Use of a Video-Ethnographic Intervention, PRECESS Immersion Method, to Improve Skin-to-Skin Care and Breastfeeding Rates

Breastfeeding is endorsed by the medical community as the optimal nutrition for infants during the first 6-12 months of life.1,2,3 Breastfeeding rates in the US and worldwide have varied over time and still vary geographically.4 There is robust literature addressing the physiology of lactation, composition of breast milk, and health advantages of breastfeeding for both the mother and infant as well as strategies for clinicians to promote and support breastfeeding. This chapter reviews breastfeeding history, how milk is made, why breastfeeding matters, and the somewhat controversial the World Health Organization’s Baby Friendly Hospital Initiative (BFHI)5 for successful initiation of lactation as well as some special situations. Key words: breastfeeding, infant nutrition, human milk composition, breastfeeding advantages, lactation, lactation support, Baby Friendly Hospital Initiative, skin to skin contact

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From Dyad to Triad: a Survey on Fathers’ Knowledge and Attitudes Toward Breastfeeding

10.21203/rs.3.rs-24013/v1 ◽

2020 ◽

Author(s):

Beatrice Letizia Crippa ◽

Alessandra Consales ◽

Daniela Morniroli ◽

Flavia Lunetto ◽

Maria Enrica Bettinelli ◽

...

Keyword(s):

Roc Analysis ◽

Statistical Significance ◽

Term Neonates ◽

Skin Contact ◽

Breastfeeding Rates ◽

Knowledge And Attitude ◽

Maternal Social Support ◽

Basic Characteristics ◽

Skin To Skin ◽

Structured Questionnaire

Abstract Background Maternal social support has a critical impact on breastfeeding outcomes. Fathers in particular are known to be especially influential. However, little is known about what they know and how they feel about breastfeeding. We aimed to explore paternal knowledge and attitude toward breastfeeding and possible association with breastfeeding rates at discharge. Methods We enrolled fathers of healthy term neonates born at our hospital from March to May 2019. At discharge, a self-administered structured questionnaire was proposed to fathers. Fathers were required to rate their degree of agreement to 12 items on a 5-point Likert scale. A total score was obtained from their answers. Subjects’ basic characteristics and mode of feeding at discharge were collected. Results Fathers showed a generally solid knowledge of maternal (87%) and neonatal (98%) benefits of breastfeeding, skin-to-skin contact (99.5%), rooming-in practice (79%) and responsive feeding (67.5%); conversely, only 51% of them knew about the recommended use of pacifiers. Fathers felt personally involved in their babies’ feeding in 79% of cases, regardless of type of feeding. A positive correlation was found between total score and exclusive breastfeeding rates at discharge (p = 0.04, OR 1.07; 95%C.I 1.002–1.152). ROC analysis showed a trend toward statistical significance (AUC 0.58, p = 0.083, 95%C.I 0.485–0.683). Conclusions This study underlines the importance of including fathers in the promotion of breastfeeding, expanding the classic mother-baby dyad to a more modern mother-father-baby triad. This may ultimately impact breastfeeding outcomes, although further studies are needed to confirm our results.

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Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

The Journal of Perinatal Education ◽

10.1891/1058-1243.28.2.108 ◽

2019 ◽

Vol 28 (2) ◽

pp. 108-115 ◽

Cited By ~ 4

Author(s):

Jeannette T. Crenshaw

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Feeding Preference ◽

Skin Care ◽

Vaginal Birth ◽

Ethical Responsibility ◽

Evidence Based ◽

The Hours ◽

The Moment ◽

Skin To Skin

Mothers and newborns have an emotional and physiological need to be together at the moment of birth and during the hours and days that follow. Keeping mothers and newborns together is a safe and healthy birth practice. Evidence supports immediate, undisturbed skin-to-skin care after vaginal birth and during and after cesarean surgery for all medically stable mothers and newborns, regardless of feeding preference; and, no routine separation during the days after birth. Childbirth educators and other health-care professionals have an ethical responsibility to support this essential healthy birth practice through education, advocacy, and implementation of evidence-based maternity practices.

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