Abstract:
Background:Normative information on the breastfeeding of term newborns may guide clinicians in early identification of breastfeeding difficulties and oro-pharyngeal dysphagia (OPD), and may support optimal breastfeeding practices. Objective:To describe breastfeeding skills of term newborn infants in a South African hospital, a lower-middle-income setting, and investigate associations between infants' feeding and other factors. Method:One breastfeeding session of each of the 71 healthy newborn full-term infants (mean chronological age=1.9 days; mean gestation=39.1 weeks) was evaluated using the Preterm Infant Breastfeeding Behavior Scale (PIBBS), suitable for use with term newborns. Results:All participants were exclusively breastfed. Thirteen participants (18%) were HIV-exposed. There was no significant difference in the findings of the PIBBS between HIV-exposed and unexposed participants. Most newborns had obvious rooting, latched deeply onto the nipple and some of the areola, had repeated long sucking bursts (mean length=16.82 sucks/burst), and swallowed repeatedly. Most participants were in either the drowsy or quiet-alert state, which are optimal behavioural states for breastfeeding. One to two-hourly on-demand feeds was significantly associated with mothers who had normal births and did not use galactogogues to promote lactation. Conclusion:Results may be used for early identification of OPD in newborns. The findings may be useful to primary care clinicians.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Krüger EE,Kritzinger AA,Pottas LLdoi
10.4314/ahs.v19i3.43subject
Has Abstractpub_date
2019-09-01 00:00:00pages
2670-2678issue
3eissn
1680-6905issn
1729-0503pii
jAFHS.v19.i3.pg2670journal_volume
19pub_type
杂志文章abstract::Congenital heart disease is an important cause of maternal morbidity and mortality during pregnancy. Pregnancy alters the circulatory and respiratory physiology with attendant deleterious effect on the mother with congenital heart disease and the foetus. Additional insult to the circulatory physiology by other factors...
journal_title:African health sciences
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
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