The Relationship between Rooming‐in/not Rooming‐in and Breast‐Feeding Variables

Abstract

We studied the relationship between rooming-in/not rooming-in and breast-feeding variables such as breast feeding frequency, breast milk intake, supplements of other human milk or 5% glucose solution, cumulative weight loss, weight recovery and hyperbilirubinemia. We found that the breast feeding frequency was significantly higher in infants rooming-in than in those not rooming-in. Intake of breast milk on days 3 and 5 was significantly lower and maximum weight loss was significantly higher in infants rooming-in than in those not rooming-in. Infants rooming-in also had less supplement of other human milk compared with non-rooming-in infants (p less than 0.01). However, the weight increase per day from minimum to weight on day seven was higher in infants rooming-in than in non-rooming-in infants (39.3 +/- 21.4 g/day vs. 31.4 +/- 15.3 g/day, p less than 0.01). The frequent suckling by rooming-in infants may explain, in part, the better weight gain, since frequent suckling may decrease energy consumption by reducing movement and crying during the early days of life, thus contributing to better weight gain. Our study suggests that some of the neonatal feeding problems related to breast feeding could be eliminated by education of mothers and nurses and by changes in hospital policies and practices in breast feeding.

Healthy Birth Practice #6: Keep Mother and Baby Together— It’s Best for Mother, Baby, and Breastfeeding

“…During each opportunity to breastfeed, maternal and newborn beta-endorphin levels rise, "rewarding and reinforcing maternal and infant interactions" (Buckley, 2014). For decades, researchers have reported that mothers who room-in with their babies score higher on tests that measure mothering confidence, and babies who room-in with their mothers have more quiet sleep than those who are separated from their mothers (Keefe, 1987(Keefe, , 1988Yamauchi & Yamanouchi, 1990).…”

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

“…The benefits of rooming-in in hospital were demonstrated in the late 1980s and early 1990s in a number of key studies [59,60,[81][82][83] which showed that rooming-in facilitates mother-infant contact, enabling mothers to perform all aspects of their infant's care [84], and that mother-infant separation at night does not result in an increase in either the quantity or quality of maternal sleep or in maternal alertness the following day [59,83]. They also showed that removing infants to nurseries resulted in significantly less infant sleep and more crying than for infants remaining in their mothers' rooms [60]; less frequent breastfeeding [81]; and greater likelihood of breastfeeding failure [82]. Twenty-four-hour rooming-in is now standard practice in progressive and WHO/UNICEF Baby-Friendly accredited hospitals worldwide.…”

A Modern Look at Breastfeeding in Neonatal Hyperbilirubinaemia

“…Большая потеря массы тела в первые дни жизни, прово-цирующая гипербилирубинемию, связана с нарушением принципов ГВ, рекомендованных ВОЗ, и может быть снижена путем образования медицинских работников и матерей [31]. В частности, частота прикладывания к груди минимум 11 раз в день, начиная с первого дня жизни, снижает уровень билирубина сыворотки крови ребенка к 3-6-му дню жизни [32,33]. Кроме того, задержка в инициировании грудного вскармливания после первого часа жизни и допаивание водой либо до начала грудного вскармливания, либо в добавление к грудному вскармливанию значительно снижает частоту ГВ и вызывает повышение концентрации билирубина в сыворотке крови младенца [34].…”