Maternal Nutrition: The Foundation of Breastfeeding and Beyond
Background: Human milk is the optimal source of nutrients for infants and their development, provided by healthy and well-nourished mothers. The composition of human milk is dependent on a number of factors, including maternal dietary habits. Philosophically, breastfeeding goes beyond just providing nutrition, but creating emotional stability and a deeper relationship for both the infant and the mother.
Methods: Literature search was conducted through PubMed (Medline Database) with following keyword: a ("maternal nutrition" OR "Maternal health" OR "breastfeeding practice" OR "breastmilk") AND ("neurodevelopment" OR "intellectual development" OR "child development"). The search was conducted in November 2024.
Discussion: The synthesis of breast milk requires sufficient consumption of macronutrients, such as proteins, carbs, and lipids. Consequently, the mother nutrition during lactation may influence the composition of human milk. Macro- and micronutrients, minerals, and bioactive chemicals in breast milk support the infant's immune system, neurodevelopment, and growth, while supplying energy for the mother while breastfeeding. This act beyond mere nutritional provision, necessitating multisectoral coordination to enhance maternal nutrition and breastfeeding practices. It encompasses the functions of governmental and non-governmental organisations, healthcare providers, and society.
Conclusion: The mother's well-being is intrinsically connected to the child's health, since a well-nourished mother establishes the ideal foundation for her infant's future development. A humane, community-oriented strategy for maternal nutrition is essential. This methodology must honour individual decisions while highlighting communal assistance for the welfare of both moms and children.
WHO. UNICEF . Global Strategy for Infant and Young Child. Feeding. WHO; Geneva, Switzerland: UNICEF; New York, NY, USA: 2003.
Bravi F, Di Maso M, Eussen SR, Agostoni C, Salvatori G, Profeti C, et al. Dietary patterns of breastfeeding mothers and human milk composition: Data from the Italian medidiet study. Nutrients. 2021 May 19;13(5):1722. doi:10.3390/nu13051722
Pham Q., Patel P., Baban B., Yu J., Bhatia J. Factors affecting the composition of expressed fresh human milk. Breastfeed. Med. 2020;15:551–558. doi: 10.1089/bfm.2020.0195.
Keikha M., Bahreynian M., Saleki M., Kelishadi R. Macro- and micronutrients of human milk composition: Are they related to maternal diet? A comprehensive systematic review. Breastfeed. Med. 2017;12:517–527. doi: 10.1089/bfm.2017.0048.
Modak A, Ronghe V, Gomase KP. The psychological benefits of breastfeeding: Fostering maternal well-being and child development. Cureus. 2023 Oct 9; doi:10.7759/cureus.46730
Else-Quest NM, Hyde JS, Clark R. Breastfeeding, bonding, and the mother-infant relationship. Merrill-Palmer Quarterly. 2003;49(4):495–517. doi:10.1353/mpq.2003.0020
Marshall NE, Abrams B, Barbour LA, Catalano P, Christian P, Friedman JE, et al. The importance of nutrition in pregnancy and lactation: Lifelong consequences. American Journal of Obstetrics and Gynecology. 2022 May;226(5):607–32. doi:10.1016/j.ajog.2021.12.035
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Harrison M, editor. Nutrition During Pregnancy and Lactation: Exploring New Evidence: Proceedings of a Workshop—in Brief. Washington (DC): National Academies Press (US); 2020 Jun 17. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558213/ doi: 10.17226/25831
Nommsen LA, Lovelady CA, Heinig MJ, et al. Determinants of energy, protein, lipid and lactose concentrations in human milk during the first 12 mo of lactation: The DARLING Study. Am J Clin Nutr 1991;53:457–465.
Boix-Amorós A, Collado MC, Van’t Land B, Calvert A, Le Doare K, Garssen J, et al. Reviewing the evidence on breast milk composition and immunological outcomes. Nutrition Reviews. 2019 May 21;77(8):541–56. doi:10.1093/nutrit/nuz019
Kleinman RE, Greer FR. Pediatric Nutrition, 7th ed. American Academy of Pediatrics Committee on Nutrition, Elk Grove Village, IL: American Academy of Pediatrics, 2013
Andreas NJ, Kampmann B, Mehring Le-Doare K. Human breast milk: A review on its composition and bioactivity. Early Human Development. 2015 Nov;91(11):629–35. doi:10.1016/j.earlhumdev.2015.08.013
Ares Segura S, Arena Ansótegui J, Marta Díaz-Gómez N. The importance of maternal nutrition during breastfeeding: Do breastfeeding mothers need nutritional supplements? Anales de Pediatría (English Edition). 2016 Jun;84(6). doi:10.1016/j.anpede.2015.07.035
Cortés-Albornoz MC, García-Guáqueta DP, Velez-van-Meerbeke A, Talero-Gutiérrez C. Maternal nutrition and neurodevelopment: A scoping review. Nutrients. 2021 Oct 8;13(10):3530. doi:10.3390/nu13103530
1. Szyller H, Antosz K, Batko J, Mytych A, Dziedziak M, Wrześniewska M, et al. Bioactive components of human milk and their impact on child’s Health and Development, Literature Review. Nutrients. 2024 May 14;16(10):1487. doi:10.3390/nu16101487
Innis S.M. Impact of maternal diet on human milk composition and neurological development of infants. Am. J. Clin. Nutr. 2014;99:734s–741s. doi: 10.3945/ajcn.113.072595.
Martins B.P., Bandarra N.M., Figueiredo-Braga M. The role of marine omega-3 in human neurodevelopment, including Autism Spectrum Disorders and Attention-Deficit/Hyperactivity Disorder—A review. Crit. Rev. Food Sci. Nutr. 2020;60:1431–1446. doi: 10.1080/10408398.2019.1573800.
Li M., Francis E., Hinkle S.N., Ajjarapu A.S., Zhang C. Preconception and Prenatal Nutrition and Neurodevelopmental Disorders: A Systematic Review and Meta-Analysis. Nutrients. 2019;11:1628. doi: 10.3390/nu11071628.
DeCapo M., Thompson J.R., Dunn G., Sullivan E.L. Perinatal Nutrition and Programmed Risk for Neuropsychiatric Disorders: A Focus on Animal Models. Biol. Psychiatry. 2019;85:122–134. doi: 10.1016/j.biopsych.2018.08.006.
Adhikari S, Kudla U, Nyakayiru J, Brouwer-Brolsma EM. Maternal dietary intake, nutritional status and macronutrient composition of Human Breast Milk: Systematic Review. British Journal of Nutrition. 2021 Jul 23;127(12):1796–820. doi:10.1017/s0007114521002786
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Harrison M, editor. Nutrition During Pregnancy and Lactation: Exploring New Evidence: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2020 Jul 31. 7, Maternal Intakes and Nutritional Status During Lactation and the Implications for Maternal and Infant Health. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562621/
Fabiano Cimmino, Angela Catapano, Lidia Petrella, Ines Villano, Raffaella Tudisco, Gina Cavaliere. Role of Milk Micronutrients in Human Health. Front. Biosci. (Landmark Ed) 2023, 28(2), 41. https://doi.org/10.31083/j.fbl2802041
Houweling TA, Grünberger I. Intergenerational transmission of health inequalities: Towards a life course approach to socioeconomic inequalities in health – A Review. Journal of Epidemiology and Community Health. 2024 Jul 2;78(10):641–9. doi:10.1136/jech-2022-220162
Van Abeelen AF, Veenendaal MV, Painter RC, de Rooij SR, Dijkgraaf MG, Bossuyt PM, et al. Survival effects of prenatal famine exposure. The American Journal of Clinical Nutrition. 2012 Jan;95(1):179–83. doi:10.3945/ajcn.111.022038
Schulz LC. The Dutch Hunger Winter and the developmental origins of health and disease. Proceedings of the National Academy of Sciences. 2010 Sept 20;107(39):16757–8. doi:10.1073/pnas.1012911107
Lokossou YU, Tambe AB, Azandjèmè C, Mbhenyane X. Socio-cultural beliefs influence feeding practices of mothers and their children in Grand Popo, Benin. Journal of Health, Population and Nutrition. 2021 Jul 23;40(1). doi:10.1186/s41043-021-00258-7
Afandi M, Anomsari E, Novira A, Sudartini S. A penta-helix approach to collaborative governance of stunting intervention in West Java Indonesia. Proceedings of the Third International Conference Administration Science, ICAS 2021, September 15 2021, Bandung, Indonesia. 2022; doi:10.4108/eai.15-9-2021.2315238
Sjögren Forss K, Kottorp A, Rämgård M. Collaborating in a penta-helix structure within a community based participatory research programme: ‘Wrestling with hierarchies and getting caught in isolated downpipes.’ Archives of Public Health. 2021 Mar 6;79(1). doi:10.1186/s13690-021-00544-0
Srivastava K, Norman A, Ferrario H, Mason E, Mortimer S. A qualitative exploration of the media's influence on UK women's views of breastfeeding. British Journal of Midwifery. 2022 Jan 22;30(1).
Approaches to Community-based Breastfeeding Promotion and Support. In: Community-based strategies for breastfeeding promotion and support in developing countries. Geneva: World Health Organization; 2003.
Bardosono, S., Hildayani, R., Chandra, D. N., Basrowi, R. W., & Wibowo, Y. (2018). The knowledge retention after continuing health education among midwives in Indonesia. Medical Journal of Indonesia, 27(2), 128â-33.
INSPIRE Handbook: action for implementing the seven strategies for ending violence against children. Geneva: World Health Organization; 2018.
Mahumud RA, Uprety S, Wali N, Renzaho AM, Chitekwe S. The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 Days: Evidence from a systematic review and meta‐analysis. Maternal & Child Nutrition. 2021 Nov 29;18(1). doi:10.1111/mcn.13286
Dinour, L.M., Rivera Rodas, E.I., Amutah-Onukagha, N.N. et al. The role of prenatal food insecurity on breastfeeding behaviors: findings from the United States pregnancy risk assessment monitoring system. Int Breastfeed J 15, 30 (2020). https://doi.org/10.1186/s13006-020-00276-x
de Brito JN, Friedman JK, Johnson ST, Berge JM, Mason SM. Exploring the associations of food and financial insecurity and food assistance with breastfeeding practices among first-time mothers. Public Health Nutrition. 2024;27(1). doi:10.1017/s1368980024001514
Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization; 2017.
Pérez‐Escamilla R, Martinez JL, Segura‐Pérez S. Impact of the baby‐friendly hospital initiative on breastfeeding and child health outcomes: A systematic review. Maternal & Child Nutrition. 2016 Feb 29;12(3):402–17. doi:10.1111/mcn.12294
Basrowi, R. W., Sulistomo, A. W., Adi, N. P., Widyahening, I. S., & Vandenplas, Y. (2019). Breastfeeding knowledge, attitude, and practice among white-collar and blue-collar workers in Indonesia. Journal of Korean medical science, 34(45).
Basrowi RW, Sulistomo AB, Adi NP, Vandenplas Y. Benefits of a dedicated breastfeeding facility and support program for exclusive breastfeeding among workers in Indonesia. Pediatr Gastroenterol Hepatol Nutr 2015;18(2):94-9.
Basrowi, R. W., Khoe, L. C., & Yosia, M. (2023). PREVALENCE OF BREASTFEEDING AND ITS SUPPORTING FACTORS DURING COVID-19 PANDEMIC IN INDONESIA. General Medicine, 25(5).
Basrowi, R. W., Sastroasmoro, S., Sulistomo, A. W., Bardosono, S., Hendarto, A., Soemarko, D. S., ... & Vandenplas, Y. (2018). Developing a workplace lactation promotion model in Indonesia using Delphi technique. Archives of public health, 76, 1-9
Basrowi, R. W., Darus, F., Partiwi, I. G. A. N., Sutanto, L. B., Sulistomo, A., Soemarko, D. S., ... & Pratiwi, D. (2024). The strategic effort to ensure successful breastfeeding practice in the workplace: An Indonesian expert opinion. The Open Public Health Journal, 17(1).
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