donderdag 9 december 2010

A good start

The last decennia much has changed in the perinatal care and the routines have become  breastfeeding friendly. An important development was that children were not taken away from their mothers right away and that children could stay in mom’s room. More recently the importance of skin-to-skin contact is being recognised and most babies are allowed to spend some time undressed on their mothers’ tummies right after they are born. Research shows that skin contact good is for babies, for the initiation of mother-baby bonding and the initiation of breastfeeding. Moore & Cranston Anderson found a difference in the early days of breastfeeding, but not after a month. Olson et al found in their research that the decrease in breastfeeding after some weeks, despite intensive counselling and instruction, may very well be caused by the cessation of skin-to-skin position after the 1e hour postpartum and the first breastfeeding. She found that human infants ar not dorsal feeders (with pressure needed along the baby's back), but rather abdominal feeders and, like many other animals. In the prone position they show a diversity of reflex activity aimed at searching and finding the breast, latching on and maintaining milk flow. This way of breastfeeding (Biological Nurturing) prevents much of the ‘’fighting at the breast’’ behaviour many infants show at being put to breast and it enhances effective and do-it-yourself latching on.
Colson SD, Meek , Jane M. Hawdon JM: Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding. Early Human Development 2008, 84(7):441-449.
Moore ER, Cranston Anderson G: Randomized Controlled Trial of Very Early Mother–Infant Skin-to-Skin Contact and Breastfeeding Status. Journal of midwifery & women's health 1 March 2007 (volume 52 issue 2 Pages 116-125

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