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Biomedical subjects

K Mikiel-Kostyra

Publications and source records attributed to K Mikiel-Kostyra.

At least 19 recordsLinked to original sources
PubMed2002

Effect of early skin-to-skin contact after delivery on duration of breastfeeding: a prospective cohort study.

AIM: To study the influence on breastfeeding of skin-to-skin contact after birth. METHODS: Using a prospective cohort study design, a group of 1250 Polish children was investigated with 3 y follow-up. RESULTS: The implementation of the practice significantly increased mean duration of exclusive breastfeeding by 0.39 mo and overall breastfeeding duration by 1.43 mo. The infants kept with the mothers for at least 20 min were exclusively breastfed for 1.35 mo longer and weaned 2.10 mo later than those who had no skin-to-skin contact after delivery. The skin-to-skin contact after birth significantly coexisted with the other hospital practices supportive to breastfeeding, especially rooming-in without separation longer than 1 h per 24 h [relative risk (RR) = 3.18, 95% confidence interval (95% CI): 2.34-4.31] and first breastfeeding within 2 h after birth (RR = 2.94, 95% CI: 2.36-3.67. Multivariate analysis performed by a general linear model with duration of exclusive breastfeeding as the dependent variable indicated skin-to-skin contact and mother education as two independent variables influencing the duration of exclusive breastfeeding. CONCLUSION: The results indicate that extensive mother-infant skin-to-skin contact lasting for longer than 20 min after birth increases the duration of exclusive breastfeeding.

Adult↗
PubMed2000

[Determinants of newborn feeding in maternity hospital care. Part II: factors associated with exclusive breast feeding].

OBJECTIVES: To study the effects of newborn status and hospital practices on exclusive breast-feeding in a maternity ward. DESIGN: National survey conducted in January 1995 in 427 hospitals. MATERIALS AND METHODS: Data on 11,422 newborns obtained from hospital staff. Statistical analysis was performed using odds ratios (OR), population attributable risks (PAR%) and logistic regression method. RESULTS: The most important factors for supplementation were: caesarean section (OR = 5.3; PAR = 19.0%), first breastfeeding later than 2 h after birth (OR = 5.2; PAR = 41.3%), mother and newborn separation longer than 1 h/24 h (OR = 3.4; PAR = 44.9%). Logistic regression analysis showed that first feeding in 2 hours is the main prognostic factor for exclusive breastfeeding in a maternity ward. CONCLUSIONS: Changes in hospital practices increase the proportion of exclusively breastfeeding infants during stay in the maternity ward.

Breast Feeding↗
PubMed2000

[Breast feeding as a component of reproductive health].

Extensive research, especially in the recent years documents the divers advantages of breastfeeding not only for infants but also for breastfeeding women and their reproductive health. The paper presents the results of epidemiological studies concerning protective effects of breastfeeding against large number of acute and chronic diseases of childhood and possible health benefits for mothers like fertility regulation, stimulation of parenting abilities and protection against breast and ovarian cancer, bone loss, nutritional depletion. The recommendations of hospital postpartum care supportive to physiological initiation of breastfeeding, based on the experience of Baby Friendly Hospital Initiative implementation in Poland is also presented.

Breast Feeding↗
PubMed2000

[Breast feeding of twins with regard to pre-term infants].

The benefits of breast-feeding for health and development pre-term and full-term infants changed the attitude towards nutrition of twins and higher-order multiples. Mothers of twins are often at risk of unsuccessful initiation of lactation while in hospital. The possibilities to provide appropriate intervention and support when a mother breastfeeds twins are presented.

Adult↗
PubMed2000

[Breastfeeding as a vital factor in child health].

Mother's milk is the only adequate nutrition for infants. In the recent years the extensive research documents the numerous advantages of breastfeeding. Especially important is exclusive mothers' milk feeding for infants in the first six months of life. The results of biological and epidemiological studies concerning protective effects of breastfeeding against acute and chronic diseases of early and later childhood were presented. Further needs of breastfeeding promotion in Poland based on the research conducted in the last years, were stressed.

Breast Feeding↗
PubMed2000

[Factors associated with exclusive breastfeeding of infants in Poland].

Factors associated with cessation of exclusive breastfeeding in Poland were studied in 10156 randomly selected infants aged 1-6 months. They were breastfed at the time of data collection. Among them, 4929 (48.5%) infants were exclusively breastfed. In multiple logistic regression analysis, the factors associated with cessation of exclusive breastfeeding were: use of a pacifier, short duration of total breastfeeding and exclusive breastfeeding accepted by mothers, first child in the family, primary education of parents, mother working in farming and non-employed father, maternal smoking and maternal age over 34 years.

Adult↗
PubMed2000

[Evaluation as a component of breastfeeding promotion programme].

Recent years have seen increased emphasis on appropriate development of public health intervention programmes with attention to evaluation. With reference to the breastfeeding promotion programme in Poland, the conceptual framework of evaluation development and implementation is presented. The use of analysis per formed for programme sustainability and progress and in the decision making process is underlined.

Breast Feeding↗
PubMed1999

Hospital policies and their influence on newborn body weight.

On the basis of data collected in a survey of the practices in maternity wards in Poland, we analysed newborn body weight differences between two groups of hospitals: one with the highest percentage of exclusive breastfeeding and other supportive practices, the other with the lowest. The aim of the study was to investigate whether hospital procedures can influence the newborn weight profile in the first days after birth. Healthy infants--normal birth, birthweight > or = 2500 g, discharged within 2-7 days, no missing data--were chosen for the analyses. The difference between discharge and birthweight, percentage of birthweight loss or gain on the day of discharge and percentage of the infants who at least regain birthweight on the day of discharge were compared between the two groups of hospitals. All analyses indicated the positive influence of exclusive breastfeeding and practices supporting it on infant body weight profile while in hospital.

Body Weight↗
PubMed1998

[Determination of newborn feeding in maternity hospital care. Part I: Factors associated with breast feeding initiation].

The data on 11,750 newborns collected in 427 hospitals during the survey of maternity words practices in 1995 were used to analyse the factors related to breastfeeding initiation while in hospital. The statistical analyses were done using percentage of newborn breastfed as well as odds ratio (OR) and population attributable risk in percent (PAR%) of artificial feeding. The identified factors of artificial feeding were: newborn birth weight < 2500 g (OR = 28.2; PAR = 52%), complications in neonatal period (OR = 10.3; PAR = 64%), caesarean section (OR = 4.3; PAR = 32.2%), mother and newborn separation longer than 1h/24h (OR = 13%; PAR = 87.2%), lack of skin-to-skin contact after birth (OR = 8.5; PAR = 60.9%).

Birth Weight↗
PubMed1996

[Barriers in breast feeding: cesarean section].

The rate of cesarean sections in Poland is about 15%. The post partum practice conductive to breast-feeding are less frequently introduced in after caesarean delivery even after adjustment for newborn birth weight. Measures to foster and facilitate successful breast-feeding after caesarean delivery are recommended.

Breast Feeding↗
PubMed1996

[Barriers in breast feeding: contraindications].

Breast-feeding is the important factor for mother and child health. Many reasons for stopping breast-feeding are not the real contraindications. The most frequent maternal and child contraindications are discussed.

Breast Feeding↗
PubMed1996

[III. Barriers in breastfeeding: hyperbilirubinemia].

Hyperbilirubinemia is a very frequent reason for interrupting breastfeeding in Poland. The pathogenesis of the early and late jaundice related to breastfeeding is discussed. The lack of contraindication to breastfeeding is stressed.

Adult↗
PubMed1993

[Promotion program for breast feeding in Poland. II. Analysis of the breast feeding situation in Poland].

Assessment of breast-feeding situation in Poland was based on three kinds of nation-wide surveys conducted in 1988: newborn feeding and breast feeding routines in maternity wards epidemiology of breast-feeding and other feeding methods in first six months of infant life KAP study among MCH professionals The major findings of the surveys were: conflicting with lactation maternity wards routines especially: very initiation of breast-feeding, administration of liquids and formulas, rigid feeding schedule, separation of newborns from the mothers too early supplantation of breast-feeding lack of current breast-feeding knowledge among MCH professionals.

Breast Feeding↗