The past few years have seen a flurry of reports and guidelines aimed at improving the quality of maternity care. These include “Supporting healthy and normal physiologic childbirth: a consensus statement by ACNM, MANA, and NACPM,” “Toolkit to Support Vaginal Birth and Reduce Primary Cesareans: A Quality Improvement Toolkit,” “Vision for a High-Quality, High-Value Maternity […]
The Lancet has devoted an issue to maternal health that includes a systematic review of maternity care practice guidelines entitled: “Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide.” It joins a growing list of documents published over the years that pretty much say the same […]
News articles reporting on the American Congress of Obstetricians & Gynecologists latest breastfeeding Committee Opinion have featured its position that ob/gyns should support a woman’s informed decision to formula feed. No disagreement with the sentiment, but this misses the document’s real importance as a detailed blueprint for promoting successful breastfeeding. Here are some of the […]
Apropos of ACOG’s new breastfeeding guidelines (see CBU post ), Attn notes Lancet’s publication of “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect,” which includes 28 pooled analyses (meta-analyses) of studies of breastfeeding’s benefits in children and mothers. In children, low- and middle-income countries reap the greatest reductions in mortality. However, breastfeeding prevents deaths […]
The current issue of Midwifery Matters summarizes a study of the effects of having the baby skin-to-skin after birth and breastfeeding initiation soon after birth on postpartum blood loss of 500 ml or more. Turning to the study itself, investigators analyzed the birth records of 7548 women giving birth either at one of three Baby-Friendly […]
Adding to the long list of breastfeeding benefits, Medscape Medical News summarizes a study demonstrating that breastfeeding strongly protects women diagnosed with gestational diabetes from progressing to Type 2 diabetes. Turning to the study itself, investigators followed 1010 women for 2 years after the birth. Overall, 12% of the women developed Type 2 diabetes. Their […]
According to a study soon to be published in Birth, epidural fentanyl and IV oxytocin have dose-dependent negative effects on instinctive newborn ability to suckle. Investigators blinded to whether women had epidurals, IV oxytocin, or both evaluated videos of 63 newborns placed skin-to-skin on their mother’s chests for the 1st hour after vaginal birth. The fact that they merely […]
On a lighter note, here’s a video that should tickle your funnybone.
CNN reports on the Army’s new breastfeeding policy. The article also provides links to the Air Force and Navy policies.
Moms might want to consider how much time they’re spending engaged with their phone screens instead of their babies while breastfeeding, according to this article. No one is saying that breastfeeding moms or formula-feeding parents need to pay attention to baby every second during every feeding, but prolonged distraction can mean missing baby’s cues and […]