Testing Communication Models for Relactation in an Egyptian Setting

Abul-Fadl, Azza; Kharboush, Ibrahim; Fikry, Mohga; Adel, Mona

doi:10.1089/bfm.2011.0026

“…Most interventions ( n = 11) targeted infants hospitalised with diverse pathologies (predominantly diarrhoea, respiratory infections, dehydration, and malnutrition) (Agarwal & Jain, 2010 ; J. G. Alves et al, 1999 ; Cluet de Rodríguez et al, 2014 ; De et al, 2002 ; Fuenmayor et al, 2004 ; Gallardo, 2017 ; Kayhan‐Tetik et al, 2013 ; Mehta et al, 2018 ; Menon & Mathews, 2002 ; Nuzhat et al, 2019 ; Tomar, 2016 ), some of those directly associated with lactation failure (Kayhan‐Tetik et al, 2013 ; Tomar, 2016 ). One included HIV‐positive infants (Nyati et al, 2014 ) and four targeted healthy nonbreastfed infants (Abul‐Fadl et al, 2012 ; Banapurmath et al, 2003 ; Burrell et al, 2020 ; Muresan, 2011 ). All interventions, except for two outpatient‐based (Abul‐Fadl et al, 2012 ; Nyati et al, 2014 ), provided daily support during the time of hospital admission or the first days of relactation.…”

Section: Resultsmentioning

confidence: 99%

“…One included HIV‐positive infants (Nyati et al, 2014 ) and four targeted healthy nonbreastfed infants (Abul‐Fadl et al, 2012 ; Banapurmath et al, 2003 ; Burrell et al, 2020 ; Muresan, 2011 ). All interventions, except for two outpatient‐based (Abul‐Fadl et al, 2012 ; Nyati et al, 2014 ), provided daily support during the time of hospital admission or the first days of relactation. The number of times and duration of support in each encounter were only reported in three studies (Banapurmath et al, 2003 ; Menon & Mathews, 2002 ; Nuzhat et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Frequent skin‐to‐skin contact, bedding‐in and the withdrawal of pacifiers and bottles to avoid nipple confusion were also encouraged. Lactogogues were prescribed in three interventions (Abul‐Fadl et al, 2012 ; Mehta et al, 2018 ; Muresan, 2011 ). Six interventions encouraged cup or cup‐spoon feeding to provide top milk (Agarwal & Jain, 2010 ; De et al, 2002 ; Gallardo, 2017 ; Mehta et al, 2018 ; Tomar, 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Other interventions (n = 4) provided or encouraged good nutrition and rest for the mothers (Agarwal & Jain, 2010;De et al, 2002;Mehta et al, 2018;Tomar, 2016). However, the attainment of exclusive BF was limited in other studies (Abul-Fadl et al, 2012;J. G. Alves et al, 1999;Burrell et al, 2020;Nuzhat et al, 2019) (Table 4).…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review

Camacho

¹

,

Schreeb

²

,

Corte

³

et al. 2022

Maternal & Child Nutrition

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In 1998, the World Health Organisation (WHO) published general guidelines proposing essential measures to achieve relactation. Yet, increased knowledge about the practical set-up of relactation support interventions in different contexts is needed, especially in humanitarian settings, where nonbreastfed infants are particularly at risk. This study aimed to compile and assess the characteristics, outcomes and factors influencing the implementation of relactation support interventions reported since the latest WHO recommendations. We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, undertaking a search from Medline, Embase, PubMed Central, Web of Science, Global Health and CINAHL electronic databases. Studies published in English and Spanish, reporting characteristics and outcomes of relactation support provided to non-(breastfeeding) BF mothers with infants aged less than 6 months were included. Data were analysed by narrative synthesis and the Johanna Briggs Institute Critical Appraisal Tools were used for quality assessment. Overall, 16 studies met the inclusion criteria. Most were observational and conducted in middle-income countries, only one focused on humanitarian settings. Studies reported inpatient and community-based interventions, which generally followed WHO recommendations for relactation. In 13 out of 16 studies, over 80% of mothers restarted BF after receiving relactation support. Enabling factors included younger infant age, shorter lactation gap, mother's strong motivation, family support, and continuous skilled support. Although current literature suggests that intensive relactation support can contribute to re-establish BF, its application and effectiveness in humanitarian settings remain uncertain. Further research is needed to explore the effectiveness, feasibility and acceptability of different approaches to relactation support, especially in humanitarian settings.

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“…Os determinantes da relactação identificados foram nível de escolaridade da mãe, utilização de copo para alimentação sem mamadeiras ou chupetas e o envolvimento do marido no processo. Apenas 10% conseguiram relactar, 17 taxa inferior à do presente estudo, possivelmente pela baixa taxa de sucesso entre aquelas que receberam a abordagem de advertência, o que sugere o quanto uma abordagem acolhedora e com habilidades de comunicação pode ser importante para o sucesso da técnica. Cabe ressaltar que os familiares e entes próximos têm papel fundamental na prática da técnica de relactação, uma vez que motivam a mulher.…”

Section: Discussionunclassified

Relactação Como Possibilidade Terapêutica Na Atenção a Lactentes Com Necessidades Alimentares Especiais

Oliveira

¹

,

Moraes

²

,

Salgado

³

2014

DEMETRA

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ARTIGOS TEMÁTICOS / THEMATIC ARTICLES Relactação como possibilidade terapêutica na atenção a lactentes com necessidades alimentares especiais Relactation as therapeutical possibility in the care for infants with special food needs Resumo O Programa de Atenção Nutricional (PAN) de Rio Verde-GO iniciou suas atividades em 2009, financiado pelo Fundo Municipal de Saúde, visando ao atendimento de crianças diagnosticadas com intolerância à lactose, alergia à proteína do leite de vaca, soja ou múltiplas proteínas, além de erros inatos do metabolismo e desnutrição. O presente relato tem como objetivo apresentar a experiência desse programa no incentivo à amamentação por meio de acolhimento qualificado e orientações quanto à técnica de relactação. Em 2012, foram entrevistadas via telefônica 28 mães que receberam orientações para retorno da amamentação. Dentre as entrevistadas, 78,6% (n= 22) fizeram a técnica e 21,4% (n=6) não tentaram. Entre as mães que usaram a técnica, 68,2% (n=15) não retomaram a amamentação. Destas, 86,7% (n=13) alegaram que o bebê rejeitou o peito e 13,3% (n=2), que não produziram leite. Quanto ao retorno da lactação, 31,8% (n=7) das mães que utilizaram a técnica obtiveram sucesso. O sucesso da técnica talvez possa ser ampliado com uma rede de apoio e incentivo à amamentação no município, que irá possibilitar o aumento de práticas bem-sucedidas e de baixo custo para a saúde pública, que precisam ser mais bem divulgadas à população e aos profissionais de saúde.

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Interventions to support the re-establishment of breastfeeding and their application in humanitarian settings: A systematic review

2022

0

View full text Add to dashboard Cite

In 1998, the World Health Organisation (WHO) published general guidelines proposing essential measures to achieve relactation. Yet, increased knowledge about the practical set-up of relactation support interventions in different contexts is needed, especially in humanitarian settings, where nonbreastfed infants are particularly at risk. This study aimed to compile and assess the characteristics, outcomes and factors influencing the implementation of relactation support interventions reported since the latest WHO recommendations. We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, undertaking a search from Medline, Embase, PubMed Central, Web of Science, Global Health and CINAHL electronic databases. Studies published in English and Spanish, reporting characteristics and outcomes of relactation support provided to non-(breastfeeding) BF mothers with infants aged less than 6 months were included. Data were analysed by narrative synthesis and the Johanna Briggs Institute Critical Appraisal Tools were used for quality assessment. Overall, 16 studies met the inclusion criteria. Most were observational and conducted in middle-income countries, only one focused on humanitarian settings. Studies reported inpatient and community-based interventions, which generally followed WHO recommendations for relactation. In 13 out of 16 studies, over 80% of mothers restarted BF after receiving relactation support. Enabling factors included younger infant age, shorter lactation gap, mother's strong motivation, family support, and continuous skilled support. Although current literature suggests that intensive relactation support can contribute to re-establish BF, its application and effectiveness in humanitarian settings remain uncertain. Further research is needed to explore the effectiveness, feasibility and acceptability of different approaches to relactation support, especially in humanitarian settings.

show abstract

Testing Communication Models for Relactation in an Egyptian Setting

Abstract: We conclude that the choice of appropriate educational models is key to encouraging mothers to return to breastfeeding. This study strongly supports Step Ten of the Baby Friendly Hospital Initiative.

Cited by 3 publications

References 27 publications

Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review

Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review

Relactação Como Possibilidade Terapêutica Na Atenção a Lactentes Com Necessidades Alimentares Especiais

Interventions to support the re-establishment of breastfeeding and their application in humanitarian settings: A systematic review

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