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Journal ArticleDOI

Breastfeeding and Neonatal Weight Loss in Healthy Term Infants

TLDR
Breastfeeding, compared to formula feeding, may not be a risk factor for greater early neonatal weight loss, at least in contexts in which weight is routinely monitored, breastfeeding is repeatedly assessed and appropriately supported, and careful supplementation is prescribed to limit and promptly treat excess weight loss and its related complications.
Abstract
Background:Neonatal weight loss is universally recognized, yet poorly understood. Limited professional consensus exists on the definition of lower limit of safe weight loss.Objective:Our aim was to assess the extent of neonatal weight loss and its association with selected clinical variables in a population of healthy term infants cared for using a specific protocol on weight loss.Methods:We retrospectively considered 1003 infants consecutively admitted to the regular nursery of the Institute for Maternal and Child Health “Burlo Garofolo” (Trieste, Italy). We studied the relationship of selected variables with neonatal weight loss recorded during the hospital stay. We also analyzed all readmissions in the first month of life as a result of weight loss and its complications.Results:We observed a mean absolute weight loss of 228 g ± 83g, and a mean percent weight loss of 6.7% ± 2.2%. Weight loss ≥ 10% and > 12% were 6% and 0.3%, respectively. In multivariate logistic regression, cesarean section, hot season...

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A Review of Herbal and Pharmaceutical Galactagogues for Breast-Feeding.

TL;DR: A review of the evidence for the efficacy of popular pharmaceutical and herbal galactagogues revealed a dearth of high-quality clinical trials and mixed results, and controlled trials and analyses investigating these medicines are urgently warranted.
Journal ArticleDOI

Breastfeeding is natural but not always easy: intervention for common medical problems of breastfeeding mothers – a review of the scientific evidence

TL;DR: This review scrutinizes definitions, incidences, prevention, and treatment of breastfeeding problems faced most frequently by nursing mothers and their consultants, and touches the psychosocial factors, which are included in the promotion strategies.
Journal ArticleDOI

Breastfeeding-Associated Hypernatremia: A Systematic Review of the Literature.

TL;DR: The present survey of the literature identifies the following risk factors for breastfeeding-associated neonatal hypernatremia: cesarean delivery, primiparity, breastfeeding problems, excessive maternal body weight, delayed breastfeeding, lack of previous breastfeeding experience, and low maternal education level.
Journal ArticleDOI

Neonatal Weight Matters: An Examination of Weight Changes in Full-Term Breastfeeding Newborns During the First 2 Weeks of Life:

TL;DR: Weight loss > 7% may be a normal phenomenon among breastfeeding newborns and had a lower exclusive breastfeeding rate at 2 weeks of age, despite differences in early weight loss.
References
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Journal ArticleDOI

Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation

TL;DR: These guidelines provide a framework for the prevention and management of hyperbilirubinemia in newborn infants of 35 or more weeks of gestation and recommend that clinicians promote and support successful breastfeeding and treat newborns with phototherapy or exchange transfusion to prevent the development of severe hyperbil Kirubin encephalopathy.
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Risk Factors for Suboptimal Infant Breastfeeding Behavior, Delayed Onset of Lactation, and Excess Neonatal Weight Loss

TL;DR: Early lactation success is strongly influenced by parity, but may also be affected by potentially modifiable factors such as delivery mode, duration of labor, labor medications, use of nonbreast milk fluids and/or pacifiers, and maternal overweight.
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Baby friendly hospital practices: cesarean section is a persistent barrier to early initiation of breastfeeding.

TL;DR: Testing the hypothesis that hospital practices in the immediate postpartum period that are associated with operative intervention in delivery can affect first mother-infant contact and initiation of breastfeeding confirmed that cesarean section was a significant barrier to the implementation of Baby Friendly Hospital Initiative Step 4 and hospital practices were amenable to changes that enabled its implementation regardless of the mode of delivery.
Journal ArticleDOI

Perinatal outcome and later implications of intrauterine growth restriction.

TL;DR: This chapter reviews outcomes for children who have intrauterine growth retardation (IUGR) or small-for-gestation-age (SGA) status at birth, noting an increased risk for short stature, cognitive delays with decreased academic achievement, and a small but significant increased risk of neurologic disorders.
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