Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
International Breastfeeding Journal
Published in: International Breastfeeding Journal 1/2018

Open Access 01-12-2018 | Research

Impact of in-hospital birth weight loss on short and medium term breastfeeding outcomes

Authors: Sergio Verd, Diego de Sotto, Consuelo Fernández, Antonio Gutiérrez

Published in: International Breastfeeding Journal | Issue 1/2018

Login to get access

Abstract

Background

The definition for lower limit of safe birthweight loss among exclusively breastfed neonates is arbitrary. Despite this, in cases of great in-hospital weight loss, breastfeeding adequacy is immediately questioned. The aim of this study was to examine the relationship between weight loss at discharge from hospital, when babies are ready to go home, and eventual cessation of exclusive breastfeeding since birth.

Methods

This is a secondary analysis of a cohort study. Study participants were 788 full term, breastfed and stable babies, born in 2007–2012 consecutively enrolled to primary care pediatric clinics in Majorca, Spain. Data were collected by chart review. The main predictor was birthweight loss at discharge. Extreme weight loss was defined as the 90th and 95th centiles of birthweight loss for babies who were delivered by vaginal delivery and by cesarean section. Main outcomes were cessation of exclusive breastfeeding by 7, 15, 30 and 100 days of life. Multivariate regression analysis was performed to study the relationship of selected variables with exclusive breastfeeding cessation since birth.

Results

We observed a median weight loss of 6%. In bivariate analysis, quartiles of birthweight loss at discharge were predictive of exclusive breastfeeding cessation at 15, 30 and 100 days postpartum. In multivariate analysis: in-hospital weight loss above the median did predict exclusive breastfeeding cessation by 15, 30 and 100 days of life, Adjusted Odds Ratios (AORs) (95% Confidence Intervals [CIs]): 1.57 (1.12, 2.19), 1.73 (1.26, 2.38) and 1.69 (1.25, 2.29), respectively. In contrast, we did not find that newborn extreme weight losses were associated with exclusive breastfeeding cessation.

Conclusions

We report that extreme birthweight loss does not trigger immediate formula supplementation. We do not identify any cut-off values to be used as predictors for the initiation of supplementary feeding, this research question remains unanswered.
Literature
1.
Thulier D. Weighing the facts: a systematic review of expected patterns of weight loss in full-term, breastfed infants. J Hum Lact. 2016;32:28–34.CrossRefPubMed
2.
Flaherman VJ, Kuzniewicz MW, Li S, Walsh E, McCulloch CE, Newman TB. First-day weight loss predicts eventual weight nadir for breastfeeding newborns. Arch Dis Child Fetal Neonatal Ed. 2013;98:488–92.CrossRef
3.
Fonseca MJ, Severo M, Santos AC. A new approach to estimating weight change and its reference intervals during the first 96 hours of life. Acta Paediar. 2015;104:1028–34.CrossRef
4.
DiTomasso D, Paiva L. Neonatal weight matters: an examination of weight changes in full-term, breastfeeding newborns during the first 2 weeks of life. J Hum Lact. 2018;34:86–92.CrossRefPubMed
5.
DiGirolamo AM, Grummer-Strawn LM, Fein SB. Effect of maternity-care practices on breastfeeding. Pediatrics. 2008;122:S43–9.CrossRefPubMed
6.
Holmes AV, Auinger P, Howard CR. Combination feeding of breast milk and formula: evidence for shorter breast-feeding duration from the National Health and nutrition examination survey. J Pediatr. 2011;159:186–91.CrossRefPubMed
7.
Petrova A, Hegyi T, Mehta R. Maternal race/ethnicity and one-month exclusive breastfeeding in association with the in-hospital feeding modality. Breastfeed Med. 2007;2:92–8.CrossRefPubMed
8.
Papastavrou M, Genitsaridi SM, Komodiki E, Paliatsou S, Midw R, et al. Breastfeeding in the course of history. J Pediatr Neonatal Care. 2015;2:00096.
9.
Bertini G, Breschi R, Dani C. Physiological weight loss chart helps identify high-risk infants who need breastfeeding support. Acta Paediatr. 2015;104:1024–7.CrossRefPubMed
10.
Wilbaux M, Kasser S, Wellmann S, Lepaire O, van den Anker J, Pfister M. Characterizing and forecasting individual weight changes in term neonates. J Pediatr. 2016;173:101–7.CrossRefPubMed
11.
Noel-Weiss J, Courant G, Woodend AK. Physiological weight loss in the breastfed neonate: a systematic review. Open Med. 2008;2:e99–e110.PubMedPubMedCentral
12.
Verd S, de Sotto D, Fernández C, Gutiérrez A. Does pronounced birth weight loss indicates breastfeeding failure? J Hum Lact. 2018;34:388.CrossRefPubMed
13.
Fonseca MJ, Severo M, Barros H, Santos AC. Determinants of weight changes during the first 96 hours of life in full-term newborns. Birth. 2014;41:160–8.CrossRefPubMed
14.
Mezzacappa MA, Ferreira BG. Excessive weight loss in exclusively breastfed full-term newborns in a baby-friendly hospital. Rev Paul Pediatr. 2016;34:281–6.CrossRefPubMedPubMedCentral
15.
16.
Takahashi Y, Jonas W, Ransjö-Arvidson AB, Lidfors L, Uvnäs Moberg K, Nissen E. Weight loss and low age are associated with intensity of rooting behaviours in newborn infants. Acta Paediatr. 2015;104:1018–23.CrossRefPubMed
17.
Davanzo R, Cannioto Z, Ronfani L, Monasta L, Demarini S. Breastfeeding and neonatal weight loss in healthy term infants. J Hum Lact. 2013;29:45–53.CrossRefPubMed
18.
Verd S, de Sotto D, Fernández C, Gutiérrez A. The effects of mild gestational hyperglycemia on exclusive breastfeeding cessation. Nutrients. 2016;8:E742.CrossRefPubMed
19.
20.
Verd S, Barriuso L, Gich I, Gutiérrez A, Nadal-Amat J, et al. Risk of early breastfeeding cessation among symmetrical, small for gestational age infants. Ann Hum Biol. 2013;40:146–51.CrossRefPubMed
21.
Rautava S. Neonatal weight loss and exclusive breastfeeding. Acta Paediatr. 2015;104:955–6.
22.
Santoro W, Martinez FE, Ricco RG, Jorge SM. Colostrum ingested during the first day of life by exclusively breastfed healthy newborn infants. J Pediatr. 2010;156:29–32.CrossRefPubMed
23.
Chantry CJ, Nommsen-Rivers LA, Peerson JM, Cohen RJ, Dewey KG. Excess weight loss in first-born breastfed newborns relates to maternal intrapartum fluid balance. Pediatrics. 2011;127:171–9.CrossRef
24.
Flaherman VJ, Schaefer EW, Kuzniewicz MK, Li S, Walsh E, Paul IM. Newborn weight loss during birth hospitalization and breastfeeding outcomes through age 1 month. J Hum Lact. 2017;33:225–30.CrossRefPubMed
25.
Shafer EF, Hawkins SS. The impact of sex of child on breastfeeding in the United States. Matern Child Health J. 2017;21:2114–21.CrossRefPubMed
26.
Martines JC, Ashworth A, Kirkwood B. Breast-feeding among the urban poor in. southern Brazil: reasons for termination in the first 6 months of life. Bull World Health Organ. 1989;67:151–61.PubMedPubMedCentral
27.
Kimani-Murage EW, Madise NJ, Fotso JC, Kyobutungi C, Mutua MK, Gitau TM, et al. Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health. 2011;11:396.CrossRefPubMedPubMedCentral
28.
Fledderjohann J, Agrawal S, Vellakkal S, Basu S, Campbell O, Doyle P, et al. Do girls have a nutritional disadvantage compared with boys? Statistical models of breastfeeding and food consumption inequalities among Indian siblings. PLoS One. 2014;9:e107172.CrossRefPubMedPubMedCentral
29.
Lande B, Andersen LF, Bærug A, Trygg KU, Lund-Larsen K, Veierød MB, et al. Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr. 2003;92:152–61.CrossRefPubMed
30.
Bulk-Bunschoten AMW, Bodegom S, Reerink JD, Jong PP, Groot CJ. Reluctance to continue breastfeeding in the Netherlands. Acta Paediatr. 2001;90:1047–53.CrossRefPubMed
31.
Bolling K, Grant C, Hamlyn B, Thornton A. Infant feeding survey 2005. In: NHS Digital. London: The Information Centre; 2007.
32.
Oza-Frank R, Moreland JJ, McNamara K, Geraghty SR, Keim SA. Early lactation and infant feeding practices differ by maternal gestational diabetes history. J Hum Lact. 2016;32:658–65.CrossRefPubMed
33.
Melamed N, Hiersch L, Hod M, Chen R, Wiznitzer A, Yogev Y. Is abnormal 50-g glucose-challenge testing an independent predictor of adverse pregnancy outcome? J Matern Fetal Neonatal Med. 2012;25:2583–7.CrossRefPubMed
34.
Nommsen-Rivers LA. Does insulin explain the relationship between maternal obesity and poor lactation outcomes? An overview of the literature. Adv Nutr. 2016;7:407–14.CrossRefPubMedPubMedCentral
Metadata
Title
Impact of in-hospital birth weight loss on short and medium term breastfeeding outcomes
Authors
Sergio Verd
Diego de Sotto
Consuelo Fernández
Antonio Gutiérrez
Publication date
01-12-2018
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2018
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-018-0169-6

Other articles of this Issue 1/2018

International Breastfeeding Journal 1/2018 Go to the issue

Research

Assessment of initiation of breastfeeding practice in Kassala, Eastern Sudan: a community-based study

Research

Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan

Research

Limitations of maternal recall for measuring exclusive breastfeeding rates in South African mothers

Research

Factors associated with a low prevalence of exclusive breastfeeding during hospital stay in urban and semi-rural areas of southern Vietnam

Research

Impact of timing of breastfeeding initiation on neonatal mortality in India

Research

Prelacteal feeding and associated factors among newborns in rural Sidama, south Ethiopia: a community based cross-sectional survey