to which postpartum patients use infant feeding tracker applications (apps), characteristics of app users, and app features most used and desired. DESIGN Cross-sectional survey. SETTING An obstetrics/gynecology practice in Northern New Jersey in 2019. PARTICIPANTS One hundred twenty-six patients aged ≥ 18 years recruited during their 6-week postpartum visit. MAIN OUTCOME MEASURES Self-reported sociodemographics, infant feeding behaviors, and health app use. Respondents were grouped by self-reported use of an infant feeding tracker app. ANALYSIS Frequencies were calculated for descriptive analysis, and comparisons were made between user groups. Fisher's exact tests of independence were used to analyze categorical data. Mann-Whitney U tests were employed for continuous variables (significance at P < 0.002). RESULTS Fifty-seven percent of respondents reported using an app to track infant feeding. Compared with nonusers, users were more likely to have an infant who was ever breastfed (P = 0.001; Cramer's V = 0.30) and exclusively breastfed (P < 0.001; Cramer's V = 0.44). Users also used significantly more health apps than nonusers (P < 0.001). Most respondents used the app to track infant feeding, diapering, and sleep. CONCLUSIONS AND IMPLICATIONS Given their frequency of use-particularly among those who breastfeed-infant feeding tracker apps have the potential to support parents in meeting their infant feeding goals.
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Affiliation(s)
- Lauren M Dinour
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ.
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Espina-Jerez B, Romera-Álvarez L, de Dios-Aguado M, Cunha-Oliveira A, Siles-Gonzalez J, Gómez-Cantarino S. Wet Nurse or Milk Bank? Evolution in the Model of Human Lactation: New Challenges for the Islamic Population. Int J Environ Res Public Health 2022; 19:9742. [PMID: 35955096 PMCID: PMC9368688 DOI: 10.3390/ijerph19159742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
(1) Introduction: The establishment of milk banks in the Islamic world as well as donation to Islamic families in Western countries remains a challenge in the context of human lactation. Religious reservations established since the Qur'an and regulated at the legal-religious and medical level equate milk kinship with consanguinity, which prevents donation. The aim of the study was to analyse the evolution in the model of breastfeeding and care in Islamic society. (2) Methods: The methodology of comparative history was applied, following the structural-dialectical model of care. Historical manuals, articles and databases were analysed. (3) Results: Paediatric care in medical manuals from the 10th-15th centuries is similar to that practiced by the Muslim population today, some beneficial, some harmful; the wet nurse had to follow a series of dietary habits and have a series of physical, moral and educational characteristics in order to be hired. They constituted a beginning of pseudo-professionalisation, in a domestic-family framework. Human milk was used as a remedy for different health problems. (4) Conclusions: Islamic society and nursing have to evolve towards transnational care adapted to the needs of the population.
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Affiliation(s)
- Blanca Espina-Jerez
- Department of Nursing, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Laura Romera-Álvarez
- Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Mercedes de Dios-Aguado
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Aliete Cunha-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
| | - José Siles-Gonzalez
- Department of Nursing, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Sagrario Gómez-Cantarino
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, 45071 Toledo, Spain
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
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Helmer CS, Thornberg UB, Abrahamsson T, Mörelius E. Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study. J Clin Nurs 2022; 32:2892-2902. [PMID: 35702001 DOI: 10.1111/jocn.16412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 11/28/2022]
Abstract
AIM To explore mothers' experiences of the EArly Collaborative Intervention. BACKGROUND Preterm birth puts a considerable emotional and psychological burden on parents and families. Parents to moderate and late premature infants have shorter stays at the neonatal intensive care unit and have described a need for support. The EArly Collaborative Intervention was developed to support parents with preterm infants born between gestational Weeks 30 to 36. In this study, mothers' experiences of the new intervention were explored. DESIGN A qualitative design guided by a reflexive thematic analysis according to Braun and Clarke. Interviews were individually performed with 23 mothers experienced with the EArly Collaborative Intervention. Data were identified, analysed and reported using reflexive thematic analysis. The COREQ checklist was used preparing the manuscript. RESULTS Two main overarching themes were constructed. The first theme, 'mothers' feelings evoked from the EArly Collaborative Intervention' describes the emotions raised by the intervention and how the intervention affected their parental role. Their awareness of the preterm baby's behaviour increased, and the intervention helped the parents to communicate around their baby's needs. The second theme, 'based on the preterm baby's behavior', describes experiences of the provision and the learning process about their preterm baby's needs and communication. The intervention was experienced as helpful both immediately and for future interaction with the baby. CONCLUSIONS Mothers found the intervention to be supportive and encouraging. They came to look upon their baby as an individual, and the new knowledge on how to care and interact with their baby affected both their own and their baby's well-being. Furthermore, the intervention felt strengthening for their relationship with the other parent. RELEVANCE TO CLINICAL PRACTICE The EArly Collaborative Intervention can support parents' abilities as well as their relation to their baby and may thereby contribute to infant development, cognition and well-being.
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Affiliation(s)
- Charlotte Sahlén Helmer
- Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Crown Princess Victoria Children´s Hospital, Linköping University hospital, Linköping, Sweden
| | - Ulrika Birberg Thornberg
- Department of Rehabilitation Medicine, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Division of Psychology, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Thomas Abrahamsson
- Crown Princess Victoria Children´s Hospital, Linköping University hospital, Linköping, Sweden.,Division of Children's and Women's Health, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | - Evalotte Mörelius
- Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.,Perth Children's Hospital, Nedlands, Western Australia, Australia
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15
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Deshmukh S, Murthy PS, Singh B, Contractor I. Virtual Reality as parent education tool in pre-surgical management of cleft lip and palate affected infants-A pilot study. Spec Care Dentist 2022; 42:606-611. [PMID: 35397179 DOI: 10.1111/scd.12720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 02/18/2022] [Accepted: 03/17/2022] [Indexed: 11/28/2022]
Abstract
AIM To assess the influence of virtual reality (VR) in parent acceptance of the pre-surgical nasoalveolar molding (PNAM) as a pre surgical care to the cleft lip and palate affected infants. MATERIAL AND METHODS Descriptive Cross sectional pilot study design was planned to assess the pre surgical management of the cleft lip and palate. Twenty parents/caregivers of the infants were randomly divided into two groups. Twelve participants received education through conventional education module (Group I) using verbal explanation supported by the photographs. Another 12 participants received education through customized VR based educational video (Group II). After the education, the parents were provided with questionnaire to assess the acceptance of the treatment procedure. The survey response rate was represented in percentage. RESULTS The results of the study indicated that most of the parents were aware of the feeding plate or obturators as an aid in assisting feeding practices among cleft lip and palate affected infants. However, only 33% of participants in Group I were able to understand the doctor's explanation regarding the PNAM whereas 100% of participants in Group II were able to visualize the benefits of PNAM. These participants were willingly accepting PNAM as essential pre-surgical care. CONCLUSION Innovative approaches are essential in patient education modalities as the success of any treatment outcome largely depends on the patient acceptance. Within the limits of this study, VR has been successful in the educating the parents and caregivers regarding the acceptance of PNAM therapy in cleft affected infants.
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Affiliation(s)
- Seema Deshmukh
- Dept of Pediatric & Preventive Dentistry, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysore, India
| | - Prashanth Sadashiva Murthy
- Dept of Pediatric & Preventive Dentistry, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysore, India
| | - Birti Singh
- Dept of Pediatric & Preventive Dentistry, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysore, India
| | - Inshiya Contractor
- Dept of Pediatric & Preventive Dentistry, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysore, India
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16
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Bartick M, Young M, Louis-Jacques A, McKenna JJ, Ball HL. Bedsharing may partially explain the reduced risk of sleep-related death in breastfed infants. Front Pediatr 2022; 10:1081028. [PMID: 36582509 PMCID: PMC9792691 DOI: 10.3389/fped.2022.1081028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 11/24/2022] [Indexed: 12/14/2022] Open
Affiliation(s)
- Melissa Bartick
- Department of Medicine, Mount Auburn Hospital/Beth Israel Lahey Health, Cambridge, MA, United States.,Department of Medicine, Harvard Medical School, Boston, MA, United States
| | - Michal Young
- Department of Pediatrics and Child Health, Howard University College of Medicine, Washington, DC, United States
| | - Adetola Louis-Jacques
- Department of Obstetrics and Gynecology, University of Florida Health, Gainesville, FL, United States
| | - James J McKenna
- Department of Anthropology, Santa Clara University, Santa Clara, CA, United States.,Department of Anthropology, University of Notre Dame, South Bend, IN, United States
| | - Helen L Ball
- Department of Anthropology, Durham Infancy & Sleep Centre, Durham University, Durham, United Kingdom
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17
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Ramulondi M, de Wet H, Ntuli NR. The use of African traditional medicines amongst Zulu women during childbearing in northern KwaZulu-Natal. Afr J Reprod Health 2022; 26:66-75. [PMID: 37585018 DOI: 10.29063/ajrh2022/v26i1.7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
In Africa, some women are still heavily depending on traditional medicine during childbearing to maintain healthy pregnancy, postpartum recovery and for infant care. This study was designed to assess the prevalence of traditional medicine use and associated factors of its use during childbearing. Data were collected using structured questionnaires and individual interviews were conducted with 140 women. The results indicated that majority of women (79%) were still using traditional medicine during childbearing for different purposes even with the availability of free health care services. The most commonly used traditional medicine used during pregnancy was isihlambezo. Umhlabelo herbal mixture was the most cited remedy used for post-partum recovery. For infant care, imbiza was the only used traditional remedy. The results of this study highlight the need for health care workers to be aware of this practice and be able to provide mediation during ante-natal care classes.
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Affiliation(s)
- Mmbulaheni Ramulondi
- Department of Botany, Faculty of Science, Agriculture and Engineering, University of Zululand, South Africa
| | - Helene de Wet
- Department of Botany, Faculty of Science, Agriculture and Engineering, University of Zululand, South Africa
| | - Nontuthuko R Ntuli
- Department of Botany, Faculty of Science, Agriculture and Engineering, University of Zululand, South Africa
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18
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Edney JM, Kovats S, Filippi V, Nakstad B. A systematic review of hot weather impacts on infant feeding practices in low-and middle-income countries. Front Pediatr 2022; 10:930348. [PMID: 36147803 PMCID: PMC9485728 DOI: 10.3389/fped.2022.930348] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/18/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Increased rates of exclusive breastfeeding could significantly improve infant survival in low- and middle-income countries. There is a concern that increased hot weather due to climate change may increase rates of supplemental feeding due to infants requiring fluids, or the perception that infants are dehydrated. OBJECTIVE To understand how hot weather conditions may impact infant feeding practices by identifying and appraising evidence that exclusively breastfed infants can maintain hydration levels under hot weather conditions, and by examining available literature on infant feeding practices in hot weather. METHODS Systematic review of published studies that met inclusion criteria in MEDLINE, EMBASE, Global Health and Web of Science databases. The quality of included studies was appraised against predetermined criteria and relevant data extracted to produce a narrative synthesis of results. RESULTS Eighteen studies were identified. There is no evidence among studies of infant hydration that infants under the age of 6months require supplementary food or fluids in hot weather conditions. In some settings, healthcare providers and relatives continue to advise water supplementation in hot weather or during the warm seasons. Cultural practices, socio-economic status, and other locally specific factors also affect infant feeding practices and may be affected by weather and seasonal changes themselves. CONCLUSION Interventions to discourage water/other fluid supplementation in breastfeeding infants below 6 months are needed, especially in low-middle income countries. Families and healthcare providers should be advised that exclusive breastfeeding (EBF) is recommended even in hot conditions.
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Affiliation(s)
- Jessica M Edney
- Centre on Climate Change and Planetary Health, Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Sari Kovats
- Centre on Climate Change and Planetary Health, Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Veronique Filippi
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Britt Nakstad
- Division of Paediatrics and Adolescence Medicine, Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana
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19
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Hijazi HH, Alyahya MS, Al Abdi RM, Alolayyan MN, Sindiani AM, Raffee LA, Baniissa WA, Al Marzouqi AM. The Impact of Perceived Social Support During Pregnancy on Postpartum Infant-Focused Anxieties: A Prospective Cohort Study of Mothers in Northern Jordan. Int J Womens Health 2021; 13:973-989. [PMID: 34707417 PMCID: PMC8544270 DOI: 10.2147/ijwh.s329487] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 09/26/2021] [Indexed: 12/26/2022] Open
Abstract
Objective This study aimed to evaluate the association between perceived social support during pregnancy and levels of anxiety among postpartum women using an anxiety-specific screening instrument. Methods Using a prospective cohort design, a two-stage methodology was conducted to collect data from women seeking maternal care at the King Abdullah University Hospital in northern Jordan. In the first stage, perceived social support was assessed among pregnant women using the Medical Outcomes Study Social Support Survey. During the first six months after childbirth, postpartum women were contacted to complete the second stage, wherein their perceptions of infant-focused anxieties were assessed using the Postpartum Specific Anxiety Scale. In our study, two types of infant-focused anxieties were investigated among a final sample of 419 mothers: infant safety and welfare anxieties and practical infant care anxieties. Results The results of multivariate linear regression analysis indicated that providing pregnant women with high levels of emotional support from close social networks (β= −0.08, p= 0.01) and perceiving informational support from health care providers (β= −0.71, p< 0.01) were protective factors for reducing the levels of postpartum anxiety concerning infant safety and welfare. Our findings also demonstrated that pregnant mothers who perceived high informational support from health care providers had a lower level of postpartum anxiety about practical infant care (β= −0.20, p< 0.01). In contrast, mothers who reported receiving high tangible support from close social networks during pregnancy had a significantly higher level of perceived anxiety concerning practical infant care after delivery (β= 0.13, p= 0.02). Conclusion Our study suggests that postpartum anxiety would be reduced if effective informational support were readily available for pregnant women. There is a clear need for building bridges between women, their families, and providers to distinguish the specific type and amount of support that should be provided to mothers during pregnancy.
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Affiliation(s)
- Heba H Hijazi
- Department of Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.,Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad S Alyahya
- Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Rabah M Al Abdi
- Department of Biomedical Engineering, Faculty of Engineering, Jordan University of Science and Technology, Irbid, Jordan
| | - Main N Alolayyan
- Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Amer M Sindiani
- Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Liqaa A Raffee
- Department of Accident and Emergency Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Wegdan A Baniissa
- Nursing Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Amina M Al Marzouqi
- Department of Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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20
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Raboin DL, Baden AL, Rothman JM. Maternal feeding benefits of allomaternal care in black-and-white colobus (Colobus guereza). Am J Primatol 2021; 83:e23327. [PMID: 34487561 DOI: 10.1002/ajp.23327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 08/24/2021] [Accepted: 08/27/2021] [Indexed: 11/07/2022]
Abstract
Caring for infants involves lactation, protection, provisioning, and carrying-all energetically taxing states for primate mothers. Holding and carrying clinging infants often constrains mothers from moving and traveling, potentially reducing their food and energy intake; however, when separated from its mother an infant is at risk of predation. This separation therefore requires that mothers be vigilant, further deterring them from feeding. Allomaternal care (AMC) is hypothesized to allow mothers to safely detach from their infants to feed, permitting them to increase energy intake, which is particularly needed for lactation. We examined the nutritional benefits of AMC in black-and-white colobus monkeys (Colobus guereza) by estimating energy intake by lactating mothers during AMC versus non-AMC. We studied seven mother-infant dyads in three groups of C. guereza during six months in Kibale National Park, Uganda. Immature group members handled infants more often than adults, and females handled infants more often than males. An infant's distance to its mother and its nearest neighbor's age and sex best predicted the occurrence of AMC. Lactating mothers fed more often, fed and rested for longer durations, and consumed more metabolizable energy during AMC compared to when they were caring for their infants. These results demonstrate that AMC in C. guereza provides mothers with feeding opportunities that increase their energy intake.
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Affiliation(s)
- Dominique L Raboin
- Department of Psychology, Hunter College of the City University of New York, New York, New York, USA
- Center for Human Evolutionary Studies, Rutgers University, New Brunswick, New Jersey, USA
| | - Andrea L Baden
- Department of Anthropology, Hunter College of the City University of New York, New York, New York, USA
- Department of Anthropology, The Graduate Center of the City University of New York, New York, New York, USA
- The New York Consortium in Evolutionary Primatology, New York, New York, USA
| | - Jessica M Rothman
- Department of Anthropology, Hunter College of the City University of New York, New York, New York, USA
- Department of Anthropology, The Graduate Center of the City University of New York, New York, New York, USA
- The New York Consortium in Evolutionary Primatology, New York, New York, USA
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21
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Güler S, Akcan A. The effect of maternal depression symptoms on the outcomes of infant care. Perspect Psychiatr Care 2021; 57:1137-1144. [PMID: 33128274 DOI: 10.1111/ppc.12667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 10/08/2020] [Accepted: 10/16/2020] [Indexed: 01/03/2023] Open
Abstract
PURPOSE This study evaluated the effect of the maternal risk of depression on the outcomes of infant care. DESIGN AND METHODS This study was conducted as a cross-sectional and analytical study with 229 mothers who had 6-month-old infants and who were enrolled in a family health center. FINDINGS The results show that mothers at risk of depression have a negative impact on the care and growth of their infants. PRACTICE IMPLICATIONS Providing support to the mothers is suggested for preventive infant health behaviors and monitoring their infants.
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Affiliation(s)
- Salih Güler
- Department of Nursing, Institute of Health Sciences, Akdeniz University, Antalya, Turkey
| | - Arzu Akcan
- Department of Public Health Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey
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22
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Horrell ND, Acosta MC, Saltzman W. Plasticity of the paternal brain: Effects of fatherhood on neural structure and function. Dev Psychobiol 2021; 63:1499-1520. [PMID: 33480062 PMCID: PMC8295408 DOI: 10.1002/dev.22097] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 12/14/2020] [Accepted: 12/23/2020] [Indexed: 12/12/2022]
Abstract
Care of infants is a hallmark of mammals. Whereas parental care by mothers is obligatory for offspring survival in virtually all mammals, fathers provide care for their offspring in only an estimated 5%-10% of genera. In these species, the transition into fatherhood is often accompanied by pronounced changes in males' behavioral responses to young, including a reduction in aggression toward infants and an increase in nurturant behavior. The onset of fatherhood can also be associated with sensory, affective, and cognitive changes. The neuroplasticity that mediates these changes is not well understood; however, fatherhood can alter the production and survival of new neurons; function and structure of existing neurons; morphology of brain structures; and neuroendocrine signaling systems. Although these changes are thought to promote infant care by fathers, very little evidence exists to support this hypothesis; in most cases, neither the mechanisms underlying neuroplasticity in fathers nor its functional significance is known. In this paper, we review the available data on the neuroplasticity that occurs during the transition into fatherhood. We highlight gaps in our knowledge and future directions that will provide key insights into how and why fatherhood alters the structure and functioning of the male brain.
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Affiliation(s)
| | - Melina C. Acosta
- Graduate Program in Neuroscience and Department of Evolution, Ecology, and Organismal Biology, University of California, Riverside, CA USA
| | - Wendy Saltzman
- Graduate Program in Neuroscience and Department of Evolution, Ecology, and Organismal Biology, University of California, Riverside, CA USA
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23
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Thorley V. Historical Research: Conditions of Boarded Out Babies of Wet-Nurses, Colonial Australia. J Hum Lact 2021; 37:348-356. [PMID: 33663266 DOI: 10.1177/0890334421994776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Wet-nurses themselves rarely left written accounts. In this article, I have reconstructed their experiences and work situations breastfeeding other women's infants in colonial Australia through examining available sources concerning their employment situations and the fate of their infants when they were boarded out, as they commonly were. The employment of wet-nurses by royal households or prominent families has long been the topic of historical accounts, whereas the situation of the more numerous wet-nurses further down the social spectrum has received disproportionately little examination. In this article, I do not discuss informal, altruistic wet nursing by family or neighbors but, rather, the situation of those women for whom it was an occupation, by its very nature short term. Primary material sighted for this study included a considerable number of advertisements for positions placed by employers, their intermediaries (e.g., family physicians) and wet-nurses themselves, and newspaper reports when the wet-nurse's children came to the attention of the courts. Death for boarded-out infants who succumbed to inappropriate feeding and substandard care was typically ascribed to "natural causes."
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Affiliation(s)
- Virginia Thorley
- 1974 School of Historical and Philosophical Inquiry, University of Queensland, QLD, Australia
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24
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Haiek LN, LeDrew M, Charette C, Bartick M. Shared decision-making for infant feeding and care during the coronavirus disease 2019 pandemic. Matern Child Nutr 2021; 17:e13129. [PMID: 33404146 PMCID: PMC7883116 DOI: 10.1111/mcn.13129] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 11/18/2020] [Accepted: 12/02/2020] [Indexed: 12/23/2022]
Abstract
Despite decades of research establishing the importance of breastfeeding, skin-to-skin contact and mother-infant closeness, the response to the coronavirus disease 2019 (COVID-19) pandemic has underscored the hidden assumption that these practices can be dispensed with no consequences to mother or child. This article aims to support shared decision-making process for infant feeding and care with parents and health care providers during the unprecedented times of the pandemic. It proposes a structure and rationale to guide the process that includes (1) discussing with parents evidence-based information and the different options to feed and care for an infant and young child in the context of the pandemic as well as their potential benefits, risks and scientific uncertainties; (2) helping parents to recognize the sensitive nature of the decisions and to clarify the value they place on the different options to feed and care for their infant or young child; and (3) providing guidance and support needed to make and implement their decisions. A shared decision-making process will help parents navigate complex feeding and care decisions for their child as we face the different stages of the COVID-19 pandemic.
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Affiliation(s)
- Laura N. Haiek
- Direction générale de la santé publiqueMinistère de la Santé et des Services sociauxQuebecQuebecCanada
- Department of Family Medicine, MontrealMcGill UniversityMontrealQuebecCanada
- Queen Elizabeth Academic Family Medicine GroupMontrealQuebecCanada
| | - Michelle LeDrew
- National BCC Baby‐Friendly ProjectBreastfeeding Committee for CanadaSherwood ParkAlbertaCanada
| | - Christiane Charette
- Direction générale de la santé publiqueMinistère de la Santé et des Services sociauxQuebecQuebecCanada
- Département de pédiatrie, CISSS de la Montérégie‐EstUniversity of SherbrookeSaint‐HyacintheQuebecCanada
| | - Melissa Bartick
- Mount Auburn HospitalCambridgeMassachusetts02138USA
- Department of MedicineHarvard Medical SchoolBostonMassachusettsUSA
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25
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Xiao X, Loke AY. Experiences of intergenerational co-parenting during the postpartum period in modern China: A qualitative exploratory study. Nurs Inq 2021; 28:e12403. [PMID: 33517582 DOI: 10.1111/nin.12403] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Revised: 12/16/2020] [Accepted: 12/23/2020] [Indexed: 11/28/2022]
Abstract
Most studies conducted in the West on the role played by intergenerational families in co-parenting have focused mostly on families with a single mother or those in difficult circumstances, while little is known about the experiences of members of intergenerational intact families during the early postpartum period. This study aimed to explore the intergenerational co-parenting experiences of young parents and grandmothers in China, focusing on how they shared the responsibility of caring for the new mother and infant during the postpartum period. A total of 16 eligible intergenerational intact families, including 16 mothers, 15 fathers and 12 grandmothers, were interviewed. The data set was analysed using the approach of directed content analysis guided by Feinberg's Ecological Model of Co-parenting. The data were categorized into four themes: 'division of labour', 'postpartum and infant care agreement', 'support-undermining' and 'joint family management'. An additional theme, 'expressed a need for family support', emerged from the data on these intergenerational families. The findings emphasize the importance of intergenerational co-parenting relationships in families where two generations co-parent the newborn together.
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Affiliation(s)
- Xiao Xiao
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.,Department of Obstetrics, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
| | - Alice Yuen Loke
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
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26
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Mohebati LM, Hilpert P, Bath S, Rayman MP, Raats MM, Martinez H, Caulfield LE. Perceived insufficient milk among primiparous, fully breastfeeding women: Is infant crying important? Matern Child Nutr 2021; 17:e13133. [PMID: 33399268 PMCID: PMC8189230 DOI: 10.1111/mcn.13133] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 11/03/2020] [Accepted: 12/08/2020] [Indexed: 12/17/2022]
Abstract
Breastfeeding mothers often report perceived insufficient milk (PIM) believing their infant is crying too much, which leads to introducing formula and the early abandonment of breastfeeding. We sought to determine if infant crying was associated with reported PIM (yes/no) and number of problems associated with lactation (lactation problem score [LPS] 6-point Likert scale) before formula introduction. Primiparous breastfeeding mothers were recruited at birth and visited at 1, 2 and 4 weeks. Among those fully breastfeeding at 1 week (N = 230), infant crying variables based on maternal reports were not associated with PIM at 1 week, but LPS was. However, a mother's expectation that her infant would cry more than other infants was associated with increased odds of reporting PIM at 2 and 4 weeks, as were delayed onset of lactation and previous LPS. At 1 week, crying variables (frequency, difficulty in soothing) were associated with LPS along with percent weight change. Delayed onset of lactation, infant care style, number of breastfeeds and previous LPS were longitudinally associated with change in LPS from 1 to 2 weeks and 2 to 4 weeks. Our data suggest that reported infant crying is associated with PIM and LPS in the first 4 weeks of life. Guidance on what to expect in crying behaviour and the impact of infant care style may be beneficial in reducing PIM and LPS in the first month.
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Affiliation(s)
- Lisa M Mohebati
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.,Nutrition, Food and Exercise Sciences Department, School of Biosciences and Medicine, University of Surrey, Guildford, Surrey, UK.,Food, Consumer Behaviour and Health Research Centre, University of Surrey, Guildford, Surrey, UK
| | - Peter Hilpert
- School of Psychology, University of Surrey, Guildford, Surrey, UK
| | - Sarah Bath
- Nutrition, Food and Exercise Sciences Department, School of Biosciences and Medicine, University of Surrey, Guildford, Surrey, UK
| | - Margaret P Rayman
- Nutrition, Food and Exercise Sciences Department, School of Biosciences and Medicine, University of Surrey, Guildford, Surrey, UK
| | - Monique M Raats
- Food, Consumer Behaviour and Health Research Centre, University of Surrey, Guildford, Surrey, UK
| | - Homero Martinez
- NTEAM, Nutrition International, Ottawa, Ontario, Canada.,Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | - Laura E Caulfield
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Siles-González J, Romera-Álvarez L, Dios-Aguado M, Ugarte-Gurrutxaga MI, Gómez-Cantarino S. Woman, Mother, Wet Nurse: Engine of Child Health Promotion in the Spanish Monarchy (1850-1910). Int J Environ Res Public Health 2020; 17:ijerph17239005. [PMID: 33287213 PMCID: PMC7731338 DOI: 10.3390/ijerph17239005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 11/28/2020] [Accepted: 11/30/2020] [Indexed: 11/17/2022]
Abstract
In Spain, the wet nurse increased the survival of children through care and breastfeeding of other women’s children. They had a great development together with the Spanish monarchy between 1850 and 1910. The aim is to identify the role of wet nurses in the Spanish monarchy and the survival of the royal infants (s. XIX–XX). A scoping review is presented to study documents about the wet nurse in the Spanish monarchy. Applying the dialectical structural model of care (DSMC). Recognizing five thematic blocks that shape the historical-cultural model. Books, decrees and databases were analyzed: Scopus, Scielo, Dialnet, Cuiden, Medline/Pubmed, CINAHL, Science Direct and Google Scholar, from January to July 2020. The selection process was rigorous because it was difficult to choose. They had to overcome medical and moral exams. The selected rural northern wet nurses emigrated to Madrid. The contract was regulated by laws and paid. Wet nurses were hired by the monarchy due to health problems of the biological mother and a need for greater offspring. The wet nurse wore a typical costume, a symbol of wealth. The northern wet nurses hired by the monarchists have been the engine that has promoted the health of infants through the breastfeeding process.
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Affiliation(s)
- José Siles-González
- Department of Nursing, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain;
| | - Laura Romera-Álvarez
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, 45071 Toledo, Spain; (MI.U.-G.); (S.G.-C.)
- Correspondence: ; Tel.: +34-925-268-800 (ext. 5800)
| | - Mercedes Dios-Aguado
- Yepes Health Center, Health Service of Castilla-La Mancha, Av. Santa Reliquia 26, 45313 Toledo, Spain;
| | - Mª. Idioia Ugarte-Gurrutxaga
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, 45071 Toledo, Spain; (MI.U.-G.); (S.G.-C.)
| | - Sagrario Gómez-Cantarino
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, 45071 Toledo, Spain; (MI.U.-G.); (S.G.-C.)
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Burklow CM, Jones MS, Allen DT, Cherry SE, Jackson TJ, Dethridge KL, McClellan VH. A Nurse-Led Population-Based Health Education Project to Improve Infant Care Knowledge for an Old Order Mennonite Community. Nurs Womens Health 2020; 24:446-452. [PMID: 33147440 DOI: 10.1016/j.nwh.2020.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 07/09/2020] [Accepted: 09/01/2020] [Indexed: 06/11/2023]
Abstract
Population health is changing the focus of nursing practice as nurses are challenged to focus on health promotion and education for communities rather than limiting their practice to restorative care for individual acute care patients. This new focus is necessary to improve knowledge of maternal and infant health among vulnerable populations. One particularly vulnerable population is members of Old Order Mennonite communities, who frequently rely on self-trained local midwives in the community for home births and home remedies when caring for their infants. Providing evidence-based education to members of this isolated population can be a challenge because they do not typically access information outside of the community. The purpose of this article is to share the process of developing, publishing, and disseminating a culturally sensitive infant care manual for an Old Order Mennonite community using a community-based participatory model and to highlight the impact nursing outreach can have on improving health knowledge.
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Abstract
INTRODUCTION Human milk cannot currently be considered a major source of COVID-19 infection. On the other hand, it can contain specific antibodies that could modulate a possible newborn infection by SARS-CoV-2. MAIN ISSUE A 32-year-old pregnant woman, gestational age 37 and 3/7 weeks, was admitted with a flu-like syndrome caused by COVID-19. The female newborn was appropriate for gestational age, with a birth weight of 2,890 g, length 48 cm, and head circumference 34 cm. MANAGEMENT The mother-infant dyad remained in the rooming-in unit during hospitalization, exclusively breastfeeding and following World Health Organization recommendations for contact and airway precautions. On the 3rd day after delivery, two mother's milk samples (3 and 5 mL) were collected by hand expression. The samples were centrifuged for 10 min twice consecutively to separate fat, which was removed, and the remaining material was transferred to another tube to determine anti-SARS-CoV-2 Immunoglobulin A and Immunoglobulin G (ELISA, Kit EUROIMMUN AG, Luebeck, Germany). Anti-SARS-CoV-2 Immunoglobulin A was detected in the two samples evaluated, whose values were 2.5 and 1.9, respectively. No anti-SARSCoV-2 immunoglobulin G was detected. The exclusively-breastfed infant remained well through 45 days of age. CONCLUSION The presence of SARS-CoV-2 Immunoglobulin A in the milk of mothers infected with COVID-19 may be related to protection against the transmission and severity of the disease in their infants.
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Affiliation(s)
- Cibele Wolf Lebrão
- Head of the Neonatology Service of Hospital Municipal Universitário de São Bernardo do Campo, Brazil
| | - Manuela Navarro Cruz
- 125191 Pediatric Resident at the Faculdade de Medicina do ABC, Centro Universitário Saúde ABC, Brazil
| | | | - Letícia Veríssimo Dutra
- 125191 Regular Dietitian of Faculdade de Medicina do ABC, Centro Universitário Saúde ABC, Brazil
| | - Camila Cristiani
- 58804 Gynecologist and Obstetrician of Faculdade de Medicina do ABC, Centro Universitário Saúde ABC, Brazil
| | | | - Fabíola Isabel Suano-Souza
- Department of Pediatrics, Faculdade de Medicina do ABC, Centro Universitário Saúde ABC and Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil
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Lara-Cinisomo S, Akinbode TD. Research Recommendations on the Effects of Postpartum Depression and Pain on Infant Care and Development. J Obstet Gynecol Neonatal Nurs 2020; 49:416-422. [PMID: 32553591 DOI: 10.1016/j.jogn.2020.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2020] [Indexed: 11/29/2022] Open
Abstract
Postpartum depression is one of the most common complications of childbirth, and another is pain. A growing body of research shows that the severity and duration of postpartum pain can increase a woman's risk for postpartum depression. Postpartum depression and pain negatively affect maternal well-being, and postpartum depression has been associated with adverse outcomes in children. However, there is a dearth of information about the effects of postpartum depression and pain on infant care and development. The objectives of this commentary were to highlight the need to address this gap in the literature, offer a preliminary conceptual model to advance the field, and ignite new lines of inquiry to inform infant care and development.
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Cowgill B. Back to the Breast: An Historical Overview of the Perceived Connections Between Sudden Infant Death Syndrome and Breastfeeding. J Hum Lact 2020; 36:310-317. [PMID: 32142401 DOI: 10.1177/0890334420906837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the late 19th century, physicians in the United States and Europe grew concerned about an increasingly visible subset of infant mortality: sudden infant death. Over the next 100 years, physicians worked variably to combat the problem, modifying and refining their conceptions of sudden infant mortality many times over the process. Physicians' overlapping revisions of sudden infant mortality ultimately helped to produce the categorization of Sudden Infant Death Syndrome (SIDS), and their ensuing, fluctuating efforts to resolve this problem shed light on social and medical perceptions of the roles that biology, the environment, and infant care practices played in sudden infant death. SIDS's official medical classification was a watershed; not only did the formal medical label establish its "authenticity" as a medical phenomenon, but the label also asserted the inexplicability of (at least some) sudden infant death episodes while simultaneously conveying that affected parents were deserving victims of a tragic loss. In the modern history of sudden infant death in the United States, breastfeeding, in particular, was understood variably as a possible cause for unnecessary infant mortality in the decades surrounding 1900; inconsequential to the occurrence of SIDS in the mid 1900s; and finally as an important and healthful way to reduce the risk for SIDS beginning in the late 1900s.
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Abstract
INTRODUCTION Use of pasteurized donor milk is recommended in many situations when own mother's milk is not available. One existing knowledge gap is access to donor milk for infants in government custody (foster care). MAIN ISSUE The focus of this case study is an infant born at 41 weeks who was discharged from the hospital into foster care. The infant soon developed failure to thrive due to formula intolerance. MANAGEMENT After trying multiple formulas, which included elemental formulas, and hospitalization, the infant began pasteurized donor milk. Within 24 hr, the infant began gaining weight. Medicaid denied two authorization requests for payment, and the state's Department of Human Services ultimately agreed to cover the discounted donor milk fees until the infant reached 1 year of age. CONCLUSION This foster child suffered through months of failure to thrive and hospitalization before receiving human milk feedings. This care violated ethical principles of beneficence, autonomy, and justice. State officials should review their policies and regulations for providing human milk to children in their care and facilitate access to that milk when needed.
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Biviji R, Vest JR, Dixon BE, Cullen T, Harle CA. Factors Related to User Ratings and User Downloads of Mobile Apps for Maternal and Infant Health: Cross-Sectional Study. JMIR Mhealth Uhealth 2020; 8:e15663. [PMID: 32012107 PMCID: PMC7007596 DOI: 10.2196/15663] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 10/21/2019] [Accepted: 12/16/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Mobile health apps related to maternal and infant health (MIH) are prevalent and frequently used. Some of these apps are extremely popular and have been downloaded over 5 million times. However, the understanding of user behavior and user adoption of these apps based on consumer preferences for different app features and categories is limited. OBJECTIVE This study aimed to examine the relationship between MIH app characteristics and users' perceived satisfaction and intent to use. METHODS The associations between app characteristics, ratings, and downloads were assessed in a sample of MIH apps designed to provide health education or decision-making support to pregnant women or parents and caregivers of infants. Multivariable linear regression was used to assess the relationship between app characteristics and user ratings, and ordinal logistic regression was used to assess the relationship between app characteristics and user downloads. RESULTS The analyses of user ratings and downloads included 421 and 213 apps, respectively. The average user rating was 3.79 out of 5. Compared with the Apple App Store, the Google Play Store was associated with high user ratings (beta=.33; P=.005). Apps with higher standardized user ratings (beta=.80; P<.001), in-app purchases (beta=1.12; P=.002), and in-app advertisements (beta=.64; P=.02) were more frequently downloaded. Having a health care organization developer as part of the development team was neither associated with user ratings (beta=-.20; P=.06) nor downloads (beta=-.14; P=.63). CONCLUSIONS A majority of MIH apps are developed by non-health care organizations, which could raise concern about the accuracy and trustworthiness of in-app information. These findings could benefit app developers in designing better apps and could help inform marketing and development strategies. Further work is needed to evaluate the clinical accuracy of information provided within the apps.
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Affiliation(s)
- Rizwana Biviji
- Science of Healthcare Delivery, College of Health Solutions, Arizona State University, Phoenix, AZ, United States
| | - Joshua R Vest
- Department of Health Policy and Management, Richard M Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.,Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, United States
| | - Brian E Dixon
- Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, United States.,Department of Epidemiology, Richard M Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States
| | - Theresa Cullen
- Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, United States
| | - Christopher A Harle
- Department of Health Policy and Management, Richard M Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.,Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, United States
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Brown C, Davis KE, Habiba N, Massey-Stokes M, Warren C. Parent preferences for text messages containing infant feeding advice. Mhealth 2020; 6:9. [PMID: 32190620 PMCID: PMC7063264 DOI: 10.21037/mhealth.2019.11.03] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 10/25/2019] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Text-messaging is beneficial in health promotion. Research on impact of message framing (gain- versus loss-framed) has had variable results, depending on type of behavior targeted. There is no research on framing of text-messaging to promote healthful infant feeding practices. METHODS The purpose of this cross-sectional survey was to examine whether parents of infants aged three months or younger viewed gain- or loss-framed text messages as more helpful and which style was viewed as more likely to affect feeding practices. A secondary purpose was to determine what time of day and frequency of messaging was preferred. Parents were recruited from an urban pediatric medical clinic. PsychData was used to administer the survey. Parents rated message pairs targeting constructs of the Health Belief Model using a five-point Likert scale. Paired t- tests compared overall ratings for helpfulness and likelihood of messages affecting feeding practices between gain- and loss-framed messages. Descriptive and frequency analyses were applied to demographics and questions regarding preferred timing for receiving messages. RESULTS A total of 34 parents (3 fathers and 31 mothers, mean age 26±5.5 years) completed the survey, with 41% enrolled in WIC and 29% in SNAP. There was no overall difference in helpfulness or likelihood of messages affecting feeding practices between gain- and loss-framed messages. Message style did not affect likelihood of adopting a feeding practice. However, gain framed messages relating to benefits and self-efficacy for breastfeeding were viewed more positively (mean =2.32; P=0.034; mean =1.79; P=0.041, respectively). The greatest proportion of parents (38%) preferred receiving messages once per week, and 50% preferred morning messages. CONCLUSIONS Framing of text messages appeared to have little effect on parents' acceptance of messages related to infant feeding practices. Parents were receptive to receiving messages from their infant's healthcare provider once per week, in the morning.
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Affiliation(s)
- Cassandra Brown
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
| | - Kathleen E. Davis
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
| | - Nusrath Habiba
- University of North Texas Health Science Center, Ft. Worth, TX, USA
| | - Marilyn Massey-Stokes
- Texas Woman’s University, School of Health Promotion and Kinesiology, Denton, TX, USA
| | - Cynthia Warren
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
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Abstract
Background. Mothers often look to family members and friends (ie, their social network) for advice and support regarding infant care decisions. However, little is known about the process by which mothers' social networks are established and how mothers use these networks to make decisions regarding infant care. We thus conducted a qualitative analysis to explore how mothers choose individuals for their social networks, and how they use these for decision-making. Methods. Focus groups or individual interviews were conducted with 28 mothers. We asked probing questions about whom mothers turned to for advice and support, and how they made infant care decisions. Data were coded and analyzed iteratively for emerging themes. Results. Themes that emerged were changes in social networks once children are born, reasons for being in the mother's social network, importance of the pediatrician as a trusted source, and process of making infant care decisions. After an infant is born, mothers gravitate toward friends with children; trustworthiness of those whom mothers turn to is based on their perceived experience and knowledge. Pediatricians are valued for their professional and personal experience with children. Mothers use consensus and/or instinct to make infant care decisions, but continually seek reassurance that these decisions are correct. Conclusion. Mothers' social networks are important sources of infant care information. Because mothers rely on consensus and continued reassurance when making decisions, health care professionals have many opportunities to influence decision-making. Consistent health care messaging can enhance mothers' perceptions that there is consensus of opinion from trusted sources.
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Affiliation(s)
| | - Anita Mathews
- Goldberg Center for Community Pediatric Health, Children’s National Health System, Washington, DC, USA
| | - Rosalind Oden
- Goldberg Center for Community Pediatric Health, Children’s National Health System, Washington, DC, USA
| | - Rebecca Carlin
- Goldberg Center for Community Pediatric Health, Children’s National Health System, Washington, DC, USA,George Washington University, Washington, DC, USA
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Harrison TM. Improving neurodevelopment in infants with complex congenital heart disease. Birth Defects Res 2019; 111:1128-1140. [PMID: 31099484 DOI: 10.1002/bdr2.1517] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 05/02/2019] [Indexed: 12/15/2022]
Abstract
Worldwide, more than 400,000 infants are born each year with complex congenital heart disease (CCHD) requiring surgical intervention within the first months of life. Although improvements in perioperative care have resulted in increased rates of survival, more than half of infants with CCHD have neurodevelopmental impairments affecting subsequent educational achievements, job opportunities, and mental health. Brain maturity and impaired outcomes in infants with CCHD are similar to those of prematurely born infants. Developmentally supportive care, including foundational application of kangaroo care (KC), improves neurodevelopment in premature infants. Provision of developmentally supportive care with KC during the early hospitalization of infants with CCHD has the potential to similarly improve neurodevelopment. The purposes of the article are to describe common congenital heart defects, describe developmentally supportive care with an emphasis on KC, and to offer specific recommendations for KC and research in infants with CCHD.
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Tenkku Lepper LE, Trivedi S, Anakwe A. Effectiveness of a Prison-Based Healthy Pregnancy Curriculum Delivered to Pregnant Inmates: A Pilot Study. J Correct Health Care 2019; 24:243-252. [PMID: 30016912 DOI: 10.1177/1078345818782988] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Incarcerated women experience stress related to their prison sentence, and this can be aggravated by pregnancy-related changes, with pregnant women at higher risks of adverse maternal and fetal health outcomes related to mental health problems and infant low birth weight. In a Midwestern correctional facility, 25 pregnant women were enrolled in a 4-week health and mental health education workshop comprised of seven sessions that taught women about self and infant care. Each 90-minute session included education and guided discussions using handouts that each participant could take with them. Pre and post-test surveys to measure change in knowledge were completed after each session. Findings indicate that an educational intervention for incarcerated pregnant women can lead to change in knowledge about self and infant care.
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Affiliation(s)
| | - Sakshi Trivedi
- 2 Department of Neurology, University of Chicago, Chicago, IL, USA
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MacMillan Uribe AL, Woelky KR, Olson BH. Exploring Family-Medicine Providers' Perspectives on Group Care Visits for Maternal and Infant Nutrition Education. J Nutr Educ Behav 2019; 51:409-418. [PMID: 30773444 DOI: 10.1016/j.jneb.2019.01.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 01/03/2019] [Accepted: 01/08/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Explore current maternal and infant nutrition education practices and family medicine primary care providers' views on a group care model to deliver nutrition education to mother-infant dyads. DESIGN In-depth interviews. SETTING Family medicine clinics in 1 Midwestern US hospital system. PARTICIPANTS Family medicine primary care providers (n = 17) who regularly see infants during well-baby visits. PHENOMENON OF INTEREST Current maternal and infant nutrition education practices; views on ideal way to deliver nutrition education to mother-infant dyads; feedback on group care model to deliver nutrition education to mother-infant dyads. ANALYSIS Audio recordings transcribed verbatim and coded using conventional content analysis. RESULTS Family medicine primary care providers are limited in the ability to provide maternal and infant nutrition education and desire a different approach. Group care was the preferred method; it was shared most frequently as the ideal approach to nutrition education delivery and participants reacted favorably when presented with this model. However, there were many concerns with group care (eg, moderating difficult conversations, program implementation logistics, sufficient group volume, and interruption in patient-provider relationship). CONCLUSION AND IMPLICATIONS Family medicine primary care providers desire a different approach to deliver nutrition education to mother-infant dyads in clinic. A group care model may be well-accepted among family medicine primary care providers but issues must be resolved before implementation. These results could inform future group care implementation studies and influence provider buy-in.
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Affiliation(s)
| | - Kaitland R Woelky
- Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI
| | - Beth H Olson
- Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI.
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Cetisli NE, Isık G, Akgul EA, Topaloglu Oren ED, Oztornacı BO, Sarı HY. Experiences of Infant and Child Care of Mothers with Disabilities in Turkey: A Qualitative Study. Afr J Reprod Health 2019; 22:81-91. [PMID: 30632725 DOI: 10.29063/ajrh2018/v22i4.9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Mothers with disabilities have difficulties fulfilling their gender and motherhood roles. The purpose of this study was to determine the infant and child care-related experiences of mothers with disabilities in Turkey. A conventional content analysis was used in this qualitative design. Fourteen mothers with disabilities participated in semi-structured in-depth interviews consisting of open-ended questions about their infant and child care experiences. Three themes and eight subthemes emerged from the data analysis. The themes were: role fulfillment, barriers, and coping and support. All of the women said that they wanted to become mothers, and when they did so, they felt they had fulfilled their roles in society. However, there was a societal misconception that woman with disabilities 'could not give birth to children or would not properly care for them. Measures should be taken to eliminate negative social perceptions of mothers with disabilities. Public support should be provided to meet the needs of mothers with disabilities.
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Affiliation(s)
- Nuray Egelioglu Cetisli
- Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey
| | - Gulsen Isık
- Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey
| | - Esra Ardahan Akgul
- Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey
| | | | - Beste Ozguven Oztornacı
- Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey
| | - Hatice Yıldırım Sarı
- Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey
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Lwin EMP, Gerber C, Leggett C, Song Y, Ritchie U, Turner S, Hague W, Upton R, Garg S. Estimation of Atenolol Transfer Into Milk and Infant Exposure During Its Use in Lactating Women. J Hum Lact 2018; 34:592-599. [PMID: 29870669 DOI: 10.1177/0890334418771308] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Atenolol lactation information is limited, and controversy exists over the safety of its use during breastfeeding. In this study, important parameters including milk-to-plasma ratio, ratio of infant plasma to maternal plasma, infant daily dosage, and relative infant dose were investigated. The findings from this study add information to existing data about atenolol transfer in human milk. This may help guide health professionals in decision making regarding the safety of beta blockers used by mothers during breastfeeding. Research aim: The aims of the study were to quantify concentrations of atenolol in human plasma and milk, to evaluate atenolol pharmacokinetics in lactating women, and to investigate subsequent infant exposure to atenolol via mother's milk. METHODS In this prospective, longitudinal observational study, participants were lactating mothers ( N = 3), 1 to 4 months postpartum, who had been taking atenolol for therapeutic reasons, and one 4-month-old breastfed infant. Eight milk samples were collected over 24 hr at different time points, together with a single blood sample from each lactating mother and the infant, and quantified using a new sensitive liquid chromatography mass spectrometry method developed for this study. RESULTS Peak milk concentrations of atenolol were observed in the women at 4 hr (Tmax) after oral administration. The dose-normalized maximum concentrations (Cmax) of all patients were similar. The mean milk-to-plasma ratio of the patients who were taking 25 to 100 mg of atenolol was 8.57%. In the mother-infant pair study, the ratio (%) of infant plasma drug concentration to maternal plasma drug concentration observed (18.87%) was similar to the relative infant dose estimated (18.20%). The relative infant dose values (13.96%-18.20%) for all patients were within 10% to 25% of maternal dosage. CONCLUSION Atenolol use during breastfeeding should be undertaken with some precaution. If clinically indicated, an alternate beta blocker may be preferred.
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Affiliation(s)
- Ei Mon Phyo Lwin
- 1 School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia
| | - Cobus Gerber
- 1 School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia
| | - Catherine Leggett
- 2 SA Pharmacy, Women's and Children's Hospital, North Adelaide, SA, Australia
| | - Yunmei Song
- 1 School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia
| | - Usha Ritchie
- 2 SA Pharmacy, Women's and Children's Hospital, North Adelaide, SA, Australia
| | - Sean Turner
- 2 SA Pharmacy, Women's and Children's Hospital, North Adelaide, SA, Australia
| | - William Hague
- 3 Robinson Research Institute, University of Adelaide, North Adelaide, SA, Australia.,4 Obstetric Medicine, Women's and Children's Hospital, North Adelaide, SA, Australia
| | - Richard Upton
- 1 School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia
| | - Sanjay Garg
- 1 School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia
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Wagner CL, Hollis BW. Commentary on "Vitamin D and the Breastfeeding Infant: Family Medicine Clinicians' Knowledge, Attitudes, and Practices" by Oberhelman et al. J Hum Lact 2018; 34:337-339. [PMID: 29601248 DOI: 10.1177/0890334418759309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Carol L Wagner
- 1 Department of Pediatrics, Shawn Jenkins Children's Hospital, Medical University of South Carolina, Charleston, SC, USA
| | - Bruce W Hollis
- 1 Department of Pediatrics, Shawn Jenkins Children's Hospital, Medical University of South Carolina, Charleston, SC, USA
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Abstract
Most incarcerated women in Canada are mothers. Because women are the fastest growing population in carceral facilities, protecting the rights of incarcerated women to breastfeed their children is increasingly important. There is considerable evidence that incarcerated women in Canada experience poor physical and mental health, isolation, and barriers to care. Incarcerated women and their children could benefit significantly from breastfeeding. This Insight in Policy explores policy and legal protection for breastfeeding in Canada as it relates to carceral facilities, considers key cases regarding breastfeeding rights among incarcerated women, and presents recommendations for policy development and advocacy. The Canadian Constitution and human rights legislation across Canada prohibits discrimination on the basis of gender and includes pregnancy and the possibility of becoming pregnant as a characteristic of gender. Some provinces note that breastfeeding is a characteristic of gender. Women's Wellness Within, a nonprofit organization providing volunteer perinatal support to criminalized women in Nova Scotia, conducted a scan of all provincial and territorial correctional services acts and the federal Corrections and Conditional Release Act: none mention breastfeeding. Protocols for breastfeeding during arrest and lockup by police were not available in any jurisdiction across Canada. International law, including the Convention on the Rights of the Child, the Nelson Mandela Rules, and the Bangkok Rules, have application to the rights of incarcerated breastfeeding women. The Inglis v. British Columbia (Minister of Public Safety) (2013) and Hidalgo v. New Mexico Department of Corrections (2017) decisions are pivotal examples of successful litigation brought forward by incarcerated mothers to advance breastfeeding rights. Improved application and understanding of existent law could advance breastfeeding rights.
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Rodríguez-Camejo C, Puyol A, Fazio L, Rodríguez A, Villamil E, Andina E, Cordobez V, Díaz H, Lemos M, Siré G, Carroscia L, Castro M, Panizzolo L, Hernández A. Antibody Profile of Colostrum and the Effect of Processing in Human Milk Banks: Implications in Immunoregulatory Properties. J Hum Lact 2018; 34:137-147. [PMID: 28586632 DOI: 10.1177/0890334417706359] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND When feeding preterm infants, donor milk is preferred if the mother's own milk is unavailable. Pasteurization may have detrimental effects on bioactivity, but more information is needed about its effects on the immunological compounds. Research aim: This work has two main aims: evaluate the antibody profile of colostrum and study the quantitative variations in the antibodies' level and specific reactivity after undergoing Holder pasteurization. The authors focused on immunoregulatory components of colostrum (antidietary antibodies and TGF-β2) in the neonatal gut. METHODS This is a descriptive cross-sectional study of a convenience sample of 67 donated colostrum samples at different days after delivery, both raw and pasteurized. Antibody profiles were analyzed at different times during breastfeeding, and total and specific antibodies (IgM, IgA, and IgG subclasses) were compared with tetanus toxoid and ovalbumin using enzyme-linked immunosorbent assay. The processing effect on total and specific antibodies, as well as TGF-β2, was evaluated by paired analyses. RESULTS No variations in immunological compounds were observed throughout the colostrum stage. The TGF-β2, antibodies' concentrations, and antibodies' specific reactivity after pasteurization did not vary significantly as days of lactation varied. Changes in antibody levels were dependent on isotype and IgG subclass, and IgG4 showed remarkable resistance to heating. Moreover, the effect of the pasteurization on specific reactivity was antigen dependent. CONCLUSION The supply of relevant immunological components is stable throughout the colostrum stage. The effects of pasteurization on antibodies depend on isotype, subclass, and specificity. This information is relevant to improving the immunological quality of colostrum, especially for preterm newborns.
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Affiliation(s)
- Claudio Rodríguez-Camejo
- 1 Cátedra de Inmunología, Facultad de Ciencias-Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Arturo Puyol
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Laura Fazio
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Analía Rodríguez
- 3 Departamento de Ciencia y Tecnología de los Alimentos, Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Emilia Villamil
- 1 Cátedra de Inmunología, Facultad de Ciencias-Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Eliana Andina
- 3 Departamento de Ciencia y Tecnología de los Alimentos, Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Vanira Cordobez
- 3 Departamento de Ciencia y Tecnología de los Alimentos, Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Hernán Díaz
- 3 Departamento de Ciencia y Tecnología de los Alimentos, Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Mary Lemos
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Gabriela Siré
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Lilián Carroscia
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Mara Castro
- 2 Banco de Leche "Ruben Panizza," Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay
| | - Luis Panizzolo
- 3 Departamento de Ciencia y Tecnología de los Alimentos, Facultad de Química, Universidad de la República, Montevideo, Uruguay
| | - Ana Hernández
- 1 Cátedra de Inmunología, Facultad de Ciencias-Facultad de Química, Universidad de la República, Montevideo, Uruguay
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Patel SJ, Subbiah S, Jones R, Muigai F, Rothschild CW, Omwodo L, Ogolla T, Kimenju G, Pearson N, Meadows A, Nour NM. Providing support to pregnant women and new mothers through moderated WhatsApp groups: a feasibility study. Mhealth 2018; 4:14. [PMID: 29963559 PMCID: PMC5994467 DOI: 10.21037/mhealth.2018.04.05] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Accepted: 04/23/2018] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Group-based health services can improve maternal and newborn health outcomes. Group antenatal care and participatory learning and action cycles (PLA) with women's groups have been cited by the WHO as health systems interventions that can lead to improvements in adherence to care and health outcomes in pregnancy and the postpartum period. METHODS We used a mixed-methods approach to assess the feasibility of a light touch group-based support intervention using the WhatsApp text-messaging platform. Pregnant women were enrolled at Jacaranda Health (JH), a maternity center in peri-urban Kiambu County, Kenya. Their phone numbers were added to WhatsApp groups consisting of participants with similar estimated due dates. The WhatsApp group administrator was a JH employee. Acceptability, demand, implementation, and practicality of this service were evaluated through in-depth interviews (IDIs), surveys, chart review, and analysis of group chats. Limited analysis of program efficacy (ANC visits, any PNC, and post-partum family planning uptake) was assessed by comparing participant data collected through chart review using a concurrent comparison of the general JH patient population. RESULTS Fifty women (88%) of 57 eligible women who were approached to participate enrolled in the study. Five WhatsApp groups were created. A total of 983 messages were exchanged over 38 weeks. No harms or negative interactions were reported. Participants reported several benefits. Participants had differing expectations of the level of the group administrator's activity in the groups. ANC and PNC attendance were in line with the hospital's metrics for the rest of JH's patient population. Higher rates of postpartum long acting reversible contraception (LARC) uptake were observed among participants relative to the general patient population. CONCLUSIONS A moderated mobile-based support group service for pregnant women and new mothers is safe and feasible. Additional research using experimental designs to strengthen evidence of the effectiveness of the support intervention is warranted.
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Affiliation(s)
- Suha J. Patel
- Division of Global Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, MA, USA
| | | | | | | | - Claire Watt Rothschild
- Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA
| | | | | | | | | | - Audra Meadows
- Division of Global Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, MA, USA
| | - Nawal M. Nour
- Division of Global Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, MA, USA
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Abstract
BACKGROUND Postpartum depression is associated with lower rates of breastfeeding. Evidence describing the effect of pacifiers on breastfeeding is inconsistent, and previous research suggests that pacifiers may help vulnerable mothers breastfeed. Research aim: This study aimed to determine (a) how receiving a pacifier in the hospital affects exclusive breastfeeding (EBF) at 1 week and 3 months postpartum and (b) whether this association is modified by risk for postpartum depression (PPD). METHODS Data were derived from Listening to Mothers III. We included participants ( n = 1,349) who intended to breastfeed and delivered at term. Mothers were considered at high risk for PPD if they reported feeling the need to receive treatment for depression during pregnancy. We used weighted multivariable logistic regression models to adjust for covariates. RESULTS Receiving a pacifier in the hospital was not significantly associated with EBF at 1 week (odds ratio [ OR] = 0.84, 95% confidence interval [CI] [0.62, 1.12]) but was significantly associated with lower odds of EBF at 3 months postpartum ( OR = 0.72, 95% CI [0.54, 0.95]). Risk for PPD modified this association. Among mothers at high risk for PPD, receiving a pacifier was significantly associated with increased odds of EBF ( OR = 3.31, 95% CI [1.23, 8.97] at 1 week and OR = 5.27, 95% CI [1.97, 14.12] at 3 months); however, among mothers who were at lower risk for PPD, receiving a pacifier was associated with decreased odds of EBF ( OR = 0.75, 95% CI [0.56, 1.02] at 1 week and OR = 0.62, 95% CI [0.46, 0.82] at 3 months). CONCLUSION Pacifiers may help protect against early cessation of EBF among mothers at high risk for depression. Additional research is needed to better understand this association.
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Affiliation(s)
- Heather L Sipsma
- 1 Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, University of Chicago, Chicago, IL, USA.,2 Department of Public Health, Benedictine University, Lisle, IL, USA
| | - Katelin Kornfeind
- 2 Department of Public Health, Benedictine University, Lisle, IL, USA
| | - Laura R Kair
- 3 Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA, USA.,4 Department of Pediatrics, University of California Medical Center, Sacramento, CA, USA
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Dairo MD, Ibrahim TF, Salawu AT. Prevalence and determinants of diarrhoea among infants in selected primary health centres in Kaduna north local government area, Nigeria. Pan Afr Med J 2017. [PMID: 29515727 PMCID: PMC5837171 DOI: 10.11604/pamj.2017.28.109.8152] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Introduction Despite efforts toward the prevention and management of diarrhoea, associated mortality among infants has remained high in Northern Nigeria. This study was designed to determine the prevalence and identify determinants of diarrhoea among infants in Kaduna North Local Government Area (KNLGA), Nigeria. Methods In a cross-sectional survey 630 mothers of infants attending three primary health care centers were interviewed. Data was collected on socio-demo graphic characteristics, infant care practices, infant diarrhoea history and mothers knowledge of causes, symptoms and management of diarrhea. Data were analyzed using descriptive statistics, Chi-square, and logistic regression tests at 5% level of significance. Results Mothers' mean age was 27±5.5 years and 46.1% had secondary education. Infants' mean age was 22.4± 12.8 weeks and 50% were females. Prevalence of diarrhoea in the two weeks preceding the study was 21.1%. Only 11.7% of mothers had poor knowledge of diarrhoea. About 76.3% of mothers always washed their hands with soap after cleaning infants' perineum. Majority of infants (84.6%) completed age appropriate immunization while 31.6% were exclusively breastfed. Infants whose mothers sometimes (OR=2.32; 95% CI: 1.4-3.87) or never washed (OR=2.64; 95% CI: 1.19-5.82) their hands with soap after cleaning the infants perineumand those with incomplete age appropriate immunization (OR=1.87, 95% CI: 1.2-2.896) were more likely to have diarrhoea. Conclusion Promotion of hygiene and nutrition education for mothers particularly on proper infant feeding practices, hand washing practices and complete immunization of infants is needed to address the diarrhea determinants.
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Affiliation(s)
- Magbagbeola David Dairo
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria.,Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria
| | - Tosin Faisal Ibrahim
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria
| | - Adetokunbo Taophic Salawu
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria
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Jafari-Mianaei S, Alimohammadi N, Banki-Poorfard AH, Hasanpour M. An inquiry into the concept of infancy care based on the perspective of Islam. Nurs Inq 2017; 24. [PMID: 28836370 DOI: 10.1111/nin.12198] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2017] [Indexed: 11/30/2022]
Abstract
All schools of thought believe that infancy is crucial to the formation and development of the human character. Nevertheless, a search of literature revealed the lack of a clear definition of the concept of 'infancy care based on an Islamic perspective' in nursing texts. As the lack of a clear definition of a concept conveys the inapplicability of that concept to its relevant field and community, this study was conducted to explore and determine the characteristic features of the concept of infancy care based on the perspective of Islam. Walker and Avant's (Strategies for theory construction in nursing. Prentice Hall, Boston, 2011) literary concept synthesis as the manner of concept development approach was conducted. Islamic documents were surveyed without any time limitation. Findings involved the extraction of six main concepts, including God as the Merciful Nurturer, mother as the symbol of the Creativity and Divinity of God, infant as a person with dignity and potential for excellence, parents as the nurture way paver, basic principles of nurturing, and holistic lifelong health promotion. The theoretical definition of each concept was presented. From the perspective of Islam, infant care is the nurturing of a human who has been conceived with dignity, certain rights, identity, and the capacity for development and excellence.
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Affiliation(s)
- Soheila Jafari-Mianaei
- Nursing and Midwifery Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nasrollah Alimohammadi
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | | | - Marzieh Hasanpour
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Chaturvedi S, Raven J, Patwardhan B. Addressing child under nutrition: can traditional practices offer a solution? Glob Health Action 2017; 10:1327255. [PMID: 28590840 PMCID: PMC5496070 DOI: 10.1080/16549716.2017.1327255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Child under nutrition continues to be a challenge to global development, especially in resource-poor contexts. In the multifaceted attempts to address this challenge, popular traditional practices, although closely linked to infant health, remain neglected and less researched. The World Health Organization’s recent strategy on traditional medicine systems provides overarching guidance in this regard. In this commentary, we attempt to exemplify this. We highlight the importance of traditional child care practices with regard to child nutrition and the need for trans-disciplinary research to explore the potential of these for public health. Infant oil massage appears to be a potentially beneficial practice for child nutrition. Rigorous trans-disciplinary research on traditional infant massage can provide simple solutions to address child under nutrition and nurture human capabilities globally.
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Affiliation(s)
- Sarika Chaturvedi
- a Centre for Complementary and Integrative Health, Interdisciplinary School of Health Sciences , Savitribai Phule Pune University , Pune , India
| | - Joanna Raven
- b Department of International Public Health , Liverpool School of Tropical Medicine , Liverpool , UK
| | - Bhushan Patwardhan
- a Centre for Complementary and Integrative Health, Interdisciplinary School of Health Sciences , Savitribai Phule Pune University , Pune , India
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Abstract
How is the perceived fairness of infant care affected by spouses' relative contributions to it as well as to other domains of their relationship? Longitudinal data on 178 couples expecting the birth of their first child were collected over a period spanning approximately the first year of the child's life. Overall, wives were more likely than husbands to see infant care as fair to the wife. Net of fathers' contributions to infant care, spouses were more likely to see infant care as fair to wives the more the father worked in paid labor and did housework and the more wives benefited in the sexual relationship. Fathers' contributions to infant care had a stronger effect on fairness when the child was a son. The findings are consistent with equity predictions, in that fathers' compensatory contributions to other domains of marriage counterbalance an unequal workload in the arena of family work.
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