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Breastfeeding and postnatal depression: a prospective cohort study in Sabah, Malaysia

Yusuff AS, Tang L, Binns CW, Lee AH

J Hum Lact, 2016 May;32(2):277-81.
PMID: 26644418 DOI: 10.1177/0890334415620788

BACKGROUND: Postnatal depression is a disorder that can lead to serious consequences for both the mother and infant. Despite the extensively documented health benefits of breastfeeding, its association with postnatal depression remains uncertain.
OBJECTIVE: To investigate the relationship between full breastfeeding at 3 months postpartum and postnatal depressive symptoms among mothers in Sabah, Malaysia.
METHODS: A prospective cohort study of 2072 women was conducted in Sabah during 2009-2010. Participants were recruited at 36 to 38 weeks of gestation and followed up at 1 and 3 months postpartum. Depressive symptoms were assessed using the validated Malay version of the Edinburgh Postnatal Depression Scale (EPDS). Repeated-measures analyses of variance was performed to compare the depression scores over time and between subgroups of breastfeeding mothers.
RESULTS: Approximately 46% of women were fully breastfeeding their infants at 3 months postpartum. These mothers had significantly (P < .001) lower mean EPDS scores at both 1 and 3 months postpartum (mean ± SD, 4.14 ± 4.12 and 4.27 ± 4.12, respectively) than others who did not initiate or maintain full breastfeeding for 3 months (4.94 ± 4.34 and 5.25 ± 4.05, respectively). After controlling for the effects of covariates, the differences in EPDS scores remained statistically significant (P = .001) between the 2 breastfeeding groups.
CONCLUSION: Full breastfeeding appeared to be negatively associated with postnatal depressive symptoms for mothers residing in Sabah.
Study site: 5 maternal and child health clinics in Kota Kinabalu and Penampang Districts of Sabah, Malaysia

Matched MeSH terms: Breast Feeding/psychology*; Breast Feeding/statistics & numerical data
Fulltext The prevalence of anemia and iron deficiency is more common in breastfed infants than their mothers in Bhaktapur, Nepal

Chandyo RK, Henjum S, Ulak M, Thorne-Lyman AL, Ulvik RJ, Shrestha PS, et al.

Eur J Clin Nutr, 2016 Apr;70(4):456-62.
PMID: 26626049 DOI: 10.1038/ejcn.2015.199

INTRODUCTION: Iron deficiency anemia is a widespread public health problem, particularly in low- and middle-income countries. Maternal iron status around and during pregnancy may influence infant iron status. We examined multiple biomarkers to determine the prevalence of iron deficiency and anemia among breastfed infants and explored its relationship with maternal and infant characteristics in Bhaktapur, Nepal.
SUBJECTS/METHODS: In a cross-sectional survey, we randomly selected 500 mother-infant pairs from Bhaktapur municipality. Blood was analyzed for hemoglobin, ferritin, total iron-binding capacity, transferrin receptors and C-reactive protein.
RESULTS: The altitude-adjusted prevalence of anemia was 49% among infants 2-6-month-old (hemaglobin (Hb) <10.8 g/dl) and 72% among infants 7-12-month-old (Hb <11.3 g/dl). Iron deficiency anemia, defined as anemia and serum ferritin <20 or <12 μg/l, affected 9 and 26% of infants of these same age groups. Twenty percent of mothers had anemia (Hb <12.3 g/dl), but only one-fifth was explained by depletion of iron stores. Significant predictors of infant iron status and anemia were infant age, sex and duration of exclusive breastfeeding and maternal ferritin concentrations.
CONCLUSIONS: Our findings suggest that iron supplementation in pregnancy is likely to have resulted in a low prevalence of postpartum anemia. The higher prevalence of anemia and iron deficiency among breastfed infants compared with their mothers suggests calls for intervention targeting newborns and infants.

Matched MeSH terms: Breast Feeding
Fulltext HIV transmission through breast milk: the science behind the understanding of current trends and future research

Prameela KK

Med J Malaysia, 2012 Dec;67(6):644-51.
PMID: 23770969 MyJurnal

Breastmilk protects the infant from many diseases and many short- term and long- term benefits accrue. At the same time it is also known that breastfeeding acts as a vehicle for some infective agents. It is now accepted that breastmilk transmission of Human Immunodeficiency Virus- 1 (HIV-1) is an important mode of paediatric infection . Despite this fact, many researchers have observed that corresponding to the volume of milk consumed by the infant, maternal transmission via breastmilk is still comparatively low. Some have noted the long latency period of breastmilk HIV transmission with evidence of numerous anti-HIV factors in breastmilk. Although there are accepted standard guidelines on infant feeding in mothers who are HIV positive in many countries, it maybe equally important to realize gaps in our knowledge of mother- to -child HIV transmission. From an evolutionary perspective, the role of the mammary epithelial cell (MEC) and of breastmilk , in contributing to and possibly in influencing HIV-1 transmission is intriguing. The presence of HIV-1 or of other viruses in maternal milk seem to be a requisite to spur immunological defenses to optimize necessary protection to the infant. This article reviews some aspects of the science of HIV transmission through breastmilk and reflects the concept -based understanding of current policies on HIV and breastfeeding. At the same time, it highlights uncertainties in this field and the urgency for future research in this direction. Accepting current notions of breastmilk HIV transmission, greater deliberation by research may throw more light on why breastfeeding with its abundant advantages is fraught with the hazards of transmission of a deadly disease.

Matched MeSH terms: Breast Feeding
Fulltext Reproductive problems of the work force

Premalatha GD, Ravindran J

Med J Malaysia, 2000 Mar;55(1):146-51; quiz 152.
PMID: 11072503

The number of women in the workforce in increasing. A substantial proportion are in the reproductive age which brings to attention the problem of work exposures that adversely affect reproductive outcome. These exposures include chemicals, radiation, strenuous physical activity and infections. They affect reproduction by effect on the germ cells, through hormonal distribution which in turn affects transport of germ cells or zygote, implantation and development. Some of these exposures are teratogenic. At present, some regulations and policies seem to be directed at women workers while there is evidence to show that women are not the only victims. Paternal exposures have also been reported to be associated with infertility, spontaneous abortions and other adverse outcomes. There is insufficient information about reproductive effects of work exposures and hence further research is required in this area.

Matched MeSH terms: Breast Feeding
Fulltext Child health strategies in primary health care

Jelliffee DB

Med J Malaysia, 1986 Mar;41(1):84-7.
PMID: 3796356

Various key aspects needing consideration in primary health care services for children are described. These include the need for basic curative facilities, a dyodic approach, concentration on major issues, use of appropriate technology and cultural appropriateness.

Matched MeSH terms: Breast Feeding
A report on beriberi as discovered in the rural maternity and child welfare centres, Singapore and steps taken to combat it

Faris DWG

Journal of the Malaya Branch of the British Medical Association, 1938;2:124-31.

Matched MeSH terms: Breast Feeding
Fulltext Dilemma of pregnant ladies with breast cancer

Zainur Rashid, Z., S. Sulaiha S.A., Lew, K.G., Nurhana, S.

International e-Journal of Science, Medicine & Education, 2009;3(2):-.
MyJurnal

Gestational breast cancer (GBC) or pregnancy-associated breast cancer was defined as breast cancer diagnosed during pregnancy and within 1 year of delivery. Breast cancer is the second commonest cancer after cervical seen in pregnancy and lactation. Nevertheless, the incidence is low and accounts for approximately 1 in 3000 of pregnancies. A delay in diagnosis is common and 70% to 89% of patients with operable primary lesions already have positive axillary lymph nodes. Breast cancer identified during pregnancy can be extremely distressing for the mother despite it has similar course of disease and prognosis seen in non-pregnant women of the same age and stage of disease. Diagnostic and treatment options should be carefully decided to prevent further harm to the mother or any potential risk to the developing fetus.

Matched MeSH terms: Breast Feeding
Fulltext Relationship Between Breast-feeding & Bottle-feeding To Craniofacial & Dental Development

Radzi, Z., Yahya, N.A.

Ann Dent, 2005;12(1):-.
MyJurnal

Breast-feeding offers many benefits to the baby and the mother. For instance, breast milk provides the right balance of nutrients to help an infant grow into a strong and healthy toddler. Even though breastfeeding is a natural process, it is not always easy. In certain situations, some mothers are unable to breastfeed their babies or the babies are unable to adapt to breastfeeding. This will lead to the use of bottle-feeding. The effect of breast-feeding and bottle-feeding on physical growth has been well established but less has been concentrated on the craniofacial growth and dental development. This review reveals the effects of breast-feeding and bottle-feeding on craniofacial growth and dentoalveolar development based on the available literature.

Matched MeSH terms: Breast Feeding
Fulltext The awareness of the religious laws regarding breast milk donation: a study conducted among the Muslim community in Selangor

Norita Kamaruddin, Nora'inan Bahari, Zanariah Dimon, Nurhayati Abd Ghani

Malaysian Journal of Social Sciences and Humanities, 2018;3(3):168-172.
MyJurnal

The awareness of the Muslim community on the importance of understanding breastfeeding according
to Islamic perspective needs to be emphasized in promoting the implementation of breastfeeding in the
best way. This proved that breast milk is the major food after birth and a mother should know the right
and the regulation of breastfeeding in order to be in line with Islamic law. This article aims to discuss
the level of awareness among the Muslim community in Selangor regarding breast milk donation. Data
were collected through a questionnaire distributed to 400 respondents involving three locations in
Selangor, namely in the northern zone (Hulu Selangor district), central zone (Klang district) and
southern zone (Sepang district). The findings showed that the respondents had a moderate level of
awareness regarding milk donation laws with average mean value of 3.26. This finding shows that the
Muslim community in Selangor are concerned about the rights and the regulation of breastfeeding.

Matched MeSH terms: Breast Feeding
Modern influences on the breast feeding decision

Lee M

Family Practitioner, 1977;2:64-66.

Some of the factors that could contribute towards influencing a mother's decision on breast-feeding and its success were discussed. One of the most important of such factors is the information and encouragement a mother receives, or fails to receive, when she needs it most. Such information, which is mostly non-medical, includes the technique of breast-feeding. Some of the negative influences on breast-feeding discussed include old wives' tales about diet and elements secreted through the mother's milk, the fear of losing one's figure, the fear by working mothers that breast-feeding is impossible to manage, the hospital practice of separating the mother and new-born for the first 24 hours, the shyness of breast-feeding babies in front of others, the lack of confidence in their own efficiency in breast-feeding, and the belief that breast-feeding is inconvenient. Some of the positive influences which can help towards successful preast-feeding are assistance and support from Breast-feeding Associations, a supportive husband and family, and the physician who makes a point of spending a few minutes to encourage his patient to breast-feed her forthcoming infant. The author called for combined efforts towards the restoration of breast-feeding as every infant's basic right.

Matched MeSH terms: Breast Feeding
Fulltext Association between Breastfeeding Attitudes and Postpartum Depression among Mothers with Premature Infants during COVID-19 Pandemic

Yahya NFS, Teng NIMF, Shafiee N, Juliana N

Int J Environ Res Public Health, 2021 10 17;18(20).
PMID: 34682652 DOI: 10.3390/ijerph182010915

Breastfeeding is the best form of feeding for premature infants. However, mothers with premature delivery are frequently reported to be depressed, and this has been especially the case during the Coronavirus Disease-2019 (COVID-19) pandemic. We aimed to measure the level of breastfeeding attitude and its association with postpartum depression among mothers with premature infants in the Neonatal Intensive Care Unit (NICU) during the COVID-19 pandemic. A total of 248 mothers with a premature infant were observed in this cross-sectional study from the chosen NICUs of government hospitals in Selangor, Malaysia. The Iowa Infant Feeding Attitude Score (IIFAS) and the Edinburgh Postnatal Depression Scale, along with sociodemographic questionnaires, were used to obtain information on the mothers' attitudes towards breastfeeding and the risk of postpartum depression. A higher percentage of mothers had a positive attitude towards breastfeeding (64.9%), with a mean IIFAS score of 66.30 ± 6.92. Meanwhile, about 27% of mothers with premature infants were reported to have high risk of depressive symptoms. Mothers with a high risk of depression were less likely to have a positive attitude towards breastfeeding (OR 0.37, 95% CI 0.199, 0.675) as compared to mothers with a low risk of depression (p < 0.01). We found that there is an association between the risk of depression and the attitude towards breastfeeding. Early identification of maternal mental health problems should be addressed to ensure the willingness of mothers to continue breastfeeding.

Matched MeSH terms: Breast Feeding
Fulltext Maternal depression and child feeding practices: Determinants to malnutrition among young children in Malaysian rural area

Chee Din MA, Mohd Fahmi Teng NI, Abdul Manaf Z

Womens Health (Lond), 2023;19:17455057221147800.
PMID: 36633122 DOI: 10.1177/17455057221147800

BACKGROUND: Maternal depression may affect child feeding practices and growth.
OBJECTIVE: The objective of this study is to determine the relationship between child feeding practices and current maternal depression with malnutrition among young children in a rural community.
METHODS: This is a case-control study consisting of 52 Malay mothers of malnourished children (case) and 50 Malay mothers of well-nourished children (control) in Kuala Langat, Selangor, Malaysia. Structured questionnaires on child feeding practices and Beck Depression Inventory: Second Edition questionnaire were distributed to mothers.
RESULTS: Depressed mothers stopped exclusive breastfeeding (2.8 ± 2.1 months) earlier than non-depressed mothers (3.7 ± 2.0 months; p = 0.045). Binary logistic regression analysis showed current maternal depression was a primary contributor associated with risk of malnutrition in children (adjusted odds ratio: 2.5, 95% confidence interval: 1.08-6.09), and followed by the number of children (adjusted odds ratio: 1.3, 95% confidence interval: 1.02-1.77).
CONCLUSION: Mothers who experienced depression were twice as likely to have malnourished children. Each additional child in the family will increase the risk of malnutrition by 1.3 times. Maternal depression is associated with child feeding practices and malnutrition among young children in the studied population. Preliminary screening to identify depression symptoms should be conducted to all mothers as early as the first trimester to prevent the incidence of malnutrition in children.

Matched MeSH terms: Breast Feeding
Fulltext Breastfeeding at 6 months and effects on infections

Chye JK, Lim CT

Singapore Med J, 1998 Dec;39(12):551-6.
PMID: 10067400

AIMS: To examine the pattern of and the influence of some socio-demographic factors on infant milk feedings, and the protective role of breastfeeding against infections.
METHODS: Mothers who breastfed their infants (exclusively or partially) at 6 weeks postpartum, and who had singleton pregnancies and healthy infants at birth, were interviewed when their infants had reached 6 months of age.
RESULTS: Of the 234 mothers studied, only 31 (13%) mothers were practising exclusive breastfeeding (EBF) and 133 (57%) mothers were using exclusive infant formula feeding (EIF). Solid and semi-solid foods were introduced between 4 to 6 months of life in 89% of the infants. On logistic regression analysis, mothers who were in paid employment [OR 0.25, 95% CI 0.15, 0.42] and not breast feeding at 6 weeks [OR 0.32, 95% CI 0.19, 0.54] had decreased odds of EBF. Antenatal plans to breastfeed, breast-feeding difficulties, ethnicity, level of parental education, parental ages, fathers' income, primigravida status and infants' gender were not significant co-variates. In comparison, EIF was more likely in mothers who worked, practised mixed feedings at 6 weeks and of Chinese descent. There were no significant differences in the rates of upper respiratory tract infections (URTI) or diarrhoeal illnesses between the infants who were or were not being breast-fed.
CONCLUSIONS: Most mothers were unable to breastfeed their infants exclusively in the recommended first 4 to 6 months of life. Complementary changes outside the hospital and maternity services are essential in improving breastfeeding rates. Breastfeeding does not appear to confer significant protection to either URTI or gastrointestinal tract infections.
Study site: Postnatal clinic, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia

Matched MeSH terms: Breast Feeding/ethnology; Breast Feeding/psychology*; Breast Feeding/statistics & numerical data*
Fulltext Measuring User Engagement with a Socially Connected, Gamified Health Promotion Mobile App

White BK, Burns SK, Giglia RC, Dhaliwal SS, Scott JA

Int J Environ Res Public Health, 2022 May 05;19(9).
PMID: 35565015 DOI: 10.3390/ijerph19095626

Participant engagement is an important consideration in mHealth interventions and there are no standardised measurements available to guide researchers. This paper describes the engagement index customised for the Milk Man app, a mobile app designed to engage fathers with breastfeeding and parenting information. Participants were recruited from maternity hospitals in Perth, Western Australia. An engagement index with scores ranging from 0 to 100 was calculated. Kaplan Meier survival analysis was used to determine difference in duration of exclusive breastfeeding, and Pearson's chi square analysis was conducted to investigate the association of engagement level with demographic characteristics and exclusive breastfeeding at 6 weeks. While overall, partners of participants who installed Milk Man were less likely to have ceased exclusive breastfeeding at any time point from birth to six weeks postpartum, this result was modest and of borderline significance (log rank test p = 0.052; Breslow p = 0.046; Tarone-Ware p = 0.049). The mean engagement score was 29.7% (range 1-80%), median 27.6%. Engagement level had no impact on duration of exclusive breastfeeding and demographic factors were not associated with engagement level. This research demonstrates a range of metrics that can be used to quantify participant engagement. However, more research is needed to identify ways of measuring effective engagement.

Matched MeSH terms: Breast Feeding
Education Package Based On Family Centered Maternity Care To Increase Self Efficacy And Knowledge Of Breastfeeding Mothers in The Covid Pandemic

Rahmayanti R, Oktafia R, Wahyuni F

Med J Malaysia, 2023 Jul;78(4):530-533.
PMID: 37518928

INTRODUCTION: Exclusive breastfeeding is still below the set target. Breastfeeding behavior is influenced by knowledge and self-efficacy. Training packages based on family centered maternity care are needed to boost mothers' efficacy and knowledge about breastfeeding. The aim of this study is to evaluate the effect of an online education package based on Family Centered Maternity Care on the self efficacy and knowledge of breastfeeding mothers.
MATERIALS AND METHODS: This Study used a pre-experimental design method with a One-Group Pre-Post test design approach. We recruited 60 breastfeeding mothers in Padang, Indonesia, selected with consecutive sampling. Online Education Based On Family Centered Maternity Care was provided for the respondent. Data were collected using the Breastfeeding Self efficacy Scale ShortForm (BSE-SF) and The Breastfeeding Knowledge (BKQ) Questionnaires.
RESULTS: The respondents had significant differences in selfefficacy and knowledge before and after the health education Based On Family Centered Maternity Care (p<0.001).
CONCLUSION: After Education Package Based On Family Centered Maternity Care influenced the Self Efficacy And Knowledge of Breastfeeding Mothers. It could be provided as a nursing intervention to assist Breastfeeding Mothers.

Matched MeSH terms: Breast Feeding
Fulltext A scoping review on current technology-based approaches to support breastfeeding and informal human milk exchange practices

Abdul Razak SF, Rosli NL, Kamis NH, Rahim NCA, Abdullah MFA

PLoS One, 2023;18(9):e0290311.
PMID: 37708192 DOI: 10.1371/journal.pone.0290311

Informal human milk exchange is the practice of donating and receiving expressed human milk based on mutual consent between the donor and receiver in the need of human milk for infants below 2 years old. Main concerns related to informal human milk exchange is related to milk siblings and safety handling of the expressed breastmilk. Even though there are countries which have policies and procedures related to human milk bank, informal milk exchange has not been given much attention. Compared to human milk bank, informal human milk exchange is not regulated. This study aims to identify the system focused on personalized breastfeeding tracking and monitoring, online discussion forum, web-based consultation, and breastfeeding station locator. Review of current applications in supporting breastfeeding practices was conducted based on the PRISMA-ScR framework. A literature search was conducted in Scopus and Google Scholar databases to identify articles published in English or Malay and containing systems/applications related to breastfeeding, milk sharing, milk exchange, milk siblings/kinship within the societal context. According to the scoping review, current scientific publications mostly focused on breast milk, breastfeeding, and milk banking concerns, with recurring themes including social reasons, lactation insufficiency, and unsolved nursing problems. These themes highlight the complexities and complexities of informal human milk exchange practices. Two reviewers screened the articles, and the data were extracted and narratively synthesized. During the primary database search, 360 articles were found based on the related titles, abstracts, and keywords. Seventy eight met the inclusion criteria and were finalized in this review. We found that most scholarly works focused on breast milk, breastfeeding and milk banking challenges and issues with recurrent themes i.e., societies, lactation inadequacy and unresolved nursing problems. Based on our literature search and to the best of our knowledge, there is no recent scoping reviews which focuses on technology-based approaches on informal human milk exchange. Findings from this scoping review is important for advancing research and practice in this field, as well as improving outcomes for individuals and families affected by informal human milk exchange.

Matched MeSH terms: Breast Feeding
Computer vision syndrome and dry eye symptoms among breastfeeding women

Subri S, Ali AM, Salleh SN

Med J Malaysia, 2024 Mar;79(Suppl 1):128-133.
PMID: 38555897

INTRODUCTION: Breastfeeding women are susceptible to musculoskeletal symptoms and hormonal changes that can affect the ocular surface. As exposure to visual display units (VDU) that is known to cause symptoms of dry eye and computer vision syndrome (CVS) is increasing worldwide, including among breastfeeding women, it is unknown whether this group of VDU users would experience CVS more than non-breastfeeding women. Therefore, this study aimed to investigate the association between breastfeeding status and symptoms of CVS and dry eye.
MATERIALS AND METHODS: In this cross-sectional study, selfreported CVS and dry eye symptoms were compared between 80 breastfeeding and 72 non-breastfeeding VDU users. Two questionnaires were administered online, which were the CVS-Questionnaire (CVS-Q) and the Ocular Surface Disease Index (OSDI) questionnaire, to evaluate symptoms of CVS and dry eye, respectively. Mann-Whitney test was used to compare CVS and OSDI scores between groups, while correlations between the scores were analyzed using Spearman's test.
RESULT: Results showed that OSDI scores were significantly higher in the non-breastfeeding group (U = 2263, z-score = - 2.276, p = 0.023), indicating more dry eye symptoms experienced by respondents in this group, while no significant group difference was found in terms of CVS scores (U = 2772, z-score = -0.400, p = 0.689). Additionally, no significant association was observed between breastfeeding status and severity of dry eye symptoms as well as CVS symptoms.
CONCLUSION: This study reported the possible benefit of breastfeeding in reducing dry eye symptoms. The CVS symptoms found in the breastfeeding group were possibly due to VDU usage rather than caused by breastfeeding. Public education on preventive measures to reduce the occurrence of CVS symptoms and ocular dryness among VDU users is essential to improve the quality of life.

Matched MeSH terms: Breast Feeding
Fulltext Clinical effects of thai herbal compress: a systematic review and meta-analysis

Dhippayom T, Kongkaew C, Chaiyakunapruk N, Dilokthornsakul P, Sruamsiri R, Saokaew S, et al.

Evid Based Complement Alternat Med, 2015;2015:942378.
PMID: 25861373 DOI: 10.1155/2015/942378

Objective. To determine the clinical effects of Thai herbal compress. Methods. International and Thai databases were searched from inception through September 2014. Comparative clinical studies investigating herbal compress for any indications were included. Outcomes of interest included level of pain, difficulties in performing activities, and time from delivery to milk secretion. Mean changes of the outcomes from baseline were compared between herbal compress and comparators by calculating mean difference. Results. A total of 13 studies which involved 778 patients were selected from 369 articles identified. The overall effects of Thai herbal compress on reducing osteoarthritis (OA) and muscle pain were not different from those of nonsteroidal anti-inflammatory drugs, knee exercise, and hot compress. However, the reduction of OA pain in the herbal compress group tended to be higher than that of any comparators (weighted mean difference 0.419; 95% CI -0.004, 0.842) with moderate heterogeneity (I (2) = 58.3%, P = 0.048). When compared with usual care, herbal compress provided significantly less time from delivery to milk secretion in postpartum mothers (mean difference -394.425 minutes; 95% CI -620.084, -168.766). Conclusion. Thai herbal compress may be considered as an alternative for osteoarthritis and muscle pain and could also be used as a treatment of choice to induce lactation.

Matched MeSH terms: Breast Feeding
Fulltext Reliability and validity of a Malay-version questionnaire assessing knowledge of breastfeeding

Tengku Ismail TA, Sulaiman Z

Malays J Med Sci, 2010 Jul;17(3):32-9.
PMID: 22135547

There is a need to identify the knowledge that mothers have about breastfeeding to help promote it. Therefore, it is important to develop a valid and reliable questionnaire to provide useful and comparable data about breastfeeding knowledge. The objectives of this study were to determine the reliability and validity of a Malay version of a questionnaire assessing breastfeeding knowledge and describe the breastfeeding knowledge level among respondents.

Matched MeSH terms: Breast Feeding
Separate care for new mother and infant versus rooming-in for increasing the duration of breastfeeding

Jaafar SH, Lee KS, Ho JJ

Cochrane Database Syst Rev, 2012.
PMID: 22972095 DOI: 10.1002/14651858.CD006641.pub2

Separate care for a new mother and infant may affect the duration of breastfeeding, breastfeeding behaviour and may have an adverse effect on neonatal and maternal outcomes.

Matched MeSH terms: Breast Feeding/statistics & numerical data*

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