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Infant Feeding

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81. Understanding health behaviour in pregnancy and infant feeding intentions in low-income women from the UK through qualitative visual methods and application to the COM-B (Capability, Opportunity, Motivation-Behaviour) model. (PubMed)

Understanding health behaviour in pregnancy and infant feeding intentions in low-income women from the UK through qualitative visual methods and application to the COM-B (Capability, Opportunity, Motivation-Behaviour) model. Health behaviours during pregnancy and the early years of life have been proven to affect long term health, resulting in investment in interventions. However, interventions often have low levels of completion and limited effectiveness. Consequently, it is increasingly (...) and dyad sandboxing), followed by elicitation interviews. One participant only engaged in the initial activity and interview, resulting in a total of 28 elicitation interviews. This in-depth qualitative approach was designed to enable a nuanced account of the participants' thoughts, everyday experiences and social relationships. Data were deductively coded for alcohol, smoking and infant feeding and then mapped to the COM-B model (Capability, Opportunity, Motivation - Behaviour).Five participants had

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2019 BMC Pregnancy and Childbirth

82. Unit policies and breast milk feeding at discharge of very preterm infants: The EPIPAGE-2 cohort study. (PubMed)

Unit policies and breast milk feeding at discharge of very preterm infants: The EPIPAGE-2 cohort study. Facilitating factors and barriers to breast milk feeding (BMF) very preterm (VP) infants have been widely studied at the individual level. We aimed to describe and analyse factors associated with BMF at discharge for VP infants, with a special focus on unit policies aiming to support BMF.We described BMF at discharge in 3108 VP infants enrolled in EPIPAGE-2, a French national cohort (...) . Associations were investigated by multilevel logistic regression analysis, with adjustment on individual factors.In total, 47.2% of VP infants received BMF at discharge (range among units 21.1%-84.0%). Unit policies partly explained this variation, regardless of individual factors. BMF at discharge was associated with KC (adjusted odds ratio (aOR) 2.26 (95% confidence interval (CI) 1.40, 3.65)), with policies supporting BMF initiation (aOR 2.19 (95% CI 1.27, 3.77)) and maintenance (aOR 2.03 (95% CI 1.17

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2019 Paediatric and perinatal epidemiology

83. Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. (PubMed)

Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. Despite high initiation rates for mother's own milk (MOM) provision, MOM feeding at discharge from the neonatal intensive care unit (NICU) drops precipitously and reveals a racial/ethnic disparity. This study sought to identify factors that (1) predict MOM feeding at NICU discharge, and (2) mediate racial/ethnic disparity in MOM feeding at discharge.Secondary analysis of prospective cohort (...) study of 415 mothers and their very low birth weight infants. Variables were grouped into five categories (demographics, neighborhood structural, social, maternal health, and MOM pumping). Significant predictors from each category were entered into a multivariable logistic regression model.Although 97.6% of infants received MOM feedings, black infants were significantly less likely to receive MOM feeding at discharge. Positive predictors were daily pumping frequency, reaching pumped MOM volume ≥500

2019 Pediatric Research

84. From Liminality to Vitality: Infant Feeding Beliefs Among Refugee Mothers From Vietnam and Myanmar. (PubMed)

From Liminality to Vitality: Infant Feeding Beliefs Among Refugee Mothers From Vietnam and Myanmar. Infant feeding in traditional (non-White societies) is imbued within beliefs surrounding the human body and food. This article, framed within the liminality theory, demonstrates perspectives of 38 Vietnamese and Myanmarese refugee mothers. Situated within the postmodern methodological framework, innovative methods of in-depth interviewing and drawing were used to gather participant's (...) subjectivities. As birthing renders the new mother and infant weak, the findings mirror a "liminality to vitality" nurturing continuum, acknowledging the (a) essentialism of bodily breast milk, (b) rituals that strengthen mothers for lactation, (c) lactation-inducing food, and (d) culturally symbolic non-milk food that promote an independence for nourishment other than from the maternal body. Health care professionals are called to value the importance of bodily vitality in birthing and clinical maternal

2019 Qualitative Health Research

85. The Australasian Society of Clinical Immunology and Allergy infant feeding for allergy prevention guidelines. (PubMed)

The Australasian Society of Clinical Immunology and Allergy infant feeding for allergy prevention guidelines. The Australasian Society of Clinical Immunology and Allergy, the peak professional body for clinical immunology and allergy in Australia and New Zealand, develops and provides information on a wide range of immune-mediated disorders, including advice about infant feeding and allergy prevention for health professionals and families. Guidelines for infant feeding and early onset allergy (...) prevention were published in 2016, with additional guidance published in 2017 and 2018, based on emerging evidence.When the infant is ready, at around 6 months, but not before 4 months, start to introduce a variety of solid foods. (This is not a strict window of introduction but rather a recommendation not to delay the introduction of solid foods beyond 12 months.) Introduce peanut and egg in the first year of life in all infants, regardless of their allergy risk factors. Hydrolysed (partially

2019 Medical Journal of Australia

86. Effects of lipid-based nutrient supplements and infant and young child feeding counseling with or without improved water, sanitation, and hygiene (WASH) on anemia and micronutrient status: results from 2 cluster-randomized trials in Kenya and Bangladesh. (PubMed)

Effects of lipid-based nutrient supplements and infant and young child feeding counseling with or without improved water, sanitation, and hygiene (WASH) on anemia and micronutrient status: results from 2 cluster-randomized trials in Kenya and Bangladesh. Anemia in young children is a global health problem. Risk factors include poor nutrient intake and poor water quality, sanitation, or hygiene.We evaluated the effects of water quality, sanitation, handwashing, and nutrition interventions (...) on micronutrient status and anemia among children in rural Kenya and Bangladesh.We nested substudies within 2 cluster-randomized controlled trials enrolling pregnant women and following their children for 2 y. These substudies included 4 groups: water, sanitation, and handwashing (WSH); nutrition (N), including lipid-based nutrient supplements (LNSs; ages 6-24 mo) and infant and young child feeding (IYCF) counseling; WSH+N; and control. Hemoglobin and micronutrient biomarkers were measured after 2 y

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2019 American Journal of Clinical Nutrition

87. Effects of early intervention on feeding behavior in preterm infants: A randomized controlled trial. (PubMed)

Effects of early intervention on feeding behavior in preterm infants: A randomized controlled trial. Although highly beneficial, human milk feeding is challenging in preterm infants due to adverse NICU factors for the infant and mother.To investigate the effects of an early intervention in promoting infant's human milk feeding and acquisition of full oral feeding.This study is part of a RCT. We included preterm infants born between 25+0 and 29+6 weeks of gestational age (GA) without severe (...) morbidities, and their parents. Infants were randomized to either receive early intervention (EI) or standard care (SC). EI included PremieStart and parental training to promote infant massage and visual attention according to a detailed protocol. SC, in line with NICU protocols, included Kangaroo Mother Care. The time of acquisition of full oral feeding and human milk consumption at discharge were recorded.Seventy preterm (EI n = 34, SC n = 36) infants were enrolled. Thirteen were excluded according

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2019 Early human development

88. The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil. (PubMed)

The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil. Proper feeding practices in early life can enhance the full human potential development of children. We aimed to evaluate the impact of a primary health care intervention on infant feeding practices among children from low-income families.A cluster randomised controlled trial was conducted in Porto Alegre, Brazil. Healthcare centres were randomised into intervention (n (...)  = 9) and control (n = 11) groups. In intervention sites, health workers were trained in accordance with the national guidelines. Infant feeding practices were assessed in children at 6 months (n = 617) and 12 months (n = 516) of age. Feeding practice quality was assessed using the Infant and Child Feeding Index (ICFI). Additionally, we evaluated the introduction of nonrecommended foods.At 6 months, the mean ICFI score was higher in the intervention group [MD = 0.22; 95% confidence interval (CI

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2019 Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

89. The effects of enteral feeding improvement massage on premature infants: A randomised controlled trial

The effects of enteral feeding improvement massage on premature infants: A randomised controlled trial To prove the effects of an enteral feeding improvement massage for premature infants with regard to their feeding, growing and superior mesentery artery blood flow aspect by a randomised controlled trial.Premature infants have feeding-related problems related to eating and absorbing nutrition due to their immature gastrointestinal function. Studies regarding the effectiveness of premature (...) infants' enteral feeding improvement by tactile stimulation massage are rare.The study group was composed of 55 patients. Of the 55 patients, 26 were randomised into an experimental group and 29 were randomised into a control group.They were all born <34 weeks of gestational age between 1 July 2011 and 30 March 2012. Premature infants in the experimental group received enteral feeding improvement massage twice a day for 14 days, and infants in the control group received a sham exercise. The collected

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2017 EvidenceUpdates

90. Timing of complementary feeding and associations with maternal and infant characteristics: A Norwegian cross-sectional study. (PubMed)

Timing of complementary feeding and associations with maternal and infant characteristics: A Norwegian cross-sectional study. Norwegian Health authorities recommend solid food to be introduced between child age 4-6 months, depending on both the mother´s and infant's needs. The aim of this paper is to describe timing of complementary feeding in a current sample of Norwegian mother/infant-dyads and explore potential associations between timing of introduction to solid foods and a wide range (...) of maternal and infant characteristics known from previous literature to influence early feeding interactions. The paper is based on data from the Norwegian randomized controlled trial Early Food for Future Health. In 2016, a total of 715 mothers completed a web-based questionnaire at child age 5.5 months. We found that 5% of the infants were introduced to solid food before 4 months of age, while 14% were not introduced to solid food at 5.5 months of age. Introduction of solid food before 4 months of age

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2018 PLoS ONE

91. Effect of a Baby-Led Approach to Complementary Feeding on Infant Growth and Overweight: A Randomized Clinical Trial

Effect of a Baby-Led Approach to Complementary Feeding on Infant Growth and Overweight: A Randomized Clinical Trial Baby-led approaches to complementary feeding, which promote self-feeding of all nonliquid foods are proposed to improve energy self-regulation and lower obesity risk. However, to date, no randomized clinical trials have studied this proposition.To determine whether a baby-led approach to complementary feeding results in a lower body mass index (BMI) than traditional spoon (...) , 0.07 to 0.43) at 12 months in BLISS infants. Estimated differences in energy intake were 55 kJ (95% CI, -284 to 395 kJ) at 12 months and 143 kJ (95% CI, -241 to 526 kJ) at 24 months.A baby-led approach to complementary feeding did not result in more appropriate BMI than traditional spoon-feeding, although children were reported to have less food fussiness. Further research should determine whether these findings apply to individuals using unmodified baby-led weaning.http://anzctr.org.au Identifier

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2017 EvidenceUpdates

92. Food safety considerations for commercial complementary foods from global operational guidance on infant and young child feeding in emergencies. (PubMed)

Food safety considerations for commercial complementary foods from global operational guidance on infant and young child feeding in emergencies. The use of commercial complementary food (CCF) in humanitarian emergencies is an emerging topic in nutrition policy. Food safety guidance is helpful for the prevention of foodborne illnesses in infants and young children, but whether current global operational guidance on infant and young child feeding in emergencies (IYCF-E) adequately addresses food

2019 Nutrition reviews

93. Strengthening advocacy and policy change for infant and young child feeding. (PubMed)

Strengthening advocacy and policy change for infant and young child feeding. The creation of environments that are more supportive of optimal infant and young child feeding (IYCF) requires countries to enact policies, such as those related to the Maternity Protection Convention, the International Code of Marketing of Breast-milk Substitutes (the Code), and the Baby-Friendly Hospital Initiative. However, challenges are experienced in the translation of international policy standards

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2019 Maternal & child nutrition

94. Contribution of the Alive & Thrive-UNICEF advocacy efforts to improve infant and young child feeding policies in Southeast Asia. (PubMed)

Contribution of the Alive & Thrive-UNICEF advocacy efforts to improve infant and young child feeding policies in Southeast Asia. Evaluating the impact of advocacy for policy change presents many challenges. Recent advances in the field of evaluation, such as contribution analysis (CA), offer guidance on how to make credible claims regarding such impact. The purposes of this article are (a) to detail the application of CA to assess the contribution of an advocacy initiative to improve infant (...) and young child feeding policies and (b) to present the emergent theory of change and contribution story of how progress was achieved. An evaluation applying developmental evaluation and CA was conducted on the Alive & Thrive (A&T)-UNICEF initiative in seven Southeast Asian countries to document the extent to which policy objectives were achieved and identify key drivers of policy change. A contribution story was developed based on these experiences. The advocacy approach, which involved a four-part

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2019 Maternal & child nutrition

95. Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study. (PubMed)

Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study. The objective of the study is to determine the status of infant and young child feeding (IYCF) in Sub-Saharan Africa (SSA) based on multiple indicators.Secondary data analysis of 32 Demographic and Health Surveys conducted in SSA since 2010.Thirty-two countries in SSA.151 575 infants and young children born in the preceding 2 years of the surveys.Eight core and six optional IYCF (...) indicators.Majority (95.8%) of the children born in the preceding 24 months were ever breastfed, and 50.5% initiated breastfeeding within the first hour of birth. Among infants 0-5 months of age, 72.3% were predominantly breastfed and 41.0% were exclusively breastfed. Continued breastfeeding at 1 year (89.5%) was reasonably high, but only 53.7% continued breastfeeding at 2 years and 60.4% had age-appropriate breastfeeding. About two-thirds (69.3%) of infants 6-8 months of age received solid, semisolid or soft

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2019 BMJ open

96. Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen. (PubMed)

Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen. Successful breastfeeding provides multiple health benefits to Servicewomen and their infants and has positive indirect benefits to the military. Workplace lactation support influences breastfeeding continuation after a Servicewoman's return to work.This study evaluated the breastfeeding practices and workplace breastfeeding support among

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2019 Military medicine

97. Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. (PubMed)

Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. What and how infants are fed are considered important determinants for the risk factor of early rapid gain weight.We conducted secondary analyses on data from a randomized clinical trial, wherein infants randomized to feed cow milk formula had double the incidence of early rapid weight gain than those fed extensively hydrolyzed protein formula, to determine whether maternal feeding styles had (...) independent effects or interactive effects with infant formula type on early rapid weight gain.Anthropometry and feeding patterning (number of daily formula feeds) were measured monthly, and maternal feeding styles were measured at 0.5, 3.5, and 4.5 months. Longitudinal models were fitted using generalized estimating equations and separate logistic models conducted.The treatment groups did not differ in formula feeding patterning or in maternal feeding styles, which were stable across the first 4.5 months

2019 Pediatric obesity

98. An Integrated Infant and Young Child Feeding (IYCF) and Small-Quantity Lipid-Nutrient Supplementation (SQ-LNS) Program in Democratic Republic of Congo is Associated with Improvements in Breastfeeding and Handwashing Behaviors but Not Dietary Diversity. (PubMed)

An Integrated Infant and Young Child Feeding (IYCF) and Small-Quantity Lipid-Nutrient Supplementation (SQ-LNS) Program in Democratic Republic of Congo is Associated with Improvements in Breastfeeding and Handwashing Behaviors but Not Dietary Diversity. Integrating small-quantity lipid-based nutrient supplements (SQ-LNS) into infant and young child feeding (IYCF) programmes can increase consumption of essential nutrients among children in vulnerable populations; however, few studies have (...) assessed the impact of integrated IYCF-SQ-LNS programmes on IYCF practices. A 2-year, enhanced IYCF intervention targeting pregnant women and infants (0-12 months) was implemented in a health zone in the Democratic Republic of Congo (DRC). The enhanced IYCF intervention included community- and facility-based counselling for mothers on handwashing, SQ-LNS, and IYCF practices, plus monthly SQ-LNS distributions for children 6-12 months; a control zone received the national IYCF programme (facility-based

2019 Maternal & child nutrition

99. "In the United States, we say, 'No breastfeeding,' but that is no longer realistic": provider perspectives towards infant feeding among women living with HIV in the United States. (PubMed)

"In the United States, we say, 'No breastfeeding,' but that is no longer realistic": provider perspectives towards infant feeding among women living with HIV in the United States. Currently, the United States (U.S.) recommends that infants born to women living with HIV (WLHIV) be fed formula, whereas many low-resource settings follow the World Health Organization's recommendation to exclusively breastfeed with ongoing antiretroviral therapy. Evidence on infant feeding among WLHIV in high (...) -resource countries suggest that these contrasting recommendations create challenges for providers and patients. Our study used multiple methods to understand providers' infant feeding perspectives on caring for their pregnant and post-partum WLHIV in the U.S.We sent a survey (n = 93) to providers across the U.S. who have cared for WLHIV. A subset of survey participants opted into a follow-up qualitative interview (n = 21). These methods allowed us to capture a broad understanding of provider attitudes

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2019 Journal of the International AIDS Society

100. Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology. (PubMed)

Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology. To describe the duration of time to achieve exclusive oral feeding in infants with single ventricle physiology and to identify risk factors associated with prolonged gastrostomy tube dependence.Single center, retrospective study of infants with single ventricle physiology. The primary outcome was duration of time required to achieve oral feeding. Transition periods were defined as exclusive (...) oral feeding by Glenn palliation (early), by 1 year of age (mid), or after 1 year of age (late).Seventy-eight infants were analyzed; 46 (59%) were discharged to home with a gastrostomy tube after the initial hospitalization. Overall, 39 infants (50%) achieved early transition, 14 (18%) mid, and 18 (23%) late. The group who achieved early transition had a higher percentage of preoperative oral feeding (P < .01), greater weight-for-age z score at initial discharge (P = .03), shorter initial intensive

2019 Journal of Pediatrics

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