Most Read Articles
Smriti Rana, one year ago
Prolonged breastfeeding has a beneficial long term effect on a person’s intelligence quotient (IQ) in adulthood and may be associated with higher levels of education and income potential, a recent study has shown.
3 years ago

Over the past few decades, there has been widespread concern about the increasing proportion of births born by caesarean delivery. The rising rate of primary caesarean section has led to the increased number of obstetric population with a history of prior caesarean delivery. Although this group of women may be offered planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS), the VBAC rate is generally low particularly in well-developed countries. In the United States, the VBAC rate has decreased to 8.5% by 2006, while the total caesarean rate has increased to 31.1%.1

Jenny Ng, one year ago
Further to the published recommendations for the treatment of breast cancer (BC) during pregnancy in 2010, experts from the German Cancer Society have offered updated recommendations for the use of carboplatin, dose-dense chemotherapy, trastuzumab, neoadjuvant therapy and sentinel lymph node biopsy (SLNB) in these patients. 
Tracy TC Kwan, BSc (Nursing), MPH; Hextan YS Ngan, MBBS, FHKAM (O&G), MD (HK), FRCOG, 3 years ago

Human papillomavirus (HPV) infection is a prevalent disease worldwide. Consequences of HPV infection vary, depending on the infected individuals and the HPV genotype involved. Life-threatening consequences are not uncommon, and cervical cancer is a clear demonstration of the virus’s potency. While the incidence of cervical cancer is heavily concentrated on developing countries,1 the impact of HPV-related diseases on developed countries has not ceased. In the United States alone, HPV infections are the most common sexually transmitted disease with an estimated 5 million new cases being diagnosed in 2000 among young adults, incurring nearly US$3 billion in terms of direct medical costs.2 A multinational study involving 18,498 women showed that cervical HPV prevalence varied greatly geographically, ranging from the low of 1.6% in North Vietnam to the high of 27% in Nigeria. In general, HPV prevalence peaked among young, sexually active women and declined with age. In selected countries, however, a second peak was noted in women older than 55 years.3 The high prevalence of HPV-related diseases incurs a heavy burden on the healthcare systems of developed and developing countries alike, which renders HPV research and prevention a global public health imperative. On an individual level, the afflictions caused by HPV-related diseases go beyond that of physical suffering to affecting the psychological well-being of the infected. This is the focus of our paper.

Breastfeeding relaxation improves infant growth and behaviour

Kavitha G.Shekar
one year ago

Breastfeeding relaxation may alter breast milk composition resulting in better infant growth and behaviour, say researchers at the 49th European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) 2016 in Athens, Greece.

Breastfeeding mothers attending antenatal clinics in Malaysia from March to December 2014 were recruited and randomized into intervention (n=33) or control groups (n=31). [ESPGHAN 2016, abstract N-O-013]

Home visits to access infant growth, maternal stress and anxiety at 2-3 months (HV1), 6-8 months (HV2), and 12-14 months (HV3) were conducted. The intervention group listened to a guided breastfeeding meditation audiotape daily for 2 weeks, after each home visit. Height, weight and head circumference of the infant were measured, and before and after breast milk samples were collected, at each home visit. After each home visit, the mothers were also asked to record infant behaviour in a validated 3-day diary.  

The researchers used perceived-stress-scale and beck-anxiety-inventory to measure infant outcomes including mean sleeping time, awake and happy, feeding and distress at 1-2 weeks post HV1 and HV2.

Infants in the intervention group had significantly longer sleep duration at HV2 (856±98 versus 774±94 minutes; p=0.017). Increased relaxation audiotape use by breastfeeding mothers was positively associated with increased infant sleep time (~80 minutes longer; p=0.008), longer duration of infant sleep at HV2 (p=0.035), infant weight (p<0.01), and BMI (p<0.01).

The researchers found that infant body mass index (BMI) at HV2 was positively associated with this increased sleep time (p=0.003) and negatively associated with time awake (p=0.025). Increased infant awake time was detrimental to weight gain from HV1 to HV3 (p=0.019), and BMI at HV3 (p=0.02).

“[The] altered behavioural pattern may have resulted in additional energy being available for growth, which is consistent with observed effects of the intervention on weight and BMI. Mothers who are less stressed may have favourably altered breast milk composition by either changing calorie/hormonal levels that might affect infant growth and behaviour,” said lead author Dr. Nurul Husna M Shukri from the UCL Institute of Child Health, Childhood Nutrition Research Centre, London, United Kingdom. This, she added, would be their area of future research. 

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Most Read Articles
Smriti Rana, one year ago
Prolonged breastfeeding has a beneficial long term effect on a person’s intelligence quotient (IQ) in adulthood and may be associated with higher levels of education and income potential, a recent study has shown.
3 years ago

Over the past few decades, there has been widespread concern about the increasing proportion of births born by caesarean delivery. The rising rate of primary caesarean section has led to the increased number of obstetric population with a history of prior caesarean delivery. Although this group of women may be offered planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS), the VBAC rate is generally low particularly in well-developed countries. In the United States, the VBAC rate has decreased to 8.5% by 2006, while the total caesarean rate has increased to 31.1%.1

Jenny Ng, one year ago
Further to the published recommendations for the treatment of breast cancer (BC) during pregnancy in 2010, experts from the German Cancer Society have offered updated recommendations for the use of carboplatin, dose-dense chemotherapy, trastuzumab, neoadjuvant therapy and sentinel lymph node biopsy (SLNB) in these patients. 
Tracy TC Kwan, BSc (Nursing), MPH; Hextan YS Ngan, MBBS, FHKAM (O&G), MD (HK), FRCOG, 3 years ago

Human papillomavirus (HPV) infection is a prevalent disease worldwide. Consequences of HPV infection vary, depending on the infected individuals and the HPV genotype involved. Life-threatening consequences are not uncommon, and cervical cancer is a clear demonstration of the virus’s potency. While the incidence of cervical cancer is heavily concentrated on developing countries,1 the impact of HPV-related diseases on developed countries has not ceased. In the United States alone, HPV infections are the most common sexually transmitted disease with an estimated 5 million new cases being diagnosed in 2000 among young adults, incurring nearly US$3 billion in terms of direct medical costs.2 A multinational study involving 18,498 women showed that cervical HPV prevalence varied greatly geographically, ranging from the low of 1.6% in North Vietnam to the high of 27% in Nigeria. In general, HPV prevalence peaked among young, sexually active women and declined with age. In selected countries, however, a second peak was noted in women older than 55 years.3 The high prevalence of HPV-related diseases incurs a heavy burden on the healthcare systems of developed and developing countries alike, which renders HPV research and prevention a global public health imperative. On an individual level, the afflictions caused by HPV-related diseases go beyond that of physical suffering to affecting the psychological well-being of the infected. This is the focus of our paper.