scholarly journals Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

2021 ◽  
Vol 18 (21) ◽  
pp. 11430
Author(s):  
Lingling Li ◽  
Heqing Song ◽  
Yu Zhang ◽  
Hang Li ◽  
Mu Li ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Baby Friendly Hospital Initiative ◽  
Supportive Services ◽  
Evaluation Standards ◽  
Breastfeeding Rate ◽  
Postpartum Mothers ◽  
The Impact ◽  
And Child Health ◽  
Breastfeeding Practice

Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users. Methods: This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese “Baby-Friendly Hospital Evaluation Standards”. Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed. Results: Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; p = 0.033). Conclusion: Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.

scholarly journals Pendidikan Kesehatan Masyarakat Perawatan Payudara pada Ibu Nifas di Posyandu Dewi Sri Pamulang Kota Tangerang Selatan

2021 ◽  
Vol 2 (1) ◽  
pp. 17-22
Author(s):  
Ikada Septi Arimurti ◽  
Rita Dwi Pratiwi ◽  
Wannasta Alayya
Keyword(s):  
Health Education ◽  
Community Service ◽  
Exclusive Breastfeeding ◽  
P Value ◽  
Breastfeeding Rate ◽  
Care Health ◽  
Breast Care ◽  
Postpartum Mothers ◽  
The Impact ◽  
Provide Health Education

Abstrak: Data Riskesdas tahun 2018 menyatakan bahwa pada bayi umur 0-5 bulan di Indonesia, proporsi pola pemberian ASI sebanyak 37,3% ASI ekslusif, sedangkan pada ASI parsial dan ASI predominan masing-masing sebesar 9,3%, dan 3,3%. Hal ini menunjukkan bahwa angka ASI eksklusif kita masih tergolong rendah. Perawatan payudara adalah faktor yang berpengaruh terhadap keberhasilan proses menyusui pada ibu nifas, selain faktor lainnya. Penelitian sebelumnya mengungkapkan terdapat hubungan yang signifikan antara perawatan payudara dengan keberhasilan proses menyusui dengan p-value sebesar 0,007. Tujuan pengabdian masyarakat ini adalah memberi edukasi kepada masyarakat khususnya ibu nifas untuk dapat melakukan perawatan payudara pada masa nifasnya sehingga bisa mendukung program ASI eksklusif. Metode pengabdian masyarakat dilakukan melalui ceramah dan simulasi perawatan payudara. Pendidikan kesehatan dilakukan oleh dosen dan mahasiswa STIKes Widya Dharma Husada Tangerang. Kegiatan bertempat di Posyandu Dewi Sri Pamulang Kota tangerang Selatan. Pelaksanaannya pada saat kegiatan posyandu lalu disertakan pendidikan kesehatan dengan tema perawatan payudara pada ibu nifas. Peserta kegiatan sebanyak 15 orang ibu nifas. Terdapat antusiasme warga saat kegiatan berlangsung. Dampak kegiatan ini peserta mengetahui cara melakukan perawatan pada payudara sehingga sangat bermanfaat dalam proses menyusuinya. Harapan selanjutnya adalah kader posyandu juga dapat terus memberikan pendidikan kesehatan mengenai perawatan payudara pada ibu nifas yang belum memahami bagaimana merawat payudara selama proses menyusui.Abstract: Riskesdas data for 2018 states that in infants aged 0-5 months in Indonesia, the proportion of breastfeeding patterns is 37,3% exclusive breastfeeding, while partial breastfeeding and predominant breastfeedings are 9,3% and 3,3%, respectively. This shows that our exclusive breastfeeding rate is still low. Breast care is one of the factors that influence the success of the breastfeeding process in postpartum mothers and other factors. Previous research revealed a significant relationship between breast care and the success of the breastfeeding process with a p-value = 0,007. This community service aims to provide education to the community, especially postpartum mothers, to carry out breast care during the puerperium so that they can support the exclusive breastfeeding programs. Community service methods are carried out through lectures and simulations of breast care. Health education is carried out by lecturers and students of STIKes Widya Dharma Husada Tangerang. The activity took place at Posyandu Dewi Sri Pamulang, South Tangerang City. It was implemented during the posyandu activities and then included health education with breast care for postpartum mothers. Participants in the activity were about 15 mothers. There was enthusiasm from the residents when the activity took place. The impact of this activity, participants know how to do a treatment on the breast, so it is very beneficial in breastfeeding. The next hope is that posyandu cadres can also continue to provide health education on breast care to mothers who do not understand how to care for the breast during the breastfeeding process.

scholarly journals The association between breastfeeding supportive services during childbirth hospitalization and exclusive breastfeeding at discharge

2020 ◽  
Author(s):  
Lingling Li ◽  
Yu Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Yajuan Yang ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Evaluation Criteria ◽  
Cross Sectional Study ◽  
Supportive Services ◽  
Cross Sectional ◽  
Breastfeeding Rate ◽  
The Status ◽  
Survey Results ◽  
Healthy Growth ◽  
And Child Health

Abstract Background Breast milk is the ideal food to meet all nutrients needs for a baby’s healthy growth and development. The status of breastfeeding supportive services in Baby-Friendly Hospitals and their role in influencing mothers’ breastfeeding practice in Shanghai, China is less understood. The aim of this study was to explore the association between breastfeeding supportive services provided by Baby-Friendly Hospitals around childbirth and exclusive breastfeeding rate at discharge. Methods This was a hospital-based cross-sectional study, conducted in eight Baby-Friendly Hospitals in Shanghai between October 2015 and January 2017. The breastfeeding supportive services during hospitalization were assessed using a 12-question questionnaire based on the evaluation criteria of Baby-Friendly Hospitals. In total 707 mothers completed the survey. Results The overall exclusive breastfeeding rate among participants was 34.4% at discharge. Mothers who received more breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at discharge compared with mothers who received less services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Conclusion Better breastfeeding supportive services during hospitalization was significantly associated with higher rate of exclusive breastfeeding at discharge. More effective measures should be adopted to improve the breastfeeding supportive services in line with the Baby-friendly Hospital Initiative’s Ten Steps to promote and support exclusive breastfeeding and better maternal and child health.

Technology and Hospital Information System: A Case of Implementation of Electronic Clinical Records in Hospital Maternity Irene Neto in Lubango, Angola

2019 ◽  
Vol 10 (11) ◽  
pp. 1131-1135
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
◽  
Ricardo Correia ◽  
Anabela Antunes de Almeida ◽  
Ana Gloria Diaz Martinez ◽  
...  
Keyword(s):  
Maternity Hospital ◽  
Management Support ◽  
Retrospective Case ◽  
System A ◽  
Clinical Records ◽  
Retrospective Case Study ◽  
The Impact ◽  
And Child Health

Introduction: In order to have a good assessment of the quality of maternal and child health care, it is essential that there is up-to-date and reliable information. Objective: To evaluate the impact of the implementation of a computerized database of clinical processes in the admission, archive and medical statistics section, of Maternity hospital Irene Neto/Lubango-Angola. Methodology: A descriptive study with a quantitative and qualitative approach to carry out a retrospective case study deliveries and newborns, records from 2014 to 2017. Final considerations: The implementation of this project may contribute to the improvement of clinical management support management of the hospital as well as facilitating access to information for research and scientific production.

scholarly journals The Impact of Moringa Leaves, Katuk Leaves and Oxytocin Massage on Quantity and Quality of Mother's Milk as Patients Health Center in Bali

2020 ◽  
Vol 9 (1) ◽  
pp. 275-279
Keyword(s):  
Breast Milk ◽  
Quantitative Research ◽  
T Test ◽  
The Third ◽  
Psychological Disturbances ◽  
Α Level ◽  
Postpartum Mothers ◽  
The Impact ◽  
Paired T Test

The problem of breastfeeding is part of the problem of discomfort in postpartum mothers for 2 hours after giving birth. This problem often causes trauma to postpartum mothers during breastfeeding, psychological disturbances, and increases morbidity in the mother and baby due to inadequate breast milk. The practice of Oxytocin massage, Moringa leaves and Katuk leaves at the same time can improve the quantity and quality of breast milk in maternal patients with 36-40 weeks' gestation. This type of research is quantitative research. Respondents numbered 30 were selected by determining purposive sampling in each group consisting of 10 mothers. Data were analyzed using a Paired t-test and Independent sample t-test with an α level of 0.05. The results showed that there was an increase in the quantity of breastfeeding. On the 3rd day, the quantity of breast milk with volume of 45 cc. In the week I with a volume of 10.50 cc, week II 86.50 cc, week III 168.50 cc and week IV as much as 275 cc. It shows that there are differences in quality on days 3 to week IV. The results of data analysis also showed that the 3rd day the quality of breast milk is rather yellow and rather thick, then the first week to the third week rather yellow and thin. At week IV, the quality of breast milk is white and runny. There is an increase in the quality and quantity of breast milk in all three groups.

scholarly journals Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Isabel Rodríguez-Gallego ◽  
Fatima Leon-Larios ◽  
Cecilia Ruiz-Ferrón ◽  
Maria-de-las-Mercedes Lomas-Campos
Keyword(s):  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Intervention Group ◽  
World Health ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
Primary Health ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
The Impact

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

scholarly journals Do Maternal Quality of Life and Breastfeeding Difficulties Influence the Continuation of Exclusive Breastfeeding?

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Forough Mortazavi ◽  
Seyed Abbas Mousavi ◽  
Reza Chaman ◽  
Ahmad Khosravi
Keyword(s):  
Quality Of Life ◽  
Exclusive Breastfeeding ◽  
Late Pregnancy ◽  
Life Questionnaire ◽  
Third Trimester ◽  
Early Postpartum ◽  
Maternal Quality Of Life ◽  
Postpartum Mothers ◽  
Maternal Quality

Objectives.This study was conducted to determine whether maternal quality of life (QOL) and breastfeeding difficulties influence the continuation of exclusive breastfeeding (EBF).Methods.In a survey, 358 consecutive pregnant women filled out a quality of life questionnaire in the third trimester of pregnancy and the breastfeeding experience scale at 4 weeks postpartum. We assessed breastfeeding practices every month up to 6 months postpartum.Results.Only 11.8% of women continued EBF at six months. Mothers who continued EBF at 2 and 4 months postpartum had better QOL in late pregnancy than mothers who discontinued it (P<0.05). There were no significant differences between the two groups in QOL scores at 6 months postpartum. Mothers who continued EBF at 2 months postpartum experienced less breastfeeding difficultties during one month postpartum than mothers who discontinued it (P<0.05).Conclusion.In attempts to promote EBF, mothers with poor QOL or breastfeeding difficulties in early postpartum should be identified and helped.

scholarly journals Determinants of breastfeeding practice in Pujehun district, southern Sierra Leone: a mixed-method study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Dorothee van Breevoort ◽  
Francesca Tognon ◽  
Arne Beguin ◽  
Amara S. Ngegbai ◽  
Giovanni Putoto ◽  
...  
Keyword(s):  
Breast Milk ◽  
Sierra Leone ◽  
Exclusive Breastfeeding ◽  
Mixed Method ◽  
Critical Role ◽  
World Health ◽  
Mixed Method Study ◽  
Breastfeeding Rate ◽  
Breastfeeding Practice ◽  
Determinants Of Breastfeeding

Abstract Background It is well established that exclusive breastfeeding can play a critical role in reducing child morbidity and mortality. Limited research has been done thus far on the practice and perceptions of breastfeeding in Sierra Leone, where more than 10 % of children die before the age of five. This study aimed to gain understanding into and explore both matters in order to develop recommendations for effective strategies to promote breastfeeding practice in Pujehun District, Southern Sierra Leone. Methods This exploratory mixed-method study included a cross-sectional survey of 194 mothers, semi-structured interviews and focus group discussions. Logistic regression analysis was used calculated odds ratios of factors associated with primarily breastfeeding practice, defined as ‘Children under six months of age who are fed with breast milk only and children older than six months of age that were exclusively breastfed up to six months’, based on recall from birth. Exclusive breastfeeding rate was based on breastfeeding practice 24 h prior to the survey. Qualitative data was analysed through a deductive approach, using a pre-determined framework on determinants of breastfeeding. Results This study revealed an exclusive breastfeeding rate of 62.8% (95% CI 53.9, 71.7); dropping from 74% in the 0–1-month age group to 33% in the 4–5 months group. Triangulation of qualitative and quantitative data revealed enabling factors for primarily breastfeeding practice included mothers receiving support during their first breastfeed, pregnant women being provided with information on the benefits of the practice, counselling by nurses, support from husbands, and women’s awareness of how their friends and family members fed their own babies. The main barriers were a lack of encouragement by husbands, women’s perception that their infants’ stools were abnormal or that they were not producing enough breast milk. Conclusions Although the exclusive breastfeeding may have risen over recent years, a gap remains compared to World Health Organization recommendations. According to the breastfeeding determinants identified in this study, promotion of counselling by a nurse, encouragement of husbands’ support, and improve knowledge of mothers on breastfeeding are recommended to be incorporated in the design of future health programs.

scholarly journals Exclusive Breastfeeding Practice And Associated Factors Among Employed And Unemployed Mothers In Ethiopia: Comparative Cross Sectional Study Using EDHS 2016

2021 ◽  
Author(s):  
Desta Markos Minamo
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternity Leave ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Data Set ◽  
Factors Associated ◽  
The Impact ◽  
Breastfeeding Practice

Abstract Introduction Contrary to the recommendation, children under the age of 6 months be exclusively breastfed, many infants are also fed with other liquids such as water, non-milk liquids, and other milks before 6 months. Because of level of education and proportion of employed women in Ethiopia has been increasing gradually. Consequently the practice of exclusive breastfeeding became very lower. The main objective of this study was to assess the magnitude and factors associated with the practice of exclusive breastfeeding among employed and unemployed mothers in Ethiopia, using dataset from EDHS 2016. METHOD Data was extracted from Ethiopia Demographic and Health Survey (EDHS-2016). A total of 1089 mothers with infants aged 0 to 6 months in the data set were included in the analysis. Descriptive analysis, chi-square and binary logistic regression models were used. RESULT This study has demonstrated a 64.7%, 95%CI(58.9-70.5) and 75.4%, 95%CI(72.378.2) prevalence of EBF practices among employed and unemployed mothers respectively in the 24h preceding the survey. Other factors associated with EBF practice included being unemployed mother, larger to normal birth weight; infant aged 0-3 month old, infant being male, have radio in the house, infant being wanted, delivery by non CS mode and presence of ANC follow up during pregnancy were found to be significantly associated with exclusive breastfeeding practice. Conclusion the prevalence of exclusive breast feeding practice among employed mothers was significantly lower than that of unemployed mothers. Thus, Having in consideration the impact of appropriate infant and young children feeding practice on children’s nutritional status and mortality rate, policy makers still need to give more emphasis on promotion of exclusive breastfeeding through creating an enabling environment targeting the extension of postnatal maternity leave up to the first six month.

scholarly journals How to promote exclusive breastfeeding in Ireland: a qualitative study on views of Chinese immigrant mothers  

2021 ◽  
Author(s):  
Haoyue Chen ◽  
Cheng Li ◽  
Qianling Zhou ◽  
Tanya M. Cassidy ◽  
Katherine M. Younger ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Care Professionals ◽  
Policy Changes ◽  
Qualitative Thematic Analysis ◽  
Breastfeeding Rate ◽  
English Speaking ◽  
Promotion Strategies ◽  
The Government ◽  
Depth Interviews ◽  
Breastfeeding Practice

Abstract Background: The exclusive breastfeeding rate in Ireland is very low with extremely slow annual growth. The population of immigrants in Ireland is increasing. Improving exclusive breastfeeding practice among immigrants may contribute to the overall improvement of exclusive breastfeeding rates in Ireland. This study was conducted to elicit suggestions on improving exclusive breastfeeding rate for six months among Chinese immigrants in Ireland. Methods: Fourteen semi-structured in-depth interviews were conducted with Chinese immigrant mothers residing in Ireland, who breastfed exclusively for four to six months. Interviews were recorded and transcribed in Chinese. Data were analyzed using a qualitative thematic analysis. Themes were developed through categorization of codes and via in-depth discussion between two researchers. Results: Themes generated from the thematic content analysis were 1) suggestions for new mothers: being strong mentally and getting support from family and friends; 2) suggestions for employers: creating a supportive workplace by setting up private room and breastmilk storage facilities; 3) suggestions for health care professionals: advocating breastfeeding in the hospital and addressing cultural differences by recruiting multilingual staff; 4) suggestions for the government: promoting breastfeeding by initiating societal and policy changes. Conclusions: The key findings emerging from this study may be considered in the development of breastfeeding promotion strategies in Ireland. Our findings could also have implications for other English-speaking countries with low rates of exclusive breastfeeding.

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