Accepted Abstract
Afaf
korraa, Aisha Ramadan
Al Azhar
University
Faculty of
medicine for girls
Abstract:
background There is
growing evidence that breastfeeding improves the brain development of infants.
Researchers have discovered that breastfeeding alone produces the best results
for boosting a baby’s brain growth. Breastfeeding can increase a baby’s brain
growth by 20 to 30 percent. Our aim
was to compare the type
of feeding on sonographic brain changes
in the first 6 months of life from July 2016 to April 2017. Subjects and
Methods, it was analytical comparative study carried out our patient clinic of Al-Azhar
university hospital. Fifty healthy infants at 6
months age deliverd fullterm were included in the study. Congenital anomalies, chromosomal abnormalities, sepsis, jaundice, those with
drug could affect affect the brain were excluded. We split the infants into three groups: those
whose mothers reported they exclusively breastfed for at least six months,
those fed a combination of breastmilk and formula (mixed), and those fed
formula alone. Maternal
and
neonatal history including (feeding history), general examination including anthropometric and vital signs, neurological examination
were done. Transfontanel ultrasound examination
were performed for all infants. It was performed while the infant in supine position or holded by their mothers. The scan was performed in coronal, sagittal plan for measurement of the length of corpus
callosum and the transverse diameter of the fourth ventricle in mid sagittal
plan, and parasagittal plans. The probes used were multifrequency curvilinear
probe with transducer ranging from 3-5 MHZ in all cases, transducer ranging
from 7-10 MHZ Right and Left ventricular
horn ratio, length of corpus callosum. Results: Significant increase in
right horn ventricular ratio in formula feeding and mixed feeding infants than
exclusive breastfeeding infants (4.10 ± 0.23, 4.12 ± 0.29, 3.72 ± 0.54 2.8) (ANOVA, 5.233 P value 0.009 ) respectively. Significant increase in left venricle horn ratio in
formula fed and mixed in comparison to breast fed infants respectively (4.30 ±
0.65, 4.28 ± 0.69, 3.57 ± 0.98 (ANOVA 4.551,P value 0.015 ). No significant differ in length of corpus callosum
between the 3 studied groups. Conclusion: enlarged ventricles diameters in infants feeds
artificial or mixed milk may be associated with neurolodevelopmetal changes in
the future. These
findings add to a substantial body of research that finds positive associations
between breastfeeding and children's brain/developmental health.
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