Breast-Feeding Promotion Interventions: Good Public Health and Economic Sense

Bonuck, Karen; Arno, Peter S.; Memmott, Margaret M.; Freeman, Kathleen; Gold, Marji; McKee, Diane

doi:10.1038/sj.jp.7210620

Cited by 10 publications

(8 citation statements)

References 31 publications

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“…[66][67][68] The nutritional, immunologic, antiinfective, and developmental properties of human milk have been shown to be highly beneficial. [69][70][71][72] Most of these benefits extend to prematurely born neonates, despite certain nutritional limitations of human milk for low-birth-weight infants. 19,[73][74][75][76][77] Specific benefits of breast-milk feedings include reduced rates of necrotizing enterocolitis and acquired infections both in the hospital and after discharge.…”

Section: How Do We Use Enteral Feedings To Promote Growth In Prematurmentioning

confidence: 99%

“…19,[73][74][75][76][77] Specific benefits of breast-milk feedings include reduced rates of necrotizing enterocolitis and acquired infections both in the hospital and after discharge. [69][70][71] The use of breast milk also reduces mortality and morbidity and can be attributed to decreased lengths of hospital stays and reduced health-care cost. 78 In addition, clinical trials show that interventions that promote breast-feeding increased the duration and degree (exclusivity) of breast-feeding and decreased the risk of gastrointestinal tract infection and atopic eczema in the first year after birth.…”

Section: How Do We Use Enteral Feedings To Promote Growth In Prematurmentioning

confidence: 99%

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Nutrition in the Neonatal Intensive Care Unit: How Do We Reduce the Incidence of Extrauterine Growth Restriction?

et al. 2003

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Extrauterine growth restriction is a major clinical problem for prematurely born neonates, especially critically ill preterm neonates, and malnutrition in the neonatal intensive-care unit remains common. There are numerous perceived risks to initiation of adequate nutritional support. How many of these factors pose a real risk to health outcomes is less clear. Current nutritional support does not prevent extrauterine growth restriction and the consequences of malnutrition are both acute and delayed. Our clinical approach to providing nutritional support impacts neonatal morbidity and long-term neuro developmental outcomes. While more and better evidence is needed to help guide best practices, this gap should not prevent neonatologists from using the observations in this review to improve their current practice. There is evidence that changes in nutritional support can have a positive influence on growth. These include early administration of intravenous amino acids and lipids, minimal enteral nutrition, and supplemented formula and human milk. Simply recognizing the degree of growth failure by monitoring weight and focusing on the accruing deficit should encourage clinicians to increase nutritional support to enhance recovery growth. Continued research is needed to define the efficiency of early feeding, more rapid advancements in nutritional support, protein needs, the optimal composition of breast-milk supplements, the etiology of necrotizing enterocolitis, and perhaps most importantly, the health consequences of extrauterine growth restriction.

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Section: How Do We Use Enteral Feedings To Promote Growth In Prematurmentioning

confidence: 99%

Section: How Do We Use Enteral Feedings To Promote Growth In Prematurmentioning

confidence: 99%

Nutrition in the Neonatal Intensive Care Unit: How Do We Reduce the Incidence of Extrauterine Growth Restriction?

et al. 2003

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“…Although a number of barriers to effective breastfeeding in the neonatal period have been identified, [529][530][531][532] including reduced tendency to breastfeed LBW infants, 533 there is ample evidence that culturally appropriate behavior-change communications strategies can increase immediate and exclusive breastfeeding rates 59,61,62,531,532,[534][535][536] (Table 32). In particular, recent data from India convincingly demonstrate the benefit of community strategies for promotion of breastfeeding in terms of reducing diarrhea morbidity and preventing growth faltering.…”

Section: Breastfeedingmentioning

confidence: 99%

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

et al. 2005

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ABSTRACT. Background. Infant and under-5 childhood mortality rates in developing countries have declined significantly in the past 2 to 3 decades. However, 2 critical indicators, maternal and newborn mortality, have hardly changed. World leaders at the United Nations Millennium Summit in September 2000 agreed on a critical goal to reduce deaths of children <5 years by two thirds, but this may be unattainable without halving newborn deaths, which now comprise 40% of all under-5 deaths. Greater emphasis on wide-scale implementation of proven, cost-effective measures is required to save women's and newborns' lives. Approximately 99% of neonatal deaths take place in developing countries, mostly in homes and communities. A comprehensive review of the evidence base for impact of interventions on neonatal health and survival in developingcountry communities has not been reported.Objective. This review of community-based antenatal, intrapartum, and postnatal intervention trials in developing countries aimed to identify (1) key behaviors and interventions for which the weight of evidence is sufficient to recommend their inclusion in communitybased neonatal care programs and (2) key gaps in knowledge and priority areas for future research and program learning.Methods. Available published and unpublished data on the impact of community-based strategies and interventions on perinatal and neonatal health status outcomes were reviewed. Evidence was summarized systematically and categorized into 4 levels of evidence based on study size, location, design, and reported impact, particularly on perinatal or neonatal mortality. The evidence was placed in the context of biological plausibility of the intervention; evidence from relevant developed-country studies; health care program experience in implementation; and recommendations from the World Health Organization and other leading agencies.Results. A paucity of community-based data was found from developing-country studies on health status impact for many interventions currently being considered for inclusion in neonatal health programs. However, review of the evidence and consideration of the broader context of knowledge, experience, and recommendations regarding these interventions enabled us to categorize them according to the strength of the evidence base and confidence regarding their inclusion now in programs. This article identifies a package of priority interventions to include in programs and formulates research priorities for advancing the state of the art in neonatal health care.Conclusions. This review emphasizes some new findings while recommending an integrated approach to safe motherhood and newborn health. The results of this study provide a foundation for policies and programs related to maternal and newborn health and emphasizes the importance of health systems research and evaluation of interventions. The review offers compelling support for using research to identify the most effective measures to save newborn lives. It also may facilitate dialogue with policy...

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“…Model of health promotion given with counseling approach showed an increased in knowledge, behavior of postnatal care, parturition exercise and parturition care by using the media of leaflets, modules, and combination in the intervention group. The control group had increased even though there was not made counseling with the results of post-test higher than the pretest result, it is certainly not out of the role of health educators and independence of the puerperal mothers [8]. Knowledge can be used to guide the development of evidence-based strategies to promote women's health behavior during the immediate postpartum period, which can be continued throughout the lifespan [9].…”

Section: Results and Analysis 31 Characteristics Of Respondenmentioning

confidence: 99%

Determinants of Postpartum Visits in Breastfeeding Mother

Ambarwati¹,

Khoirunnisa²,

Safaria³

2016

IJPHS

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Puerperal is likely in the occurrence of maternal deaths, and should receive health care during childbirth to be visited by a health worker at least 3 times since birth. This type of research was descriptive quantitative. The quantitative data obtained from questionnaires, using T-test. The research sample was breastfeeding mothers in the village of Balecatur as the intervention group and breastfeeding mothers in the village of Ambarketawang as the control group. There are significant differences of knowledge, behavior in the treatment of post-partum mothers between the intervention group and the control group with significant value in total of <0.05, influenced by the role of cadres, social suport, the role of health workers. Post partum visits conducted by community empowerment strategies, women as the main actors. The role of leaders, social support affect the success of efforts to increase postnatal visits among others disseminating information, provide examples, sensitize, motivate, guide, moving targets and the community and facilitating thus the knowledge, skills and increased public awareness can foster public participation in the postnatal visit.

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Breast-Feeding Promotion Interventions: Good Public Health and Economic Sense

Cited by 10 publications

References 31 publications

Nutrition in the Neonatal Intensive Care Unit: How Do We Reduce the Incidence of Extrauterine Growth Restriction?

Nutrition in the Neonatal Intensive Care Unit: How Do We Reduce the Incidence of Extrauterine Growth Restriction?

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

Determinants of Postpartum Visits in Breastfeeding Mother

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