After a few
weeks of exclusive breastfeeding it felt like we had never been apart.
Not exact matches
I didn't perform some sort
of magic that I can pass on, I just had the good fortune to have it work out with a minimum
of fuss... I know a mum who has struggled for
weeks and months, expressing, sns - ing, mixed feeding, and then getting from that point back to
exclusive breastfeeding, only to have baby point - blank refuse the breast a few
weeks down the line and having to at last admit defeat.
This discussion has included the questions
of whether
exclusive breastfeeding is safe and whether all babies should be supplemented in the first
week after birth.
Conclusion: The vast majority
of new mothers received formula sample packs at discharge, and this was associated with reduced
exclusive breastfeeding at 10
weeks and 6 months.
«the early, prolonged, and continuous skin - to - skin contact between the mother (or substitute) and her low birth weight infant, both in hospital and after early discharge, until at least the 40th
week of postnatal gestation age, with ideally
exclusive breastfeeding and proper follow - up» (Cattaneo, Davanzo, Uxa 1998).
Results
of the analyses continue to confirm that all forms
of extra support analyzed together showed a decrease in cessation
of «any
breastfeeding», which includes partial and
exclusive breastfeeding (average risk ratio (RR) for stopping any
breastfeeding before six months 0.91, 95 % confidence interval (CI) 0.88 to 0.95; moderate - quality evidence, 51 studies) and for stopping
breastfeeding before four to six
weeks (average RR 0.87, 95 % CI 0.80 to 0.95; moderate - quality evidence, 33 studies).
All forms
of extra support together also showed a decrease in cessation
of exclusive breastfeeding at six months (average RR 0.88, 95 % CI 0.85 to 0.92; moderate - quality evidence, 46 studies) and at four to six
weeks (average RR 0.79, 95 % CI 0.71 to 0.89; moderate quality, 32 studies).
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.
It highlighted the need for establishing
exclusive breastfeeding in the early postnatal
weeks and suggested the need for a continuum
of pre - and postnatal strategies to encourage
exclusive breastfeeding (Semenic et al., 2008).
Likewise, stopping
exclusive breastfeeding before four to six
weeks postpartum was not explicitly reported, however, it appears that 12 out
of 16 women in the telephone support group and six out
of six women in the usual care group stopped
exclusive breastfeeding before four
weeks.
They looked at the number
of women stopping any or
exclusive breastfeeding before four
weeks after giving birth and before six months, without any clear improvements provided by the intervention.
For a variety
of reasons, including the lack
of breastfeeding counselling, still too many mothers stop
exclusive breastfeeding within a few
weeks after delivery.
Professionals who underestimate the importance
of their advice or believe they do not have time to encourage
exclusive breastfeeding are more likely to have patients who discontinue
exclusive or any
breastfeeding by 12
weeks (Taveras, 2004; Taveras, Capra 2003).
Likewise, stopping
exclusive breastfeeding before four to six
weeks postpartum was not explicitly reported, however it appears that five out
of five women in the home nurse visit group and five out
of seven women in the usual care group stopped
exclusive breastfeeding before four
weeks.
I'm currently trying to
breastfeed my 3 -
week - old son after more than 2
weeks of exclusive pumping due to his hospitalisation at the NICU.
Where possible, it is recommended that researchers clarify the timeframe
of the
exclusive breastfeeding assessment or to assess it in multiple timeframes (i.e., since birth, in the past month,
week, or day).
Although there were no important differences in
breastfeeding duration between groups, there was a considerably longer duration
of exclusive breastfeeding (which was defined as providing only breast milk for the previous 24 h, but did allow formula less than once per
week) among women receiving the research bags (either alone or in combination with the research counseling [P < 0.01, 1 - tailed log rank test]-RRB- versus those not receiving research bags.
The scorecard was released at the start
of World
Breastfeeding Week alongside a new analysis demonstrating that an annual investment of only US$ 4.70 per newborn is required to increase the global rate of exclusive breastfeeding among children under six months to 50 per
Breastfeeding Week alongside a new analysis demonstrating that an annual investment
of only US$ 4.70 per newborn is required to increase the global rate
of exclusive breastfeeding among children under six months to 50 per
breastfeeding among children under six months to 50 per cent by 2025.
We found that a minority
of mothers strongly value the benefits
of exclusive breastfeeding, even among those who intend to exclusively
breastfeed in the first few
weeks postpartum.
Only few mothers who intended to exclusively
breastfeed in the first few
weeks postpartum and who reported strong value
of exclusive breastfeeding could exclusively
breastfeed for 3 months.
Comparison 1 All forms
of support versus usual care, Outcome 4 Stopping
exclusive breastfeeding at up to 4 - 6
weeks.
This update
of the review considered the evidence
of the effect
of breastfeeding support interventions on primary outcomes
of stopping any or
exclusive breastfeeding before four to six
weeks and at up to six months postpartum.
For cessation
of exclusive breastfeeding at up to four to six
weeks there appears to be differential treatment effect according to the number
of support contacts, with four to eight contacts the most effective schedule.
Measured the duration
of any and
exclusive breastfeeding as the age
of the infant in
weeks when the participant completely stopped
breastfeeding and first introduced infant formula, respectively.
We judged all outcomes to be
of moderate quality - stopping «any»
breastfeeding at up to six months; «any»
breastfeeding between four to six
weeks; stopping
exclusive breastfeeding at up to six months; or stopping
exclusive breastfeeding between four to six
weeks; all analyses had substantial heterogeneity even with a random - effects model.
For cessation
of exclusive breastfeeding by four to six
weeks the test for subgroup differences indicates a possible differential treatment effect (test for subgroup differences: Chi ² = 7.12, df = 2 (P = 0.03), I ² = 71.9 %).
Comparison 5 All forms
of support versus usual care: SUBGROUP ANALYSIS -
breastfeeding initiation, Outcome 4 Stopping
exclusive breastfeeding at up to 4 - 6
weeks.
Comparison 2 All forms
of support versus usual care: SUBGROUP ANALYSIS - who delivered the intervention, Outcome 4 Stopping
exclusive breastfeeding at up to 4 - 6
weeks.
There was a reduction in the cessation
of exclusive breastfeeding within the first six months and at up to four to six
weeks when lay support was used, although in view
of considerable within - subgroup heterogeneity, these findings should be interpreted with caution.
In the previous version
of this review, we included 24 studies with 7693 women in the analysis
of women who had stopped
exclusive breastfeeding before four to six
weeks.
Results indicated that exposure to the intervention did not affect mother report
of any
breastfeeding (ABF) during the first
week postpartum, but it did affect mother report
of exclusive breastfeeding (EBF).