Article
Pediatrics
Joan Younger Meek, Lawrence Noble
Summary: Breastfeeding and human milk are important for infant health and neurodevelopment. The AAP and WHO recommend exclusive breastfeeding for 6 months and continued breastfeeding for at least 2 years. Contraindications to breastfeeding are rare and hospitals should support breastfeeding initiation and duration. Pediatricians play a critical role in advocating for breastfeeding and need training in managing breastfeeding.
Article
Pediatrics
Chitmandeep Josan, Samantha Shiplo, Gerhard Fusch, Sandeep Raha, Alison K. Shea
Summary: This study investigates the effects of maternal cannabis use on the levels of macronutrients and bioactive factors in breast milk. The results show that cannabinoids are present in the milk of cannabis users, accompanied by increased lactose levels and decreased SIgA levels, which may have significant implications for infant health.
PEDIATRIC RESEARCH
(2023)
Article
Nursing
Lindsay Ellsworth, Julie Sturza, Kate Stanley
Summary: The study revealed that most mothers have limited knowledge about donor human milk and milk banks, and have not received sufficient counseling from medical providers. While participants had positive attitudes towards donor human milk, they tended to choose formula over donor human milk when making decisions. Additionally, if donor human milk was the only option, they preferred milk from a relative or friend over milk banks.
JOURNAL OF HUMAN LACTATION
(2021)
Letter
Pediatrics
Riccardo Davanzo, Massimo Agosti, Irene Cetin, Antonio Chiantera, Giovanni Corsello, Luca A. Ramenghi, Annamaria Staiano, Marcello Tavio, Alberto Villani, Elsa Viora, Fabio Mosca
Summary: Although knowledge about the administration of COVID-19 vaccine to breastfeeding mothers is limited, Italian scientific societies concluded that COVID-19 vaccination is compatible with breastfeeding due to the well-demonstrated health benefits of breastfeeding and the unlikely health risks for nursed infants according to biological plausibility.
ITALIAN JOURNAL OF PEDIATRICS
(2021)
Article
Pediatrics
Michael J. Moss, Ittai Bushlin, Steven Kazmierczak, Dennis Koop, Robert G. Hendrickson, Katharine E. Zuckerman, Tamara M. Grigsby
Summary: This study quantified cannabinoids in plasma and breast milk of breastfeeding mothers and found that THC and CBD accumulate in breast milk. It also showed that breastfeeding mothers tend to increase cannabis use in the early postpartum period. Further research is needed to evaluate infant exposure to cannabinoids via breast milk and its effects on infant health.
PEDIATRIC RESEARCH
(2021)
Article
Nutrition & Dietetics
Agnieszka Bzikowska-Jura, Natalia Machaj, Piotr Sobieraj, Olga Barbarska, Gabriela Oledzka, Aleksandra Wesolowska
Summary: The primary aim of the study was to evaluate the variability in macronutrient content of donor human milk and investigate the impact of maternal factors and feeding practices. Results showed no significant differences in energy and macronutrient content of the milk, although fat concentration was positively correlated with afternoon feedings. The method of feeding did not affect the nutritional value of the milk.
Article
Nutrition & Dietetics
Nelly C. Munoz-Esparza, Edgar M. Vasquez-Garibay, Elizabeth Guzman-Mercado, Alfredo Larrosa-Haro, Oriol Comas-Baste, M. Luz Latorre-Moratalla, M. Teresa Veciana-Nogues, M. Carmen Vidal-Carou
Summary: The study evaluated the influence of different breastfeeding factors on the polyamine levels in human milk, finding that polyamine levels varied significantly between mothers and tended to decrease over time. Spermidine and spermine concentrations were higher in hindmilk compared to foremilk, and decreased significantly as lactation progressed.
Article
Nursing
Chara Biggs
Summary: This study investigated the reasons why mothers in South Africa who had committed to donating to a human milk bank did not donate their milk. The major barriers identified were ignorance of the post-discharge process and lack of support from clinic staff, as well as practical challenges such as transportation issues and maintaining the cold chain. Potential solutions include mothers donating milk only at clinic immunization visits.
JOURNAL OF HUMAN LACTATION
(2021)
Article
Nutrition & Dietetics
Pasqua Anna Quitadamo, Laura Comegna, Giuseppina Palumbo, Massimiliano Copetti, Paola Lurdo, Federica Zambianco, Maria Assunta Gentile, Antonio Villani
Summary: The study found that the birth rate of twins in the center has almost doubled from 1.28% in 2015 to 2.48% in 2020, with 88% of twins being premature. 18.1% of babies were breastfed for more than 6 months and 6.3% were breastfed for more than 12 months. Infants with lower gestational age and weight, born to multiparous, more mature and medium-high schooling mothers tended to be breastfed for a longer period.
Article
Nursing
Catherine Leggett, Usha Ritchie, Lynn Costi, David Elliot, Arduino A. Mangoni, William M. M. Hague
Summary: In this case study, the concentration of armodafinil in human milk and infant plasma was measured to assess infant exposure. The findings suggest that relatively small amounts of armodafinil pass into human milk and have limited impact on the nursing infant. The use of modafinil or armodafinil during breastfeeding can be considered with proper monitoring of the infant.
JOURNAL OF HUMAN LACTATION
(2023)
Article
Nursing
Ce Tian, Yamin Li, Lee Soowon, Ying Xu, Qin Zhu, Hong Zhao
Summary: This study aimed to explore the knowledge and attitude about donor milk among lactating women in mainland China. Factors such as educational level, parity, and infants' birth conditions were found to be associated with participants' knowledge and attitude. While most participants had positive attitudes towards donor milk, there were gaps in their knowledge that need to be addressed.
JOURNAL OF HUMAN LACTATION
(2021)
Article
Nursing
Sourabh Dutta, Bhabatosh Das, Tarini Shankar Ghosh, Shakti Kumar, Raj Kumari Kaushal, Pallab Ray, Vanita Suri, Gopinath Balakrish Nair
Summary: This study describes the milk microbiota of healthy North Indian women, showing that their milk microbiome is dominated by Pseudomonas, but with high diversity.
JOURNAL OF HUMAN LACTATION
(2023)
Article
Obstetrics & Gynecology
Estrella Olonan-Jusi, Paul G. Zambrano, Vu H. Duong, Nguyen T. T. Anh, Nant S. S. Aye, Mei Chien Chua, Hikmah Kurniasari, Zaw Win Moe, Sopapan Ngerncham, Nguyen T. T. Phuong, Janice Datu-Sanguyo
Summary: The WHO recommendations on infant feeding in the context of COVID-19 include breastfeeding, non-separation, and skin-to-skin contact, but COVID-19 clinical management guidelines in seven countries in Southeast Asia do not provide sufficient guidance on the use of donor human milk and human milk banks, despite lack of evidence for transmission through breastmilk or breastfeeding. This highlights the long-standing challenges and opportunities in establishing human milk banks in the region.
INTERNATIONAL BREASTFEEDING JOURNAL
(2021)
Article
Gastroenterology & Hepatology
Meltem Dinleyici, Jana Barbieur, Ener Cagri Dinleyici, Yvan Vandenplas
Summary: Human milk oligosaccharides (HMOs) are important components in human milk, varying greatly between mothers. HMOs improve gut health, protect against infection, and promote cognitive development. Supplementing formula with HMOs is safe and beneficial for microbiota composition and infection prevention, but the clinical benefits compared to non-human oligosaccharides are not known. More research is needed to understand the factors influencing HMO composition and their functions.
Review
Nutrition & Dietetics
Paige K. Berger, Margaret L. Ong, Lars Bode, Mandy B. Belfort
Summary: The objective of this review was to analyze the literature on HMOs and neurodevelopmental outcomes in human milk-fed infants. Six studies were identified, all observational in design, and five conducted in full-term infants. The studies found that HMOs were positively associated with cognitive, language, and motor skill domains in infants between 18 and 24 months of age.
