A proposal to recognize investment in breastfeeding as a carbon offset

Bulletin of the World Health Organization, Journal Year: 2024, Volume and Issue: 102(5), P. 336 - 343

Published: May 1, 2024

Policy-makers need to rethink the connections between economy and health. The World Health Organization Council on Economics of for All has called human planetary health well-being be moved core decision-making build economies Doing so involves valuing measuring what matters, more better financing, innovation common good rebuilding public sector capacity. We this thinking argue that breastfeeding should recognized in food statistics, while investments considered a carbon offset global financing arrangements sustainable food, economic systems. Breastfeeding women nourish half world's infants young children with immense quantities highly valuable milk. This care work is not counted gross domestic product or national balance sheets, yet ever-increasing commercial milk formula sales are counted. Achieving nutrition targets would realize far greater reductions greenhouse gas emissions than decarbonizing manufacturing. New metrics mechanisms needed achieve health, sustainability equity gains from optimal infant child feeding. Properly crucial environmental resources measurement systems redirect international financial away expanding carbon-emitting activities, towards really is, all. start considering as highest quality, local, first-food system generations come.

Language: Английский

---

Prenatal SARS-CoV-2 Infection Alters Human Milk-Derived Extracellular Vesicles

Cells, Journal Year: 2025, Volume and Issue: 14(4), P. 284 - 284

Published: Feb. 15, 2025

Human milk-derived extracellular vesicles (HMEVs) are key components in breast milk, promoting infant health and development. Maternal conditions could affect HMEV cargo; however, the impact of SARS-CoV-2 infection on HMEVs remains unknown. This study investigated influence during pregnancy postpartum molecules. The median duration from test positivity to milk collection was 3 months. After defatting casein micelle disaggregation, were isolated samples nine mothers with prenatal six controls by sequential centrifugation, ultrafiltration, qEV-size exclusion chromatography. presence confirmed via transmission electron microscopy. Nanoparticle tracking analysis demonstrated particle diameters <200 nm yields >1 × 1011 particles per mL milk. Western immunoblots detected ALIX, CD9, HSP70, supporting isolates. Cargo thousands analyzed using a multi-omics approach, including proteomics microRNA sequencing, predicted that produced enhanced functionalities involving metabolic reprogramming, mucosal tissue development, immunomodulation. Our findings suggest boosts site-specific functions HMEVs, potentially protecting infants against viral infections. Further prospective studies should be pursued reevaluate short- long-term benefits breastfeeding post-COVID era.

Language: Английский

---

Global lessons for strengthening breastfeeding as a key pillar of food security

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Aug. 22, 2023

Breastfeeding is identified as a central pillar of food security by the World Health Organization, however globally significant challenges remain in achieving breastfeeding targets for early initiation, exclusive 6 months, and continued 2 years beyond. Inadequate support health systems, poor maternity protections workplace policies, insufficient regulation commercial milk formulas, among other barriers, continue to undermine this key across nations. This paper highlights importance diverse global settings examining three case studies: Honduras, Pakistan USA. The cases highlight complex layering intersections that threaten era pandemics, climate crisis, conflict inequality. Lessons drawn from these studies, combined with additional insights, reinforce multisectorial collaboration scale up investment creating equitable, enabling environments breastfeeding. These structural systems approaches can successfully strengthen ecosystem ensure greater first system resilience face crises, which compound maternal infant vulnerabilities. Additionally, add urgency attention prioritizing incorporating IYCF-E protocols into disaster preparedness management policy agenda, well ensuring considered energy policy. An integrated approach change necessary recognize pivotal part globe.

Language: Английский

---

Human milk bank services and Islamic milk kinship: pathways and processes for ensuring respect for religious law and tradition in the provision of donor human milk for small vulnerable newborns

International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 16, 2025

Language: Английский

---

Academy of Breastfeeding Medicine Position Statement: Breastfeeding in Emergencies

Breastfeeding Medicine, Journal Year: 2024, Volume and Issue: 19(9), P. 666 - 682

Published: Sept. 1, 2024

During emergencies, including natural disasters and armed conflict, breastfeeding is critically important. Breastfeeding provides reliable nutrition protection against infectious diseases, without the need for clean water, feeding implements, electricity, or external supplies.

Language: Английский

---

Facilitators and Barriers of Wet Nursing from Antiquity to the Present: A Narrative Review with Implications for Emergencies

Breastfeeding Medicine, Journal Year: 2024, Volume and Issue: 19(3), P. 155 - 165

Published: March 1, 2024

Background: If maternal breastfeeding is not possible, wet nursing allows infants to receive the nutrition and protection against disease that provides. Such may be particularly valuable in emergencies. However, while recommended Operational Guidance on Infant Young Child Feeding Emergencies it underutilized. This narrative review aimed develop an understanding of practice across time location, why currently so little supported inform interventions support Method: Medline Embase were searched for "wet nursing," "cross-nursing," "shared breastfeeding," "non-maternal nursing". Included articles inductively analyzed identify positive negative factors associated with previous practice. Results: included 74 records. Our analysis literature includes historical contemporary themes milk kinship as risky being shared periods. revealed how undertaken influences whether benefits women, children, societies or not. Facilitators barriers emergencies related infant mortality rates, cultural individual nursing, availability nurses, resources nursing. Conclusion: Understanding conditions under which has outcomes what can done facilitate beneficial practices will assist enabling more commonly implemented

Language: Английский

---

Rescinding evidence-based care and practices during the initial COVID-19 outbreak in the United States: a qualitative study of the experiences of lactation support providers

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Aug. 10, 2023

Background The COVID-19 pandemic disrupted healthcare systems and services including along the childbearing continuum. aim of this study was to explore experiences perceptions professional lactation support providers who cared for breastfeeding families during early months (March 2020 – August 2020) in United States. Design/methods We conducted a qualitative survey among active Eligible participants spoke English, were Certified Lactation Counselors maintained an certification provided care prior after onset pandemic. Participants recruited via email from national database obtained body. All ten Health Human Service regions States included. Demographic data collected on each respondent. Qualitative responses analyzed thematically following framework method. Findings Six-hundred seventy-four (674) responded June July 2022. Their fell within overarching theme rescinding evidence-based practices that had been place Affected included insertion limits access insinuating stigma bias based status. Irregular appointment schedules staffing shortages also affected care. reported separation mother their infant became norm. Decisions made by management seemed be grounded fear uncertainty, rather than principles Conclusion A lack coordination, consistency support, with unknown, troubled impacted ability provide maintain all families. findings analysis underscore importance adequately preparing future public health crises determining how can preserved emergent situations.

Language: Английский

---

Implementing recommended breastfeeding practices in healthcare facilities in India during the COVID-19 pandemic: a scoping review of health system bottlenecks and potential solutions

Frontiers in Nutrition, Journal Year: 2023, Volume and Issue: 10

Published: July 31, 2023

Background Breastfeeding practices in institutional settings got disrupted during the COVID-19 pandemic. We reviewed challenges faced and “work-around” solutions identified for implementing recommended breastfeeding institutionalized mother-newborn dyads resource constrained pandemic with aim to identify learnings that could be potentially adapted Indian relatable contexts, building resilient health systems. Methods conducted a scoping review of literature using PRISMA ScR Extension guidelines. searched Medline via PubMed Web Science databases published between 1st December 2019 15th April 2022. included original research, reviews, policy recommendations English language on India while others were excluded. Further, we relevant gray Google (free word search), websites government major professional bodies India. Three reviewers independently screening data extraction results displayed tabular form. Challenges potential categorized under one or more suitable headings based WHO blocks Results extracted from 28 papers deemed eligible. across all six blocks. Lack standard guidelines crisis management, separation newborn mother immediately after birth, inadequate logistics resources infection prevention control, limited workforce, extensive use formula alternative foods, inconsistent quality care support, poor awareness among beneficiaries about (and especially, its safety pandemic) some identified. The primarily focused development operating procedures, restricted formula, telemedicine services counseling improving availability risk mitigation through strategic mobilization. Conclusion has provided rich learning opportunities system strengthening Countries must strengthen mechanisms adapt best within their systems other settings.

Language: Английский

---

Characteristics and factors influencing the volume of breastmilk donated by women to the first human milk bank in Vietnam

Frontiers in Global Women s Health, Journal Year: 2023, Volume and Issue: 4

Published: Oct. 2, 2023

Donor human milk (DHM) is essential to the operation of banks (HMB). This study examined characteristics and factors associated with higher volumes DHM donation at first HMB in Vietnam.Data from an online monitoring system collected between February 2017 July 2022 included demographic characteristics, child information, timing donation, volume DHM. Higher defined as equal or greater than median per donor 14.4 liters (L). Potential contributors were using chi-square test univariate multivariable logistic regression analysis.During 5.5-year operation, this recruited 517 donors average age 28.6 years. Approximately 60.9% had a college degree 97.3% gave birth Da Nang city. Of these donors, prevalence cesarean was 48.2%, preterm births 40.2%, 27.9% babies weight less 1,500 g. There similar proportion hospital (48.2%) community (51.8%). On average, started their donations 15 days after when newborns 33.9 weeks corrected compared 63 47.7 among community-based donors. The overall L over period 46 days. amount duration (17.5 72 days, 300 ml/day) those (8.4 30 258 ml/day). More 37% contacted themselves; remainder introduced by health professionals. Factors education (OR: 1.77; 95% CI: 1.09, 2.87), having full-term newborn 2.46; 1.46, 4.13), 2.15; 1.22, 3.78).Mothers donate more breastmilk longer lower hospital. Breastfeeding protection, promotion, support should be offered all mothers specialized breastfeeding for sick infants. will ensure have sufficient potentially surplus donation.

Language: Английский

---

Multivariate Analysis of Factors Associated with Feeding Mother's Own Milk at Discharge in Preterm Infants: A Retrospective Cohort Study

American Journal of Perinatology, Journal Year: 2024, Volume and Issue: unknown

Published: July 11, 2024

Objective This study aimed to develop a predictive model of feeding mother's own milk (MOM) at discharge using social determinants health (SDOH), maternal and neonatal factors after deliveries <33 weeks gestational age (GA), or birth weight <1,500 g. Study Design Secondary analysis retrospective cohort in an inner-city hospital before (Epoch-1, 2018–2019) (Epoch-2, 2020–2021) implementing donor human (DHM) program. Results Among 986 neonates, 495 were born Epoch-1 (320 Hispanic White, 142 Non-Hispanic Black, 33 Other) 491 Epoch-2 (327, 137, 27, respectively). Feeding any MOM was less frequent infants non-Hispanic Black mothers than those (p < 0.05) but did not change with epoch = 0.46). who received MOM, continued the time versus mothers, 94/237 (40%) 339/595 (57%; p 0.05), respectively. In multivariate including SDOH variables, odds lower neighborhoods higher poverty levels, multiparity, substance use disorder, young increased GA DHM. The SDOH, early variables had good discrimination (area under curve 0.85) calibration internally validated. It showed DHM, need for respiratory support later initiation MOM. Conclusion associated Disparity explained by shorter duration Key Points

Language: Английский

---