1,720,994 research outputs found
Le developpement moteur et cognitif du grande pramature dans le prèmiere année de vie
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Osservazione del comportamento motorio del pretermine: aspetti metodologici e descrzione di casi clinici
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Sviluppo psicomotorio del grande prematuro nel primo anno di vita. Studio longitudinale con il test di Griffiths
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Indicatori dello sviluppo delle abilità interattive del bambino prematuro durante il primo anno di vita
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Impaired lactation performance following elective delivery at term: role of maternal levels of cortisol and prolactin.
No full textObjective: Lactation performance depends on stress surrounding labor and delivery, and it is likely to be different in women who underwent elective cesarean delivery (ECD) or vaginal (VD). The aim of this study was to assess the relationship between cortisol and human prolactin (hPRL), following ECD and lactation performance, from the delivery room to the 6th month of life. Methods: A total of 106 mothers were consecutively enrolled: 38 after ECD, 28 after emergency cesarean delivery (EmCD), and 40 after VD. Results: Basal stress-, lactogenic-hormones, cortisol, and hPRL were comparable on day 3 postpartum in all the women. Multivariate analysis indicated that ECD has a negative impact (OR; 95% CI) on breastfeeding prevalence on the seventh day (0.14; 0.00.44, p0.008) and at third month post partum (0.19; 0.050.71, p0.05) in comparison to VD. In addition, hPRL levels proved to have a statistically significant role in early breastfeeding (1.01; 11.01, p0.002). Conclusions: ECD is a risk factor for successful lactation performance. This information should be provided to mothers and caregivers for extra breastfeeding guidance. © 2012 Informa UK, Ltd
Breastfeeding the 'healthy' near-term infants after laryngeal mask airway or traditional resuscitation methods
No full textBackground. The influence of delivery room resuscitation practice on neonatal breastfeeding pattern is largely not data driven, and clinical experience is insufficient to indicate the impact of available management methods. Aim. This cohort observational study investigated weather laryngeal mask airway LMA rather conventional positive pressure resuscitation devices, face mask FM, or endotracheal-tube ETT would influence breastfeeding pattern in the near-term infants triaged to regular newborn nursery. Methods. We identified through 18,641 birth records from 2002 to 2006, 921 4.9 records of near-term infants of 3436 67 weeks' gestation, 710 77.1 triaged to regular newborn nursery. Among those, 52710 7.3 required positive pressure resuscitation at birth, inclusive of LMA 29, 55.7, bag-face mask FM, 19, 36.5, and endo-tracheal tube ETT, 4, 7.6, respectively. Fifty non-resuscitated near-term infants were used as controls. Results. Anthropometrical and clinical characteristics of resuscitated near-term study groups were comparable to controls. LMA was more frequently employed at birth to resuscitate near-term infants triaged to regular newborn nursery OR; 95 CI 17.16; 5.3455.14, whereas ETT was less frequently utilized OR; 95 CI 0.11; 0.020.55. Although LMA and ETT resuscitation methods did not influence breastfeeding rate at discharge with respect to controls, FM resuscitation was associated with both the lowest breastfeeding rate OR; 95 CI 3.20; 1.079.57 and the more frequently formula-feeding OR; 95 CI 7.23; 1.5832.92, and bottle-feeding use OR; 95 CI 4.20; 1.3013.49 at discharge. Conclusion. LMA is an effective and safe alternative to more conventional forms of airway management in near-term infants needing resuscitation at birth. Other studies are needed to clarify the potential advantages of the LMA on breastfeeding. © 2009 Informa UK Ltd
Impact of anxiety in the puerperium on breast-feeding outcomes: Role of parity
No full textOBJECTIVE:: Studies in animals indicate that stress and anxiety can depress lactation, but there is much less information available concerning humans. We aimed to determine whether maternal anxiety in puerperium, potentially exacerbated by the primiparity inexperience, has a negative impact on breast-feeding outcomes. SUBJECTS AND METHODS:: The state-trait anxiety inventory Y form (Spielberger, 1983) was administered to a total of 204 mothers, 101 primiparae, and 103 pluriparae on the third to fourth day postpartum. RESULTS:: We found that primiparae had state anxiety (T) scores significantly higher than pluriparae (44.57 ± 5.85 vs 43.28 ± 7.10, P = 0.03). Increased state anxiety levels impaired breast-feeding success. In addition, in the logistic regression analysis model used to assess factors predictive of breast-feeding longer than 3 months, maternal state anxiety was the most significant risk factor (odds ratio 0.99; 0.88-0.98, P < 0.01). CONCLUSIONS:: In the puerperium, anxiety, potentially exacerbated by primiparae inexperience, is associated with impaired lactation. Alleviating maternal anxiety could be beneficial for stimulating breast-feeding in more vulnerable women. Copyright © 2009 by Lippincott Williams & Wilkins
LA MATURAZIONE EEG AL TERMINE NEL PREMATURO CON LESIONI ANOSSICO-ISCHEMICO-EMORRAGICHE: RISULTATI PRELIMINARI
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Psychological distress and early lactation performance in mothers of late preterm infants.
No full textLate preterm infants are a vulnerable population susceptible to early breastfeeding failure and lactation-associated morbidities. We have found that late preterm gestation has a negative effect on mothers' psychological profiles in the puerperium, with the resulting levels of anxiety, depression, and psychological distress correlating negatively with their early lactation performance
Registrazioni EEG-poligrafiche in prematuri con leucomalacia: reviosne della letteratura e contributo personale (dati preliminari)
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