Kolven in de zwangerschap

Kolven in de zwangerschap om het geven van borstvoeding te verbeteren (Singh Gurneesh 2009)

•100 Vrouwen > 37 weeks zwanger

•Studiegroep 96% aanleggen in het eerste uur

•Controle groep 72% aanleggen in het eerste uur

• Melkproductie lijkt sneller op gang te komen?

Kolven in de zwangerschap

• A critical review of literature (Chapman et al, 2012)

• 1946

• 1960-1980

Waarom kolven in de zwangerschap

• Voorbereiding/bekendheid borsten

• Colostrum verzamelen

• Versnellen van de lactogenese 2

Ingredienten in moedermelk Adaptive immunity compounds: Immunoglobulins sIgA (11S), 7S IgA, IgG, IgM, IgE, IgD, free secretory component, antiidiotypes

Innate immunity agents: Complement, chemotactic factors, properdin factors, interferon, a-fetoprotein, antistaphylococci factors, mannose binding lectin, b-defensin-1, antiadherence substances (oligosaccharides, mucins, lactadherin, glycolipids and glycosaminoglycans, k-casein), milk fat globule, hormones and growth factors (prolactin, cortisol, insulin, thyroxin, prostaglandins, vascular-endothelial growth factor, nerve growth factor, TGF, erythropoietin), antiviral factors (fatty acids and monoglycerides), migration inhibition factor, a-lactalbumin

Cytokines, chemokines, and receptors: IL-1b, IL-2, IL-4, IL-5, IL-6, IL-8, IL-12, IL-13, IL-16, IL-18, IFNg, TNFa, G-CSF, M-CSF, GM-CSF, GROa, monocyte chemotactic protein-1, TGFb1 and -2, sCD14, Tolllike receptor, sFas, sFasL

Antiinflammatory factors: IL-10, TGFb2, glucocorticoids, antioxidants (a-tocopherol, b-carotene, lutein, vitamin E, catalase, glutathione peroxidase,), lactoferrin, IL-1Ra, soluble TNFa receptors I and II, CD59

Prebiotics: Bifidus factor, oligosaccharides, Histocompatibility antigens Carrier proteins: Lactoferrin, transferrin, vitamin B-12 binding protein, steroid binding protein Enzymes: Lysozyme, lipoproteinlipase, leukocyte enzymes, antiproteases, platelet-activating factor-acetylhydrolase Others: Nucleotides, long-chain polyunsaturated fatty acids Cellular Cell types: Macrophages, ;60%; neutrophils, ;25%; lymphocytes, ;10%; epithelial cells

Ingrediënten in kunstvoeding Adaptive immunity compounds: Immunoglobulins sIgA (11S), 7S IgA, IgG, IgM, IgE, IgD, free secretory component, antiidiotypes Innate immunity agents: Complement, chemotactic factors, properdin factors, interferon, a-fetoprotein, antistaphylococci factors, mannose binding lectin, b-defensin-1, antiadherence substances

(oligosaccharides, mucins, lactadherin, glycolipids and glycosaminoglycans, k-casein), milk fat globule, hormones and growth factors (prolactin, cortisol, insulin, thyroxin, prostaglandins, vascular-endothelial growth factor, nerve growth factor, TGF, erythropoietin), antiviral factors (fatty acids and monoglycerides), migration inhibition factor, a-lactalbumin Cytokines, chemokines, and receptors: IL-1b, IL-2, IL-4, IL-5, IL-6, IL-8, IL-12, IL-13, IL-16, IL-18, IFNg, TNFa, G-CSF, M-CSF, GM-CSF, GROa, monocyte chemotactic protein-1, TGFb1 and -2, sCD14, Tolllike receptor, sFas, sFasL Antiinflammatory factors: IL-10, TGFb2, glucocorticoids, antioxidants (a-tocopherol, b-carotene, lutein, vitamin E, catalase, glutathione peroxidase,), lactoferrin, IL-1Ra, soluble TNFa receptors I and II, CD59

Prebiotics: Bifidus factor, oligosaccharides, Histocompatibility antigens Carrier proteins: Lactoferrin, transferrin, vitamin B-12 binding protein, steroid binding protein Enzymes: Lysozyme, lipoproteinlipase, leukocyte enzymes, antiproteases, platelet-activating factor-acetylhydrolase

Others: Nucleotides, long-chain polyunsaturated fatty acids Cellular Cell types: Macrophages, ;60%; neutrophils, ;25%; lymphocytes, ;10%; epithelial cells

•Diabetes Mellitus

•Gemelli

•Aangeboren afwijkingen

•Laag gewicht/ macrosomie

•Eerdere negatieve ervaringen

•Glucoseprotocol

•Allergie

•Te weinig productie vorige keer

• Voorgeschiedenis met prematuur bevallen

• Bloedingen tijdens de zwangerschap

• Cervicale afwijkingen

Contra- indicaties bij vrouwen

•De techniek

•Materiaal

•Labelen spuitjes

•Invriezen

•Contracties

•Hoe vaak

•Hoe veel

•Transport

Informatie

kolven met de hand

http://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html

•Vaak positief!

•Tevreden moeders

•Geen bijvoeding

Methods of milk expression for lactating women, Cochrane review, 2011

•Powerpointpresentatie Annet Mulder

•Riordan : Breastfeeding and human lactation third edition

•Informatie vanuit www.borstvoeding.com

•Informatie vanuit www.eurolac.com

Foto`s Erica Post

Bronnen

•http://newborns.stanford.edu/Breastfeeding/HandExpression.html

•Effect of antenatal expression of breast milk at term to improve lactational performance: a prospective studyJ Obstet Gynecol India Vol. 59, No. 4 : July/August 2009 pg 308-311

•Expressing your milk antenatally. Information and advice for mothers-to-be A Teaching Trust of The University of Birmingham Incorporating City, Sandwell and Rowley Regis Hospitals

•Antenatal breast expression: A critical review of the literature

•Tegan Chapman, BN (Hons), RN, RM, IBCLC (Midwife, Postnatal) n , Jan Pincombe, BA, M App Sci, RM, PhD (Professor), Mary Harris, BN, RM, IBCLC, PhD (Clinical Educator, Postnatal)

•School of Nursing and Midwifery, University of South Australia, GPO Box 2471, Adelaide, South Australia 5000, Women’s and Children’s Hospital, North Adelaide, 2011

•Effect of early breast milk expression on milk volume and timing of lactogenesis stage II among mothers of very low birth weight infants: a pilot study Journal of Perinatology (2012) 32, 205–209 2012

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