Human Milk and Breastfeeding Outcomes in Infants with Congenital Heart Disease

Torowicz, Deborah L.; Seelhorst, Amanda; Froh, Elizabeth B.; Spatz, Diane L.

doi:10.1089/bfm.2014.0059

Cited by 42 publications

(47 citation statements)

References 12 publications

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“…59 For neonates and infants, particularly in low-and middle-income countries, human breast milk is the preferred form of enteral feeding, although the practicalities of maintaining breast milk production in this context may be challenging. 61 Breast milk is cost-effective, has immunological benefits, promotes better absorption of trace elements, and may even lower the risk of developing necrotising enterocolitis when used exclusively. 62 In the setting where tight fluid restriction is required, it may be necessary to increase the energy density of feedsboth for formula and expressed breast milk.…”

Section: Postoperative Nutritionmentioning

confidence: 99%

Management of undernutrition and failure to thrive in children with congenital heart disease in low- and middle-income countries

et al. 2017

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Poor growth with underweight for age, decreased length/height for age, and underweight-for-height are all relatively common in children with CHD. The underlying causes of this failure to thrive may be multifactorial, including innate growth potential, severity of cardiac disease, increased energy requirements, decreased nutritional intake, malabsorption, and poor utilisation of absorbed nutrition. These factors are particularly common and severe in low-and middle-income countries.Although nutrition should be carefully assessed in all patients, failure of growth is not a contraindication to surgical repair, and patients should receive surgical repair where indicated as soon as possible.Close attention should be paid to nutritional support -primarily enteral feeding, with particular use of breast milk in infancy -in the perioperative period and in the paediatric ICU. This nutritional support requires specific attention and allocation of resources, including appropriately skilled personnel.Thereafter, it is essential to monitor growth and development and to identify causes for failure to catch-up or grow appropriately.

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Section: Postoperative Nutritionmentioning

confidence: 99%

Management of undernutrition and failure to thrive in children with congenital heart disease in low- and middle-income countries

et al. 2017

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“…That being said, it is still possible to improve breastfeeding outcomes in newborns with congenital anomalies so long as the primary care team adopts the necessary measures [30]. Torowicz et al’s prospective cohort study of 62 mothers has shown that the attitudes of the institution and the advocacy for breastfeeding are key for the initiation and maintenance of breastfeeding in mothers who have infants with complex congenital heart diseases [31]. …”

Section: Discussionmentioning

confidence: 99%

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

et al. 2018

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BackgroundWe investigated the possible risk factors that could influence the likelihood of breastfeeding at 5 to 9 weeks postpartum with our primary aim being to analyse the associations between psychological vulnerabilities, such as peripartum depression and anxiety, and continued breastfeeding. Our secondary aim was to investigate other non-psychological factors’ influence on continued breastfeeding.MethodsA prospective cohort study was conducted in KK Women’s and Children’s Hospital in Singapore. Healthy nulliparous parturients at ≥36 weeks gestation with a singleton fetus who received epidural analgesia were recruited. Demographic and anaesthetic data were obtained. Self-reported psychological and pain determinants such as anxiety (State-Trait Anxiety Inventory), depression (Edinburgh Postnatal Depression Scale), stress (Perceived Stress Scale), pain susceptibility (Pain Catastrophizing Scale) and pain perception (McGill Pain Questionnaire) were also recorded at baseline. A phone interview was then performed at 5 to 9 weeks postpartum to obtain information on breastfeeding status.Results329 participants were included into this study, of which 263 (79.9%) of them were still breastfeeding at 5 weeks postpartum. Multivariate logistic regression analysis showed that a higher State-Trait Anxiety Inventory score (Adjusted Odds Ratio [AOR] 0.97; 95% Confidence Interval [CI] 0.94, 1.00) at baseline, higher intrapartum blood loss (AOR 0.76; 95% CI 0.61, 0.93), and occurrence of fetal anomalies (AOR 0.15; 95% CI 0.03, 0.72) were associated with reduced likelihood of breastfeeding at 5 to 9 weeks postpartum. Indians (AOR 0.56; 95% CI 0.20, 1.53), Malays (AOR 0.30; 95% CI 0.14, 0.62) and other ethnicities (AOR 0.36; 95% CI 0.16, 0.83) were less likely to continue breastfeeding compared to Chinese participants. On the other hand, receiving any support services on breastfeeding during the participants’ hospital stay was 3.3 times more likely (AOR 3.30; 95% CI 1.21, 9.02) to increase the likelihood of breastfeeding at 5 to 9 weeks postpartum.ConclusionWe identified 5 independent association factors that could have significant influences on breastfeeding at 5 to 9 weeks postpartum. Healthcare providers could utilize this risk stratification to identify parturients likely to have poorer breastfeeding outcomes and undertake interventions that may help safeguard optimization of breastfeeding outcomes and parturient care.Trial registrationClinicaltrials.gov NCT02278601. Registered 26 October 2014.Electronic supplementary materialThe online version of this article (10.1186/s13006-018-0184-7) contains supplementary material, which is available to authorized users.

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“…We hypothesized that the proportion of infants with CHD who were predominantly breastfed or receiving any breastmilk during the first year of life would be comparable to the general population, as it has been shown mothers can successfully breastfeed their infant with CHD with proper support and education. 33,42 Specific Aim 2: Describe growth outcomes among infants with CHD during the first year of life, and the relationship between feeding practices and growth. We hypothesized that there would be better growth outcomes (weight-for-age, length-forage, head circumference-for-age, and weight-for-length Z-scores) in the infants that were predominantly breastfed or fed any breast milk compared to those that were predominantly formula fed, as it has been shown before that bottle-fed infants fell further from their growth curves than breastfed infants did.…”

Section: Chapter 3 Aimsmentioning

confidence: 99%

Breastfeeding and Growth in Infants with Congenital Heart Disease

Siemienski

Lessen

Pohlig

et al. 2019

Journal of the Academy of Nutrition and Dietetics

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Human Milk and Breastfeeding Outcomes in Infants with Congenital Heart Disease

Abstract: Mothers who have infants diagnosed with congenital heart disease should be encouraged to initiate pumping for their infants. Future research is warranted regarding the dose response of HM and specific health outcomes and the need for postdischarge services for these families.

Cited by 42 publications

References 12 publications

Management of undernutrition and failure to thrive in children with congenital heart disease in low- and middle-income countries

Management of undernutrition and failure to thrive in children with congenital heart disease in low- and middle-income countries

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

Breastfeeding and Growth in Infants with Congenital Heart Disease

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