scholarly journals Evaluation of staff knowledge; attitudes and experience of breastfeeding on a mother and baby unit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S177-S177
Author(s):  
Patrick Britto ◽  
Chidi Nwosu ◽  
Kate Seagar ◽  
Sarah Reed
Keyword(s):  
Lived Experience ◽  
Infant Feeding ◽  
Health Visitor ◽  
Free Text ◽  
Breastfeeding Support ◽  
Staff Members ◽  
Breastfeeding Education ◽  
Mother And Baby Unit ◽  
Education Levels ◽  
Area Of Concern

AimsTo evaluate the knowledge and experience of breastfeeding of staff working on a Mother and Baby Unit (MBU).To assess the level of breastfeeding education of Staff on the MBU.To identify any area of concern around breastfeeding on the MBU.MethodA fourteen question questionnaire was designed with assistance of the medical team, midwife, and health visitor on the unit. The questionnaire was comprised of questions requiring “yes/no” and free text responses alongside Likert scales. The questionnaire focused on staff experience on breastfeeding, education levels and whether they felt Mothers were sufficiently supported. This questionnaire was distributed to all staff groups within the team to ascertain the level of expertise. 29 questionnaires were returned from a staff team of 31.ResultStaff on this unit is made up of Multi-disciplinary professionals. Most respondents were Nursery Nurses (15%). 79% of staff had a lived experience of breastfeeding. Only 5 out of 29 respondents have had any breastfeeding training which was mainly in-house training, and these were the Health Visitor; Midwife and Nursery nurses. Of the respondents, 21% felt mothers who choose breastfeeding as their preferred mode of infant feeding were not adequately supported on the MBU. Seven percent were unsure and 72% felt women were adequately supported. 54% of staff were not aware of breastfeeding initiatives. 63% were able to list contraindications including names of psychotropic medications as well as personal choice and past medical history. The median rating in relation to confidence in skills on Likert scale of 1-10 was 5.Conclusion23 out of 29 professionals felt that Training would increase their confidence and skills in breast feeding support for women admitted to the unit. There is clear indication from the Staff Members that mothers on the MBU who choose breastfeeding as their preferred mode of infant feeding require further support. There is lack of confidence in staff's breastfeeding support in the MBU. An evaluation of patient's own experience of breastfeeding support they receive from staff is being undertaken alongside this, but data will be analysed later.

Breastfeeding Intention Versus Outcomes at Two to Three Weeks Postpartum

2019 ◽  
Vol 10 (1) ◽  
pp. 17-21
Author(s):  
Miranda Rouse ◽  
Debi Page Ferrarello
Keyword(s):  
Infant Feeding ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
Convenience Sample ◽  
Breastfeeding Intention ◽  
Breastfeeding Education ◽  
National Public Health ◽  
Healthy People 2020 ◽  
Telephone Calls ◽  
Hospital Practices

Breastfeeding is the optimal nutrition for infants, offering protection from many illnesses for both infant and mother. While breastfeeding initiation rates approach or exceed Healthy People 2020 goals, increasing duration remains a national public health priority. Hospital practices play an important role. An urban, academic hospital in the northeast United States with Baby-Friendly designation initiated a quality improvement (QI) project to learn how infant feeding outcomes at 2–3 weeks postpartum compare to initial breastfeeding intention. A lactation student made telephone calls to a convenience sample of breastfeeding mothers, questioning them about their current infant feeding practices and the breastfeeding support they received. The women participating in this QI project were those deemed most likely to meet their infant feeding goals. All the women gave birth in a Baby-Friendly facility, thus all their nurses had at least 20 hours of breastfeeding education, all medical providers had had at least 3 hours of breastfeeding education, and IBCLCs were available to inpatients 7 days a week. All were encouraged to call the hospital's Breastfeeding Warmline and were provided with a list of outpatient resources. However, just2–3 weeks postpartum, one-third were not exclusively breastfeeding despite their initial intention.

Efektivitas Comprehensive Breastfeeding Education terhadap Keberhasilan Pemberian Air Susu Ibu Postpartum

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Irma Nurbaeti ◽  
Kustati Budi Lestari
Keyword(s):  
Repeated Measures ◽  
Breastfeeding Support ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Repeated Measures Analysis ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
Convenience Sampling ◽  
Postpartum Mothers

Pemberian Air Susu Ibu (ASI) masih merupakan masalah bagi pemenuhan kebutuhan nutrisi bayi baru lahir. Dukungan agar ibu menyusui bayi merupakan hal penting dalam menginisiasi dan mempertahankan pemberian ASI. Strategi dibutuhkan untuk mendukung keberhasilan menyusui. Tujuan penelitian adalah menganalisis efektivitas comprehensive breastfeeding education terhadap keberhasilan pemberian (ASI) pada periode postpartum. Jenis penelitian ini menggunakan kuasi eksperimen one group pre post test repeated measured design. Jumlah sampel sebanyak 22 ibu dengan menggunakan teknik accidental sampling. Pengumpulan data dilaksanakan pada bulan September–Oktober 2013 di Puskesmas wilayah Kota Tangerang Selatan. Intervensi dilakukan selama 30 menit. Pengumpulan data dilakukan sebelum intervensi, 3 hari setelah intervensi (post1), dan 10 hari setelah intervensi (post 2). Pengumpulan data menggunakan kuesioner dan observasi. Keberhasilan pemberian ASI berdasar pada parameter pengetahuan, langkah menyusui, perlekatan bayi, dan kecukupan ASI. Analisis data menggunakan general linear model repeated measureANOVA. Hasil penelitian menunjukkan adanya signifikansi comprehensive breastfeeding education (p=0.001). Rata-rata keberhasilan pemberian ASI sebelum dan setelah intervensi meningkat. Sebesar 93,9% intervensi memengaruhi tingkat keberhasilan. Rata-rata sebelum intervensi 56,74 (SD 5,92), post 1 sebesar 60,83 (SD 6,38) dan post2 sebesar 74,55 (SD 5,32). Subvariabel yang memiliki efek secara signifikan setelah intervensi adalah pengetahuan (p=0.001) dan langkah menyusui (p=0.001), sedangkan subvariabel perlekatan bayi (p=0.061) dan kecukupan ASI (p=0.162) tidak secara signifikan berbeda antara sebelum dan setelah intervensi. Pelaksanaanbreastfeeding education disarankan pada ibu agar dapat melakukan posisi perlekatan bayi yang benar sehingga dapat mengurangi masalah-masalah berkaitan dengan perlekatan yang tidak sesuai seperti puting perih, lecet atau berdarah, dan bayi kurang puas dalam menyusu yang bisa mengakibatkan gagalnya program ASI ekslusif.Kata kunci:Menyusui, pendidikan, perlekatan, postpartum AbstractBreastfeeding have still been problem for adequate newborn nutrition. Adequate breastfeeding support is essential for mothers to initiate and maintain optimal breastfeeding practices. A strategic needed to support successful breastfeeding. The purpose of research is to analyze the effectiveness comprehensive breastfeeding education on successful breastfeeding at postpartum periods. A quasi-experimental one group pretest, post test, repeated mesaured was used. This study was conducted at public health in Tangerang Selatan municipality in September–October 2013 among 22 postpartum mothers, convenience sampling methods. Intervention was done 30 minute. Data were collected before intervention (pretest), third day after intervention (post 1) and tenth day after intervention (repeated/post 2) using four parameter, that are knowledge, breastfeeding steps, proper lacth-on and adequate breastmilk. Using repeated measures analysis of variance there was a significant increase (p=0.001) in the overall Successful breastfeeding mean. Around 93,9% the effectiveness of intervention influence on successful. The mean before intervention is 56,74 (SD 5,92), increased at post 1:60,83 (SD 6,38) and post 2:74,55 (SD 5,32). Subvariable which has effect significantly after intervention is knowledge (p=0.001) and breastfeeding steps (p=0.001), in contrary, proper latch-on (p=0,061) and adequate breastmilk (p=0.162) have no significant effect after intervention. Suggestion to support breastfeeding education and counselling proper latch-on adequately that can decrease the problem such as painful, creaks or bloody putting.Key words: Breastfeeding, education, latch-on, postpartum

scholarly journals Trends in breastfeeding practices and mothers’ experience in the French NutriNet-Santé cohort

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Frédéric Courtois ◽  
Sandrine Péneau ◽  
Benoît Salanave ◽  
Valentina A. Andreeva ◽  
Marie Françoise Roland-Cachera ◽  
...  
Keyword(s):  
Public Health ◽  
Census Data ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
The Public ◽  
The Past ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Breastfeeding Cessation

Abstract Background France has one of the lowest rates in the world regarding breastfeeding initiation and duration. Few studies have explored breastfeeding practices in France since the middle of the twentieth century, or following from initiation to cessation. The purpose of our study was to determine trends in breastfeeding over the past decades regarding public health recommendations, and to examine mothers’ perceptions about factors known to have an impact on breastfeeding support and cessation. Methods From the NutriNet-Santé cohort, 29,953 parous women (launched in 2009 to study relation between nutrition and health), were included in the present study. Using web-questionnaires, they were asked retrospectively if they had breastfed their youngest child or not, and if so, the duration of exclusive and total breastfeeding. For those who had breastfed, we investigated their perceptions about support at initiation and during the entire breastfeeding period and reasons for breastfeeding cessation. We also asked those who did not breastfeed about their perceptions and reasons for infant formula feeding their youngest child. Analyses were weighted according to the French census data. Results In the NutriNet-Santé cohort, 67.3% of mothers breastfed their youngest child. The proportion of breastfed children increased over the past few decades, from 55.0% (95% CI 54.3, 55.6) in the 1970s to 82.9% (82.4, 83.4) in the 2010s. Total and exclusive breastfeeding duration went from 3.3 months and 2.4 months respectively in the 1970s to 5.9 months and 3.2 months respectively in the 2010s. Most mothers felt supported at initiation and during the breastfeeding period. A reported desire to have breastfed longer than two months was 59.5%. Mothers who did not breastfeed did it by choice (64.3%). They did not feel guilty (78.2%) and did not perceive a problem not to breastfeed (58.8%), but almost half of them would have liked to have breastfed (45.9%). Conclusion Breastfeeding duration has increased in the past decades but did not reach the public health recommendations threshold. Targets other than mothers have to be considered for breastfeeding education, like the partner and her environment, to increase breastfeeding practices. Trial registration The study was registered at ClinicalTrials.gov (NCT03335644).

Societal perceptions and lived experience: Infant feeding practices in premodern Japan

2019 ◽  
Vol 170 (4) ◽  
pp. 484-495
Author(s):  
Takumi Tsutaya ◽  
Kazuhiko Shimatani ◽  
Minoru Yoneda ◽  
Mikiko Abe ◽  
Tomohito Nagaoka
Keyword(s):  
Lived Experience ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Premodern Japan

scholarly journals The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: a quasi-experimental pilot study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Tayebeh Gharaei ◽  
Leila Amiri-Farahani ◽  
Shima Haghani ◽  
Syedeh Batool Hasanpoor-Azghady
Keyword(s):  
Hospital Discharge ◽  
Infant Feeding ◽  
Self Efficacy ◽  
The Other ◽  
Feeding Patterns ◽  
Breastfeeding Education ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Time Periods ◽  
Primiparous Women

Abstract Background One of the most important factors that affects breastfeeding self-efficacy and exclusivity is breastfeeding support provided by the family. The aim of this study was to determine the effect of breastfeeding education sessions for primiparous women, with and without the attendance of maternal grandmothers, on breastfeeding self-efficacy and infant feeding patterns. Methods This quasi-experimental study was conducted on 64 primiparous women who referred to the Antenatal Clinic of Amiralmomenin Hospital, Tehran, Iran from June to December, 2018. Eligible pregnant women were allocated into two groups; either with and without grandmothers in attendance. Group assignments were determined according to the week the women had prenatal care at the hospital. All eligible women seen in the clinic during 1 week were assigned to one group and women who presented in the alternating week were assigned to the other group. In the education group with grandmothers in attendance, each woman participated in two prenatal education programs with her mother and one postpartum program approximately 3 h before discharge. In the other group, participating mothers attended breastfeeding education sessions without the grandmother’s attendance. The participating mothers answered questions from the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) at the time of the hospital discharge, and 4 and 8 weeks after delivery. Questions about the infants’ feeding patterns were asked by telephone contact with the participating mothers from both groups at the same time periods. Results The mean BFSE scores were signficantly different between the groups with grandmothers and without grandmothers at the time of the hospital discharge (60.15 ± 4.47 vs. 56.84 ± 6.22, independent t-test; p = 0.017), and at 4 weeks (61.71 ± 2.66 vs. 56.62 ± 9.12, p = 0.004) and 8 weeks after delivery (63.68 ± 2.14 vs. 60.03 ± 6.32, p = 0.003). No significant difference existed in infant feeding patterns between the groups at the same time periods. Conclusions This study suggests that breastfeeding education with grandmothers’ attendance is effective in improving the mothers’ breastfeeding self-efficacy. A family-centered program should be considered in beastfeeding education for increasing of exclusive breastfeeding.

scholarly journals Preparedness for Management of Medical Emergencies Among Dentists in Udupi and Mangalore, India

2008 ◽  
Vol 9 (5) ◽  
pp. 92-99 ◽  
Author(s):  
Tanupriya Gupta ◽  
M.R. Shankar Aradhya ◽  
N. Anup
Keyword(s):  
Postgraduate Education ◽  
Supplemental Oxygen ◽  
Oral Glucose ◽  
Practical Training ◽  
Staff Members ◽  
Cardiac Compression ◽  
Dental Practitioners ◽  
Education Levels ◽  
Medical Emergencies ◽  
Foreign Body Obstruction

Abstract Aim The aim of this study was to assess the preparedness for management of medical emergencies among dentists in the cities of Udupi and Mangalore in India. Methods and Materials A self-administered questionnaire was completed by the dental teaching hospital faculty members and private dental practitioners in Udupi and Mangalore, India. Results Less than half (42.1%) of the dentists reported having received practical training in management of medical emergencies during their undergraduate and postgraduate education. Only about one-third of the respondents felt competent in performing mouth-to-mouth breathing (39.3%), cardiac compression (35.2%), foreign body obstruction relief (32.8%), and in administering IV drugs (34.5%) or supplemental oxygen (27.4%). The most commonly available emergency drugs in treatment areas were oral glucose (82.2%) and adrenaline (65.8%). However, less than one-fourth of the respondents had the following on hand in their treatment facility: oxygen (24.0%), an AMBU bag (17.1%), pocket mask (13.0%), bronchodilator spray (24.7%), diazepam (20.5%), aspirin (20.5%), and glyceryl trinitrate (17.8%). Less than half (39%) of the respondents reported having clinical staff members trained to assist in emergency recognition and management and only 5.8% carried out emergency drills in their workplace. Conclusion Preparedness for management of medical emergencies was found to be inadequate among the surveyed dentists. Clinical significance The results of the study emphasize the need for improvement of the training of practicing dentists in the management of medical emergencies at the undergraduate, postgraduate, and continuing education levels as well as the need for organization of the dental workplace to handle such emergencies. Citation Gupta T, Aradhya S, Anup N. Preparedness for Management of Medical Emergencies Among Dentists in Udupi and Mangalore, India. J Contemp Dent Pract 2008 July; (9)5:092-099.

scholarly journals Leveraging best practices in data governance: An organization-wide data inventory and mapping project to support a five year data strategy

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Joseph Travers ◽  
Crystal Campitelli ◽  
Richard Light ◽  
Eric De Sa ◽  
Julie Stabile ◽  
...  
Keyword(s):  
Data Management ◽  
Management Practices ◽  
Quality Data ◽  
Free Text ◽  
Data Mapping ◽  
Data Governance ◽  
Data Set ◽  
Staff Members ◽  
Workflow System ◽  
Data Elements

IntroductionThe professional regulation sector is moving toward risk-informed approaches that require high quality data. A key component of a corporate 2017 Data Strategy is the implementation of a data inventory and mapping project to catalogue, centralize, document and govern data assets that support regulatory decisions, programs and operations. Objectives and ApproachIn a data rich organization, the goals of the data inventory are to: enhance authoritative data that support programs; identify data duplications/gaps; identify data sources, owners and users; and, apply consistent data management and standards organizationally. Routinely used data assets outside the large enterprise workflow system (excel/word files; databases; paper collections) were catalogued. Using data governance principles and a facilitated questionnaire, departmental data stewards were interviewed about their generated data. Questions included data purpose/sources/types/formats/owners, retention rates, analytical products, gaps and visions for a desired data state. A data mapping methodology highlighted data set and variable connections within and across departments. ResultsTo date, over 40 staff members in 10 departments were identified as data content experts. In addition to data in the corporate enterprise system, over 80 unique datasets were identified. In 1 large department, over 2,000 data elements across 26 datasets were inventoried. Data mapping analysis revealed thematic data domains, including member demographics, outcomes, certifications, tracking and financial data, collected and held in multiple formats ((Microsoft Access, Excel, Word), SPSS, PDF, e-mails and paper documents). While 72% of the data elements were formatted numerically, approximately 8% were free text. Significant data redundancies across staff members and departments were revealed, as well as unstandardized variable naming conventions. Gaps analysis highlighted need for standardized, electronic data, where not available and data management training. Conclusion/ImplicationsCustomized data mapping reports to data users will facilitate the development of local, standardized departmental data hubs that will centrally link to a centralized data repository to facilitate seamless organization-wide analytics, improvements in current data management practices and greater data collaboration with the ultimate goal of supporting risk-informed approaches.

Childbirth and Breastfeeding in 20th-Century America

2017 ◽  
Author(s):  
Jessica Martucci
Keyword(s):  
Infant Feeding ◽  
20Th Century ◽  
Home Birth ◽  
Breastfeeding Support ◽  
Natural Childbirth ◽  
Medical Specialties ◽  
Gynecology And Obstetrics ◽  
History Of Childbirth ◽  
La Leche League ◽  
The 1960S

By the end of the 19th century, the medical specialties of gynecology and obstetrics established a new trend in women’s healthcare. In the 20th century, more and more American mothers gave birth under the care of a university-trained physician. The transition from laboring and delivering with the assistance of female family, neighbors, and midwives to giving birth under medical supervision is one of the most defining shifts in the history of childbirth. By the 1940s, the majority of American mothers no longer expected to give birth at home, but instead traveled to hospitals, where they sought reassurance from medical experts as well as access to pain-relieving drugs and life-saving technologies. Infant feeding followed a similar trajectory. Traditionally, infant feeding in the West had been synonymous with breastfeeding, although alternatives such as wet nursing and the use of animal milks and broths had existed as well. By the early 20th century, the experiences of women changed in relation to sweeping historical shifts in immigration, urbanization, and industrialization, and so too did their abilities and interests in breastfeeding. Scientific study of infant feeding yielded increasingly safer substitutes for breastfeeding, and by the 1960s fewer than 1 in 5 mothers breastfed. In the 1940s and 1950s, however, mothers began to organize and to resist the medical management of childbirth and infant feeding. The formation of childbirth education groups helped spread information about natural childbirth methods and the first dedicated breastfeeding support organization, La Leche League, formed in 1956. By the 1970s, the trend toward medicalized childbirth and infant feeding that had defined the first half of the century was in significant flux. By the end of the 20th century, efforts to harmonize women’s interests in more “natural” motherhood experiences with the existing medical system led to renewed interest in midwifery, home birth, and birth centers. Despite the cultural shift in favor of fewer medical interventions, rates of cesarean sections climbed to new heights by the end of the 1990s. Similarly, although pressures on mothers to breastfeed mounted by the end of the century, the practice itself increasingly relied upon the use of technologies such as the breast pump. By the close of the century, women’s agency in pursuing more natural options proceeded in tension with the technological, social, medical, and political systems that continued to shape their options.

Ethics and Education

2019 ◽  
Vol 1 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Matthew C. Ledwith ◽  
Ross A. Jackson ◽  
Amanda M. Reboulet ◽  
Thomas P. Talafuse
Keyword(s):  
Organizational Performance ◽  
Air Force ◽  
Management Strategy ◽  
Management Strategies ◽  
Current Management ◽  
Highly Educated ◽  
Ethical Implications ◽  
Education Levels ◽  
Absorbing Markov Chains ◽  
Area Of Concern

Education is a frequent area of concern when attempting to improve organizational performance. In this paper, absorbing Markov chains were used to assess education levels of civil servants within Air Force Materiel Command (AFMC). The results suggest that AFMC will have 47% of its workforce with an advanced, college degree by the year 2030. Given an increasingly educated workforce within AFMC, ethical implications for management strategy were explored. Specifically, the authors examined the ethics of managing a highly-educated workforce in ways which are procedurally similar to those used for a workforce which was historically less educated. Through a thematic bifurcation, ethical solutions were presented which will either provide more autonomy for the highly-educated workforce or attempt to change the internal credentialing process so that the current management strategies are aligned to a more appropriately-educated workforce.

SEX DIFFERENCES IN THE SOCIAL ECOLOGY OF BREASTFEEDING: A MIXED METHODS ANALYSIS OF THE BREASTFEEDING VIEWS OF EXPECTANT MOTHERS AND FATHERS IN THE US EXPOSED TO ADVERSITY

2018 ◽  
Vol 51 (3) ◽  
pp. 374-393
Author(s):  
Carolyn J. Dayton ◽  
Angela Johnson ◽  
Laurel M. Hicks ◽  
Jessica Goletz ◽  
Suzanne Brown ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Infant Feeding ◽  
Low Income ◽  
Breastfeeding Initiation ◽  
Quantitative Methodology ◽  
Breastfeeding Support ◽  
Mothers And Fathers ◽  
Race Disparities ◽  
The Us ◽  
Expectant Mothers

AbstractDespite the significant health benefits of breastfeeding for the mother and the infant, economic class and race disparities in breastfeeding rates persist. Support for breastfeeding from the father of the infant is associated with higher rates of breastfeeding initiation. However, little is known about the factors that may promote or deter father support of breastfeeding, especially in fathers exposed to contextual adversity such as poverty and violence. Using a mixed methods approach, the primary aims of the current work were to (1) elicit, using qualitative methodology, the worries, barriers and promotive factors for breastfeeding that expectant mothers and fathers identify as they prepare to parent a new infant, and (2) to examine factors that influence the parental breastfeeding intentions of both mothers and fathers using quantitative methodology. A sample (N=95) of expectant, third trimester mothers and fathers living in a low-income, urban environment in Midwestern USA, were interviewed from October 2013 to February 2015 about their infant feeding intentions. Compared with fathers, mothers more often identified the benefits of breastfeeding for the infant’s health and the economic advantage of breastfeeding. Mothers also identified more personal and community breastfeeding support resources. Fathers viewed their own support of breastfeeding as important but expressed a lack of knowledge about the breastfeeding process and often excluded themselves from discussions about infant feeding. The results point to important targets for interventions that aim to increase breastfeeding initiation rates in vulnerable populations in the US by increasing father support for breastfeeding.

Sign in / Sign up

Export Citation Format

Share Document