Pub Date : 2015-08-01DOI: 10.1177/1941406415595077
Julie Bouchet-Horwitz
The debate over infant nutrition is finally over. Researchers and the public recognize that breast milk is the optimal nutrition for all infants. We now have agreement among the public, the medical...
{"title":"Ensuring Breastfeeding Success","authors":"Julie Bouchet-Horwitz","doi":"10.1177/1941406415595077","DOIUrl":"https://doi.org/10.1177/1941406415595077","url":null,"abstract":"The debate over infant nutrition is finally over. Researchers and the public recognize that breast milk is the optimal nutrition for all infants. We now have agreement among the public, the medical...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125925799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415590684
R. Cohen, O. Mayer, April D Fogleman
Feeding prematurely born infants after their stay in the neonatal intensive care unit (NICU) remains problematic. Growth in the NICU is almost always well below the intrauterine rate, and extrauterine growth restriction is common. Breastfeeding is difficult in the NICU, and human milk alone may not always provide adequate protein or minerals for optimal growth. At the time of NICU discharge, a regimen is needed that is supportive of both ongoing lactation and optimal nutrition. However, there is no one regimen that suits all babies and families. We propose a simplified algorithm to help guide the clinical team in deciding what dietary regimen is best suited for their patients.
{"title":"Managing the Human-Milk-Fed, Preterm, VLBW Infant at NICU Discharge A Simpler Algorithm?","authors":"R. Cohen, O. Mayer, April D Fogleman","doi":"10.1177/1941406415590684","DOIUrl":"https://doi.org/10.1177/1941406415590684","url":null,"abstract":"Feeding prematurely born infants after their stay in the neonatal intensive care unit (NICU) remains problematic. Growth in the NICU is almost always well below the intrauterine rate, and extrauterine growth restriction is common. Breastfeeding is difficult in the NICU, and human milk alone may not always provide adequate protein or minerals for optimal growth. At the time of NICU discharge, a regimen is needed that is supportive of both ongoing lactation and optimal nutrition. However, there is no one regimen that suits all babies and families. We propose a simplified algorithm to help guide the clinical team in deciding what dietary regimen is best suited for their patients.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131265756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415579718
F. Nice
Breastfeeding mothers are often are concerned about an inadequate quantity of breast milk, designated as insufficient milk supply. Many breastfeeding mothers will attempt to increase the quantity of breast milk production by taking prescription drugs and/or herbs and foods called galactogogues. Galactogogues are defined simply as substances that promote lactation. The most common prescription galactogogues are domperidone, metoclopramide, metformin, and oxytocin. Many common herbals and foods have been traditionally used as galactogogues. These galactogogues will be reviewed; this information will allow health care professionals in all settings to provide consultative services to breastfeeding mothers. Breastfeeding mothers and supporters will find the information useful to determine if galactogogues are necessary, and if so, which galactogogues are appropriate for use. Treatment guidelines including benefits, doses, actions, and cautions are discussed.
{"title":"Selection and Use of Galactogogues","authors":"F. Nice","doi":"10.1177/1941406415579718","DOIUrl":"https://doi.org/10.1177/1941406415579718","url":null,"abstract":"Breastfeeding mothers are often are concerned about an inadequate quantity of breast milk, designated as insufficient milk supply. Many breastfeeding mothers will attempt to increase the quantity of breast milk production by taking prescription drugs and/or herbs and foods called galactogogues. Galactogogues are defined simply as substances that promote lactation. The most common prescription galactogogues are domperidone, metoclopramide, metformin, and oxytocin. Many common herbals and foods have been traditionally used as galactogogues. These galactogogues will be reviewed; this information will allow health care professionals in all settings to provide consultative services to breastfeeding mothers. Breastfeeding mothers and supporters will find the information useful to determine if galactogogues are necessary, and if so, which galactogogues are appropriate for use. Treatment guidelines including benefits, doses, actions, and cautions are discussed.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132973482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415587555
Ruth A. Munday
The importance of providing human milk for the premature infant is well supported in current literature. Neonates born prematurely with congenital anomalies requiring surgery prior to initiation of oral or enteral feeds present an additional challenge to the already complex breastfeeding dyad. As human milk has been proven to be the best source of nutrition for premature infants, the goal of discharging patients home on breastmilk/breastfeeding needs to become a priority. Literature suggests the maternal decision to breastfeed is key in the initiation and duration of a mother’s milk supply. This case report reviews the outcome of maternal decision and lactation support provided to a mother of a premature infant requiring surgical intervention for esophageal atresia with tracheal esophageal fistula within the first few days of life.
{"title":"A Case Report of the Impact of Maternal Decision to Breastfeed Her Premature Surgical Infant","authors":"Ruth A. Munday","doi":"10.1177/1941406415587555","DOIUrl":"https://doi.org/10.1177/1941406415587555","url":null,"abstract":"The importance of providing human milk for the premature infant is well supported in current literature. Neonates born prematurely with congenital anomalies requiring surgery prior to initiation of oral or enteral feeds present an additional challenge to the already complex breastfeeding dyad. As human milk has been proven to be the best source of nutrition for premature infants, the goal of discharging patients home on breastmilk/breastfeeding needs to become a priority. Literature suggests the maternal decision to breastfeed is key in the initiation and duration of a mother’s milk supply. This case report reviews the outcome of maternal decision and lactation support provided to a mother of a premature infant requiring surgical intervention for esophageal atresia with tracheal esophageal fistula within the first few days of life.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122133622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415595861
L. Hurd
Breast milk contains a perfect blend of macronutrients, vitamins, minerals, and water. This supports a baby’s nutritional needs exclusively for the first 6 months and beyond when paired with solid ...
{"title":"Optimizing the Microbiome and Immune System With Maternal Diet in Pregnancy and Lactation May Prevent Food Allergies in Infants","authors":"L. Hurd","doi":"10.1177/1941406415595861","DOIUrl":"https://doi.org/10.1177/1941406415595861","url":null,"abstract":"Breast milk contains a perfect blend of macronutrients, vitamins, minerals, and water. This supports a baby’s nutritional needs exclusively for the first 6 months and beyond when paired with solid ...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121659026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-07-22DOI: 10.1177/1941406415595862
E. Barr, M. Sowa, M. Boyer, R. Chang
Phenylalanine hydroxylase (PAH) deficiency is a metabolic disorder that requires lifelong diet adherence for optimal neurodevelopmental and psychological outcomes. Maintaining phenylalanine (Phe) levels within the desired range (120-360 µmol/L) can be increasingly difficult as children grow older, gain more autonomy, and are affected by social influences. After exhausting outpatient intervention measures with 5 patients with severe PAH deficiency, hospitalization was pursued. Phe levels rapidly decreased in all cases. Despite the inability for 3 of the 5 patients to maintain optimal dietary adherence after hospitalization, the information gained regarding the patients’ protein tolerance was invaluable. Our clinic has found this approach to be a useful tool in the ongoing management of patients with PAH deficiency and will continue to consider hospitalization for our patients who are failing outpatient management.
{"title":"Phenylalanine Hydroxylase Deficiency Hospitalizations A Novel Approach to Nutritional Management","authors":"E. Barr, M. Sowa, M. Boyer, R. Chang","doi":"10.1177/1941406415595862","DOIUrl":"https://doi.org/10.1177/1941406415595862","url":null,"abstract":"Phenylalanine hydroxylase (PAH) deficiency is a metabolic disorder that requires lifelong diet adherence for optimal neurodevelopmental and psychological outcomes. Maintaining phenylalanine (Phe) levels within the desired range (120-360 µmol/L) can be increasingly difficult as children grow older, gain more autonomy, and are affected by social influences. After exhausting outpatient intervention measures with 5 patients with severe PAH deficiency, hospitalization was pursued. Phe levels rapidly decreased in all cases. Despite the inability for 3 of the 5 patients to maintain optimal dietary adherence after hospitalization, the information gained regarding the patients’ protein tolerance was invaluable. Our clinic has found this approach to be a useful tool in the ongoing management of patients with PAH deficiency and will continue to consider hospitalization for our patients who are failing outpatient management.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117343914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-07-20DOI: 10.1177/1941406415592671
Vergie Hughes
To combat the worldwide decline in breastfeeding rates, the World Health Organization and UNICEF launched the Baby-Friendly Hospital Initiative in 1991. Using the Ten Steps to Breastfeeding Success, hospitals are improving their policies and procedures that will ensure a successful start to breastfeeding. Despite the overwhelming research evidence on the efficacy of breastmilk and breastfeeding, hospitals have difficulty implementing all of the steps to optimally support the initiation of breastfeeding. This article is an overview of the Baby-Friendly Hospital Initiative in the United States.
{"title":"The Baby-Friendly Hospital Initiative in US Hospitals:","authors":"Vergie Hughes","doi":"10.1177/1941406415592671","DOIUrl":"https://doi.org/10.1177/1941406415592671","url":null,"abstract":"To combat the worldwide decline in breastfeeding rates, the World Health Organization and UNICEF launched the Baby-Friendly Hospital Initiative in 1991. Using the Ten Steps to Breastfeeding Success, hospitals are improving their policies and procedures that will ensure a successful start to breastfeeding. Despite the overwhelming research evidence on the efficacy of breastmilk and breastfeeding, hospitals have difficulty implementing all of the steps to optimally support the initiation of breastfeeding. This article is an overview of the Baby-Friendly Hospital Initiative in the United States.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124911309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-16DOI: 10.1177/1941406415591207
M. Wilken, V. Cremer, Stephan Echtermeyer
Introduction. Over the past 2 decades a dramatic increase of pediatric feeding via tube has been reported, which has resulted in a higher prevalence of feeding tube dependency (FTD). Several treatment programs for FTD have been established over the past 2 decades, but only a few with detailed outlines and definitions of terms have been published. This article will outline the home-based tube weaning program as well review existing evidence. Program Outline. The home-based treatment program is a new treatment modality that allows children to stay in a home environment during treatment. The underlying condition as well as the treatment in its 5 phases have been outlined: assessment, preparation, hunger induction, intensive treatment, and follow-up. Treatment Outcome. Three articles regarding the treatment outcomes of home-based FTD treatment were reviewed. The results of this review show that the success rate of the treatment program has been consistently 90% of the involved cases, with major improvements i...
{"title":"Home-Based Feeding Tube Weaning Outline of a New Treatment Modality for Children With Long-Term Feeding Tube Dependency","authors":"M. Wilken, V. Cremer, Stephan Echtermeyer","doi":"10.1177/1941406415591207","DOIUrl":"https://doi.org/10.1177/1941406415591207","url":null,"abstract":"Introduction. Over the past 2 decades a dramatic increase of pediatric feeding via tube has been reported, which has resulted in a higher prevalence of feeding tube dependency (FTD). Several treatment programs for FTD have been established over the past 2 decades, but only a few with detailed outlines and definitions of terms have been published. This article will outline the home-based tube weaning program as well review existing evidence. Program Outline. The home-based treatment program is a new treatment modality that allows children to stay in a home environment during treatment. The underlying condition as well as the treatment in its 5 phases have been outlined: assessment, preparation, hunger induction, intensive treatment, and follow-up. Treatment Outcome. Three articles regarding the treatment outcomes of home-based FTD treatment were reviewed. The results of this review show that the success rate of the treatment program has been consistently 90% of the involved cases, with major improvements i...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115545672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-01DOI: 10.1177/1941406415584819
O. Olukotun, Nuananong Seal
Dietary assessment tools are useful in nutritional epidemiology for identifying dietary patterns in both children and adults. Most commonly, dietary assessment methods include 24-hour recalls, food frequency questionnaires (FFQs), and food records. Despite the general acceptability of these methods, their accuracy and appropriateness for children have largely been underexamined. The purpose of this review was to identify the most appropriate dietary assessment methods for children age 11 years and younger by evaluating the existing evidence in relation to the validity and reliability of dietary assessment tools used in this population. This review consists of a systematic search of 3 electronic databases. In total, 9 studies with a sum of 735 participants were included in the review: 3 studies assessed the validity of 24-hour recalls; 5 assessed the validity of FFQs; and 1 assessed the validity of food record. The findings suggest that a FFQ may be the best method for assessing dietary intake in children ...
{"title":"A Systematic Review of Dietary Assessment Tools for Children Age 11 Years and Younger","authors":"O. Olukotun, Nuananong Seal","doi":"10.1177/1941406415584819","DOIUrl":"https://doi.org/10.1177/1941406415584819","url":null,"abstract":"Dietary assessment tools are useful in nutritional epidemiology for identifying dietary patterns in both children and adults. Most commonly, dietary assessment methods include 24-hour recalls, food frequency questionnaires (FFQs), and food records. Despite the general acceptability of these methods, their accuracy and appropriateness for children have largely been underexamined. The purpose of this review was to identify the most appropriate dietary assessment methods for children age 11 years and younger by evaluating the existing evidence in relation to the validity and reliability of dietary assessment tools used in this population. This review consists of a systematic search of 3 electronic databases. In total, 9 studies with a sum of 735 participants were included in the review: 3 studies assessed the validity of 24-hour recalls; 5 assessed the validity of FFQs; and 1 assessed the validity of food record. The findings suggest that a FFQ may be the best method for assessing dietary intake in children ...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117290211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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