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https://doi.org/10.21256/zhaw-4283| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Got milk? Breastfeeding and milk analysis of a mother on chronic hemodialysis |
| Authors: | Balzer, Michael S. Gross, Mechthild Maria Lichtinghagen, Ralf Haller, Hermann Schmitt, Roland |
| DOI: | 10.21256/zhaw-4283 10.1371/journal.pone.0143340 |
| Published in: | PLOS ONE |
| Page(s): | 1 |
| Pages to: | 12 |
| Issue Date: | 16-Nov-2015 |
| Publisher / Ed. Institution: | Public Library of Science |
| ISSN: | 1932-6203 |
| Language: | English |
| Subjects: | Breast Feeding; Creatine; Kidney Failure, Chronic; Milk, Human; Postpartum Period; Potassium; Pregnancy; Renal Dialysis; Sodium; Uric Acid |
| Subject (DDC): | 618: Gynecology, obstetrics and midwifery |
| Abstract: | Purpose: Women on dialysis rarely become pregnant. However, the overall rate of successful pregnancies is increasing in this patient population and breastfeeding becomes an option for mothers on dialysis. In this study we performed a systematic breast milk composition analysis of a mother on chronic hemodialysis (HD). Methods: Specimens of breast milk and blood were collected in regular intervals before and after HD from a 39-year old woman starting on day 10 postpartum. Samples were analyzed for electrolytes, retention solutes, nutrients and other laboratory measurements. Breast milk samples from low-risk mothers matched for postpartum age were used as controls. Results: Significantly higher levels of creatinine and urea were found in pre-HD breast milk when compared to post-HD. A similar post-dialytic decrease was only found for uric acid but not for any other investigated parameter. Conversely, sodium and chloride were significantly increased in post-HD samples. Compared to controls creatinine and urea were significantly higher in pre-HD samples while the difference remained only significant for post-HD creatinine. Phosphate was significantly lower in pre- and post-HD breast milk when compared to controls, whereas calcium showed no significant differences. In terms of nutrient components glucose levels showed a strong trend for a decrease, whereas protein, triglycerides and cholesterol did not differ. Similarly, no significant differences were found in iron, potassium and magnesium content. Conclusion: To the best of our knowledge this is the first report on a breastfeeding mother on chronic dialysis. Although we found differences in creatinine, urea, sodium, chloride and phosphate, our general analysis showed high similarity of our patient’s breast milk to samples from low-risk control mothers. Significant variations in breast milk composition between pre- and post-HD samples suggest that breastfeeding might be preferably performed after dialysis treatment. In summary, our findings indicate that breastfeeding can be considered a viable option for newborns of mothers on dialysis. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/8162 |
| Fulltext version: | Published version |
| License (according to publishing contract): | CC BY 4.0: Attribution 4.0 International |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Midwifery and Reproductive Health (IHG) |
| Appears in collections: | Publikationen Gesundheit |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 2015_Gross_Got_Milk.pdf | 1.54 MB | Adobe PDF |  View/Open |
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Balzer, M. S., Gross, M. M., Lichtinghagen, R., Haller, H., & Schmitt, R. (2015). Got milk? Breastfeeding and milk analysis of a mother on chronic hemodialysis. Plos One, 1–12. https://doi.org/10.21256/zhaw-4283
Balzer, M.S. et al. (2015) ‘Got milk? Breastfeeding and milk analysis of a mother on chronic hemodialysis’, PLOS ONE, pp. 1–12. Available at: https://doi.org/10.21256/zhaw-4283.
M. S. Balzer, M. M. Gross, R. Lichtinghagen, H. Haller, and R. Schmitt, “Got milk? Breastfeeding and milk analysis of a mother on chronic hemodialysis,” PLOS ONE, pp. 1–12, Nov. 2015, doi: 10.21256/zhaw-4283.
BALZER, Michael S., Mechthild Maria GROSS, Ralf LICHTINGHAGEN, Hermann HALLER und Roland SCHMITT, 2015. Got milk? Breastfeeding and milk analysis of a mother on chronic hemodialysis. PLOS ONE. 16 November 2015. S. 1–12. DOI 10.21256/zhaw-4283
Balzer, Michael S., Mechthild Maria Gross, Ralf Lichtinghagen, Hermann Haller, and Roland Schmitt. 2015. “Got Milk? Breastfeeding and Milk Analysis of a Mother on Chronic Hemodialysis.” Plos One, November, 1–12. https://doi.org/10.21256/zhaw-4283.
Balzer, Michael S., et al. “Got Milk? Breastfeeding and Milk Analysis of a Mother on Chronic Hemodialysis.” Plos One, Nov. 2015, pp. 1–12, https://doi.org/10.21256/zhaw-4283.
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