Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding

被引:74
作者
Colson, Suzanne D. [1 ]
Meek, Judith H. [2 ]
Hawdon, Jane M. [2 ]
机构
[1] Canterbury Christ Church Univ, Fac Hlth & Social Care, Dept Hlth Well Being & Family, Canterbury CT1 1QU, Kent, England
[2] UCL Hosp, Elizabeth Garrett Anderson & Obstet Hosp, Neonatol Unit, Univ Coll London,Inst Womens Hlth, London WC1E 6AU, England
关键词
breastfeeding positions; biological nurturing; infant feeding; feeding reflexes; self attachment; breastfeedig behaviours;
D O I
10.1016/j.earlhumdev.2007.12.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Despite widespread skills-teaching, 37% of UK mothers initiating breastfeeding stop by six weeks suggesting a need to reappraise current support strategies. Rooting, sucking and swallowing have been studied extensively but little is known about the role other primitive neonatal reflexes (PNRs) might play to support breastfeeding. Aims: To describe and compare PNRs observed during feeding, investigating whether certain feeding behaviours and positions, collectively termed Biological Nurturing, (BN) are associated with the release of those reflexes pivotal in establishing successful feeding. Method: 40 breastfed healthy term mother/baby pairs were recruited using quota sampling to stratify term gestational age. Feeding sessions were videotaped in the first postnatal month, either in hospital or at home. Findings: 20 PNRs were validated and classified into 4 types (endogenous, motor, rhythmic and anti-gravity) and 2 functional clusters (finding/latching, milk transfer) either stimulating or hindering feeding. Significantly more PNRs were observed as stimulants in semi-reclined postures (BN) than when mothers were upright or side-lying (p=<0.0005). Discussion: This study is the first to describe a range of semi-reclined maternal postures interacting with neonatal positions, releasing maternal instinctual behaviours and PNRs stimulating breastfeeding. Traditionally the human neonate has been considered a dorsal feeder with pressure needed along the baby's back. Compelling visual data here illustrate that the newborn is an abdominal feeder and, like some other animals, displays anti-gravity reflexes aiding latch. Findings suggest that breastfeeding initiation is innate for both mother and baby, not learned, thus challenging the routine skills-teaching currently central to breastfeeding support. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:441 / 449
页数:9
相关论文
共 50 条
  • [11] CHESNI YAT, 1960, NEUROLOGICAL EXAMINA
  • [12] COLSON S, 2000, BIOL SUCKLING FACILI
  • [13] COLSON SD, 2003, MIDIRS MIDWIFERY DIG, V13, P92
  • [14] Creswell J.W., 2014, Research design: Qualitative, quantitative and mixed methods approaches, V4th, DOI DOI 10.5539/ELT.V12N5P40
  • [15] DARWIN C, 1963, CEREBRAL FUNCTION IN, P417
  • [16] Demott K, 2006, CLIN GUIDELINES EVID
  • [17] Effect of intervention to improve breastfeeding technique on the frequency of exclusive breastfeeding and lactation-related problems
    Dias de Oliveira, Luciana
    Justo Giugliani, Elsa Regina
    do Espirito Santo, Lilian Cordova
    Tamborindeguy Franca, Maristela Cavalheiro
    Lara Weigert, Enilda Maria
    Feijo Kohler, Celina Valderez
    de Lourenzi Bonilha, Ana Lucia
    [J]. JOURNAL OF HUMAN LACTATION, 2006, 22 (03) : 315 - 321
  • [18] DUBOWITZ L, 1999, NEUROLOGICAL ASSESSM, V79
  • [19] Two mid-pregnancy interventions to increase the initiation and duration of breastfeeding:: A randomized controlled trial
    Forster, D
    McLachlan, H
    Lumley, J
    Beanland, C
    Waldenström, U
    Amir, L
    [J]. BIRTH-ISSUES IN PERINATAL CARE, 2004, 31 (03): : 176 - 182
  • [20] Boxing neonate on an engorged breast - A new behavior identified
    Gohil, Jayendra R.
    [J]. JOURNAL OF HUMAN LACTATION, 2006, 22 (03) : 268 - 269