scholarly journals Factors Associated With Post NICU Discharge Exclusive Breastfeeding Duration Amongst First Time Mothers of Preterm Infants In Shanghai: A Longitudinal Cohort Study

2021 ◽  
Author(s):  
Xin Jiang ◽  
Hui Jiang
Keyword(s):  
Family Support ◽  
Preterm Infants ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Cox Regression ◽  
Breastfeeding Duration ◽  
Breastfeeding Knowledge ◽  
Breastfeeding Rate ◽  
Mothers Of Preterm Infants ◽  
First Time

Abstract BackgroundBreastfeeding is crucial to the preterm infants. Breast milk is not only food but also medicine. Few studies focused on the longitudinal association with exclusive breastfeeding duration of preterm infants separated from their mothers after discharge, especially in Shanghai. We aimed to examine the exclusive breastfeeding duration amongst first time mothers of preterm infants after discharge and their determinants.MethodsAnalyses were based on 500 preterm infants separated from their mothers in a territory maternity and infant special hospital in Shanghai from September 2018 to September 2019.The self administered questionnaire, breastfeeding knowledge questionnaire, breastfeeding self-efficacy short form scale, Edinburgh postpartum depression scale and breastfeeding family support scale were used for the investigation, and the breastfeeding rate of premature infants was followed up 1 month, 3 months and 6 months after discharge. The changing trend of breastfeeding knowledge, breastfeeding self-efficacy, postpartum depression and family support were measured by ANOVA in different stages.The Kaplan Meier survival curve and Cox regression model were used to analyze the determinants of exclusive breastfeeding duration of premature infants after discharge. ResultsThrough the Cox regression model, we found that the maternal planned pregnancy (RR=0.68, 95%CI=0.53~0.87), delivering breast milk during hospitalization (RR=0.80, 95%CI=1.41~2.29),NICU feeding mode (RR=1.22, 95%CI=0.13~0.38) during hospitalization and family support (RR=0.56,95%CI=1.00~2.43) were the independent factors influencing the exclusive breastfeeding duration after discharge. ConclusionsThe exclusive breastfeeding duration of premature infants was affected by many factors, so we should focus on three levels of individual, family and society, and give targeted intervention measures to increase exclusive breastfeeding rate and prolong exclusive breastfeeding duration.Trial registration: Not applicable

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals Aleitamento materno exclusivo em prematuros de hospitais Amigo da Criança: estudo comparativo

2018 ◽  
Vol 16 (3) ◽  
pp. 319
Author(s):  
Ariane Thaise Alves Monteiro ◽  
Edilaine Giovanini Rossetto ◽  
Kauana Olanda Pereira ◽  
Mariana Charif Lakoski ◽  
Marcela Maria Birolim ◽  
...  
Keyword(s):  
Comparative Study ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Clinical Characteristics ◽  
Demographic Characteristics ◽  
University Hospital ◽  
Factors Associated ◽  
The University

Aim: to compare the prevalence of exclusive breastfeeding (EBF) and to verify the factors associated with its interruption in premature infants hospitalized at Baby-Friendly hospitals. Method: this is a comparative study performed with 107 premature infants admitted to the neonatal unit of two hospitals in Paraná. Data were obtained through interviews with mothers and analysis of infant records at hospital discharge and 15 days after delivery. Results: the prevalence of EBF was 29.2% in the University Hospital and 15.3% in the Philanthropic Hospital. At hospital discharge, associations with clinical characteristics of infants predominated, and 15 days after discharge there was a greater association with the socio-demographic characteristics of the parents. Conclusion: the prevalence of EBF, which was shown to be low at the time of hospital discharge in both hospitals, decreased after discharge, reinforcing the need for other strategies, in addition to those provided at Baby-Friendly hospitals, for the promotion and support of EBF in preterm infants.

scholarly journals Pattern and influencing factors of breastfeeding of working mothers in several areas in Jakarta

2007 ◽  
Vol 47 (1) ◽  
pp. 27 ◽  
Author(s):  
Rifan Fauzie ◽  
Rulina Suradi ◽  
Sri Rezeki S. Hadinegoro
Keyword(s):  
Breast Milk ◽  
Family Support ◽  
Influencing Factors ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Descriptive Study ◽  
Knowl Edge ◽  
Breastfeeding Rate ◽  
Insurance Business

Background Breast milk contains many essential nutrition factorsbest for babies. The 1997 Indonesian Health Demography foundthat the proportion of exclusive breastfeeding was still low (52%)and increased to 55.1% in 2002. Due to increasing number ofworking mothers, promoting breast feeding among them should beperformed properly. There are no data on exclusive breastfeedingrate and pattern among working mothers in Indonesia.Objective To describe exclusive breastfeeding rate and patternamong working mothers in several areas in Jakarta and the influ-encing factors.Methods A descriptive study using a questionnaire was conductedfrom October 2005 to February 2006. Subjects were workingmothers who had 6 to 12 month old baby and breastfed and thebaby had no congenital or chronic disease.Results Among 290 mothers interviewed, 40% worked at banksor insurance business, 34% were private employees, 25% medicalstaffs, and 2% were teachers. Almost 80% have exclusivelybreastfed for less than 4 months, 17% for 4 months, and only 4%for 6 months. Maternal leave, family support, mothers’ knowl-edge, facilities at workplace, media influences, and working hoursseemed to have no relations to breastfeeding rate. There were122 (42%) mothers who had good knowledge about physiologyof lactation, 155 of them (53%) had fair knowledge, and only45% of them had poor knowledge.Conclusions The proportion of working mothers in several areasin Jakarta who have exclusively breastfed for 4 months is 17%, andonly 4% of subjects do exclusive breastfeeding for 6 months. Mostsubjects have a good to fair knowledge about the physiology oflactation but it does not seem to influence the decision to exclu-sively breastfed their babies.

scholarly journals Early essential newborn care is associated with increased breastfeeding: a quasi-experiment study from Sichuan Province of western China

2020 ◽  
Author(s):  
Chenran Wang ◽  
Xiayun Li ◽  
Lin Zhang ◽  
Linman Wu ◽  
Ling Tan ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Newborn Care ◽  
Sichuan Province ◽  
Western China ◽  
Breastfeeding Initiation ◽  
Experiment Study ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
First Time ◽  
Quasi Experiment Study

Abstract Background: Breastfeeding is critical to promote maternal and child health in a short and long term. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of Early Essential Newborn Care (EENC) and breastfeeding outcomes among full-term vaginally delivered neonates in the first six months of life.Methods: We conducted a quasi-experiment study in eight maternal and children’s hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to six months of age. Data in both groups were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase and post-EENC phase. Written consent was obtained from eligible mothers enrolled in this study. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects.Results: Of the 1349 enrolled mother and newborn pairs in our study, 1131 were followed up at 1 month of age, 1075 at 3 months, and 981 at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25min vs. 33min, P<0.01), an increased chance of successful first-time breastfeeding (OR=5.534; 95% CI: 2.687-11.399), longer duration of skin to skin contact (SSC) (21.529 min; 95% CI: 18.171-24.887) and longer duration of the first breastfeed (4.157 min; 95% CI: 2.098-6.217), and an increased likelihood of being exclusively breastfed at discharge (74.5% vs. 55.0%, P<0.001), 3 months (OR=3.197; 95% CI: 1.008-10.144), and 6 months (OR=4.913; 95% CI: 1.709-14.130) of age.Conclusions: EENC enhances early and successful breastfeeding initiation, prolongs duration of the first breastfeed, and increases the rate of exclusive breastfeeding at six months of age. Our evidence suggests that nation wide scale up of EENC would increase the exclusive breastfeeding rate in the first six months of life.

scholarly journals Early essential newborn care is associated with increased breastfeeding: a quasi-experimental study from Sichuan Province of Western China

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Chen-ran Wang ◽  
Xia-yun Li ◽  
Lin Zhang ◽  
Lin-man Wu ◽  
Ling Tan ◽  
...  
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Newborn Care ◽  
Sichuan Province ◽  
Western China ◽  
Breastfeeding Initiation ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Quasi Experimental ◽  
First Time

Abstract Background Breastfeeding is critical to promote maternal and child health. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full term vaginally delivered neonates in the first 6 months of life. Methods We conducted a quasi-experimental study in eight maternal and children’s hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to 6 months of age. Data were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase from May to June 2017 and post-EENC phase from October to December 2017. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects. Results Of the 1349 enrolled mother and newborn pairs in our study, 1131 (83.9%) were followed up at 1 month of age, 1075 (79.7%) at 3 months, and 981 (72.7%) at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25 min vs. 33 min, P <  0.01), an increased chance of successful first-time breastfeeding (OR 5.53; 95% CI 2.69, 11.40), longer duration of skin to skin contact (SSC) (21.53 min; 95% CI 18.17, 24.89) and longer duration of the first breastfeed (4.16 min; 95% CI 2.10, 6.22), and an increased likelihood of being exclusively breastfed at discharge (74.5% vs. 55.0%, P <  0.001), 3 months (OR 3.20; 95% CI 1.01, 10.15), and 6 months (OR 4.91; 95% CI 1.71, 14.13) of age. Conclusions EENC enhances breastfeeding initiation and increases exclusive breastfeeding at 6 months of age. Our evidence suggests that nationwide scale up of EENC would increase the exclusive breastfeeding rate in the first 6 months of life.

scholarly journals Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort

2018 ◽  
Vol 71 (6) ◽  
pp. 2876-2882
Author(s):  
Lucyana Silva Luz ◽  
Ruth Minamisava ◽  
Carmen Gracinda Silvan Scochi ◽  
Ana Karina Marques Salge ◽  
Laiane Medeiros Ribeiro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospital Discharge ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Prospective Cohort ◽  
Neonatal Exposure ◽  
Factors Associated ◽  
Breastfeeding Rate ◽  
Gestation Time ◽  
Discharge Method

ABSTRACT Objective: to evaluate the incidence of exclusive breastfeeding and the risk factors associated to its interruption in premature infants after hospital discharge. Method: this is a prospective cohort with 113 premature infants in a neonatal unit, whom were followed-up from 7 to 15 days after hospital discharge. The outcome was the interruption of exclusive breastfeeding. Maternal and neonatal exposure variables were evaluated by a regression model and described by the confidence interval (95%) and risk ratio. Results: exclusive breastfeeding rate was 81.4% at discharge and 66.4% at 7 to 15 days after discharge. Double gestation, time of mechanical ventilation and birth weight were associated with higher risks of interruption of exclusive breastfeeding after discharge. Conclusion: there is a need for the implementation of actions that promote the early onset and maintenance of exclusive breastfeeding of premature infants.

scholarly journals Striving for sufficient milk to have a healthy late preterm baby: a grounded theory study

2021 ◽  
Author(s):  
Rungtawan Choijorhor ◽  
Kannika Kantaruksa ◽  
Jutamas Chotibang ◽  
Nonglak Chaloumsuk
Keyword(s):  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Late Preterm ◽  
Milk Supply ◽  
Healthy Baby ◽  
Late Preterm Infants ◽  
Core Category ◽  
First Time Mothers ◽  
Insufficient Milk ◽  
First Time

Abstract Background Late preterm infants are at risk for more health problems than full-term infants. They require good nutrition for growth, and breast milk contains valuable nutrients as the valuable golden standard for them. Currently, the population of late preterm infants is increasing as exclusive breastfeeding rates decrease. Hence, this study explored exclusive breastfeeding experiences among Thai first-time mothers of late preterm infants. Methods Participants were recruited from the family planning unit of a university hospital in Northern Thailand. A grounded theory study design was used, drawing upon an interview guideline with seventeen first-time mothers who exclusively breastfed their late preterm infants for the first six weeks of life. Results “Striving for sufficient milk to have a healthy baby” emerged as the core category. It was defined as a process in which mothers of late preterm infants had to exert great effort toward achieving sufficient milk for their infants. The following three phases supported the core category: preparing for breastfeeding, overcoming the problem of insufficient milk supply, and managing to continue breastfeeding. Conclusion Perceived insufficient milk supply in first-time mothers is a threat to achieving exclusive breastfeeding for their late preterm infants, but the will to have a healthy baby makes it happen. Nurse-midwives could apply the management process of exclusive breastfeeding as a guideline in providing support for these mothers throughout the chain of antenatal, intrapartum, and postpartum care. Trial registration: Permission to conduct the study was obtained from the Institutional Review Board Committee, Faculty of Nursing and the Faculty of Medicine, Chiang Mai University, # No. 2561-EXP065 and No. 2561–05865.

scholarly journals A Causal Model of Breastfeeding Duration among Working Muslim Mothers in Semarang City, Central Java Province, Indonesia

2020 ◽  
Vol 17 (9) ◽  
pp. 1010-1023
Author(s):  
Mekar Dwi ANGGRAENI ◽  
Busakorn PUNTHMATHARITH ◽  
Wongchan PETPICHETCHIAN
Keyword(s):  
Family Support ◽  
Working Mothers ◽  
Causal Model ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Knowledge ◽  
Central Java ◽  
Study Results ◽  
Knowledge And Attitude ◽  
Central Java Province

Islam encourages every mother to breastfeed; however, for working mothers, maintaining breastfeeding can be challenging. This study aimed to develop and test a causal model to predict breastfeeding duration in this population. A cross-sectional, predictive study was conducted to test the proposed causal model predicting breastfeeding duration among working Muslim mothers in Semarang City, Central Java Province, Indonesia. Two hundred and forty Muslim mothers participated in the study and self-reported questionnaires were used. Respondents were recruited by using multisite random sampling. Nine questionnaires were used to collect data and a model test using a path analysis was performed to examine the hypothesized relationships. The study results were as follows: 1) initially, the hypothesized model did not fit the data, then the model was modified based on the statistical and theoretical considerations until it could explain the data well, 2) the intention to exclusively breastfeed affected breastfeeding initiation, 3) breastfeeding knowledge and attitude toward breastfeeding affected intention to exclusively breastfeed, 4) breastfeeding knowledge, family support, workplace support, attitude toward breastfeeding, sufficient milk supply, and intention to exclusively breastfeed affected breastfeeding duration, 5) breastfeeding problems affected breastfeeding duration, 6) intention to exclusively breastfeed mediated breastfeeding knowledge and attitude toward breastfeeding on breastfeeding duration and breastfeeding initiation, 7) breastfeeding initiation did not mediate breastfeeding knowledge, family support, and intention to exclusively breastfeed on breastfeeding duration. Health care providers should consider that breastfeeding knowledge, attitude toward breastfeeding, and intention to exclusively breastfeed have high predictive values of exclusive breastfeeding duration among working mothers.

scholarly journals Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants

2018 ◽  
Vol 35 (1) ◽  
pp. 80-89 ◽  
Author(s):  
Ying Wang ◽  
Carrie-Ellen Briere ◽  
Wanli Xu ◽  
Xiaomei Cong
Keyword(s):  
Intensive Care ◽  
Postpartum Depression ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Short Form ◽  
Depression Scale ◽  
Breastfeeding Duration ◽  
Depression Symptoms ◽  
Very Preterm Infants

Background: Preterm mother-infant dyads often face many obstacles to breastfeeding. Preterm infants are at highest risk for low rates of exclusive breastfeeding. Research Aim: To determine the prevalence of breastfeeding at 6 months among preterm infants and to identify factors that influenced mothers’ breastfeeding practices. Methods: A longitudinal observational study was conducted in a metropolitan hospital in Beijing, China. Mothers ( N = 270) and their preterm infants ( N = 280) were included in the study. Characteristics of preterm mothers and their perceptions of breastfeeding self-efficacy, knowledge, social support, and postpartum depression symptoms were measured at the discharge of neonatal intensive care. Breastfeeding data were collected by phone interview at 6 months corrected age. Results: At discharge, mothers of very preterm infants perceived a lower level of breastfeeding self-efficacy (measured with the Breastfeeding Self-Efficacy Scale–Short Form) and had a higher level of depression symptoms (measured with the Edinburgh Postnatal Depression Scale [EPDS]) than mothers of moderate and late preterm infants ( p < .05-.01). Nearly half of all mothers had an elevated EPDS score, considered to be symptomatic of postpartum depression. At 6 months, only 22.5% of all infants were exclusively breastfeeding. Factors associated with exclusive breastfeeding, including younger maternal age, previous breastfeeding experience, shorter mother-infant separation time during intensive care, older infant gestational age, and a higher level of breastfeeding self-efficacy, significantly predicted exclusive breastfeeding practice ( p < .05-.001). Conclusion: The prevalence of breastfeeding at 6 months for preterm infants in this sample was low. Strategies to improve breastfeeding duration for preterm infants are needed, including support and education of mothers while in the hospital.

scholarly journals Lactation Counseling for Maintaining Exclusive Breastfeeding in Adolescent Mothers: A Trial Protocol

2021 ◽  
Author(s):  
Iliana Milena Ulloa Sabogal ◽  
Claudia Consuelo Domínguez-Nariño ◽  
Mary Alejandra Mendoza-Monsalve
Keyword(s):  
Latin American ◽  
Adolescent Mothers ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Controlled Trial ◽  
Control Group ◽  
Adult Women ◽  
Post Intervention ◽  
Breastfeeding Knowledge ◽  
Breastfeeding Rate

Abstract Adolescent mothers have lower rates of initiation, continuation, and exclusivity of breastfeeding, and even more so in the first pregnancy. Current interventions target adult women, and little evidence is available for breastfeeding promotion among adolescents. This is a pilot study protocol with a parallel, single-blind, randomized, controlled trial design, to evaluate the effectiveness of the intervention “Lactation Counseling” in first-time adolescent mothers to maintain exclusive breastfeeding in the first six months of life. The control group will receive routine education in prenatal care and prenatal and childbirth classes and, the experimental group will receive additionally the intervention “Lactation Counseling”, for four weeks, both conducted by trained nurses. The primary outcome will be the exclusive breastfeeding rate; and the secondary, the breastfeeding knowledge. Measurements will be taken at baseline, post-intervention, and two, four and six months after childbirth. This study will allow the evaluation of the feasibility of an intervention in low-income, Latin American population adolescents.

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