scholarly journals Promotion of Exclusive Breastfeeding in a Clinic Setting Did Not Increase Its Rates

2015 ◽  
Vol 6 (1) ◽  
pp. 40-44
Author(s):  
Allison L. Scott ◽  
Marie-Rachelle Narcisse ◽  
Lyla Lindholm
Keyword(s):  
Quality Improvement ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Quality Improvement Intervention ◽  
Education Intervention ◽  
Protective Effects ◽  
Care Clinic ◽  
Beneficial Effects ◽  
Breastfeeding Education ◽  
Breastfeeding Rates

Breastfeeding is known to have many protective effects on childhood health. Breastfeeding without supplementation or complementary foods until 6 months of age is inversely related to several health problems, including childhood obesity. Because of the known beneficial effects on infant health of breastfeeding, education on breastfeeding may impact exclusive breastfeeding rates, resulting in improved infant health status. This retrospective study, using Pender’s health promotion model and the theory of planned behavior (Pender, Murdaugh, & Parsons, 2011), explored the effect of a breastfeeding education intervention for quality improvement in an ambulatory care clinic on the rate of exclusive breastfeeding during the first 4 months of infancy, or short-term exclusive breastfeeding. Exclusive breastfeeding rates were measured after the 4-month well exam, which represents the time of the existence of the quality improvement intervention for 4–5 months. The expected outcome was a minimum 15% increase in exclusive breastfeeding rates in the participants who received the educational program as compared to the individuals who did not receive the breastfeeding education intervention. Contrary to expectations, the group receiving standard care had significantly higher rates of exclusive breastfeeding than those receiving the intervention.

scholarly journals Pediatric Nurse Practitioner Barriers to Supporting Breastfeeding by Mothers and Infants

2018 ◽  
Vol 27 (4) ◽  
pp. 207-219
Author(s):  
Lisa Brzezinski ◽  
Nancy Mimm ◽  
Sallie Porter
Keyword(s):  
Nurse Practitioners ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Professional Associations ◽  
Pediatric Nurse ◽  
Positive Attitudes ◽  
Breastfeeding Education ◽  
Development Outcomes ◽  
Pediatric Nurse Practitioner ◽  
Pediatric Nurse Practitioners

Infant health and development outcomes are positively affected by breastfeeding. Despite the multitude of breastfeeding benefits to mothers and infants along with strong recommendations for exclusive breastfeeding from government agencies and professional associations, the rate of exclusive breastfeeding during the first six months of life remains low. Strongly positive attitudes make pediatric nurse practitioners, especially those in primary care settings, ideally positioned to encourage, support, and provide breastfeeding management to mothers and infants. However, pediatric nurse practitioners may report breastfeeding education and breastfeeding skills deficits along with other barriers to optimal breastfeeding care.

A Quality Improvement Initiative: Improving Exclusive Breastfeeding Rates of Preterm Neonates

2017 ◽  
Vol 84 (4) ◽  
pp. 322-325 ◽  
Author(s):  
Amanpreet Sethi ◽  
Meena Joshi ◽  
Anu Thukral ◽  
Jagjit Singh Dalal ◽  
Ashok Kumar Deorari
Keyword(s):  
Quality Improvement ◽  
Exclusive Breastfeeding ◽  
Preterm Neonates ◽  
Quality Improvement Initiative ◽  
Breastfeeding Rates

Increasing the exclusive breastfeeding rate in a private hospital in UAE through quality improvement initiatives

2021 ◽  
pp. 1-7
Author(s):  
M. Kaushal ◽  
K. Sasidharan ◽  
A. Kaushal ◽  
P. Augustine ◽  
M. Alex
Keyword(s):  
Exclusive Breastfeeding ◽  
Care Staff ◽  
Direct Observations ◽  
Skin Contact ◽  
Breastfeeding Education ◽  
Breastfeeding Rate ◽  
Postnatal Mothers ◽  
Breastfeeding Rates ◽  
Skin To Skin ◽  
Antenatal Classes

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in breastfeeding.

scholarly journals Intent to Breastfeed and Evaluation of Culturally Sensitive Education in a Migrant Pacific Islander Population

2019 ◽  
Vol 10 (1) ◽  
pp. 22-28
Author(s):  
Allison Scott ◽  
Kelly Vowell-Johnson ◽  
Cari Addington ◽  
Bentley Snider Adams ◽  
Olivia Pennington
Keyword(s):  
Exclusive Breastfeeding ◽  
Pacific Islander ◽  
Hospital Setting ◽  
The United States ◽  
Culturally Sensitive ◽  
Education Intervention ◽  
Improvement Project ◽  
Breastfeeding Rates ◽  
The Impact ◽  
Pacific Islander Population

BackgroundThe Marshallese, a Pacific Islander population, are a growing migrant population in the United States. Breastfeeding is the preferred method of infant feeding, but many cultural barriers deter exclusive breastfeeding. A culturally sensitive education intervention was implemented to meet the needs of the Marshallese population in a postpartum setting.ObjectiveThis study aimed to evaluate the impact of an education intervention, in native language, on breastfeeding rates among Marshallese mothers during hospitalization.MethodsThis quasi-experimental study was a retrospective data analysis of a quality improvement project in a hospital seeking Baby-Friendly status. Randomized record reviews of Marshallese mothers receiving the culturally targeted education (N = 40) between the ages of 18 and 45, delivering between 37 and 42 weeks gestation, were compared with mothers prior to implementation of the education (N = 40).ResultsBirthweight, discharge weight, and delivery method were not statistically different. No statistical difference existed between feeding intent and discharge feeding behavior.ConclusionExclusive breastfeeding rates among Marshallese mothers are lower than desired. Culturally appropriate breastfeeding education in a hospital setting may not affect feeding patterns, but clarification is needed on cultural definitions of exclusive breastfeeding. Further studies are needed.

scholarly journals Vulnerable families and costly formula: a qualitative exploration of infant formula purchasing among peri-urban Peruvian households

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jessica D. Rothstein ◽  
Peter J. Winch ◽  
Jessica Pachas ◽  
Lilia Z. Cabrera ◽  
Mayra Ochoa ◽  
...  
Keyword(s):  
Breast Milk ◽  
Infant Formula ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Health Providers ◽  
Breastfeeding Education ◽  
Vulnerable Families ◽  
Breast Milk Substitutes ◽  
Milk Substitutes ◽  
Qualitative Exploration

Abstract Background Substantial evidence exists surrounding the health risks of breast milk substitutes (BMS) in place of exclusive breastfeeding among infants < 6 months of age in resource-poor settings. Yet, mothers’ experiences of selecting and purchasing BMS brands have not been well studied to date. This qualitative study explored the factors influencing BMS purchasing practices, along with the consequences of those decisions, in peri-urban Lima, Peru. Methods We conducted in-depth interviews (IDIs) with 29 mothers who had begun mixed-feeding their infants during the first 6 months of life. Interviews explored participants’ reasons for initiating infant formula use and their experiences of selecting, purchasing, and providing BMS to their children. Audio recordings were transcribed, coded, and key themes and illustrative vignettes were identified. Results The primary reported reasons for initiating infant formula use included having received a recommendation for infant formula from a healthcare provider, concerns about an infant’s weight gain, and the perception of insufficient breast milk. Mothers tended to initially purchase the BMS brand that had been recommended by a doctor, which was often more expensive than the alternatives. The costs of BMS, which escalated as infants grew, often disrupted the household economy and generated significant stress. While some mothers identified alternatives allowing them to continue purchasing the same brand, others chose to switch to less expensive products. Several mothers began to feed their infants follow-on formula or commercial milk, despite their awareness that such practices were not recommended for infants under 6 months of age. The approval of family members and the absence of an infant’s immediate adverse reaction influenced mothers’ decisions to continue purchasing these products. Conclusions The high costs of BMS may deepen existing socio-economic vulnerabilities and generate new risks for infant health. The continued dedication of resources towards breastfeeding education and support is critical, and strategies would benefit from underscoring the long-term financial and health consequences of infant formula use, and from strengthening women’s self-efficacy to refuse to initiate infant formula when recommended. In addition, health providers should be trained in counseling to help women to relactate or return to exclusive breastfeeding after cessation.

Role of Heart Rate Reduction in the Management of Myocarditis

2018 ◽  
Vol 24 (3) ◽  
pp. 365-378 ◽  
Author(s):  
Chen Guang-Yi ◽  
Ge Li-Sha ◽  
Li Yue-Chun
Keyword(s):  
Heart Rate ◽  
Nitrosative Stress ◽  
Ventricular Remodeling ◽  
Animal Experiments ◽  
Viral Myocarditis ◽  
Protective Effects ◽  
Heart Rate Reduction ◽  
Rate Reduction ◽  
Beneficial Effects ◽  
Biological Technique

The morbidity of myocarditis demonstrates an upward tendency by years, is commonly defined as the inflammation of myocytes and is caused by multiple factors. With the development of the molecular biological technique, great breakthroughs in the diagnosis and understanding of pathophysiological mechanisms of myocarditis have recently been achieved. Several questions remain unresolved, however, including standard treatment approaches to myocarditis, which remain controversial and ambiguous. Heart rate, as an independent risk factor, has been shown to be related to cardiac disease. Recent studies also show that the autonomic nervous system is involved in immunomodulatory myocarditis processes. Heart rate reduction treatment is recommended in myocarditis based on a number of animal experiments and clinical trials. It is possible that heart rate-lowering treatments can help to attenuate the inflammatory response and myocyte injury and reverse ventricular remodeling. However, how to execute the protective effects of heart rate reduction on myocarditis is still not clear. In this review, we discuss the pathogenesis and pathophysiological process of viral myocarditis and propose heart rate lowering as a therapeutic target for myocarditis, especially in light of the third-generation β-blockade carvedilol and funny channel blocker ivabradine. We also highlight some additional beneficial effects of such heart rate reduction agents, including anti-inflammatory, antioxidation, anti-nitrosative stress, anti-fibrosis and antiapoptosis properties.

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