Boskabadi H, Maamouri G, Bagheri F, Zakerihamidi M

Language: English
References: 27
Page: 199-207
PDF size: 214.29 Kb.

ABSTRACT

Objective: To compare newborns fed exclusively on human milk with those fed sugar water along with the mother's milk.
Material and Method: Cross-sectional study conducted on selected newborns through sampling available at the clinic and neonatal ward and the emergency department of Ghaem Hospital in Mashhad, Iran, during 2014-2018. The data collection tool was a questionnaire developed by researchers that included laboratory data, maternal information, and neonatal characteristics. The data was analyzed with t for Student and χ².
Results: Of 445 neonates, 324 (72.8%) were exclusively breastfed, and 121 (27.2%) were fed breast milk along with sugar water. A significant difference was found between the two groups in terms of maternal age (p = 0.001), breastfeeding frequency (p = 0.002), feeding duration (p = 0.013), urination frequency (p = 0.001), weight on admission (p = 0.001), daily weight loss (p = 0.001), daily weight loss percentage (p = 0.001), and serum levels of sodium (p = 0.001), potassium (p = 0.019), urea (p = 0.001), creatinine (p = 0.001), and platelet (p = 0.001). Moreover, lethargy, irritability, mucosal dryness, hyperthermia, apnea, loss of consciousness, mother’s breast problems, and inappropriate breastfeeding position were more common in newborns who were fed sugar water along with breast milk, compared to exclusively breastfed newborns.
Conclusion: All indications are that nutritional and maternal breast problems, laboratory abnormalities and neonatal complications increased when sugar water was added to human milk.

REFERENCES

1. WHO U, USAID A, UCDAVIS I. Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. Geneva: World Health Organization, 2008.

2. Geneva SW. The optimal duration of exclusive breastfeeding. A systematic review. Geneva WHO, 2001.

3. Boskabadi H, et al. The effect of traditional remedies (Camel's Thorn, Flixweed and Sugar Water) on idiopathic neonatal jaundice. Iran J Pediatr. 2011;21(3):325.

4. Boskabadi H, Bagheri S. Comparison between infants receiving traditional supplements (camel thorn, flix weed, and sugar water) and exclusively breast-fed infants. Avicenna J Phytomed. 2015; 5 (6): 479.

5. Behrman R, et al. Nelson Textbook of Pediatrics. Philadelphia: WB Saunders, 2004.

6. Stuebe AM, Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med. 2011; 6 (6): 413-20.

7. Ahmed A, et al. Complications due to breastfeeding associated hypernatremic dehydration. J Clin Neonatol. 2014; 3 (3): 153.

8. Qiu LG, et al. Infants. Asia Pac J Clin Nutr. 2007; 16 (S1): 458-61.

9. El-Gilany AH, et al. Newborn first feed and prelacteal feeds in Mansoura, Egypt. Biomed Res Int. 2014. https://doi. org/10.1155/2014/258470

10. Fikree FF, et al. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Soc Sci Med. 2005; 60 (5): 911-21.

11. Saúde MdSSdAà. Departamento de Ações Programáticas e Estratégias. II Pesquisa de prevalência de aleitamento materno nas capitais brasileiras e Distrito Federal. Ministério da Saúde Brasília; 2009.

12. Mortazavi F, et al. Breastfeeding Practices During the First Month Postpartum and Associated factors: impact on breastfeeding survival. Iran red crescent Med J. 20: 17(4); e27814.

13. Gartner LM, et al. Breastfeeding and the use of human milk. Pediatrics. 2005; 115 (2): 496-506.

14. Boskabadi H, et al. Long-term neurodevelopmental outcome of neonates with hypernatremic dehydration. Breastfeed Med. 2017; 12 (3): 163-8.

15. Giugliani ERJ, et al. Intake of water, herbal teas and nonbreast milks during the first month of life: associated factors and impact on breastfeeding duration. Early Hum Dev. 2008; 84 (5): 305-10.

16. Jalali Aria K, et al. Causes of unsuccessful exclusive breastfeeding in mother registered in Gorgan health centers. J Gorgan Univ Med Sci. 2001; 8: 81-6.

17. Boskabadi H, et al. Risk factors of breast problems in mothers and its effects on newborns. Iran Red Crescent Med J. 2014; 16 (6).

18. Rocci E, Fernandes RAQ. Breastfeeding difficulties and influence in the early weaning. Rev Bras Enferm. 2014; 67 (1): 22-7.

19. Buckstegge AK, et al. Weaning and associated factors in children from low-income communities. Rev Odontol UNESP. 2014; 43 (3): 172-9.

20. Mohammadpour R, et al. Determination of effective factors breastfeeding duration using survival analysis. J Res Dev Nurs Midwifery 2017; 14 (2): 45-50.

21. Rasenack R, et al. Factors associated with the duration of breastfeeding in the Freiburg birth collective, Germany (FreiStill). Geburtshilfe Frauenheilkd. 2012; 72 (01): 64-9.

22. Martin-Calama J, et al. The effect of feeding glucose water to breastfeeding newborns on weight, body temperature, blood glucose, and breastfeeding duration. J Hum Lancet. 1997; 13 (3): 209-13.

23. Boskabadi H, et al Significant neonatal weight loss related to idiopathic neonatal hyperbilirubinemia. Int J Pediatr. 2014; 2 (4.1): 225-31.

24. Eregie CO. Observations on urinary frequency in exclusively breastfed neonates. East Afr Med J. 1998; 75 (10): 576-8.

25. Boskabadi H, et al. The study of the relationship between hypernatremia in neonates and mode of maternal breast feeding in hospitalized infants in Ghaem Hospital of Mashhad, Iran. IJOGI. 2014; 16 (90): 1-9. http://ijogi.mums.ac.ir/ article_2591.html

26. Boskabadi H, Mohammadi S. Evaluation of risk factors associated with breastfeeding in infants with acute renal failure. MJMS. 2015; 85 (1): 7-11.

27. Boskabadi H, Rakhshanizadeh F. Neonatal hypernatremic dehydration and thrombocytopenia: Its prevalence and relationship with prognosis. Iran J Pediatr. 2018; 28 (4).