Cargando…

Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study

BACKGROUND: Childbirth and lactation are intricate processes, involving several hormones, the most important of which are prolactin (a protein hormone) and cortisol (one of the glucocorticoids). The early postpartum period is crucial for both mother and newborn and has an impact on the lactation and...

Descripción completa

Detalles Bibliográficos
Autores principales: Wszołek, Katarzyna Maria, Chmaj-Wierzchowska, Karolina, Pięt, Małgorzata, Tarka, Agata, Chuchracki, Marek, Męczekalski, Błażej, Wilczak, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436720/
https://www.ncbi.nlm.nih.gov/pubmed/36050767
http://dx.doi.org/10.1186/s13006-022-00508-2
_version_ 1784781433950175232
author Wszołek, Katarzyna Maria
Chmaj-Wierzchowska, Karolina
Pięt, Małgorzata
Tarka, Agata
Chuchracki, Marek
Męczekalski, Błażej
Wilczak, Maciej
author_facet Wszołek, Katarzyna Maria
Chmaj-Wierzchowska, Karolina
Pięt, Małgorzata
Tarka, Agata
Chuchracki, Marek
Męczekalski, Błażej
Wilczak, Maciej
author_sort Wszołek, Katarzyna Maria
collection PubMed
description BACKGROUND: Childbirth and lactation are intricate processes, involving several hormones, the most important of which are prolactin (a protein hormone) and cortisol (one of the glucocorticoids). The early postpartum period is crucial for both mother and newborn and has an impact on the lactation and breastfeeding process. METHODS: The study included 78 patients who were admitted to the Gynecology-Obstetrics Clinical Hospital in Poznań for labor induction and/or in the active phase of the first labor stage. The levels of cortisol and prolactin in serum were assessed in these women during admission in labor, during the third labor stage, and on the second day postpartum. The levels of cortisol and prolactin in the umbilical cord serum were assessed immediately after cord clamping. The “Protocol for the assessment of breast-suckling skills” was used to assess the neonatal breast-suckling skills on the second day postpartum. Some additional parameters were evaluated in mothers via a telephone interview at three and six months postpartum. The study was conducted from January to August 2020, however the study was suspended during April–July 2020 due to the SARS-CoV-2 pandemic, which led to restrictions in the hospital limiting access to the hospital wards unless necessary. RESULTS: Early breastfeeding with skin-to-skin contact was associated with low levels of hormones, cortisol levels were lower in serum (p = 0.0108) and umbilical vein (p = 0.0273) in mothers who breastfed immediately after childbirth. At three months postpartum, 88% of the mothers who did not offer a pacifier to the child during the first few days of life breastfed the child naturally (p = 0.037), and at six months, 96% of those who did not offer a pacifier continued to breastfeed (p = 0.0008). Multiple, statistically significant correlations were observed between the variables assessed according to the “Protocol for the assessment of breast-suckling skills” and breastfeeding after three months. CONCLUSIONS: Breastfeeding immediately after childbirth, appropriate assessment of the breast-suckling skills of newborns, avoiding pacifiers and infant formula feeding, and offering support to new mothers in the early days after childbirth seem to be important factors for sustaining breastfeeding after three and six months of childbirth.
format Online
Article
Text
id pubmed-9436720
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-94367202022-09-02 Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study Wszołek, Katarzyna Maria Chmaj-Wierzchowska, Karolina Pięt, Małgorzata Tarka, Agata Chuchracki, Marek Męczekalski, Błażej Wilczak, Maciej Int Breastfeed J Research BACKGROUND: Childbirth and lactation are intricate processes, involving several hormones, the most important of which are prolactin (a protein hormone) and cortisol (one of the glucocorticoids). The early postpartum period is crucial for both mother and newborn and has an impact on the lactation and breastfeeding process. METHODS: The study included 78 patients who were admitted to the Gynecology-Obstetrics Clinical Hospital in Poznań for labor induction and/or in the active phase of the first labor stage. The levels of cortisol and prolactin in serum were assessed in these women during admission in labor, during the third labor stage, and on the second day postpartum. The levels of cortisol and prolactin in the umbilical cord serum were assessed immediately after cord clamping. The “Protocol for the assessment of breast-suckling skills” was used to assess the neonatal breast-suckling skills on the second day postpartum. Some additional parameters were evaluated in mothers via a telephone interview at three and six months postpartum. The study was conducted from January to August 2020, however the study was suspended during April–July 2020 due to the SARS-CoV-2 pandemic, which led to restrictions in the hospital limiting access to the hospital wards unless necessary. RESULTS: Early breastfeeding with skin-to-skin contact was associated with low levels of hormones, cortisol levels were lower in serum (p = 0.0108) and umbilical vein (p = 0.0273) in mothers who breastfed immediately after childbirth. At three months postpartum, 88% of the mothers who did not offer a pacifier to the child during the first few days of life breastfed the child naturally (p = 0.037), and at six months, 96% of those who did not offer a pacifier continued to breastfeed (p = 0.0008). Multiple, statistically significant correlations were observed between the variables assessed according to the “Protocol for the assessment of breast-suckling skills” and breastfeeding after three months. CONCLUSIONS: Breastfeeding immediately after childbirth, appropriate assessment of the breast-suckling skills of newborns, avoiding pacifiers and infant formula feeding, and offering support to new mothers in the early days after childbirth seem to be important factors for sustaining breastfeeding after three and six months of childbirth. BioMed Central 2022-09-01 /pmc/articles/PMC9436720/ /pubmed/36050767 http://dx.doi.org/10.1186/s13006-022-00508-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wszołek, Katarzyna Maria
Chmaj-Wierzchowska, Karolina
Pięt, Małgorzata
Tarka, Agata
Chuchracki, Marek
Męczekalski, Błażej
Wilczak, Maciej
Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title_full Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title_fullStr Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title_full_unstemmed Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title_short Neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
title_sort neonatal breast-suckling skills in the context of lactation and peripartum hormonal changes and additional factors—a pilot study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436720/
https://www.ncbi.nlm.nih.gov/pubmed/36050767
http://dx.doi.org/10.1186/s13006-022-00508-2
work_keys_str_mv AT wszołekkatarzynamaria neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT chmajwierzchowskakarolina neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT pietmałgorzata neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT tarkaagata neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT chuchrackimarek neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT meczekalskibłazej neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy
AT wilczakmaciej neonatalbreastsucklingskillsinthecontextoflactationandperipartumhormonalchangesandadditionalfactorsapilotstudy