Effects of newborn intraoral pressure on colostrum intake
Palavras-chave:
Colostrum, Lactation, Newborn, SuctionResumo
Objective
To explore the effects of intraoral pressure on colostrum intake.
Methods
Healthy women with full-term infants were admitted in the study after birth. Intraoral pressure was detected before and after the mothers’ onset of lactation by a pressure sensor during a breastfeeding session. Colostrum intake was measured by weighting the infant before and after breastfeeding. The onset of lactation was confirmed by the mothers’ perceptions of sudden breast fullness.
Results
The newborns’ peak sucking pressure was 19.89±7.67kPa before the onset of lactation, dropping to 11.54±4.49kPa after mothers’ onset of lactation (p<0.01). The colostrum intake was 4.02±4.26g before the onset of lactation, and 11.09±9.43g after the onset of lactation. Sucking pressure was correlated with the amount of colostrum intake before and after the onset of lactation after adjusting the confounding factors.
Conclusion
The newborns’ intraoral pressure at early stage played a predominant role in colostrum intake. It is recommended to initiate breastfeeding immediately after the birth to take advantages of the active and robust sucking response. It is valuable to understand the importance that the sucking pressure plays in the colostrum intake and active immunity achievement during the first several days after birth.
Referências
Samson N, Praud JP, Quenet B, Similowski T, Straus C. New insights into sucking, swallowing and breathing central generators: a complexity analysis of rhythmic motor behaviors. Neurosci Lett. 2017;638:90-5. https://doi.org/10.1016/j.neulet.2016.12.016
Cannon AM, Sakalidis VS, Lai CT, Perrella SL, Geddes DT. Vacuum characteristics of the sucking cycle and relationships with milk removal from the breast in term Infants. Early Hum Dev. 2016;96:1-6. https://doi.org/10.1016/j.earlhumdev.2016.02.003
Geddes DT, Kent JC, Mitoulas LR, Hartmann PE. Tongue movement and intra-oral vacuum in breastfeeding infants. Early Hum Dev. 2008;84:471-7. https://doi.org/10.1016/j.earlhumdev.2007.12.008
Olthoff A, Joseph AA, Weidenmuller M, Riley B, Frahm J. Real-time MRI of swallowing: intraoral pressure reduction supports larynx elevation. Nmr Biomed. 2016;29:1618-23. https://doi.org/10.1002/nbm.3621
Perrella SL, Lai CT, Geddes DT. Case report of nipple shield trauma associated with breastfeeding an infant with high intra-oral vacuum. Bmc Pregnancy Childbirth. 2015;15:155. https://doi.org/10.1186/s12884-015-0593-1
Quesnel H, Farmer C. Review: nutritional and endocrine control of colostrogenesis in swine. Animal. 2019;13:s26-34. https://doi.org/10.1017/S1751731118003555
Homerosky ER, Timsit E, Pajor EA, Kastelic JP, Windeyer MC. Predictors and impacts of colostrum consumption by 4h after birth in newborn beef calves. Vet J. 2017;228:1-6. https://doi.org/10.1016/j.tvjl.2017.09.003
Fok D, Aris IM, Ho J, Chan YH, Rauff M, Lui JK, et al. Early initiation and regular breast milk expression reduces risk of lactogenesis II delay in at-risk Singaporean mothers in a randomised trial. Singapore Med J. 2019;60:80-8. https://doi.org/10.11622/smedj.2018067
Puppel K, Golebiewski M, Grodkowski G, Slosarz J, Kunowska-Slosarz M, Solarczyk P, et al. Composition and factors affecting quality of bovine colostrum: a review. Animals (Basel). 2019;9:e1070. https://doi.org/10.3390/ani9121070
Smith ER, Hurt L, Chowdhury R, Sinha B, Fawzi W, Edmond KM. Delayed breastfeeding initiation and infant survival: a systematic review and meta-analysis. Plos One. 2017;12:e180722. https://doi.org/10.1371/journal.pone.0180722
Zhang F, Xia H, Li X, Qin L, Gu H, Xu X, et al. Intraoral vacuum of breast-feeding newborns within the first 24h: cesarean section versus vaginal delivery. Biol Res Nurs. 2016;18:445-53. https://doi.org/10.1177/1099800416636687
Lindner A. Measurement of intra-oral negative air pressure during dummy sucking in human newborn. Eur J Orthod. 1991;13:317-21. https://doi.org/10.1093/ejo/13.4.317
Prieto CR, Cardenas H, Salvatierra AM, Boza C, Montes CG, Croxatto HB. Sucking pressure and its relationship to milk transfer during breastfeeding in humans. J Reprod Fertil. 1996;108(1):69-74. https://doi.org/10.1530/jrf.0.1080069
Nangia S, Paul VK, Deorari AK, Sreenivas V, Agarwal R, Chawla D. Topical oil application and trans-epidermal water loss in preterm very low birth weight infants-a randomized trial. J Trop Pediatr. 2015;61:414-20. https://doi.org/10.1093/tropej/fmv049
He S, Xia H. The relationship between neutrophil-lymphocyte ratio and onset of lactation among postpartum women: a prospective observational cohort study. Int J Nurs Stud. 2019;97:55-62. https://doi.org/10.1016/j.ijnurstu.2019.05.005
Haile ZT, Chavan BB, Teweldeberhan A, Chertok IR. Association between gestational weight gain and delayed onset of lactation: the moderating effects of race/ethnicity. Breastfeed Med. 2017;12:79-85. https://doi.org/10.1089/bfm.2016.0134
Chapman DJ, Doughty K, Mullin EM, Perez-Escamilla R. Reliability of lactation assessment tools applied to overweight and obese women. J Hum Lact. 2016;32:269-76. https://doi.org/10.1177/0890334415597903
Navaratne P, Foo XY, Kumar S. Impact of a high edinburgh postnatal depression scale score on obstetric and perinatal outcomes. Sci Rep. 2016;6:e33544. https://doi.org/10.1038/srep33544
Besier J, Bruckmaier RM. Vacuum levels and milk-flow-dependent vacuum drops affect machine milking performance and teat condition in dairy cows. J Dairy Sci. 2016;99:3096-102. https://doi.org/10.3168/jds.2015-10340
Sakalidis VS, Geddes DT. Suck-swallow-breathe dynamics in breastfed infants. J Hum Lact. 2016;32:201-11. https://doi.org/10.1177/0890334415601093
Chastant-Maillard S, Aggouni C, Albaret A, Fournier A, Mila H. Canine and feline colostrum. reprod domest anim. 2017;52(Suppl2):148-52. https://doi.org/10.1111/rda.12830
Juhl SM, Ye X, Zhou P, Li Y, Iyore EO, Zhang L, et al. Bovine colostrum for preterm infants in the first days of life: a randomized controlled pilot trial. J Pediatr Gastroenterol Nutr. 2018;66:471-8. https://doi.org/10.1097/MPG.0000000000001774
Zhang F, Xia H, Shen M, Li X, Qin L, Gu H, et al. Are prolactin levels linked to suction pressure? Breastfeed Med. 2016;9:461-8. https://doi.org/10.1089/bfm.2015.0083
Abedi P, Jahanfar S, Namvar F, Lee J. Breastfeeding or nipple stimulation for reducing postpartum haemorrhage in the third stage of labour. Cochrane Database Syst Rev. 2016;1:CD010845. https://doi.org/10.1002/14651858.CD010845.pub2
Yoshihara C, Numan M, Kuroda KO. Oxytocin and parental behaviors. Curr Top Behav Neurosci. 2018;35:119-53. https://doi.org/10.1007/7854_2017_11
Saleem M, Martin H, Coates P. Prolactin biology and laboratory measurement: an update on physiology and current analytical issues. Clin Biochem Rev. 2018;39:3-16.
Segami Y, Mizuno K, Taki M, Itabashi K. Perioral movements and sucking pattern during bottle feeding with a novel, experimental teat are similar to breastfeeding. J Perinatol. 2013;33:319-23. https://doi.org/10.1038/jp.2012.113
Akers RM. A 100-year review: mammary development and lactation. J Dairy Sci. 2017;100:10332-52. https://doi.org/10.3168/jds.2017-12983
Ilhan G, Atmaca FV, Cumen A, Zebitay AG, Gungor ES, Karasu A. Effects of daytime versus night-time cesarean deliveries on stage II lactogenesis. J Obstet Gynaecol Res. 2018;44:717-22. https://doi.org/10.1111/jog.13562
Michels KA, Ghassabian A, Mumford SL, Sundaram R, Bell EM, Bello SC, et al. Breastfeeding and motor development in term and preterm infants in a longitudinal US Cohort. Am J Clin Nutr. 2017;106:1456-62. https://doi.org/10.3945/ajcn.116.144279
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Feng ZHANG, Ting BAI, Fan WU
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
