| Risk factors for early lactation problems among Peruvian primiparous mothers. | |
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MedLine Citation:
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PMID: 20624209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to determine the incidence and risk factors for early lactation problems [suboptimal infant breastfeeding behaviour (SIBB), delayed onset of lactogenesis (OL) and excessive neonatal weight loss] among mother-infant pairs in Lima, Peru. All primiparous mothers who gave birth to a healthy, single, term infant at a government hospital in a peri-urban area of Lima during the 8-month recruitment period were invited to participate in the study. Data were collected at the hospital (day 0) and during a home visit (day 3). Infant breastfeeding behaviour was evaluated using the Infant Breastfeeding Assessment Tool; SIBB was defined as < or = 10 score. OL was determined by maternal report of breast fullness changes; delayed OL was defined as perceived after 72 h. Excessive neonatal weight loss was defined as > or = 10% of birthweight by day 3. One hundred seventy-one mother-infant pairs participated in the study. SIBB prevalence was 52% on day 0 and 21% on day 3; it was associated with male infant gender (day 0), < 8 breastfeeds during the first 24 h (days 0 and 3), and gestational age < 39 weeks (day 3). Delayed OL incidence was 17% and was associated with infant Apgar score < 8. Excessive neonatal weight loss occurred in 10% of neonates and was associated with maternal overweight and Caesarean-section delivery. Early lactation problems may be influenced by modifiable factors such as delivery mode and breastfeeding frequency. Infant status at birth and maternal characteristics could indicate when breastfeeding dyads need extra support. |
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Authors:
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Susana L Matias; Laurie A Nommsen-Rivers; Hilary Creed-Kanashiro; Kathryn G Dewey |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Maternal & child nutrition Volume: 6 ISSN: 1740-8709 ISO Abbreviation: Matern Child Nutr Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-07-13 Completed Date: 2010-10-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101201025 Medline TA: Matern Child Nutr Country: England |
Other Details:
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Languages: eng Pagination: 120-33 Citation Subset: IM |
Affiliation:
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Department of Public Health Sciences, University of California, Davis, California 95616, USA. slmatias@ucdavis.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Apgar Score Birth Weight / physiology* Breast Feeding / epidemiology, psychology, statistics & numerical data* Cesarean Section / adverse effects Female Gestational Age Humans Incidence Infant Behavior / physiology* Infant, Newborn / growth & development, physiology* Lactation Disorders / epidemiology*, etiology, psychology Male Parity / physiology Peru Pregnancy Risk Factors Sex Factors Social Support Sucking Behavior / physiology Time Factors Weight Loss / physiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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D43 TW01267/TW/FIC NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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