Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital.

التفاصيل البيبلوغرافية
العنوان:	Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital.
المؤلفون:	Rocha BO; Division of Neonatology, Santa Casa de Belo Horizonte Hospital, Belo Horizonte, Minas Gerais, Brazil.; Department of Pediatrics of School of Medicine of Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil., Machado MP; Department of Pediatrics of School of Medicine of UFMG, Belo Horizonte, Minas Gerais, Brazil., Bastos LL; School of Medicine of UniBH, Belo Horizonte, Brazil., Barbosa Silva L; School of Medicine of UniBH, Belo Horizonte, Brazil., Santos AP; Division of Pediatrics, IPSEMG Hospital, Belo Horizonte, Minas Gerais, Brazil., Santos LC; Department of Nutrition of Nursing and Nutrition School of Federal University of Minas Gerais-UFMG, Belo Horizonte, Minas Gerais, Brazil., Ferrarez Bouzada MC; Department of Pediatrics of School of Medicine of UFMG, Belo Horizonte, Minas Gerais, Brazil.
المصدر:	Journal of human lactation : official journal of International Lactation Consultant Association [J Hum Lact] 2020 Feb; Vol. 36 (1), pp. 146-156. Date of Electronic Publication: 2019 Mar 22.
نوع المنشور:	Journal Article; Observational Study
اللغة:	English
بيانات الدورية:	Publisher: Sage Publications Country of Publication: United States NLM ID: 8709498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-5732 (Electronic) Linking ISSN: 08903344 NLM ISO Abbreviation: J Hum Lact
أسماء مطبوعة:	Publication: 2000- : Thousand Oaks, CA : Sage Publications Original Publication: Charlottesville, Va. : The Association,
مواضيع طبية MeSH:	Mothers* , Time Factors, Lactation/physiology , Parity/*physiology, Adult ; Brazil ; Cohort Studies ; Female ; Humans ; Infant, Newborn ; Longitudinal Studies ; Prospective Studies ; Psychiatric Status Rating Scales/statistics & numerical data ; Risk Factors
مستخلص:	Background: Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation. Research Aims: To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil. Method: We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II. Results: Delayed lactogenesis II occurred in 18.8% ( n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]). Conclusion: Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.
فهرسة مساهمة:	Keywords: Breastfeeding; Postpartum Depression; human milk production; insufficient milk; lactation disorders; lactogenesis
تواريخ الأحداث:	Date Created: 20190323 Date Completed: 20210209 Latest Revision: 20220412
رمز التحديث:	20240628
DOI:	10.1177/0890334419835174
PMID:	30901295
قاعدة البيانات:	MEDLINE

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تدمد:	1552-5732
DOI:	10.1177/0890334419835174