Abstract
World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months, followed by continued breastfeeding with complementary foods until 2 years of age or beyond. Despite these recommendations, there is limited research on the timing and methods of breastfeeding cessation, with abrupt weaning potentially causing unforeseen consequences.
This report describes a case involving a 33-month-old girl who experienced acute dystonic reaction following the abrupt cessation of breastfeeding. It was learned that medication containing chlorpheniramine was given to the child to alleviate the uneasiness that developed due to abrupt cessation of breastfeeding. Patient’s symptoms were consistent with an acute dystonic reaction due to medication side effects, which improved with successful medical intervention.
Breastfeeding initiation, continuation, and cessation influence the mental and physical health of the mother-baby pair. Abrupt weaning can pose challenges. While there are no strict guidelines for weaning, gradual weaning is generally considered a more comfortable approach for both mother and baby.
To safeguard the well-being of the mother-baby pair, healthcare professionals should inform mothers about the discontinuation of breastfeeding and support a gradual weaning process. The presented case highlights the importance of careful consideration and professional guidance during the weaning process to prevent adverse outcomes.
Keywords
Ethical Statement
Informed voluntary consent was obtained from the patient's relative.
Supporting Institution
No funding.
References
- World Health Organization. Breastfeeding, Recommendations. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_2. [Access date:16/02/2024].
- Meek JY, Noble L, Section on Breastfeeding . Policy statement: Breastfeeding and the use of human milk. Pediatrics 2022;150:e2022057988.
- World Health Organization. National Implementation of the Baby-friendly Hospital Initiative, Licence: CC BY-NC-SA 3.0 IGO. Geneva, 2017.
- Özdemir K, Erdal YS. Determination of weaning age by Sr/Ca ratios in the Early Bronze Age İkiztepe population. Cocuk Sagligi ve Hastaliklari Dergisi 2009;51:128-40.
- Oflu A. Weaning practices of Turkish mothers: a mixed-model research. Breastfeed Med 2020;15:109-13.
- Senol E, Ercan A, Karatekin S. Weaning Reasons, Practices and Total Duration of Breastfeeding in Physician Mothers. Nam Kem Med J 2023;11:133-8.
- Berksoy EA, Yılmaz U, Celik T, Korkmaz HA, Özdemir R, Soylu OB. Medication related dystonic reactions especially in children on risperidone: a description of eleven cases and review of the literature. Med J Bakirkoy 2016;12:64-9.
- Canadian Paediatric Society. Weaning Your Child from Breastfeeding. 2018. Available from: https://caringforkids.cps.ca/handouts/pregnancy-and-babies/weaning_breastfeeding. [Access date: 16/02/2024].
- National Health Service (NHS). How to stop breastfeeding. 2023. Available from: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding/how-to-stop/. [Access date: 16/02/2024].
- Australian Breastfeeding Association. Weaning your toddler or child. updated May 2022. Available from: https://www.breastfeeding.asn.au/resources/weaning-your-toddler-or-child. [Access date: 16/02/2024].
- Hacettepe University Institute of Population Studies. Turkey Demographic and Health Survey 2018. 2019. Available from: https://www.openaccess.hacettepe.edu.tr/xmlui/handle/11655/23345. [Access date: 16/02/2024]
Abstract
Dünya Sağlık Örgütü (DSÖ), ilk 6 ay boyunca yalnızca anne sütüyle beslenmeyi, ardından 2 yaş veya sonrasına kadar tamamlayıcı besinlerle birlikte emzirmeye devam edilmesini önermektedir. Bu önerilere rağmen, emzirmeyi bırakmanın zamanlaması ve yöntemleri konusunda sınırlı araştırma bulunmaktadır ve emzirmeyi aniden kesmenin öngörülemeyen sonuçlara yol açma potansiyeli vardır.
Bu raporda, akut distonik reaksiyon gelişen 33 aylık bir kız çocuğunu içeren bir olgu anlatılmaktadır. Emzirmenin aniden kesilmesi nedeniyle çocukta gelişen huzursuzluğu hafifletmek için klorfeniramin içeren ilaç verildiği öğrenildi. Hastanın semptomları ilaç yan etkilerine bağlı gelişen akut distonik reaksiyonla uyumluydu ve başarılı tıbbi müdahale ile düzeldi.
Emzirmenin başlatılması, sürdürülmesi ve durdurulması anne-bebek çiftinin ruhsal ve fiziksel sağlığını etkilemektedir. Emzirmenin aniden sonlandırılması hem anne hem bebek için zorluklar yaratabilir. Emzirmenin sonlandırılmasına yönelik kesin kurallar bulunmamakla birlikte, kademeli olarak sütten kesmenin genellikle hem anne hem de bebek için daha iyi bir yaklaşım olduğu düşünülmektedir.
Anne-bebek çiftinin refahını korumak için sağlık profesyonelleri anneleri emzirmenin sonlandırılması konusunda bilgilendirmeli ve kademeli sütten kesme sürecini desteklemelidir. Sunulan vaka, olumsuz sonuçları önlemek için sütten kesme sürecinde dikkatli değerlendirmenin ve profesyonel rehberliğin önemini vurgulamaktadır.
Keywords
References
- World Health Organization. Breastfeeding, Recommendations. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_2. [Access date:16/02/2024].
- Meek JY, Noble L, Section on Breastfeeding . Policy statement: Breastfeeding and the use of human milk. Pediatrics 2022;150:e2022057988.
- World Health Organization. National Implementation of the Baby-friendly Hospital Initiative, Licence: CC BY-NC-SA 3.0 IGO. Geneva, 2017.
- Özdemir K, Erdal YS. Determination of weaning age by Sr/Ca ratios in the Early Bronze Age İkiztepe population. Cocuk Sagligi ve Hastaliklari Dergisi 2009;51:128-40.
- Oflu A. Weaning practices of Turkish mothers: a mixed-model research. Breastfeed Med 2020;15:109-13.
- Senol E, Ercan A, Karatekin S. Weaning Reasons, Practices and Total Duration of Breastfeeding in Physician Mothers. Nam Kem Med J 2023;11:133-8.
- Berksoy EA, Yılmaz U, Celik T, Korkmaz HA, Özdemir R, Soylu OB. Medication related dystonic reactions especially in children on risperidone: a description of eleven cases and review of the literature. Med J Bakirkoy 2016;12:64-9.
- Canadian Paediatric Society. Weaning Your Child from Breastfeeding. 2018. Available from: https://caringforkids.cps.ca/handouts/pregnancy-and-babies/weaning_breastfeeding. [Access date: 16/02/2024].
- National Health Service (NHS). How to stop breastfeeding. 2023. Available from: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding/how-to-stop/. [Access date: 16/02/2024].
- Australian Breastfeeding Association. Weaning your toddler or child. updated May 2022. Available from: https://www.breastfeeding.asn.au/resources/weaning-your-toddler-or-child. [Access date: 16/02/2024].
- Hacettepe University Institute of Population Studies. Turkey Demographic and Health Survey 2018. 2019. Available from: https://www.openaccess.hacettepe.edu.tr/xmlui/handle/11655/23345. [Access date: 16/02/2024]
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | CASE REPORTS |
| Authors | |
| Early Pub Date | July 23, 2024 |
| Publication Date | September 24, 2024 |
| Submission Date | February 25, 2024 |
| Acceptance Date | April 24, 2024 |
| Published in Issue | Year 2024 Volume: 18 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.