搜尋結果
reduction was 30 (20–48) and 10 (10–26) cm2 in IBM and TBM, respectively (p = 0.01). The median (IQR) reduction in pain score was 8 (7–8) and 6 (4–7) in IBM and TBM, respectively (p = 0.01). No participants developed skin bruising or hematoma after breast
birth weight, birth length<50 cm, time to initiating breastfeeding, mother’s knowledge of the importance of colostrum, mother’s attitude about the safety of infant for-mula, gestational weight gain, and mother’sage,pre-pregnancy Body Mass Index (BMI), education ...
- Study Design
- Hypotheses and Outcome Variables
- Secondary Outcomes and Variables
- Study Population
- Sample Size
- Recruitment
- Breastfeeding Counselling Intervention
A two-arm randomized controlled trial was designed to identify the effect of a new EBF counselling intervention specifically designed to support overweight women, on the prevalence of breastfeeding and EBF, infant growth velocity and maternal postpartum weight loss up to 4 months. Although the primary end-point will be 4 months after delivery, moth...
Primary hypotheses
Compared to standard management, the implementation of a new EBF counselling intervention for overweight woman will result in: 1. i) an increase in the prevalence of breastfeeding and EBF from birth up to four months of age; 2. ii) slower infant weight for length growth from birth up to four months of age; 3. iii) an increase in weight loss after delivery up to four months postpartum.
Primary outcomes and variables
Outcomes will be measured at birth (baseline) and 1, 3 and 4 months postpartum in the intervention and control groups. The primary outcomes are: 1. i) Prevalence of breastfeeding and EBF, ascertained by asking the mother about infant feeding practices during the last 24 h; 2. ii) Growth velocity from birth, defined as change in weight for length in g/cm and length for age in cm/days; 3. iii) Maternal weight loss after delivery in kg, using maternal weight at 24 h as baseline.
Secondary hypotheses
Compared to standard management, the implementation of a new EBF counselling intervention designed to support overweight woman will result in: 1. i) An increase in the volume of breast milk in ml as a result of an increase in serum prolactin levels in ng/ml, at 1 and 4 months. 2. ii) Higher milk prolactin concentration and adequate macronutrient content of protein, lactose, fat and energy, at 1 and 4 months, which will in turn be associated with more optimal infant growth (based on WHO growth...
i) Maternal serum levels of prolactin and breast milk prolactin concentration and macronutrient content, measured at 1 and 4 months after delivery;ii) Estimated breast milk intake at 1 and 4 months according to WHO recommendations .Pregnant women in the last trimester of gestation who meet the inclusion criteria and provide written informed consent (for vulnerable populations) will be recruited from the pregnant care program (CAPS) in a Baby Friendly Hospital in Bogotá, Colombia; the hospital is a referral institution for maternal and child care, where the prevalence of overw...
The sample size was calculated to detect a difference in the prevalence of EBF between the intervention and control group of 23%, based on literature reporting a baseline EBF of 22.8% in the control group (the prevalence of EBF for the Colombian population at 4 months in urban areas in 2010 ; there is a lack of data on EBF prevalence in overweight...
Overweight pregnant women (using Atalah’s criteria: BMI/GE ≥ 28.1 kg/m2) will be contacted at 32 weeks of gestation at their hospital antenatal check-up. They will receive information about the study; those who agree to participate will be asked to provide written informed consent. To protect the identity of the women, they will be assigned an ide...
A new approach towards EBF counselling was designed based on Rogers’ Client-Centred Theory. The women assigned to the intervention group will receive the intervention at three key time-points: i) last month of gestation to prepare and promote the importance of early contact and breastfeeding initiation in the first hour postpartum, and to prepare t...
2009年4月29日 · Ultrasound imaging has been used extensively to detect abnormalities of the non-lactating breast. In contrast, the use of ultrasound for the investigation of pathology of the lactating breast is limited. Recent studies have re-examined the anatomy of the lactating breast highlighting features unique to this phase of breast development. These features should be taken into consideration along ...
2012年6月19日 · Background Lactation has beneficial short term effects on maternal metabolic health, but the long term effects are less well known. Methods We studied the association between lifetime duration of lactation and cardiovascular risk factors in mothers later in life among 21,368 parous women aged 20 to 85 years attending the second Nord-Trøndelag Health Study (HUNT2) in 1995–1997, Norway, a ...
Length was measured to the nearest 0.1 cm by using a recumbent length stadiometer (YSC-2, Beijing Guow-angxingda, China). Standing height was measured to the nearest 0.1 cm using a stadiometer (SZG-180, Shang-hai Zhengdahengqi, China). e electronic
2022年12月1日 · Background The impact of breastfeeding on childhood obesity has long been under debate, with most research showing significant association, and others showing weak or no association between breastfeeding and childhood obesity. What’s more, almost all of the previous studies focused on the association between breastfeeding and childhood obesity, and no studies have assessed the association ...
