• Title, Summary, Keyword: 모유수유

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A study on the incidence of anemia according to feeding patterns and the status of weaning diet (수유 방법에 따른 빈혈의 빈도 및 이유식이에 대한 조사)

  • Kim, Hyun-Ji;Shin, Mee-Yong;Kim, Sung-Shin;Park, Jae-Ock;Kim, Chang-Hwi
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.875-880
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    • 2009
  • Purpose : Iron-deficiency anemia remains the most common nutritional deficiency in young infants. This study aimed to survey the actual condition of feeding patterns and weaning diet and to study the association between these factors and the prevalence of anemia in infants aged over 9 months. Methods : We studied 171 infants aged 9-24 months who were hospitalized in the general ward with mild to moderate acute illnesses. The mothers answered a questionnaire about the feeding patterns and the status of the weaning diet of their infants. The infants were divided into three groups: infants who were exclusively breast-fed, those who had been given mixed feeding, and artificial milk feeders. Results : The incidence of anemia was significantly higher in exclusively breast-fed infants (23/68, 33.8%) than in the infants with mixed feeding (11/62, 17.7%) and artificial milk feeders (5/41, 12.1%). The mothers' awareness about the state of their infants󰡑 weaning diet was not related to the presence of anemia in the exclusively breast-fed infants. About 70% of the infants had started the weaning diet before age 6 months in all three groups, without any difference according to feeding patterns. Conclusion : The incidence of anemia was significantly higher in the breast-fed group than in the other infants. Many mothers of breast-fed infants with anemia also believed that their infants were taking sufficient weaning foods. Therefore, further education of the mothers about iron-rich weaning foods and the importance of iron intake during infancy is needed to prevent anemia, especially in breast-fed infants.

Development of Mobile Application on Breastfeeding Convergence Education Program for High risk Mothers (모바일 기반 고위험 산모 대상 모유수유 융합교육프로그램 개발)

  • Lee, Ju Yeon;Kim, Hye Young
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.357-364
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    • 2018
  • This study was attempted to develop education programs through mobile apps to promote breastfeeding for high-risk mothers. The development of mobile apps was carried out in four stages, including analysis, design, implementation and evaluation, by referring to the software development life cycle. The subjects of this study were cesarean delivery mother, premature baby and twin delivery mother, and contents of education included difficulty in breastfeeding by high risk mother. Experts and users evaluated the program and found it appropriate as an educational mobile app. The education through mobile app is not limited by time and space. Therefore, it will help knowledge and continuous practice of breastfeeding by high risk mothers. It is necessary to directly test the effects of applying the breastfeeding app developed in this study.

Growth and clinical efficacy of fortified human milk and premature formula on very low birth weight infants (극소 저체중출생아에서 강화된 모유와 미숙아 전용분유가 성장 및 임상에 미치는 효과)

  • Chueh, Heewon;Kim, Myo Jing;Lee, Young-A;Jung, Jin-A
    • Clinical and Experimental Pediatrics
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    • v.51 no.7
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    • pp.704-712
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    • 2008
  • Purpose : A prospective, controlled trial was conducted to evaluate growth, efficacy, safety and nutritional status for very low birth weight infants fed with human milk fortified with Maeil human milk fortifier (Maeil $HMF^{(R)}$; Maeil Dairies Co., Ltd.). Methods : We enrolled 45 premature infants with a birth weight <1,500 g and gestational age <33 weeks, who were born at Dong-A University Hospital from October, 2006 through December, 2007. They were divided into 2 groups: infants in one group were fed with human milk fortified with $HMF^{(R)}$, and the second were fed with preterm formula. Growth, biochemical indices, feeding tolerance, and other adverse events in each group were assessed serially and compared relatively. Follow-up data were also collected after discharge at 1, 3, and 6 months corrected age. Results : Characteristics of the 2 groups including average gestational age, birth weight, sex, respiratory distress syndrome, patent ductus arteriosus, and other adverse events (sepsis, retinopathy of prematurity, and intraventricular hemorrhage) showed no significant difference. Average feeding start day ($8.00{\pm}3.27d$ vs. $8.86{\pm}5.37d$) (P=0.99) and the number of days required to reach full feeding after start feeding ($41.78{\pm}20.47d$ vs $36.86{\pm}20.63d$) (P=0.55) were not significantly different in the group fed human milk fortified with $HMF^{(R)}$ when compared with the group that was fed preterm formula. The duration of total parenteral nutrition and the incidence of feeding intolerance also showed no differences between the 2 groups. Although infants fed with human milk fortified with $HMF^{(R)}$ showed faster weight gain than those fed with preterm formula at the end stage of the admission period, other growth indices of the two groups showed no significant difference. No significant correlations were found between the 2 groups with regard to weight gain velocity, height gain velocity, head circumference velocity, and post-discharge follow up growth indices. Conclusion : Premature infants fed human milk fortified with $HMF^{(R)}$ showed no significant difference compared with those fed preterm formula in growth, biochemical indices, and adverse events. Using human milk fortifier can be an alternative choice for very low birth weight infants, who need high levels nutritional support even after discharge from NICU.

The Difference between Clinical Manifestations and Feeding or Delivery Methods in Healthy Full-term Neonates and Those with Nosocomial Rotaviral Infection (수유 및 분만방법에 따른 신생아실 로타바이러스 원내감염의 증상 차이)

  • Lee, So Young;Kim, Hyun Ji;Kim, Mi Young;Kim, Won Duck;Lee, Dong Seok;Kim, Doo Kwun;Choi, Sung Min
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.454-458
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    • 2003
  • Purpose : Rotavirus is the main cause of infantile diarrheal disease worldwide. The purpose of this study is to assess the difference between clinical manifestations and feeding or delivery methods in healthy full-term neonates and those with nosocomially-acquired rotaviral infection. Methods : The study was conducted on 348 babies who were delivered in Dongguk University Kyongju Hospital from Jan 1 to June 30 in 2001. Stool specimens were collected from clinically symptomatic neonates. We studied the rate of positive stool rotazyme ELISA tests and positive symptoms. We compared the frequency of clinical manifestations according to the feeding methods [breast feeding(BF) or formula feeding(FF)] and the delivery methods[normal vaginal delivery(NVD) or Cesarean section(C/sec)]. Results : Rotavirus was detected in 152 of 348 babies. The rate of positive rotazyme ELISA test was 43.7% in healthy full-term symptomatic neonates. The most common symptom of rotaviral enteritis was mild fever; the others were watery diarrhea, abdominal distension, vomiting, delayed weight gain, irritability, poor oral intake and dehydration. Compared with FF neonates, BF neonates have lower frequency of symptoms, especially watery diarrhea, delayed weight gain and poor oral intake. The symptomatic frequency was higher in FF and NVD neonates than BF and C/sec. Conclusion : The symptoms of rotaviral enteritis were less frequent in BF or C/sec delivered neonates. BF appeared to alleviate the rotaviral enteritis but further studies are needed. The cause of the lower frequency of symptoms in C/sec delivered neonates was unknown.

'공공시설에 모유수유실을 만들어 주세요' - 인터넷 설문 결과 발표

  • 대한가족보건복지협회
    • 가정의 벗
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    • v.37 no.8
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    • pp.16-17
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    • 2004
  • 대한가족보건복지협회는 인터넷 포털사이트 다음(www. Daum.net)을 통해 5월 17일부터 6월 16일까지 '엄마젖에 대한 설문조사'를 실시했다. 직장생활과 가슴 노출에 대한 사회적 편견에 대한 인식$\cdot$변화가 필요하며 공공장소에서의 모유수유 여건 개선을 위한 제도 마련이 시급한 것으로 조사되었다.

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Nurse's Knowledge to Breast-Feeding and Nursing Activities related to Breast-Feeding (간호사의 모유수유에 대한 지식정도와 모유수유간호활동 수행정도)

  • Sung, Mi-Hae
    • Korean Journal of Women Health Nursing
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    • v.6 no.2
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    • pp.258-268
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    • 2000
  • This study was to investigate the relationship between hospital nurses 'knowledge of breast-feeding and their ability to provide care to breast-feeding mothers and their children. From Nov. 1 to 30, 1999, 105 nurses of the obstetric ward, delivery room, OPDs of obstetrics and gynecology, and nurseries of three general hospitals from Seoul and Pusan were evaluated. The results are as follows: 1.Mean score of nurse's knowledge to breast-feeding was 12.76. Mean score of performance of nursing activities was 109.80. 2.General characteristics and feeding characteristics were significantly related to nurse's knowledge to breast-feeding and performance of nursing activities related to breast-feeding. Nurse's knowledge about breast-feeding was significantly related to age, working ward, clinical experience, rank of position, experience of breast-feeding and experience education on breast-feeding. Performance of nursing activities for breast- feeding was significantly related to age, working ward, experience in other ward, marital status, and education on breast-feeding. 3.A positive correlation between nurse's know-ledge to breast-feeding and performance of nursing activities related to breast-feeding was statistically significant(r=.381, P<0.05).

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Effect of Postpartum Breast-feeding Support by Nurse on the Breast-feeding Prevalence (간호사의 모유 수유 지지가 모유 수유 실천에 미치는 효과)

  • Jang, Gun-Ja;Kim, Sun-Hee;Jeong, Kyung-Soon
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.172-179
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    • 2008
  • Purpose: The purpose of this study was to investigate the effects of the professional nurse's postpartum breast-feeding support on breast-feeding prevalence for mothers who delivered in Baby-Friendly Hospitals (BFH). Methods: This quasi experimental study was designed with a nonequivalent control group post test. The subjects of this study were 55 mothers who were hospitalized in the delivery room of a university hospital which was selected as a BFH in Daegu from October 1, 2005 to June 30, 2006. Twenty nine mothers were assigned to the experimental group and 26 mothers to the control group. Postpartum breast-feeding support by nurses' telephone calls to the experimental group was provided once a week for 4 weeks postpartum and then once a month for 16 weeks postpartum. Four post tests were given at postpartum week 8, 12, and 16. The control group was given a telephone call at postpartum week 4, 8, 12, and 16. Results: The breast-feeding prevalence of the experimental group was significantly higher than that of the control group for each period. Conclusion: Postpartum breast-feeding support by nurses may be a useful intervention to increase breast-feeding prevalence.

Severe hypernatremic dehydration in a breast-fed neonate (모유 수유 환아에서 발생한 심한 고나트륨혈성 탈수)

  • Oh, Yun Jung;Lee, Ji Eun;An, So Hyun;Kim, Yang Kyong;Kang, Sung Kil;Kim, Ja Kyoung;Son, Byong Kwan;Jun, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.85-88
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    • 2007
  • Although it is a rare condition, breast-feeding may result in hypernatremic dehydration. However, incidences might be increasing with more mothers breast-feeding. Although the early detection and management of hypernatremic dehydration from breast-feeding is important, its prevention is even more important on account of its serious complications. In order to prevent hypernatremic dehydration secondary to breast-feeding, it is essential to educate mothers in successful breast-feeding methods. An early follow-up after discharge is recommended. We report a case of hypernatremic dehydration secondary to breast-feeding in a full-term newborn that was corrected without any complications.

Iron Deficiency and Early, Low-dose Iron Supplementation in Breast-fed Infants (모유 수유아의 철 결핍과 조기 저용량 철분보충요법의 효과에 대한 연구)

  • Noh, So-Jung;Na, Bo-Mi;Kim, Mi-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.2
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    • pp.169-178
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    • 2008
  • Purpose: The purpose of this study was to determine the efficacy of early low-dose iron supplementation in term breast-fed infants. Methods: Eighty-seven healthy term infants were divided into 3 groups: A, formula-fed; B, breast-fed only; S, breast-fed with iron supplementation (5 mg/day from 2 months of age). We measured ferritin, iron, total iron binding capacity (TIBC), transferrin saturation rate (TFSAT), hemoglobin (Hb), hematocrit (Hct), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and red cell distribution width (RDW) at birth, 6 months of age, and 12 months of age. Results: 1) At 6 months of age, ferritin, iron, TFSAT, and Hb in Group B were the lowest among the 3 groups, whereas TIBC and RDW were the highest. The incidences of iron deficiency (ID) and iron deficiency anemia (IDA) in Group B were 33% and 30%, respectively, significantly higher than those seen in Groups A (5% and 8%, respectively) and S (7% and 5%, respectively). 2) At 12 months of age, ferritin, TFSAT, Hb, MCV, and MCH in Group B were the lowest among the 3 groups, whereas TIBC and RDW were the highest. Iron and Hct did not differ among the 3 groups. The incidences of ID and IDA in Group B were 64% and 50%, respectively, again significantly higher than those seen in Groups A (4% and 3%, respectively) and S (9% and 7%, respectively). Conclusion: The prevalences of ID and IDA were higher in breast-fed infants than in formula-fed infants, even at 6 months of age. Early and low-dose iron supplementation in breast-fed infants improved iron status and lowered the incidence of iron deficiency anemia in early infancy.

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Changes in Specific Gravity, Total Solid and Protein Contents of Human Milk During the Course of Lactation in Korean Women (한국인 모유의 수유기간별 비중, 충고형분 및 단백질 함량의 변화)

  • 이종숙
    • Journal of Nutrition and Health
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    • v.21 no.2
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    • pp.129-133
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    • 1988
  • The lonitudinal determination of specific gravity, total solid and protein contents of human milk were carried out in 27 Korean women. Human milk samples from the subjects were collected at 15, 30, 60, 90, 120, 150th days of lactation. 1) The average values of specific gravity of the milk was 1, 0281 (S.D. 0.0018, n=12), with a range of 1.0200-1.0383. 2) The average values of total soild of the milk was 12.07g/100ml(S.D. 0.38, n=112), with a range of 9.36-15.88g/100ml. 3) The average values of protein content of the milk was 1.20g/100ml (S.D. 0.14, n=112), with a range of 1.09-1.46g/100ml. A slight decrease of specific gravity and protein content in human milk was found during the course of lactation, but significant decrease was not found in total solid content.

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