Not exact matches
Of concern, many residents both before and after the intervention disagreed with the statement that early supplementation is a cause of breastfeeding failure, although previous studies have clearly demonstrated this relationship.22, 23 This misconception will need to be corrected to maximize success and prolong duration of breastfeedin
Of concern, many residents both before and
after the intervention disagreed with the statement that early supplementation is a cause
of breastfeeding failure, although previous studies have clearly demonstrated this relationship.22, 23 This misconception will need to be corrected to maximize success and prolong duration of breastfeedin
of breastfeeding failure, although previous studies have clearly demonstrated this relationship.22, 23 This misconception will need to be corrected to maximize success and prolong
duration of breastfeedin
of breastfeeding.
Some
of the ways that mothers describe their children
after breastfeeding for a longer
duration of time are healthy, happy, loving, secure, and independent.
On the evidence side, I know that the evidence primarily comes from observational studies, and there are methodological issues with measuring dose and
duration of breastfeeding particularly after the introduction of complementary foods, however the evidence is fairly consistent in showing a reduction in gastrointestinal, respiratory and ear infections (see «Breastfeeding and maternal and infant outcomes in developed countries» http://www.ncbi.nlm.nih.gov/pubm
breastfeeding particularly
after the introduction
of complementary foods, however the evidence is fairly consistent in showing a reduction in gastrointestinal, respiratory and ear infections (see «
Breastfeeding and maternal and infant outcomes in developed countries» http://www.ncbi.nlm.nih.gov/pubm
Breastfeeding and maternal and infant outcomes in developed countries» http://www.ncbi.nlm.nih.gov/pubmed/17764214).
«In the subgroup
of women with spontaneous onset
of labour and vaginal deliveries,
after controlling for other obstetric and demographic factors, epidural analgesia but not narcotic analgesia was significantly associated with reduced
breastfeeding duration (adjusted hazard ratio 1.44, 95 % confidence interval 1.04 - 1.99).»
After each nursing session, you will receive a detailed report, including the quantities
of milk drunk from each side and the
duration of each
breastfeeding session.
The authors describe how 90 %
of mothers initiate
breastfeeding at birth, yet very quickly
after hospital discharge these rates fall and neither exclusive
breastfeeding, nor
duration, come close to the WHO / UNICEF infant feeding recommendations.
Although not directly comparable, our findings are in broad agreement with those from routine data in Scotland that have indicated a positive association between Baby Friendly accreditation, but not certification, and
breastfeeding at 1 week
of age.17 Our findings reinforce those
of Coutinho and colleagues who reported that high exclusive
breastfeeding rates achieved in Brazilian hospitals implementing staff training with the course content
of the Baby Friendly Hospital Initiative were short - lived and not sustained at home unless implemented in combination with post-natal home visits.35 Similarly in Italy, training
of staff with an adapted version
of the Baby Friendly course content resulted in high
breastfeeding rates at discharge, with a rapid decrease in the days
after leaving hospital.36 In contrast, a cluster randomized trial in Belarus (PROBIT) found an association between an intervention modelled on the Baby Friendly Initiative with an increased
duration of breastfeeding37 an association also reported from an observational study in Germany.38 Mothers in Belarus stay in hospital post-partum for 6 — 7 days, and in Germany for 5 days, with post-natal support likely to be particularly important in countries where mothers stay in the hospital for a shorter time, with early discharge likely to limit the influence
of a hospital - based intervention.
However, even
after control for confounding and selection factors associated with infant feeding practices, increasing
duration of breastfeeding was associated with small but significant increases in scores on standardized tests
of ability and achievement, teacher ratings
of classroom performance, and greater success at high school.
Information on socioeconomic background, maternal diseases and obstetric history, parity, gender, fetal exposure to alcohol (at least 2 drinks a week during the entire pregnancy) and cigarette smoking (at least 1 cigarette a day during the last trimester), type and
duration of breastfeeding, and maternal intelligence (Raven Progressive Matrices) was obtained through questionnaires administered in person
after delivery and at 13 months.
Several studies have also attempted to understand the role
of breastfeeding on IQ, and although some authors conclude that the observed advantage
of breastfeeding on IQ is related only to genetic and socioenvironmental factors, a recent meta - analysis showed that
after adjustment for appropriate key co-factors,
breastfeeding was associated with significantly higher scores for cognitive development than formula feeding.6 Longer
duration of breastfeeding has also been positively associated with intelligence in adulthood.22 We also observed the benefits
of long - term
breastfeeding on mental indices, along with the indirect benefit
of balancing the impact
of exposure to p, p ′ DDE
after adjustment for some socioeconomic variables.
Afterwards, the women received an educational booklet on the intervention, in Arabic and French, containing illustrations and information on: the benefits
of breast milk, the importance
of skin - to - skin contact immediately
after birth, the importance
of early
breastfeeding and giving colostrum to the baby, the criteria
of good positioning for corrective breast - taking, the signs
of effective suckling, the signs
of effective
breastfeeding for the first six months, on - demand
breastfeeding and its daily frequency,
breastfeeding accessories, techniques for collecting and storing breast milk, and questions and answers about different maternal concerns (depression, hygiene, nipple pain, quantity
of milk produced,
duration and number
of feedings, mixed feeding, diet to be followed during
breastfeeding, mothers» illness and
breastfeeding, weaning
of the baby, etc..)
Moreover, data for exposures in almost all studies were based only on maternal recall, sometimes some years
after the exposures, although studies have shown that mothers remember
breastfeeding durations many years
after breastfeeding has stopped.55 - 57 Furthermore, research shows that mothers
of sick children sometimes remember early exposures
of their children in greater detail compared with mothers
of healthy children, especially when the exposures are publicly perceived to be associated with the outcome studied.
One research summary found that
after reviewing all available studies regarding the outcomes
of using IBCLCs, mothers who had higher
breastfeeding initiation rates, a longer
duration of exclusive
breastfeeding, a longer
duration of any
breastfeeding, higher
breastfeeding rates for all infant age groups, AND better maternal and infant health outcomes as compared to those who didn't seek out IBCLC support (5).
Under the Affordable Care Act, your Health Insurance Plans must provide
breastfeeding support, counseling, and equipment coverage such as the rental or cost
of a new breast pump without copays for the
duration of breastfeeding (before and
after you have your baby).
In general, the results suggest that
after adjustment for confounding, there were small but consistent tendencies for increasing
duration of breastfeeding to be associated with increased IQ, increased performance on standardized tests, higher teacher ratings
of classroom performance, and better high school achievement.
Associations Between
Duration of Breastfeeding and Measures
of Cognitive Ability, Teacher Ratings
of School Performance, Standardized Tests
of Achievement, and High School Success
After Adjustment for Covariates
In addition, there was no effect on
breastfeeding duration when the pacifier was introduced at 1 month
of age.280 A more recent systematic review found that the highest level
of evidence (ie, from clinical trials) does not support an adverse relationship between pacifier use and
breastfeeding duration or exclusivity.281 The association between shortened
duration of breastfeeding and pacifier use in observational studies likely reflects a number
of complex factors such as
breastfeeding difficulties or intent to wean.281 A large multicenter, randomized controlled trial
of 1021 mothers who were highly motivated to
breastfeed were assigned to 2 groups: mothers advised to offer a pacifier
after 15 days and mothers advised not to offer a pacifier.
Although some SIDS experts and policy - makers endorse pacifier use recommendations that are similar to those
of the AAP, 272,273 concerns about possible deleterious effects
of pacifier use have prevented others from making a recommendation for pacifier use as a risk reduction strategy.274 Although several observational studies275, — , 277 have found a correlation between pacifiers and reduced
breastfeeding duration, the results
of well - designed randomized clinical trials indicated that pacifiers do not seem to cause shortened
breastfeeding duration for term and preterm infants.278, 279 The authors
of 1 study reported a small deleterious effect
of early pacifier introduction (2 — 5 days
after birth) on exclusive
breastfeeding at 1 month
of age and on overall
breastfeeding duration (defined as any
breastfeeding), but early pacifier use did not adversely affect exclusive
breastfeeding duration.
However, in malnourished populations motor development may be a useful predictor
of subsequent human function.5 A study conducted in Denmark6 found a positive relationship between
breastfeeding duration and an earlier ability to crawl and perform the «pincer grip»
after adjusting for potential confounding variables.
In with respect to the quality
of mother - infant relations, a prospective longitudinal study
of around 1000 young New Zealanders found a small but significant association between
breastfeeding duration and adolescents» perceptions
of maternal care, with a longer
duration of breastfeeding being associated with increased adolescent perceptions
of maternal nurturance.9 This association persisted
after statistical control for a wide range
of the selection factors noted above.
Even
after controlling for socioeconomic and demographic differences, immigrant women have higher rates
of initiation and
duration of breastfeeding than women born in the United States (18).
Although reporting
of ever having been
breastfed after up to 20 years is highly correlated with obstetric records (50),
breastfeeding duration may be remembered less accurately (51).
The study revealed a significant association between
duration of breastfeeding and reduced risk
of diabetes, even
after all other possible risk factors were accounted for.
The most recent follow - up study reported associations between
duration of breastfeeding and childhood cognitive ability and academic achievement extending from 8 to 18 years in a New Zealand cohort
of 1000 children.19 This study found that these effects were significant
after controlling for measures
of social and family history, including maternal age, education, SES, marital status, smoking during pregnancy, family living conditions, and family income, and measures
of perinatal factors, including gender, birth weight, child's estimated gestational age, and birth order in the family.