Most Read Articles
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.
Dr Joslyn Ngu, 04 Dec 2017

Making genetic testing mainstream, allows more patients to be tested, identifies more carriers and enables appropriate stratification of treatment and outcomes, says an expert.

Menelik MH Lee, MBBS, MRCOG, FHKCOG, FHKAM; Charles J Carter, MBChB, FRCS(urol); Tyrone T Carpenter, MBBS, BSc, MRCOG, MD, 01 Jun 2014

Laparoscopic partial cystectomy is established as the optimal treatment of full thickness bladder endometriosis. Complete excision of the lesion is essential however over excision risks unnecessary reduction in bladder volume and may risk ureteric obstruction. The following case demonstrates a new technique of cystoscopic mapping and laparoscopic resection of bladder endometriosis, allowing complete removal of the endometriotic nodule while sparing maximum bladder capacity and minimising risk of injury to the ureteric orifices.

20 Aug 2016
An elevated level of urinary nephrin (nephrinuria) may be associated with an increased risk of preeclampsia (PE), according to a study, suggesting that a certain cut-off can facilitate identification of women with greater PE risk.

Breastfeeding relaxation improves infant growth and behaviour

Kavitha G.Shekar
31 May 2016

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. 

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.
Dr Joslyn Ngu, 04 Dec 2017

Making genetic testing mainstream, allows more patients to be tested, identifies more carriers and enables appropriate stratification of treatment and outcomes, says an expert.

Menelik MH Lee, MBBS, MRCOG, FHKCOG, FHKAM; Charles J Carter, MBChB, FRCS(urol); Tyrone T Carpenter, MBBS, BSc, MRCOG, MD, 01 Jun 2014

Laparoscopic partial cystectomy is established as the optimal treatment of full thickness bladder endometriosis. Complete excision of the lesion is essential however over excision risks unnecessary reduction in bladder volume and may risk ureteric obstruction. The following case demonstrates a new technique of cystoscopic mapping and laparoscopic resection of bladder endometriosis, allowing complete removal of the endometriotic nodule while sparing maximum bladder capacity and minimising risk of injury to the ureteric orifices.

20 Aug 2016
An elevated level of urinary nephrin (nephrinuria) may be associated with an increased risk of preeclampsia (PE), according to a study, suggesting that a certain cut-off can facilitate identification of women with greater PE risk.