Using 24-Hour Weight as Reference for Weight Loss Calculation Reduces Supplementation and Promotes Exclusive Breastfeeding in Infants Born by Cesarean Section

Deng, Xiaomeng; McLaren, M.

doi:10.1089/bfm.2017.0124

Cited by 10 publications

(8 citation statements)

References 21 publications

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“…Group C had a much more significant proportion of primipara than groups A and B. It might be because first-time mothers are more likely to feel anxious about breastfeeding, think their milk supply is not enough, and ask for supplements for their babies [ 12 ]. So in infants, especially primiparous and C-section mothers, there need more attention, monitoring, and breastfeeding [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth

Qiao

Zhang

Yua

et al. 2022

Applied Bionics and Biomechanics

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Objective. To investigate the association of weight loss daily of term infants with hospitalization in the first week after birth. Methods. This prospective cohort study was conducted among 1865 infants from May 2020 to June 2021, born in the Department of Obstetrics, Kunshan’s First People’s Hospital Affiliated to Jiangsu University and Huai’an Maternal and Child Health Care Center. The infants’ weight was collected daily in the hospital, and the weight loss was calculated daily. According to the weight loss daily, the infants were divided into 3 groups. Group A: the weight loss per day was less than 2% of birth weight, and the total weight loss was less than 10%. Group B: the weight loss per day was between 2 and 4% of the birth weight, and the total weight loss was less than 10%. Group C: the weight loss per day was more than 4% of the birth weight, or the total weight was more than 10%. The infants in group C were monitored carefully in the hospital or Outpatient Department (OPD) daily. The primary outcome was the incidence of hospitalization. Results. Of the 1865 term infants enrolled, 1052 were completed on the 7th day (356 in group A, 513 in group B, and 183 in group C). There was no significant difference among the three groups of subjects in terms of infant data, including birth weight, gender, Apgar scores, and gestational age. The number of C-sections and primiparas was substantially higher in groups C and B than in group A. The incidence of hospitalization in group C was significantly higher than that in group A and group B (30.6%, 12.1%, and 12.5%, respectively). The incidence of exclusive breastfeeding in group C was significantly lower than that in group A and group B (28.4%, 41%, and 38.4%, respectively). There was no significant difference between group A and group B in the incidence of hospitalization and exclusive breastfeeding. Most of the hospitalization was because of hyperbilirubinemia, and in group C, there were 2 babies because of dehydration fever and 3 because of hypoglycemia. Conclusions. The neonates whose weight loss daily after birth was more than 4% of the total weight loss of more than 10% had higher hospitalization rates.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth

Qiao

Zhang

Yua

et al. 2022

Applied Bionics and Biomechanics

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“…Timing of daily weights, rooming-in, early skin-to-skin contact, provision of pacifiers, and location of routine newborn procedures also influence the likelihood of IHFF. 1,43,44 Early skin-to-skin contact between the mother and infant improves breastfeeding in the first hour after birth and can help reduce formula supplementation by increasing the frequency of feedings throughout the hospital stay. Skin-to-skin care has been shown to be safe and leads to improved breastfeeding outcomes, including duration.…”

Section: Discussionmentioning

confidence: 99%

In-Hospital Formula Feeding and Breastfeeding Duration

McCoy

Heggie

2020

Pediatrics

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BACKGROUND: In-hospital formula feeding (IHFF) of breastfed infants is associated with shorter duration of breastfeeding. Despite evidence-based guidelines on when IHFF is appropriate, many infants are given formula unnecessarily during the postpartum hospital stay. To account for selection bias inherent in observational data, in this study, we estimate liberal and conservative bounds for the association between hospital formula feeding and duration of breastfeeding.

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“…Tracking weight loss from the 24-hour weight (instead of birth weight) in infants born by cesarean in a Baby-Friendly hospital reduced supplementation without an increase in hypernatremic dehydration and rehospitalization (Deng & McLaren, 2018). In a retrospective chart review, infants who lost the most weight their first day (>4.5%) were 3.5 times more likely to lose >10% of birthweight during their hospitalization (Flaherman et al, 2015).…”

Section: The Impact Of Birth Interventions and Hospital Routinesmentioning

confidence: 99%

Differentiating Normal Newborn Weight Loss From Breastfeeding Failure

Genna¹,

Notarangelo²

2018

Clin Lactation

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There is increasing concern for the risk of hypernatremic dehydration in infants breastfeeding poorly. It is important to differentiate normal weight changes as infants adapt to extrauterine life from excessive weight loss from breastfeeding failure or mismanagement. We review recent data on normal weight changes in exclusively breastfeeding infants and those at risk for hypernatremic dehydration to help health professionals determine when infants require further scrutiny and supplementation. The data suggest that perinatal practices influence infant weight changes. Protecting normal birth and early initiation of breastfeeding should reduce the incidence of excessive weight loss and risk of hypernatremic dehydration

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Using 24-Hour Weight as Reference for Weight Loss Calculation Reduces Supplementation and Promotes Exclusive Breastfeeding in Infants Born by Cesarean Section

Abstract: Routine use of 24HW as the reference for newborn weight loss calculation reduced supplementation and did not increase untoward effects during the hospital stay.

Cited by 10 publications

References 21 publications

The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth

The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth

In-Hospital Formula Feeding and Breastfeeding Duration

Differentiating Normal Newborn Weight Loss From Breastfeeding Failure

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