Assessment of the Technique of Breastfeeding in Babies with Down Syndrome
DOI:
https://doi.org/10.5294/aqui.2019.19.4.6Keywords:
Breastfeeding, Down Syndrome, child, community health nursing, infant careAbstract
Valoración de la técnica de amamantamiento en bebés con síndrome de Down
Avaliação da técnica de amamentação em bebês com síndrome de Down
Objective: To evaluate the technique and duration of breastfeeding in healthy children and children with Down Syndrome (DS) using the breastfeeding observation form. Materials and methods: An observational study of a prospective cohort was carried out at the Clinical Hospital of Granada during 2015. The Study Group consisted of 40 children with DS and the control group was formed by each new-born with DS and a healthy new-born with the same characteristics of weight and gestational age was selected. The new-borns evaluated shared housing with the mother where the technique was valued during the first 5 days postpartum by a health professional. A bivariable analysis was performed to compare the groups using Student’s “T” test for numerical variables and chi-square for categorical variables. Results: Lactogenesis onset was earlier in the DS group (92.5 % in the first 24 hours vs 20 %; p <0.001). It was observed that 60 % of the healthy children were breastfed for more than three months while in the group of babies with DS this time period was 47.5 %. Conclusions: The results of this study reveal that the breastfeeding technique presented at the beginning more difficulties in mothers of children with DS and it has been shown that technical errors influence the onset and duration of breastfeeding in mothers of these children.
Para citar este artículo / To reference this article / Para citar este artigo
Aguilar-Cordero MJ, Rodriguez-Blanque R, Sánchez-López AM, Leon-Rios XA, Exposito-Ruiz M, Mur-Villar N. Assessment of the Technique of Breastfeeding in Babies with Down Syndrome. Aquichan. 2019;19(4):e1946. DOI: https://doi.org/10.5294/aqui.2019.19.4.6
Recibido: 06/05/2019
Aceptado: 19/11/2019
Publicado: 23/01/2020
* Study performed by the research group CTS-367. “Humanization of the health care. Nursing diagnoses, children with health conditions, nutrition, pain.” Universidad de Granada.
Downloads
References
Witt AM, Witt R, Lasko L, Flocke S. Translating team- based breastfeeding support into primary care practice. J Am Board Fam Med [Internet]. 2019 nov.-dic.32(6):818-826. DOI: https://doi.org/10.3122/jabfm.2019.06.190118
Resolución WHA65.6. Plan integral de aplicación sobre nutrición de la madre, el lactante y el niño pequeño. 65.ª Asamblea Mundial de la Salud, 2012 my. 21-26. Ginebra [PDF]. Resoluciones y decisiones, anexos. Ginebra: Organización Mundial de la Salud; 2012. 12-13. Disponible en: http://www.who.int/nutrition/topics/WHA65.6_resolution_sp.pdf
Sly JR, Miller SJ, Thelemaque L, Yazdanie F, Sperling R, Sasan F, Howell EA, Loudon H, Jandorf L. Knowledge of the relationship between breastfeeding and breast cancer risk among racial and ethnic minority women. J Cancer Educ [Internet]. 2019 jul. 23. DOI: https://doi.org/10.1007/s13187-019-01580-9
Maessen SE, Derraik JGB, Binia A, Cutfield WS. Perspective: Human milk oligosaccharides: Fuel for childhood obesity prevention? Adv Nutr [Internet]. 2019 sept. 5. pii: nmz093. [Epub ahead of print]. DOI: https://doi.org/10.1093/advances/nmz093
Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet [Internet] 2016;387(10017):475-90. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7
Quah PL, Cheng TS, Cheung YB, Yap F, Saw SM, Godfrey KM, Gluckman PD, Chong YS, Chong MF. Maternal and infant correlates of maternal feeding beliefs and practices in a multi-ethnic Asian population: The GUSTO (Growing Up in Singapore Towards Healthy Outcomes) Study. Public Health Nutr [Internet]. 2016 oct. 19(15):2789-98. DOI: https://doi.org/10.1017/S1368980016000744
Brown JVE, Walsh V, McGuire W. Formula versus maternal breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev [Internet]. 2019 Ag. 12;8:CD002972. DOI: https://doi.org/10.1002/14651858.CD002972.pub3
Avalos González MM, Mariño Membribes ER, González Hidalgo JA. Factores asociados con la lactancia materna exclusiva. Rev Cubana Med Gen Integr [Internet]. 2016 jun. [citado 20 Jul 2017];32(2):170-177. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252016000200004&lng=es
Cocchi G, Gualdi S et al. International trends of Down syndrome 1993-2004: Births in relation to maternal age and terminations of pregnancies. Birth Defects Res A Clin Mol Teratol [Internet]. 2010 jun. 88(6):474-9. DOI: https://doi.org/10.1002/bdra.20666
Glivetic T, Rodin U, Milosevic M, Mayer D, Filipovic-Grcic B, Seferovic S. Prevalence, prenatal screening and neonatal features in children with Down syndrome: A registry-based national study. Italian Journal of Pediatrics [Internet]. 2015;41(1). DOI: https://doi.org/10.1186/s13052-015-0192-9
Peres KG, Cascaes AM, Nascimento GG, et al. Effect of breastfeeding on malocclusions: A systematic review and meta-analysis. Acta Paediatr [Internet]. 2015;104:54–61. DOI: https://doi.org/10.1111/apa.13103
Marques LS, Alcântara CE, Pereira LJ, Ramos-Jorge ML. Down syndrome: A risk factor for malocclusion severity? Braz Oral Res [Internet]. 2015;29:44. DOI: https://doi.org/10.1590/1807-3107BOR-2015.vol29.0044
Anil MA Shabnam S, Narayanan S. Feeding and swallowing difficulties in children with Down syndrome. J Intellect Disabil Res [Internet]. 2019 Aug;63(8):992-1014. DOI: https://doi.org/10.1111/jir.12617
Carneiro NCR et al. Hábitos de succión oral entre niños con síndrome de Down y parálisis cerebral. Dentista de cuidado de Spec [Internet]. 2017 Jul; 37 (4): 176-180. DOI: https://doi.org/10.1111/scd.12231
Thomas J, Marinelli KA, Brodribb W, Noble L, Brent N, Bunik M, et al. ABM Clinical Protocol #16: Breastfeeding the Hypotonic Infant, Revision 2016. Breastfeeding Medicine [Internet]. 2016;11(6):271-6. DOI: https://doi.org/10.1089/bfm.2016.29014.jat
Organización Mundial de la Salud. Consejería en lactancia materna. Curso de capacitación. España. Edición revisada: Agosto, 1998. (WHO / CDR / 93.5 - UNICEF / NUT / 93.3)
Tomico del Río M. Taller de lactancia materna. En AEPap ed. Curso de Actualización Pediatría 2015. Madrid: Lúa Ediciones 3.0; 2015. p. 393-406. Disponible en: https://www.aepap.org/sites/default/files/4t2.15_taller_avanzado_de_lactancia_materna.pdf
Comisión Europea, Dirección Pública de Salud y Control de Riesgos. Alimentación de los lactantes y de los niños pequeños: Normas recomendadas por la Unión Europea. 2006.
Pisacane A, Toscano P, Pirri I, Continisio P, Andria G, Zoli B, Strisciuglio P, Concolino D, Piccione M, Lo Giudice C. Down syndrome and breastfeeding. Acta Paedistric [Internet]. 2003; 92:1479-1481. DOI: https://doi.org/10.1080/08035250310007024
UNICEF Publications. From the First Hour of Life: Making the case for improved infant and young child feeding everywhere. 2016. Disponible en: https://www.unicef.org/publications/index_93027.html
Balogun OO, Dagvadorj A, Yourkavitch J da Silva Lopes K, Suto M, Takemoto Y, Mori R, Rayco-Solon P, Ota E. Health facility staff training for improving breastfeeding outcome: A systematic review for step 2 of the baby-friendly hospital initiative. Breastfeed Med [Internet]. 2017 nov. 12(9):537-546. DOI: https://doi.org/10.1089/bfm.2017.0040. Epub 2017 sept. 20.
Fischer TP et al. A qualitative study to understand cultural factors affecting a mother’s decision to breast or formula feed. J Hum Lact [Internet]. 2014 my.30(2):209-16. DOI: https://doi.org/10.1177/0890334413508338
Glivetic T, Rodin U, Milosevic M, Mayer D, Filipovic-Grcic B, Seferovic Saric M. Prevalence, prenatal screening and neonatal features in children with Down syndrome: A registry-based national study. Ital J Pediatr [Internet]. 2015;41:81. DOI: https://doi.org/10.1186/s13052-015-0192-9
Stanley MA, Shepherd N, Duvall N, Jenkinson SB, Jalou HE, Givan DC, Steele GH, Davis C, Bull MJ, Watkins DU, Roper RJ. Clinical identification of feeding and swallowing disorders in 0-6 month old infants with Down syndrome. Am J Med Genet A [Internet]. 2019 Feb;179(2):177-182. DOI: https://doi.org/10.1002/ajmg.a.11
Erickson EN, Carter CS, Emeis CL. Oxytocin, vasopressin and prolactin in new breastfeeding mothers: Relationship to clinical characteristics and infant weight loss. J Hum Lact [Internet]. 2019 abr. 29:890334419838225. DOI: https://doi.org/10.1177/0890334419838225
Barros da Silva R, Barbieri-Figueiredo MDC, Van Riper M. Breastfeeding experiences of mothers of children with down syndrome. Compr Child Adolesc Nurs [Internet]. 2019 dic. 42(4):250-264. DOI: https://doi.org/10.1080/24694193.2018.1496493
L Mok WK, Wong WH, Mok GT, et al. Validation and application of health utilities index in Chinese subjects with Down syndrome. Health Qual Life Outcomes [Internet]. 2014;12:144. DOI: https://doi.org/10.1186/s12955-014-0144-x
Génova L1, Cerda J2, Correa C3, Vergara N3, Lizama M4. Good health indicators in children with Down syndrome: High frequency of exclusive breastfeeding at 6 months. Rev Chil Pediatr [Internet]. 2018 febr. 89(1):32-41. DOI: https://doi.org/10.4067/S0370-41062018000100032
Ergaz-Shaltiel Z, Engel O, Erlichman I, Naveh Y, Schimmel MS, Tenenbaum A Neonatal characteristics and perinatal complications in neonates with Down síndrome. Am J Med Genet A [Internet]. 2017 my. 173(5):1279-1286. DOI: https://doi.org/10.1002/ajmg.a.38165
Chen CL, Gilbert TJ, Daling JR. Maternal smoking and Down syndrome: The confounding effect of maternal age. Am J Epidemiol [Internet]. 1999 mzo. 1;149(5):442-6. DOI: https://doi.org/10.1093/oxfordjournals.aje.a009831
Schieve LA, Boulet, SL, Boyle C, Rasmussen SA, Schendel D. Health of Children 3 to 17 years of age with down syndrome in the 1997-2005 National Health Interview Survey. Pediatrics [Internet]. 2009, 123(2), E253-E260. DOI: https://doi.org/10.1542/peds.2008-1440
Walters DD, Phan LTH, Mathisen R. The cost of not breastfeeding: Global results from a new tool. Health Policy Plan [Internet]. 2019 jul. 1;34(6):407-417. DOI: https://doi.org/10.1093/heapol/czz050
Emma J. Glasson E, Jacques A, Wong K, Bourke J, Leonard H. Improved Survival in Down syndrome over the last 60 years and the impact of perinatal factors in recent decades. J Pediatr [Internet]. 2016; 169:214-20. DOI: https://doi.org/10.1016/j.jpeds.2015.10.083
Timur Taşhan S, Hotun Sahin N, Omaç Sönmez M. Maternal smoking and newborn sex, birth weight and breastfeeding: A population-based study. J Matern Fetal Neonatal Med [Internet]. 2017 nov. 30(21):2545-2550. DOI: https://doi.org/10.1080/14767058.2016.1256986
De Graaf G., Buckley F., Skotko B. G. Estimation of the number of people with Down syndrome in the United States. Genetics in Medicine [Internet]. 2017 (19): 439-447. DOI: https://doi.org/10.1038/gim.2016.127
Organización Mundial de la Salud. Metas mundiales de nutrición 2025: documento normativo sobre lactancia materna [Global nutrition targets 2025: breastfeeding policy brief ]. Ginebra: Organización Mundial de la Salud; 2017.
Downloads
Published
How to Cite
Issue
Section
License
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.
