Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
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Randomized Controlled Trial
Epidural analgesia during labor: impact on delivery outcome, neonatal well-being, and early breastfeeding.
The effect of epidural analgesia on labor and effective breastfeeding is still being debated. The aim of this study is to define its impact on the trend of labor, the newborns' well-being, and early breastfeeding. ⋯ Epidural analgesia has little effect on trend of labor and duration of first breastfeed and none on neonatal outcome. A new protocol of epidural analgesia may solve these side effects.
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To date, there are no studies examining the role of awareness of the World Health Organization's breastfeeding recommendation in determining mothers' breastfeeding decisions and practice. This study sought to determine whether awareness of the recommendation to breastfeed exclusively to age 6 months and intention to meet this recommendation are translated into breastfeeding practice. ⋯ Awareness of the breastfeeding recommendation to breastfeed exclusively for 6 months is an independent positive predictor of breastfeeding initiation and duration. Improving mothers' awareness of the recommendation and strengthening their intention to breastfeed could lead to increased breastfeeding initiation and duration.
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The aim of the present study was to estimate the dose of buprenorphine and its primary metabolite norbuprenorphine that a breastfed infant would receive during maternal maintenance treatment with buprenorphine. ⋯ Thus the dose of buprenorphine and norbuprenorphine received via milk is unlikely to cause any acute adverse effects in the breastfed infant.
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The World Health Organization (WHO)/UNICEF Baby-Friendly Hospital Initiative (BFHI) was developed to support the implementation of the Ten Steps for Successful Breastfeeding. The purpose of this study is to assess trends in the numbers facilities ever-designated "baby-friendly," to consider uptake of the new WHO/UNICEF BFHI materials, and to consider implications for future breastfeeding support. ⋯ Rates of increase in the number of ever-certified "baby-friendly" hospitals vary by region and show some chronological correlation with trends in breastfeeding rates. Although it is not possible to attribute this increase to the BFHI alone, there is ongoing interest in Ten Steps implementation and in BFHI. The continued growth may reflect the dedication of ministries of health and national BFHI groups, as well as increasing recognition that the Ten Steps are effective quality improvement practices that increase breastfeeding and synergize with community interventions and other program efforts. With renewed interest in maternal/neonatal health, revitalization of support for Ten Steps and their effective institutionalization in maternity practices should be considered. Future updates are planned to assess ongoing progress and impact, and ongoing updates from national committees are welcome.