The Experts below are selected from a list of 103377 Experts worldwide ranked by ideXlab platform
Patrice François - One of the best experts on this subject based on the ideXlab platform.
-
Determinants of 6-month maternal satisfaction with Breastfeeding experience in a multicenter prospective cohort study.
Journal of Human Lactation, 2012Co-Authors: José Labarère, Laurent Laborde, Fanny Baudino, Maeva Durand, Patrice FrançoisAbstract:Although a personally defined experience, successful Breastfeeding is usually measured with regard to duration. This study investigated the determinants of maternal satisfaction with Breastfeeding experience for 907 mothers enrolled in a prospective cohort study. Despite a median Breastfeeding duration (18 weeks) that fell short of recommendations, 822 mothers (90.6%) rated their Breastfeeding experience as very or fairly satisfactory. Anticipated Breastfeeding duration was a determinant of satisfaction only for women who actually breastfeed < 2 months; in this subgroup of mothers, satisfaction rates ranged from 84.6% for those who anticipated Breastfeeding < 2 months to 69.8% for those who anticipated Breastfeeding > 4 months (P = .01). Smoking during pregnancy and experiencing Breastfeeding difficulties after discharge were independently associated with decreased satisfaction. Eliciting the mother's expectations regarding Breastfeeding duration may help the lactation consultant in providing appropriate guidance. Future studies should assess maternal satisfaction using validated instruments.
-
CD-ROM-based program for Breastfeeding mothers.
Maternal and Child Nutrition, 2011Co-Authors: José Labarère, Laurent Laborde, Nathalie Gelbert-baudino, Domitille Arragain, Camille Schelstraete, Patrice FrançoisAbstract:The vast majority of Breastfeeding mothers in Western countries have routine access to multimedia and Internet resources at home. The aim of this study was to assess the effectiveness of a CD-ROM-based intervention in increasing the rates of Breastfeeding. We conducted a pre- and post-intervention study involving four control and four intervention maternity units in France. All Breastfeeding mothers in intervention units were given a CD-ROM-based program addressing various Breastfeeding topics. The primary outcome was any Breastfeeding at 4 weeks assessed by follow-up telephone interview. The secondary outcomes included Breastfeeding duration, Breastfeeding difficulties after discharge and satisfaction with the Breastfeeding experience. The rates of any Breastfeeding at 4 weeks varied from 88.6% (209/236) to 87.9% (211/240) and from 86.0% (222/258) to 88.0% (228/259) for mothers enrolled in intervention and control maternity units, respectively (P for interaction=0.54). The hazard of Breastfeeding discontinuation for mothers enrolled in intervention units did not vary significantly across study periods after adjusting for education level, epidural anaesthesia, Breastfeeding assessment score and return to work (P for interaction=0.18). The rates of Breastfeeding at 4 weeks remained unchanged when restricting the analysis to the mothers who actually received (87.8% [173/197]) or used [88.2% (105/119)] the CD-ROM during the post-intervention period. No significant differences were found in secondary outcomes between the two study groups. A CD-ROM-based intervention for Breastfeeding mothers provides no additional benefit to usual post-natal care. Further study is needed to assess the effectiveness of multimedia packages as part of more intensive multifaceted interventions.
Colin W. Binns - One of the best experts on this subject based on the ideXlab platform.
-
Postpartum Breastfeeding Promotion and Duration of Exclusive Breastfeeding in Western Nepal.
Birth (Berkeley Calif.), 2015Co-Authors: Vishnu Khanal, Rajendra Karkee, Andy H. Lee, Colin W. BinnsAbstract:Encouragement and skills provided to mothers during the postpartum period have been found to be successful in increasing exclusive Breastfeeding rates. However, evidence from developing countries is limited. This study aimed to ascertain whether education and skill support provided by health workers during the postpartum period were associated with increased duration of exclusive Breastfeeding in Western Nepal. A community-based prospective cohort study was conducted between January and October 2014, in the Rupandehi district of Nepal. Information on Breastfeeding promotion provided by health workers after birth was collected from 649 mothers. The association between Breastfeeding promotion and exclusive Breastfeeding was investigated using multivariable Cox regression analysis. Of the 649 mothers, 35 percent received all eight types of Breastfeeding promotion advice, and 60 percent received six or more such types of advice. Breastfeeding promotion, such as "Breastfeeding on demand" (hazard ratio [HR] 0.74 [95% CI 0.59-0.92]) and "not to provide pacifier or teats" (HR 0.82 [95% CI 0.68-0.97]), were significantly associated with a lower risk of exclusive Breastfeeding cessation. The dose-response relationship was also significant for the number of advices received (HR 0.94 [95% CI 0.90-0.97]). This study provides evidence that Breastfeeding education and support immediately after childbirth could increase the duration of Breastfeeding. The results suggest further attention to Breastfeeding promotion in all maternity hospitals and birthing centers through skilled birth attendants. © 2015 Wiley Periodicals, Inc.
-
A community-based prospective cohort study of exclusive Breastfeeding in central Nepal
BMC Public Health, 2014Co-Authors: Rajendra Karkee, Vishnu Khanal, Colin W. BinnsAbstract:Background Existing information on Breastfeeding in low income countries such as Nepal has been largely derived from cross-sectional demographic health surveys. This study investigated exclusive Breastfeeding rates, and compared the duration of exclusive Breastfeeding between rural and urban mothers in central Nepal using an alternate cohort methodology. Methods A community-based prospective cohort study was conducted among 639 recently delivered mothers representative of the Kaski district of Nepal. Breastfeeding information was obtained at birth (n = 639), 4 weeks (n = 639), 12 weeks (n = 615; 96.2%) and 22 weeks (n = 515; 80.6%) through repeated interviews using validated questionnaires. Risk of cessation of exclusive Breastfeeding was assessed by Cox regression analysis. Results The great majority of women received Breastfeeding information (74%) and were encouraged to breastfeed by health personnel or family members (81%). Although nearly all mothers (98%) breastfed up to six months, the reported exclusive Breastfeeding rate declined rapidly from 90.9% at birth to 29.7% at 22 weeks. Urban women experienced significantly shorter (p = 0.02) exclusive Breastfeeding duration (mean 104.5, 95% CI 95.8 to 113.1 days) and were more likely to cease exclusive Breastfeeding (hazard ratio (HR) 1.28, 95% CI 1.03 to 1.60) than their rural counterparts (mean 144.7, 95% CI 132.3 to 157.1 days). Breastfeeding problem (HR 2.07, 95% CI 1.66 to 2.57) and caesarean delivery (HR 1.88, 95% CI 1.36 to 2.62) were also significantly associated with exclusive Breastfeeding cessation. Conclusions Despite the almost universal practice of Breastfeeding, the reported exclusive Breastfeeding rates declined substantially over time. Exclusive Breastfeeding up to six months was more common in rural than urban areas of central Nepal. Urban mothers also exclusively breastfed shorter than rural mothers.
-
Breastfeeding in China: a review
International breastfeeding journal, 2009Co-Authors: Liqian Qiu, Colin W. Binns, Xiaoxian LiuAbstract:This review aims to describe changes in Breastfeeding and summarise the Breastfeeding rates, duration and reasons of discontinuing 'any Breastfeeding' or 'exclusive Breastfeeding' in P.R. China. Breastfeeding rates in China fell during the 1970s when the use of breast milk substitutes became widespread, and reached the lowest point in the 1980s. As a result many efforts were introduced to promote Breastfeeding. The Breastfeeding rate in China started to increase in the 1990s, and since the mid-1990s 'any Breastfeeding' rates in the majority of cities and provinces, including minority areas, have been above 80% at four months. But most cities and provinces did not reach the national target of 'exclusive Breastfeeding' of 80%. The 'exclusive Breastfeeding' rates in minority areas were relatively lower than comparable inland provinces. The mean duration of 'any Breastfeeding' in the majority of cities or provinces was between seven and nine months. The common reasons for ceasing Breastfeeding, or introducing water or other infant food before four months, were perceived breast milk insufficiency, mother going to work, maternal and child illness and breast problems. Incorrect traditional perceptions have a strong adverse influence on 'exclusive Breastfeeding' in less developed areas or rural areas. China is a huge country, geographically and in population size, and there is considerable ethnic diversity. Therefore Breastfeeding rates in different parts of China can vary considerably.
José Labarère - One of the best experts on this subject based on the ideXlab platform.
-
Determinants of 6-month maternal satisfaction with Breastfeeding experience in a multicenter prospective cohort study.
Journal of Human Lactation, 2012Co-Authors: José Labarère, Laurent Laborde, Fanny Baudino, Maeva Durand, Patrice FrançoisAbstract:Although a personally defined experience, successful Breastfeeding is usually measured with regard to duration. This study investigated the determinants of maternal satisfaction with Breastfeeding experience for 907 mothers enrolled in a prospective cohort study. Despite a median Breastfeeding duration (18 weeks) that fell short of recommendations, 822 mothers (90.6%) rated their Breastfeeding experience as very or fairly satisfactory. Anticipated Breastfeeding duration was a determinant of satisfaction only for women who actually breastfeed < 2 months; in this subgroup of mothers, satisfaction rates ranged from 84.6% for those who anticipated Breastfeeding < 2 months to 69.8% for those who anticipated Breastfeeding > 4 months (P = .01). Smoking during pregnancy and experiencing Breastfeeding difficulties after discharge were independently associated with decreased satisfaction. Eliciting the mother's expectations regarding Breastfeeding duration may help the lactation consultant in providing appropriate guidance. Future studies should assess maternal satisfaction using validated instruments.
-
CD-ROM-based program for Breastfeeding mothers.
Maternal and Child Nutrition, 2011Co-Authors: José Labarère, Laurent Laborde, Nathalie Gelbert-baudino, Domitille Arragain, Camille Schelstraete, Patrice FrançoisAbstract:The vast majority of Breastfeeding mothers in Western countries have routine access to multimedia and Internet resources at home. The aim of this study was to assess the effectiveness of a CD-ROM-based intervention in increasing the rates of Breastfeeding. We conducted a pre- and post-intervention study involving four control and four intervention maternity units in France. All Breastfeeding mothers in intervention units were given a CD-ROM-based program addressing various Breastfeeding topics. The primary outcome was any Breastfeeding at 4 weeks assessed by follow-up telephone interview. The secondary outcomes included Breastfeeding duration, Breastfeeding difficulties after discharge and satisfaction with the Breastfeeding experience. The rates of any Breastfeeding at 4 weeks varied from 88.6% (209/236) to 87.9% (211/240) and from 86.0% (222/258) to 88.0% (228/259) for mothers enrolled in intervention and control maternity units, respectively (P for interaction=0.54). The hazard of Breastfeeding discontinuation for mothers enrolled in intervention units did not vary significantly across study periods after adjusting for education level, epidural anaesthesia, Breastfeeding assessment score and return to work (P for interaction=0.18). The rates of Breastfeeding at 4 weeks remained unchanged when restricting the analysis to the mothers who actually received (87.8% [173/197]) or used [88.2% (105/119)] the CD-ROM during the post-intervention period. No significant differences were found in secondary outcomes between the two study groups. A CD-ROM-based intervention for Breastfeeding mothers provides no additional benefit to usual post-natal care. Further study is needed to assess the effectiveness of multimedia packages as part of more intensive multifaceted interventions.
Mieko Shimada - One of the best experts on this subject based on the ideXlab platform.
-
Post-Breastfeeding stress response and Breastfeeding self-efficacy as modifiable predictors of exclusive Breastfeeding at 3 months postpartum: a prospective cohort study.
BMC pregnancy and childbirth, 2020Co-Authors: Mie Shiraishi, Masayo Matsuzaki, Shoko Kurihara, Maki Iwamoto, Mieko ShimadaAbstract:BACKGROUND The rate of exclusive Breastfeeding at 3 months postpartum is only 50% in Japan. In order to increase this rate, we aimed to examine modifiable factors related to exclusive Breastfeeding at 3 months postpartum by focusing on Breastfeeding-related and psychosocial variables at 1 month postpartum. METHODS This prospective cohort study was conducted at a secondary medical care center in Osaka, Japan from February 2017 to October 2018. Demographic variables, infant feeding modality, Breastfeeding-related variables, and psychosocial variables were obtained using questionnaires at 1 month postpartum. Daytime salivary cortisol levels before and after Breastfeeding at 1 month postpartum were measured as a biological marker for stress responses associated with Breastfeeding. Each infant's feeding modality was re-assessed at 3 months postpartum. Multiple logistic regression analyses were performed to examine factors affecting exclusive Breastfeeding at 3 months postpartum. RESULTS Of the 104 participants, 61 reported exclusive Breastfeeding at 3 months postpartum. The following factors were significantly associated with exclusive Breastfeeding at 3 months postpartum: multiparity (adjusted odds ratio, 95% confidence interval: 11.13, 2.08-59.59), having a university degree (5.25, 1.04-26.53), no plan to return to work by 6 months postpartum (0.02, 0.00-0.46), and exclusive Breastfeeding (42.84, 6.05-303.52), lower cortisol level after Breastfeeding (0.00, 0.00-0.02), and higher Breastfeeding self-efficacy scale score (1.07, 1.00-1.14) at 1 month postpartum. In parity-specific analyses, exclusive Breastfeeding (25.33, 4.75-134.98) and lower cortisol level after Breastfeeding (0.00, 0.00-0.21) at 1 month postpartum in primiparous women, and lower cortisol level after Breastfeeding (0.00, 0.00-0.94), higher Breastfeeding self-efficacy score (1.18, 1.05-1.32), and absence of breast complications (0.09, 0.01-0.82) at 1 month postpartum in multiparous women were associated with exclusive Breastfeeding at 3 months postpartum. CONCLUSIONS Stress levels after Breastfeeding, Breastfeeding self-efficacy, and the presence of breast complications could be modifiable factors associated with subsequent exclusive Breastfeeding. Further research is needed to examine whether approaches to reducing Breastfeeding-related stress, improving Breastfeeding self-efficacy, and preventing breast complications during lactation are effective to increase exclusive Breastfeeding practices.
-
Post-Breastfeeding stress response and Breastfeeding self-efficacy as modifiable predictors of exclusive Breastfeeding at 3 months postpartum: a longitudinal study
2020Co-Authors: Mie Shiraishi, Masayo Matsuzaki, Shoko Kurihara, Maki Iwamoto, Mieko ShimadaAbstract:Abstract Background: The prevalence of exclusive Breastfeeding of infants at 3 months postpartum is only 50% in Japan. In order to increase this rate, we aimed to examine modifiable factors related to exclusive Breastfeeding at 3 months postpartum by focusing on Breastfeeding-related and psychosocial variables at 1 month postpartum. Methods: This prospective cohort study was conducted in a secondary medical care center in Osaka, Japan from February 2017 to October 2018. Demographic variables, infant feeding modality, Breastfeeding-related variables, and psychosocial variables were obtained using questionnaires at 1 month postpartum. Daytime salivary cortisol levels before and after Breastfeeding at 1 month postpartum were measured as a biological marker for stress responses associated with Breastfeeding. Each infant’s feeding modality was re-assessed at 3 months postpartum. Multiple logistic regression analyses were performed to examine the factors affecting exclusive Breastfeeding at 3 months postpartum. Results: Of the 104 participants, 61 reported exclusive Breastfeeding at 3 months postpartum. The following factors were significantly associated with exclusive Breastfeeding at 3 months postpartum: multiparity (adjusted odds ratio, 95% confidence interval: 11.13, 2.08–59.59), having a university degree (5.25, 1.04–26.53), no plan to return to work by 6 months postpartum (0.02, 0.00–0.46), exclusive Breastfeeding at 1 month postpartum (42.84, 6.05–303.52), lower cortisol level after Breastfeeding at 1 month postpartum (0.00, 0.00–0.02), and higher Breastfeeding self-efficacy scale score at 1 month postpartum (1.07, 1.00–1.14). In parity-specific analyses, exclusive Breastfeeding (25.33, 4.75–134.98) and lower cortisol level after Breastfeeding (0.00, 0.00–0.21) at 1 month postpartum in primiparous women, and lower cortisol level after Breastfeeding (0.00, 0.00–0.94), higher Breastfeeding self-efficacy score (1.18, 1.05–1.32), and absence of breast complications (0.09, 0.01-0.82) at 1 month postpartum in multiparous women were associated with exclusive Breastfeeding at 3 months postpartum. Conclusions: Stress levels after Breastfeeding, Breastfeeding self-efficacy, and presence of breast complications could be modifiable factors related to subsequent exclusive Breastfeeding. Further research is needed to examine whether approaches to reducing Breastfeeding-related stress, improving Breastfeeding self-efficacy, and preventing breast complications during lactation are effective to increase exclusive Breastfeeding practices.
-
Stress response after Breastfeeding and Breastfeeding self-efficacy as modifiable predictors of exclusive Breastfeeding at 3 months postpartum: a longitudinal study
2020Co-Authors: Mie Shiraishi, Masayo Matsuzaki, Shoko Kurihara, Maki Iwamoto, Mieko ShimadaAbstract:Abstract Background: Only 50% of mothers in Japan exclusively breastfeed their infants during the postpartum period. To increase this rate, we aimed to examine modifiable factors at 1 month postpartum related to exclusive Breastfeeding at 3 months postpartum by focusing on Breastfeeding-related and psychosocial variables. Methods: This prospective cohort study was a secondary analysis of a longitudinal study, which was conducted in a secondary medical care center in Osaka, Japan from 2017 to 2018. Demographic variables, infant feeding modality, Breastfeeding-related variables, and psychosocial variables were obtained using questionnaires at 1 month postpartum. Daytime salivary cortisol levels before and after Breastfeeding at 1 month postpartum were measured as a biological marker for stress responses associated with Breastfeeding. Each infant’s feeding modality was re-assessed at 3 months postpartum. A multiple logistic regression analysis was performed to examine the factors affecting exclusive Breastfeeding at 3 months postpartum. Results: Of the 104 participants, 61 reported exclusive Breastfeeding at 3 months postpartum. The following factors significantly affected exclusive Breastfeeding at 3 months postpartum: multipara (adjusted odds ratio, 95% confidence interval: 11.128, 2.078–59.594), having a university degree (5.246, 1.037–26.526), no plan to return to work by 6 months postpartum (0.021, 0.001–0.460), exclusive Breastfeeding at 1 month postpartum (42.841, 6.047–303.515), higher Breastfeeding self-efficacy scale score at 1 month postpartum (1.070, 1.004–1.139), and lower cortisol level after Breastfeeding at 1 month postpartum (0.000, 0.000–0.020). Conclusions: Stress levels after Breastfeeding and Breastfeeding self-efficacy were identified as modifiable factors related to subsequent exclusive Breastfeeding. Healthcare professionals need to develop effective approaches to reducing Breastfeeding-related stress and improving Breastfeeding self-efficacy to help women fulfill their antenatal Breastfeeding intentions and increase exclusive Breastfeeding practices.
José Ríos - One of the best experts on this subject based on the ideXlab platform.
-
Mechanics of sucking: comparison between bottle feeding and Breastfeeding
BMC pediatrics, 2010Co-Authors: Angel Moral, Ignasi Bolibar, Gloria Seguranyes, Josep Ustrell, Gloria Sebastiá, Cristina Martínez-barba, José RíosAbstract:There is very little evidence of the similarity of the mechanics of maternal and bottle feeding. We assessed the mechanics of sucking in exclusive Breastfeeding, exclusive bottle feeding, and mixed feeding. The hypothesis established was that physiological pattern for suckling movements differ depending on the type of feeding. According to this hypothesis, babies with Breastfeeding have suckling movements at the breast that are different from the movements of suckling a teat of babies fed with bottle. Children with mixed feeding mix both types of suckling movements. Cross-sectional study of infants aged 21-28 days with only maternal feeding or bottle feeding (234 mother-infant pairs), and a randomized open cross-over field trial in newborns aged 21-28 days and babies aged 3-5 months with mixed feeding (125 mother-infant pairs). Primary outcome measures were sucks and pauses. Infants aged 21-28 days exclusively bottle-fed showed fewer sucks and the same number of pauses but of longer duration compared to Breastfeeding. In mixed feeding, bottle feeding compared to Breastfeeding showed the same number of sucks but fewer and shorter pauses, both at 21-28 days and at 3-5 months. The mean number of Breastfeedings in a day (in the mixed feed group) was 5.83 ± 1.93 at 21-28 days and 4.42 ± 1.67 at 3-5 months. In the equivalence analysis of the mixed feed group, the 95% confidence interval for bottle feeding/Breastfeeding ratio laid outside the range of equivalence, indicating 5.9-8.7% fewer suction movements, and fewer pauses, and shorter duration of them in bottle feeding compared with Breastfeeding. The mechanics of sucking in mixed feeding lay outside the range of equivalence comparing bottle feeding with Breastfeeding, although differences were small. Children with mixed feeding would mix both types of sucking movements (Breastfeeding and bottle feeding) during the learning stage and adopt their own pattern.
-
Mechanics of sucking: comparison between bottle feeding and Breastfeeding
BMC Pediatrics, 2010Co-Authors: Angel Moral, Ignasi Bolibar, Gloria Seguranyes, Josep Ustrell, Gloria Sebastiá, Cristina Martínez-barba, José RíosAbstract:Background There is very little evidence of the similarity of the mechanics of maternal and bottle feeding. We assessed the mechanics of sucking in exclusive Breastfeeding, exclusive bottle feeding, and mixed feeding. The hypothesis established was that physiological pattern for suckling movements differ depending on the type of feeding. According to this hypothesis, babies with Breastfeeding have suckling movements at the breast that are different from the movements of suckling a teat of babies fed with bottle. Children with mixed feeding mix both types of suckling movements. Methods Cross-sectional study of infants aged 21-28 days with only maternal feeding or bottle feeding (234 mother-infant pairs), and a randomized open cross-over field trial in newborns aged 21-28 days and babies aged 3-5 months with mixed feeding (125 mother-infant pairs). Primary outcome measures were sucks and pauses. Results Infants aged 21-28 days exclusively bottle-fed showed fewer sucks and the same number of pauses but of longer duration compared to Breastfeeding. In mixed feeding, bottle feeding compared to Breastfeeding showed the same number of sucks but fewer and shorter pauses, both at 21-28 days and at 3-5 months. The mean number of Breastfeedings in a day (in the mixed feed group) was 5.83 ± 1.93 at 21-28 days and 4.42 ± 1.67 at 3-5 months. In the equivalence analysis of the mixed feed group, the 95% confidence interval for bottle feeding/Breastfeeding ratio laid outside the range of equivalence, indicating 5.9-8.7% fewer suction movements, and fewer pauses, and shorter duration of them in bottle feeding compared with Breastfeeding. Conclusions The mechanics of sucking in mixed feeding lay outside the range of equivalence comparing bottle feeding with Breastfeeding, although differences were small. Children with mixed feeding would mix both types of sucking movements (Breastfeeding and bottle feeding) during the learning stage and adopt their own pattern.
