Tuesday, August 27th, 2013
A new report from the American Academy of Pediatrics (AAP) finds that breastfeeding women can safely use many medications without harming their infants.
Experts from the AAP Committee on Drugs also noted that some doctors give moms inaccurate advice that they must quit nursing or stop taking certain medicines to keep their babies safe. From Reuters:
“Sometimes people are told that, because physicians may be worried about the risks the drug may pose … and aren’t necessarily thinking about the potential benefit of breastfeeding,” Dr. Hari Cheryl Sachs, the lead author on the report, said.
That benefit includes a lower risk of ear infections, asthma and sudden infant death syndrome, according to the U.S. Department of Health and Human Services.
Sachs said properties of the drug itself, whether it’s being used on a long- or short-term basis and the age and health of the infant all affect how safe it is to use medication while breastfeeding.
“It’s hard to make a blanket recommendation on what drugs are fine for the mother, because it’s going to depend on multiple factors,” Sachs, from the Pediatric and Maternal Health Team in the Food and Drug Administration’s Center for Drug Evaluation and Research, told Reuters Health.
If breastfeeding women have questions about specific medications, Sachs recommends that they talk with their doctors and check LactMed, a website run by the National Institutes of Health. Again from Reuters:
[LactMed] includes the most up-to-date scientific knowledge on how much of a given drug is passed to an infant during breastfeeding, its effects on babies and possible alternatives to consider.
In its report, published Monday in Pediatrics, the committee focused on a few classes of drugs, including antidepressants, narcotics and smoking cessation aids.
Limited information is available on the long-term effects of antidepressants on babies, it wrote, and because the drugs take a long time to break down, levels could build up in infants’ bodies.
“Caution is advised” for certain powerful painkillers such as codeine and hydrocodone—but others including morphine are considered safer when used at the lowest possible dose and for the shortest possible time, pediatricians said.
Nicotine replacement therapy, especially gum and lozenges, is typically considered safe to use during breastfeeding, according to the committee. However the FDA discourages the use of stop-smoking drugs such as varenicline, marketed in the U.S. as Chantix, among women who breastfeed.
The risk of exposure to any drug for babies needs to be weighed against the drug’s importance for the mother as well as the benefits of breastfeeding, researchers noted.
Image: Prescription medication via Shutterstock
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American Academy of Pediatrics, antidepressants, breast milk, breastfeeding, LactMed, medications, narcotic painkillers, National Institutes of Health, smoking cessation | Categories:
Child Health, Must Read, New Research, Parents News Now
Wednesday, August 14th, 2013
The longer a mother breastfeeds, the more impact she has on her baby’s brain development, according to new research published in JAMA Pediatrics. The New York Times has more on the study, which was conducted by researchers from Harvard Medical School:
For each additional month a baby was breast-fed, verbal ability was higher at age 3, and verbal and nonverbal I.Q. scores were higher at age 7, the study concluded. The researchers accounted for factors like the mothers’ intelligence and employment, home environment and child care.
“One of the theories as to why breast-fed children tend to have better cognitive development is there are nutrients in breast milk that benefit the baby’s developing brain,” said Dr. Mandy Brown Belfort, a neonatologist at Boston Children’s Hospital and lead author of the study.
“Our results support policies that allow women to continue breast-feeding through a year of their child’s life to optimize brain development,” Dr. Belfort said.
Image: Breastfeeding mother, via Shutterstock
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Thursday, August 8th, 2013
Personality traits, including a proclivity for anxiety or social extroversion, have been found to correlate with a mother’s choice to feed her baby by bottle or breast. LiveScience.com has more on the study, which was published in the Journal of Advanced Nursing:
Dr. Amy Brown, who studies early nutrition at Swansea University in Wales, surveyed 602 mothers of infants ages 6 to 12 months, to see if personality traits were linked to breast-feeding rates. The women in the study ranged in age from 16 to 45 years old, and spanned a spectrum of income, education and professional achievement levels.
Brown found extroverted, conscientious and emotionally stable mothers were more likely to try breast-feeding. But being agreeable or open to new experiences made no difference, according to the findings published Tuesday (Aug. 6) in the Journal of Advanced Nursing.
More than 80 percent of the women in the study tried to breast-feed, but less than half who tried were still breast-feeding six months later. And women who switched from breast to bottle tended to switch quickly. About 73 percent of the women who stopped breast-feeding did so within two weeks after giving birth.
Women who were conscientious — for example, detailed-oriented and punctual — were likely to start, but also likely to stop breast-feeding.
Mothers who kept breast-feeding during the first six months were more extroverted and less anxious than mothers who always bottle-fed or switched to the bottle. The effect was particularly strong within the first six weeks after birth.
Image: Mother bottle-feeding her baby, via Shutterstock
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Monday, August 5th, 2013
Half of American new mothers now breastfeed their newborns for the recommended period of at least six months, according to data analyzed by the Centers for Disease Control and Prevention. More from Today.com:
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It’s a big increase from just 35 percent in 2000 and is good news for babies and moms alike, as breastfeeding boosts the immune system, may lower the risk of obesity and is even linked with higher intelligence.
“This is great news for the health of our nation because babies who are breastfed have lower risks of ear and gastrointestinal infections, diabetes and obesity, and mothers who breastfeed have lower risks of breast and ovarian cancers,” said Centers for Disease Control and Prevention director Dr. Tom Frieden.
The American Academy of Pediatrics recommends that newborns get nothing but breastmilk until they are six months old. The AAP recommends that mothers continue to breastfeed, along with giving other food, after six months for at least a year or even longer “as mutually desired by mother and infant.”
Studies show that babies given nothing but breastmilk for the first four months of life have a 72 percent lower risk of severe pneumonia and other lower respiratory tract infections for their first year. If moms stop breastfeeding between four and six months, their babies have four times the risk of pneumonia compared to moms who breastfeed for a year or longer.
Breastmilk contains the nutrients that a newborn baby needs and also transfers disease-fighting antibodies from mother to baby – something that’s very important for the first few months before an infant can be vaccinated. There’s also a growing body of evidence that beneficial bacteria, and perhaps also viruses and fungi, from a mother’s milk and skin can affect her baby’s health.
AAP, breast milk, breastfeeding, cancer, CDC, intelligence, newborns, nutrition, obesity | Categories:
Child Health, Parents News Now, Trends
Wednesday, July 31st, 2013
Children who were breastfed for much of their infancy may be rewarded with higher scores on intelligence tests at ages 3 and 7, according to a new study conducted by researchers at Boston Children’s Hospital. More from Reuters:
Researchers found that for each extra month women reported breastfeeding, their children performed slightly better on those exams – though not on tests of motor skills and memory.
“Given the size of the benefit, I think this should be helpful for women who are trying to make decisions about how long to breastfeed… because there are many factors that go into that decision,” said Dr. Mandy Belfort, who led the study at Boston Children’s Hospital.
“You have to weigh that against the time that it takes, maybe the time that it takes away from work and your other family duties.”
She said the findings support recommendations from the American Academy of Pediatrics and other groups for exclusive breastfeeding up to six months of age, followed by a mix of breastfeeding and solid foods.
For their study, Belfort and her colleagues tracked 1,312 Massachusetts women who were recruited while pregnant in 1999 to 2002 and their babies.
Mothers reported if they had ever breastfed, and if so how old their child was when they stopped. The researchers then gave both women and their children standardized intelligence tests.
On language tests given at age three, children in the study scored an average of 103.7. Once the women’s intelligence and other family factors including income were taken into account, the researchers found that each extra month of breastfeeding was tied to a 0.21-point improvement on the exam.
Children who were fed only breast milk for six months scored an average of three points higher on the language test than those who were never breastfed, Belfort and her colleagues write in JAMA Pediatrics.
For intelligence tests that included reading and writing given at age seven, average scores were 112.5 and each extra month of breastfeeding was linked to a 0.35-point improvement.
Those tests take 10 to 20 minutes to complete, and 100 is considered an average score across all children.
Belfort said a parent or teacher probably wouldn’t notice a difference of a few points on a child’s intelligence test.
“I think the importance is more on the level of the whole population or society,” she told Reuters Health.
Image: Breastfeeding newborn, via Shutterstock
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