A prospective study of the effect of delivery type on neonatal weight gain pattern in exclusively breastfed neonates born in Shiraz, Iran

Saki, Azadeh; Eshraghian, Mohammad Reza; Mohammad, Kazem; Foroushani, Abbas Rahimi; Bordbar, Mohammadreza

doi:10.1186/1746-4358-5-1

Cited by 32 publications

(31 citation statements)

References 31 publications

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“…Our study findings parallel with findings from a previous study in Ethiopia whereby WLWH were threatened with withdrawal of their HIV care services if they became pregnant [62]. Similar to our finding, reports of verbal abuse, neglect by health care workers, and social isolation within communities against pregnant WLWH have been documented [4].…”

Section: Discussionsupporting

confidence: 91%

Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda

et al. 2017

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The complexities of navigating pregnancy while living with HIV predispose women to additional stress. Finding ways to minimize psychosocial challenges during the perinatal period may maximize the well-being of mothers living with HIV and their children. The goal of this study was to explore psychosocial challenges experienced by women living with HIV (WLWH) during pregnancy and the postpartum.We conducted individual in-depth interviews with 20 WLWH recruited from an HIV treatment cohort study in Mbarara, Uganda as part of a larger study exploring perinatal depression. We conducted content analyses to identify themes related to challenges of WLWH during pregnancy and the postpartum. Participants had a median age of 33 years [IQR: 28–35], a median of 3 living children [IQR: 2–5], and 95% had achieved HIV-RNA suppression. Challenges were organized around the following themes: HIV -related stigma from health professionals, HIV status disclosure dilemma, unintended pregnancy and intimate partner violence, HIV and environmental structural barriers and distress and fear related to maternal and child health. Stigma centered on discrimination by health care professionals and personal shame associated with being pregnant as a WLWH. This led to difficulty engaging in HIV care, particularly when coupled with structural barriers, such as lack of transportation to clinic. Participants experienced intimate partner violence and lacked support from their partners and family members. Distress and fear about the health and uncertainty about the future of the unborn baby due to maternal deteriorating physical health was common. The perinatal period is a time of stress for WLWH. Challenges experienced by WLWH may compromise successful engagement in HIV care and may reduce quality of life for women and their children. Strategies aimed at alleviating the challenges of WLWH should involve the larger structural environment including partners, family and community member as well as policy makers, funders and program implementers to work together for the common cause. These consolidated efforts may not only lower the risk of psychological distress but has potential to create long lasting solutions to benefit the wider community.

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Section: Discussionsupporting

confidence: 91%

Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda

et al. 2017

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“…Of the seven papers included, two were retrospective cohort studies (Flaherman et al, ; Miller et al, ), three were prospective cohort studies (Manganaro, Mamì, Marrone, Marseglia, & Gemelli, ; Saki, Eshraghian, Mohammad, Foroushani, & Bordbar, ; Samayam, Ranganathan, & Balasundaram, ), and two were secondary analyses of prospective cohorts (Mezzacappa & Ferreira, ; Verd, de Sotto, Fernandez, & Gutierrez, ). Two studies were carried out with the same United States of America (USA) cohort, and single studies were based in Italy, Spain, Iran, India, and Brazil.…”

Section: Resultsmentioning

confidence: 99%

“…One paper assessed weight loss by mode of birth in exclusively formula fed infants (Miller et al, ), while the other six focused on breastfed babies. All studies recorded infant weight loss in the first 5 days of life, but only two followed infants for the first 4 weeks of life (Saki et al, ; Samayam et al, ). Unless stated, papers did not distinguish between emergency and elective CS or between instrumental and spontaneous vaginal birth.…”

Section: Resultsmentioning

confidence: 99%

Neonatal weight loss and gain patterns in caesarean section born infants: integrative systematic review

Kelly

Keane

Gallimore

et al. 2019

Maternal & Child Nutrition

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There is evidence that caesarean section delivery can impact on neonatal weight loss and weight gain patterns in the first 5 days of life. We conducted an integrative systematic review to examine the association of mode of delivery on early neonatal weight loss. Pubmed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Excerpta Medica dataBASE, and Medical Literature Analysis and Retrieval System Online were searched for relevant papers published before June 2019. Reference lists from the relevant papers were then backwards and forwards searched. As neonatal weight loss was reported in different formats, a meta‐analysis could not be carried out. Most studies did not distinguish between elective and emergency caesarean sections or instrumental and nonassisted vaginal deliveries. Seven papers were included. All papers except one found that caesarean section was associated with higher weight loss in the early days of life. Two papers presented data from studies on babies followed up to 1 month. One study found that on day 25, babies born by caesarean section had significantly higher weight gain than those born vaginally, while another found that by day 28, babies born vaginally gained more weight per day (11.9 g/kg/day) than those born by caesarean section (10.9 g/kg/day; p = .02). Overall, infants born by caesarean section lost more weight than those born vaginally, but due to the small number of studies included, more are needed to look at this difference and why it may occur. This discrepancy in weight between the two groups may be corrected over time, but future studies will need larger sample sizes and longer follow‐up periods to examine this.

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“…Some HCPs reported seeing up to 50 pregnant women for prenatal checkups per day, not including family planning visits (Abba et al, 2010). Considering that many women learn of their HIV status during the same prenatal visit in which they are counseled on infant feeding, HCPs were also concerned that mothers receive too much information in one session (Buskens & Jaffe, 2008; Leshabari et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

Challenges faced by health-care providers offering infant-feeding counseling to HIV-positive women in sub-Saharan Africa: a review of current research

2014

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Exclusive breastfeeding (EBF) has been identified as the optimal nutrition and critical behavior in attaining human immunodeficiency virus (HIV)-free infant survival in resource-limited settings. Healthcare providers (HCPs) in clinic- and community-settings throughout sub-Saharan Africa (sSA) provide infant feeding counseling. However, rates of EBF at 6 months of age are suboptimal. Healthcare providers (HCPs) are uniquely positioned to educate HIV-positive mothers and provide support by addressing known barriers to EBF. However, limited evidence exists on the experiences faced by HCPs in providing counseling on infant feeding to HIV-positive women. Our objective is to describe experiences faced by HCPs when delivering infant feeding counseling in the context of HIV in program settings in sSA. We searched a range of electronic databases, including PubMed, CINAHL, and PsycINFO from January 1990 to February 2013, in addition to hand-searching, cross-reference searching and personal communications. The search was limited to publications in English. Empirical studies of HCP experiences providing infant feeding counseling in prevention of mother-to-child transmission of HIV (PMTCT) programs in sSA were selected. We identified 10 peer-reviewed articles reporting HCP challenges in infant feeding counseling that met inclusion criteria. Articles included qualitative, cross-sectional and mixed-method studies, and cumulatively reported 31 challenges faced by HCPs. Among the challenges identified, the most commonly reported were personal beliefs held by the HCPs toward infant feeding in the context of HIV, contradictory messages, staff workload, directive counseling styles, and a lack of practical strategies to offer mothers, often leading to improvised counseling approaches. Counseling strategies need to be developed that are relevant, meaningful and responsive to the needs of both HCPs and mothers.

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A prospective study of the effect of delivery type on neonatal weight gain pattern in exclusively breastfed neonates born in Shiraz, Iran

Cited by 32 publications

References 31 publications

Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda

Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda

Neonatal weight loss and gain patterns in caesarean section born infants: integrative systematic review

Challenges faced by health-care providers offering infant-feeding counseling to HIV-positive women in sub-Saharan Africa: a review of current research

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