Neonatal Weight Loss at a US Baby-Friendly Hospital

Grossman, Xena; Chaudhuri, Jana H.; Feldman-Winter, Lori; Merewood, Anne

doi:10.1016/j.jada.2011.10.024

Cited by 28 publications

(32 citation statements)

References 12 publications

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“…If zero BF practices, mothers 13 · s more likely to cease breastfeeding before 6 weeks Grossman et al 24 Limited studies tracking data pertaining to early infant health outcomes…”

Section: Integrative Review Methodsmentioning

confidence: 99%

“…[18][19][20][21][22][23] However, documentation is fragmentary regarding the impact of the BFHI on early infant health outcomes and breastfeeding outcomes in the United States. 1,[24][25][26][27] While studies suggest that Baby-Friendly practices increase breastfeeding initiation and exclusivity rates, there is a lack of reconciliation on breastfeeding duration rates and causal mechanisms related to the BFHI's success. 22,26,27 Additionally, evidencedbased guidelines for early infant health outcomes such as neonatal weight loss, hypoglycemia, hyperbilirubinemia, and hypothermia with respect to Baby-Friendly practices are inadequate.…”

Section: Introductionmentioning

confidence: 99%

“…22,26,27 Additionally, evidencedbased guidelines for early infant health outcomes such as neonatal weight loss, hypoglycemia, hyperbilirubinemia, and hypothermia with respect to Baby-Friendly practices are inadequate. 24,28,29 This is especially pertinent for late preterm infants (34-36 weeks) who are vulnerable to dehydration and rehospitalization due to feeding difficulties related to prematurity. Furthermore, no reviews of early infant health outcomes and breastfeeding outcomes related to Baby-Friendly practices in U.S. settings were located through literature searches of five academic research databases.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Munn

Newman

Mueller

et al. 2016

Breastfeeding Medicine

145

116

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Using the Social Ecological Model as a guiding theoretical framework, results were categorized into four interrelated multilevel factors: (1) maternal/infant dyad factors, (2) provider factors, (3) hospital organizational factors, and (4) policy/systems factors. Results from the review support the BFHI's success in facilitating successful breastfeeding initiation and exclusivity. Breastfeeding duration also appears to increase when mothers have increased exposure to Baby-Friendly practices, but deficiencies in breastfeeding tracking mechanisms have limited reliable breastfeeding duration data. Of the 10 steps of the BFHI, step 3, prenatal education and step 10, postnatal breastfeeding support are the most difficult steps to implement; however, those steps have the potential to significantly impact maternal breastfeeding decisions. The underlying mechanisms by which Baby-Friendly practices contribute to maternal breastfeeding decisions remain unclear; thus, studies are needed to examine mothers' experiences and perceptions of Baby-Friendly practices. Additionally, studies are needed to investigate the impact of the BFHI for women living in rural areas and in southeastern regions of the United States. Finally, studies are needed to examine early infant health outcomes related to the BFHI, especially for late premature infants (34-36 weeks) who are most vulnerable to poor outcomes and are in need of specialized breastfeeding support. Results from future qualitative and quantitative explorations could clarify how the delivery of Baby-Friendly practices leads to successful breastfeeding and infant health outcomes.

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“…If zero BF practices, mothers 13 · s more likely to cease breastfeeding before 6 weeks Grossman et al 24 Limited studies tracking data pertaining to early infant health outcomes…”

Section: Integrative Review Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Munn

Newman

Mueller

et al. 2016

Breastfeeding Medicine

145

116

View full text Add to dashboard Cite

show abstract

“…, 12 In these studies, the factors associated with weight loss are multiple and among them is the cesarean delivery. On the other hand, there have been few studies in newborns that are exclusively breastfed3 , 13 and in Baby-Friendly Hospitals 1415 The aim of this study was to determine the risk factors for weight loss greater than 8% in full-term newborns that are exclusively breastfed in a Baby-Friendly Hospital.…”

Section: Introductionmentioning

confidence: 99%

Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital

Mezzacappa

Ferreira

2016

Revista Paulista de Pediatria (English Edition)

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Objective:To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital.Methods:The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed were included and excluded twins and those undergoing phototherapy as well as those discharged after 96h of life. The analyzed maternal and neonatal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant p<0.05.Results:We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss>8% were cesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (Relative risk 2.27, 95% of Confidence Interval 1.54–3.35).Conclusions:The independent predictor for weight loss>8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life.

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“…3 The American Academy of Pediatrics section on breastfeeding states that "weight loss in the infant of greater than 7% from birth weight indicates possible breastfeeding problems". 4 The American Academy of Breastfeeding Medicine protocol, hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, acknowledges that although weight loss of 8% to 10% can be normal, it is an indication for careful assessment and possible breastfeeding assistance.…”

Section: Introductionmentioning

confidence: 99%

Significant weight loss and hypernatremia in exclusively breast-fed neonates

Jayaraj

Kumar

Kommu

et al. 2017

Int J Contemp Pediatr

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Background: Weight loss in the early neonatal period is a problem that often goes unrecognized. Weight loss of upto 5-7% of birth weight is normal but losses more that 10% may result in increased morbidity, especially hypernatremia. Methods: Prospective cohort study of 900, exclusive breastfed inborn babies, >34 weeks gestation and >1800g born in a tertiary care hospital in South India. Babies who were discharged before 96 hours of life, admitted to intensive care and received phototherapy for >24hrs were excluded. Maternal and neonatal variables were collected, and daily weight loss percent was calculated. Data was entered in EPI-INFO and analysed. Independent sample t test was used to compare the means of two independent normally distributed sample groups, ANOVA was used to compare means of more than 2 variables, linear logistic regression was used to find out the relationship between significant weight loss and hypernatremia Results: The mean birth weight of the cohort was 2937±438.4 g and the gestational age was 38±5weeks. The mean maximum weight loss for the entire cohort was 178.71g (±82.08 g) and the mean percent weight loss was 6.12% (2.69). The mean weight nadir of the entire cohort was 2758.32±425.67g. Mean serum sodium levels for all babies who lost >10% of their birth weight was 145.95 (±2.34) mmol/LConclusions: Early neonatal weight loss is a universal phenomenon though often unrecognized. Babies losing more than 10% of birth weight are at risk of morbidities like hypernatremia.

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Neonatal Weight Loss at a US Baby-Friendly Hospital

Cited by 28 publications

References 12 publications

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital

Significant weight loss and hypernatremia in exclusively breast-fed neonates

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