Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.

<h4>Background</h4>Breastfeeding is critical to health outcomes, particularly in low-resource settings where there is little access to clean water. For infants in their first twelve months of life, the delivery of medications is challenging, and use of oral syringes to deliver liquid for...

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Main Authors: Theresa Maier, Paula Peirce, Laura Baird, Sophie L Whitehouse, Nigel K H Slater, Kathryn Beardsall
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0264747
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author Theresa Maier
Paula Peirce
Laura Baird
Sophie L Whitehouse
Nigel K H Slater
Kathryn Beardsall
author_facet Theresa Maier
Paula Peirce
Laura Baird
Sophie L Whitehouse
Nigel K H Slater
Kathryn Beardsall
author_sort Theresa Maier
collection DOAJ
description <h4>Background</h4>Breastfeeding is critical to health outcomes, particularly in low-resource settings where there is little access to clean water. For infants in their first twelve months of life, the delivery of medications is challenging, and use of oral syringes to deliver liquid formulations can pose both practical and emotional challenges.<h4>Objective</h4>To explore the potential to deliver medicine to infants via a solid formulation during breastfeeding.<h4>Methods</h4>Single center feasibility study within a tertiary level neonatal unit in the UK, involving twenty-six breastfeeding mother-infant dyads. A solid formulation of Vitamin B12 was delivered to infants during breastfeeding. Outcomes included the quantitative change in serum vitamin B12 and assessment of maternal expectations and experiences.<h4>Results</h4>Delivery of Vitamin B12 through a solid formulation that dissolved in human milk did not impair breastfeeding, and Vitamin B12 levels rose in all infants from a mean baseline (range) 533 pg/mL (236-925 pg/mL) to 1871 pg/mL (610-4981 pg/mL) at 6-8 hours post-delivery. Mothers described the surprising ease of 'drug' delivery, with 85% reporting a preference over the use of syringes.<h4>Conclusions</h4>Solid drug formulations can be delivered during breastfeeding and were preferred by mothers over the delivery of liquid formulations via a syringe.
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spelling doaj.art-8eca5e05135c4939b0a566ec0159f9d12022-12-22T01:41:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026474710.1371/journal.pone.0264747Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.Theresa MaierPaula PeirceLaura BairdSophie L WhitehouseNigel K H SlaterKathryn Beardsall<h4>Background</h4>Breastfeeding is critical to health outcomes, particularly in low-resource settings where there is little access to clean water. For infants in their first twelve months of life, the delivery of medications is challenging, and use of oral syringes to deliver liquid formulations can pose both practical and emotional challenges.<h4>Objective</h4>To explore the potential to deliver medicine to infants via a solid formulation during breastfeeding.<h4>Methods</h4>Single center feasibility study within a tertiary level neonatal unit in the UK, involving twenty-six breastfeeding mother-infant dyads. A solid formulation of Vitamin B12 was delivered to infants during breastfeeding. Outcomes included the quantitative change in serum vitamin B12 and assessment of maternal expectations and experiences.<h4>Results</h4>Delivery of Vitamin B12 through a solid formulation that dissolved in human milk did not impair breastfeeding, and Vitamin B12 levels rose in all infants from a mean baseline (range) 533 pg/mL (236-925 pg/mL) to 1871 pg/mL (610-4981 pg/mL) at 6-8 hours post-delivery. Mothers described the surprising ease of 'drug' delivery, with 85% reporting a preference over the use of syringes.<h4>Conclusions</h4>Solid drug formulations can be delivered during breastfeeding and were preferred by mothers over the delivery of liquid formulations via a syringe.https://doi.org/10.1371/journal.pone.0264747
spellingShingle Theresa Maier
Paula Peirce
Laura Baird
Sophie L Whitehouse
Nigel K H Slater
Kathryn Beardsall
Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
PLoS ONE
title Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
title_full Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
title_fullStr Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
title_full_unstemmed Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
title_short Drug delivery from a solid formulation during breastfeeding-A feasibility study with mothers and infants.
title_sort drug delivery from a solid formulation during breastfeeding a feasibility study with mothers and infants
url https://doi.org/10.1371/journal.pone.0264747
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