Facilitating an Informed Decision About Breastfeeding

Lawrence, Ruth A.

doi:10.1016/b978-1-4377-0788-5.10007-0

Cited by 2 publications

(5 citation statements)

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“…It reduces the incidence of Sudden Infant Death Syndrome (SIDS), allergic/hypersensitivity diseases, and development of Type 1 (insulin dependent) and Type 2 (non-insulin dependent) diabetes mellitus [ 3 , 5 - 7 ] relative to the use of infant formula. Breastfeeding may also play a role in decreasing post-partum depression, bleeding, and improving weight control [ 8 ]. Furthermore, women who have a history of breastfeeding experience a reduced risk of osteoporosis and reduced incidence of breast and ovarian cancers [ 8 - 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Breastfeeding may also play a role in decreasing post-partum depression, bleeding, and improving weight control [ 8 ]. Furthermore, women who have a history of breastfeeding experience a reduced risk of osteoporosis and reduced incidence of breast and ovarian cancers [ 8 - 10 ]. Besides these health advantages, mothers and their babies are brought into closer contact through nursing itself [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…A concern for lactating women who are taking medications is the transfer of medicines into breast milk [ 5 , 8 ]. Medicines circulating in the maternal bloodstream can potentially be transferred into human breast milk, exposing breastfed infants to medicines that may potentially be harmful [ 5 , 8 ]. Another concern is the effect of medication on the quantity and quality of breast milk produced, which may impact on the exclusivity, duration and success of breastfeeding [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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The use of herbal medicines during breastfeeding: a population-based survey in Western Australia

Sim

Sherriff

Hattingh

et al. 2013

BMC Complement Altern Med

101

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BackgroundMain concerns for lactating women about medications include the safety of their breastfed infants and the potential effects of medication on quantity and quality of breast milk. While medicine treatments include conventional and complementary medicines, most studies to date have focused on evaluating the safety aspect of conventional medicines. Despite increasing popularity of herbal medicines, there are currently limited data available on the pattern of use and safety of these medicines during breastfeeding. This study aimed to identify the pattern of use of herbal medicines during breastfeeding in Perth, Western Australia, and to identify aspects which require further clinical research.MethodsThis study was conducted using a self-administered questionnaire validated through two pilot studies. Participants were 18 years or older, breastfeeding or had breastfed in the past 12 months. Participants were recruited from various community and health centres, and through advertising in newspapers. Simple descriptive statistics were used to summarise the demographic profile and attitudes of respondents, using the SPSS statistical software.ResultsA total of 304 questionnaires from eligible participants were returned (27.2% response rate) and analysed. Amongst the respondents, 59.9% took at least one herb for medicinal purposes during breastfeeding, whilst 24.3% reported the use of at least one herb to increase breast milk supply. Most commonly used herbs were fenugreek (18.4%), ginger (11.8%), dong quai (7.9%), chamomile (7.2%), garlic (6.6%) and blessed thistle (5.9%). The majority of participants (70.1%) believed that there was a lack of information resources, whilst 43.4% perceived herbal medicines to be safer than conventional medicines. Only 28.6% of users notified their doctor of their decision to use herbal medicine(s) during breastfeeding; 71.6% had previously refused or avoided conventional medicine treatments due to concerns regarding safety of their breastfed infants.ConclusionsThe use of herbal medicines is common amongst breastfeeding women, while information supporting their safety and efficacy is lacking. This study has demonstrated the need for further research into commonly used herbal medicines. Evidence-based information should be available to breastfeeding women who wish to consider use of all medicines, including complementary medicines, to avoid unnecessary cessation of breastfeeding or compromising of pharmacotherapy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The use of herbal medicines during breastfeeding: a population-based survey in Western Australia

Sim

Sherriff

Hattingh

et al. 2013

BMC Complement Altern Med

101

View full text Add to dashboard Cite

show abstract

“…Therefore, prolonged breastfeeding seems not to be associated with a milder clinical course in KD. Protection against infection by breast milk, the so-called maternal passive immunity, relates to the first six months of feeding [33]. We investigated the potential impact of breastfeeding and vitamin D supplementation on the age of disease onset.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding and vitamin D supplementation reduce the risk of Kawasaki disease in a German population-based case-control study

et al. 2019

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Background In Kawasaki disease (KD), a vasculitis of unknown etiology, the most serious complication is the development of coronary artery aneurysm (CAA). To date, the exact pathomechanism of KD is unknown. Both environmental and genetic factors seem to be associated with the development of the disease. Methods Data on KD patients recruited from the population-based German Pediatric Surveillance Study during 2012–2014 were used to evaluate the impact of various factors from the perinatal and infancy period on the development of KD. The study design was a matched case-control study with respect to age, sex and place of residence ( n = 308 KD cases, n = 326 controls). All KD patients were individually re-evaluated; all fulfilled the international diagnostic KD criteria. A standardized questionnaire was used to review breastfeeding practices, vitamin D supplementation and birth characteristics. Logistic regression analyses were performed to obtain odds ratios (OR) for various risk factors among the case-control pairs. Simple measures of association were used to assess the impact of these factors on the clinical course. Results There was no difference in lengths of gestation, birth weight or parturition between KD patients and controls, but independently from each other vitamin D supplementation and breastfeeding were negatively associated with KD, even when adjusted for age, place of residence and sex. The duration of vitamin D was significantly shorter among children with KD than among children without KD ( p = 0.039, OR = 0.964, 95% CI: 0.931–0.998), as was the duration of breastfeeding ( p = 0.013, OR = 0.471, 95% CI: 0.260–0.853). Comparing KD patients with and without breastfeeding and/or vitamin D supplementation, there were no differences regarding developing CAA, being refractory to intravenous immunoglobulin treatment, age at onset of the disease and levels of inflammatory laboratory values. Conclusion Our findings indicate breastfeeding and vitamin D supplementation to have protective effects in association with KD in our study population; however, these seem not to influence the natural course of the disease. Although the overall effects were relatively small, they nevertheless underline the overall benefit of both interventions. Trial registration Clinical Trial Registration: German clinical trial registration, http://apps.who.int/trialsearch/Trial2.aspx?TrialID=DRKS00010071 . Date of registration was 26. February 2016. The trial was registered retrospectively. Electronic supplementary material The online version of this article (10.1186/s12887-019-1438-2) contains supplementary material, which is available to authorized users.

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Facilitating an Informed Decision About Breastfeeding

Cited by 2 publications

References 130 publications

The use of herbal medicines during breastfeeding: a population-based survey in Western Australia

The use of herbal medicines during breastfeeding: a population-based survey in Western Australia

Breastfeeding and vitamin D supplementation reduce the risk of Kawasaki disease in a German population-based case-control study

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