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Full-Text Articles in Medicine and Health Sciences

World Allergy Organization (Wao) Diagnosis And Rationale For Action Against Cow's Milk Allergy (Dracma) Guidelines Update – X – Breastfeeding A Baby With Cow's Milk Allergy, Vicki Mcwilliam, Merryn Netting, Evelyn Volders, Debra Palmer, Ignacio Ansotegui, Stefania Arasi, Amal H. Assa'ad, Sami L. Bahna, Antonio Bognanni, Rose Kamenwa Nov 2023

World Allergy Organization (Wao) Diagnosis And Rationale For Action Against Cow's Milk Allergy (Dracma) Guidelines Update – X – Breastfeeding A Baby With Cow's Milk Allergy, Vicki Mcwilliam, Merryn Netting, Evelyn Volders, Debra Palmer, Ignacio Ansotegui, Stefania Arasi, Amal H. Assa'ad, Sami L. Bahna, Antonio Bognanni, Rose Kamenwa

Paediatrics and Child Health, East Africa

Cow’s milk allergy is rare in exclusively breastfed infants. To support the continuation of breastfeeding an infant after diagnosis with a cow’s milk allergy, it is critical to examine the evidence for and against any form of cow’s milk elimination diet for lactating mothers. In this narrative review, we highlight the lack of high-quality evidence, hence subsequent controversy, regarding whether the minuscule quantities of cow’s milk proteins detectable in human milk cause infant cow’s milk allergy symptoms. Current clinical practice recommendations advise a 2–4 week trial of maternal cow’s milk dietary elimination for: a) IgE-mediated cow’s milk allergy only if …


Cognitive Aid For Anesthesia Providers Caring For Lactating Mothers, Danielle Pantella, Dana Lawrence Jun 2023

Cognitive Aid For Anesthesia Providers Caring For Lactating Mothers, Danielle Pantella, Dana Lawrence

DNP Scholarly Projects

Evidence on the transfer of medications into breastmilk during the administration of anesthesia and sedation medications may not be well known by anesthesia providers. As they teach lactating mothers, anesthesia clinicians may not be comfortable explaining details about breastfeeding, such as the effects of anesthesia on breast milk and when mothers can safely resume breastfeeding. Lack of provider knowledge may be a safety threat that can be decreased by an evidence-based cognitive aid. The purpose of this patient safety project is to develop a cognitive aid that includes anesthetic agents and knowledge components to structure the provision of care to …


Effectiveness Of A Postpartum Breastfeeding Protocol For Avoiding Pregnancy, Mary Schneider, Richard J. Fehring, Thomas Bouchard May 2023

Effectiveness Of A Postpartum Breastfeeding Protocol For Avoiding Pregnancy, Mary Schneider, Richard J. Fehring, Thomas Bouchard

College of Nursing Faculty Research and Publications

The uses of cervical mucus and basal body temperature as indicators of return to fertility postpartum have resulted in high unintended pregnancy rates. In 2013, a study found that when women used urine hormone signs in a postpartum/breastfeeding protocol this resulted in fewer pregnancies. To improve the original protocol's effectiveness, three revisions were made: (1) women were to increase the number of days tested with the Clearblue Fertility Monitor, (2) an optional second luteinizing hormone test could be done in the evening, and (3) instructions were given to manage the beginning of the fertile window for the first six cycles …


Making Breastfeeding Easier With Clinician Support, Katherine Laney Apr 2023

Making Breastfeeding Easier With Clinician Support, Katherine Laney

MSN Capstone Projects

This benchmark project provides a template for how to implement clinician support and education in an organization with obstetric and pediatric clinics and a hospital based on the PICOT: In first-time breastfeeding mothers (P), how does clinician driven support and education during the perinatal period (I) compared to no clinician assistance (C) affect the rate of continued breastfeeding (O) within the first 3 months postpartum (T). Research demonstrates that increased clinician support and education provided to the mothers during the perinatal period increases breastfeeding rates and self-efficacy. The project would initially last for approximately 12 weeks and follow women from …


Lactation Support On Low-Income Women Exclusively Breastfeeding, Ashley Holmes, Kayla Lorenc, Morgan Ireland, Camryn Brown, Ashley M. Holmes Mar 2023

Lactation Support On Low-Income Women Exclusively Breastfeeding, Ashley Holmes, Kayla Lorenc, Morgan Ireland, Camryn Brown, Ashley M. Holmes

Non-Thesis Student Work

Low-socioeconomic-status new mothers who wish to exclusively breastfeed, face significant challenges associated with available resources, finances, and maternal leave. To address this issue, the authors explored the following evidence-based PICOT question: among low-socioeconomic-status new mothers that breastfeed, does access to lactation supports in the workplace, compared to no or limited access, affect their ability to exclusively breastfeed for the baby’s first six months? This project conducted a search of the literature in CINAHL and PubMed databases using the terms breastfeeding, low-socioeconomic-status, and workplace lactational support. Inclusion criteria included peer-reviewed articles published between 2017 to present, containing keywords/phrases …


Effect Of Antenatal Milk Expression Education On Lactation Outcomes In Birthing People With Pre-Pregnancy Body Mass Index ≥ 25: Protocol For A Randomized, Controlled Trial, Jill R. Demirci, Melissa Glasser, Debra L. Bogen, Susan M. Sereika, Dianxu Ren, Kristin Ray, Lisa M. Bodnar, Therese A. O'Sullivan, Katherine Himes Mar 2023

Effect Of Antenatal Milk Expression Education On Lactation Outcomes In Birthing People With Pre-Pregnancy Body Mass Index ≥ 25: Protocol For A Randomized, Controlled Trial, Jill R. Demirci, Melissa Glasser, Debra L. Bogen, Susan M. Sereika, Dianxu Ren, Kristin Ray, Lisa M. Bodnar, Therese A. O'Sullivan, Katherine Himes

Research outputs 2022 to 2026

Background: Birthing people with pre-pregnancy body mass indices (BMIs) ≥ 25 kg/m2, particularly those without prior breastfeeding experience, are at increased risk for suboptimal lactation outcomes. Antenatal milk expression (AME) may be one way to counteract the negative effects of early infant formula supplementation common in this population. Methods: This ongoing, randomized controlled trial in the United States evaluates the efficacy of a telelactation-delivered AME education intervention versus an attention control condition on lactation outcomes to 1 year postpartum among 280 nulliparous-to-primiparous, non-diabetic birthing people with pre-pregnancy BMI ≥ 25 kg/m2. The assigned study treatment is delivered via four weekly …


Exclusive Breastfeeding Versus Formula Feeding: Evaluating The Development Of Childhood Allergies, Jasmine Olshin, Anna Kousky, Lily Williams, Michael Mark Jan 2023

Exclusive Breastfeeding Versus Formula Feeding: Evaluating The Development Of Childhood Allergies, Jasmine Olshin, Anna Kousky, Lily Williams, Michael Mark

Non-Thesis Student Work

Allergies such as dietary, allergic rhinitis, allergy-related asthma, and atopic dermatitis have become increasingly prevalent in childhood and pose a public health concern – especially as severe allergic reactions, such as anaphylaxis, are rising among children. Exclusive breastfeeding and formula feeding are two common infant feeding practices, but their role in influencing the development of childhood allergies are not entirely understood. Thus, the question is raised as to whether infants who are exclusively breastfed are at a decreased risk for developing childhood allergies, compared to infants who are formula fed. A literature search was conducted utilizing relevant databases PubMed, BioMed …