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Biomedical subjects

E M Salariya

Publications and source records attributed to E M Salariya.

7 recordsLinked to original sources

Relationships between baby feeding types and patterns, gut transit time of meconium and the incidence of neonatal jaundice.

The incidence of neonatal jaundice is reported to have increased in relation to breast feeding and various factors are thought to contribute to this either singularly or in concert. In a group of 150 full-term healthy babies, feeding types and gut transit time of meconium were examined. The findings demonstrated significant differences between feeding types and time taken to evacuate total meconium (p < 0.0001), weight loss/gain patterns (p < 0.0005) and the incidence of moderately severe jaundice (p < 0.01) during the early neonatal period. Baby feeding types were clearly defined in the study and a stool colour comparator was used to facilitate identification and classification of all stool colour transition from meconium through to yellow. Maximum weight loss was found to occur on the second day after delivery and in many instances the lost weight was regained by the baby on the fifth day. Exceptions to this were babies who fed ineffectively or inadequately. These outcomes suggest that the assistance and advice given to mothers and babies, by midwives and others, to achieve effective feeding practices in the days following birth is of paramount importance to the baby's immediate wellbeing.

Bottle Feeding↗

The development of a neonatal stool colour comparator.

The policies which exist to monitor the passage of neonatal stool vary between and within hospitals. When stool colour is required, the recorded observations are invariably subjective opinions and as such are largely unreliable. The development of a stool colour comparator allowed an objective test to be used by professional staff and mothers. This facilitated data collection for a study which sought to determine, among other factors, the transition time of meconium through to the yellow stool of the milk-fed baby, during the early neonatal period. The transition time of the meconium is indicative of gastrointestinal activity in the newborn and midwives are able to correlate accurately documented changes in stool colour with the baby's daily weight loss to assess the quality and/or adequacy of early infant feeding particularly breast feeding. The stool colour comparator is used in postnatal wards at Ninewells Hospital, Dundee by mothers and midwives and the numerical coding has replaced the previously used subjective abbreviations Mec (Meconium), Ch (Changing) and Y (Yellow).

Feces↗

Breast versus bottle feeding.

Significant or highly significant differences were found between groups of breast and bottle-fed infants with respect to the incidence of jaundice, time to passage of first yellow stool and early weight changes. Experimental parameters were carefully defined, and a simple stool colour comparator has been designed and developed. Breast feeding should be encouraged for its incidence is low in many European countries and it is the responsibility of the attending midwife to ensure that correct suckling techniques are achieved by mothers and infants at the earliest possible time after delivery.

Body Weight↗

Mother-child relationship--FIRST score.

This paper describes the use of the MCR FIRST score. The score has evolved as a method of measuring certain aspects of a mother's caring for her newborn baby. The factors included are feeding, interest, response, speech and touch, and these have been combined into a numerical score. The results for 100 mothers who were assessed on days 1, 3 and 5 postpartum are presented. The MCR FIRST score is distinguished by its simplicity of use in clinical work and may be helpful in recognizing potential impairment of mother-child relationships during the early postpartum period.

Female↗

Duration of breast-feeding after early initiation and frequent feeding.

111 primiparous women who had chosen to breast-feed their normal healthy term infants were assigned to one of four groups matched for age and social class. Two groups had the baby put to the breast within 10 min of delivery and the other two began breast-feeding 4--6 h after delivery. One of each pair of groups fed 2-hourly and the other 4-hourly. Follow-up over 18 months suggested that both early initiation and increased frequency of breast-feeding extended the nursing period, the former having the greater effect. 2-hourly feeding induced lactation at least 24 h earlier than did 4-hourly feeding.

Adolescent↗