Effects of newborn care education program using ubiquitous learning on exclusive breastfeeding and maternal role confidence of first-time mothers

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.

Download Full-text

"Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

10.21203/rs.2.22560/v1 ◽

2020 ◽

Author(s):

Louisa Adda ◽

Kwabena Opoku-Mensah ◽

Phyllis Dako-Gyeke

Keyword(s):

Exclusive Breastfeeding ◽

English Language ◽

Cultural Practices ◽

Health Workers ◽

Economic Value ◽

Computer Software ◽

Traditional Birth Attendants ◽

Birth Attendants ◽

First Time Mothers ◽

First Time

Abstract Background Exclusive Breastfeeding (EBF) is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Method Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Result Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusion Although first time mothers attempt EBF, external influences make it practically challenging. The availabilty and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Recommendations The provision of education on EBF should be targeted to mothers during antenatal and postnatal clinics in order to help address misconceptions of EBF. Again, the practice of community based health services should be strengthened to provide support to first-time mothers as well as continuous education to the family and community leaders who influence decision making on breastfeeding of infants.

Download Full-text

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

International Breastfeeding Journal ◽

10.1186/s13006-020-00343-3 ◽

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.

Download Full-text

Exclusive breastfeeding in first-time mothers in rural Kenya: a longitudinal observational study of feeding patterns in the first six months of life

International Breastfeeding Journal ◽

10.1186/s13006-020-00260-5 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 3

Author(s):

Alison Talbert ◽

Caroline Jones ◽

Christine Mataza ◽

James Alexander Berkley ◽

Martha Mwangome

Keyword(s):

Observational Study ◽

Exclusive Breastfeeding ◽

Feeding Patterns ◽

Longitudinal Observational Study ◽

First Time Mothers ◽

Rural Kenya ◽

First Time

Download Full-text

A Systematic Review and Meta-analysis of the effect on Newborn Care Education Program

Journal of Digital Convergence ◽

10.14400/jdc.2017.15.3.247 ◽

2017 ◽

Vol 15 (3) ◽

pp. 247-257 ◽

Cited By ~ 1

Author(s):

Jiwon Kang ◽

GyeongAe Seomun

Keyword(s):

Systematic Review ◽

Education Program ◽

Meta Analysis ◽

Newborn Care ◽

Care Education

Download Full-text

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

10.21203/rs.3.rs-342392/v1 ◽

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.

Download Full-text

Distorted thoughts and practice of exclusive breastfeeding in first-time mothers

Conocimiento para el Desarrollo ◽

10.17268/cpd.2019.02.02 ◽

2019 ◽

Vol 10 (2) ◽

pp. 181-186

Author(s):

Silvia Lam ◽

Joel Sánchez ◽

Jorge Neciosup ◽

José Castillo ◽

Richard Palomino

Keyword(s):

Exclusive Breastfeeding ◽

First Time Mothers ◽

First Time

Download Full-text

“The kind of support that matters to exclusive breastfeeding” a qualitative study

10.21203/rs.3.rs-36773/v2 ◽

2020 ◽

Author(s):

Zukiswa Theodorah Dasheka ◽

Ntombana Mc'Deline Rala

Keyword(s):

Social Support ◽

South Africa ◽

Exclusive Breastfeeding ◽

Family Members ◽

Breastfeeding Support ◽

Individual Interviews ◽

Practical Support ◽

First Time Mothers ◽

Contextual Study ◽

First Time

Abstract Background Worldwide, only 41% of infants are exclusively breastfed for the first six months while South Africa has an alarming figure of only 12%. First-time mothers are inexperienced in the initiation and maintenance of exclusive breastfeeding, hence a need for support. Data on forms and quality of exclusive breastfeeding support as experienced by first-time mothers is minimal. The study explored the exclusive breastfeeding support available to first-time mothers in the Buffalo City Metro, South Africa.Methods A qualitative explorative, descriptive and contextual study, and a non-probability, purposive sampling was used with 10 first-time mothers within the first six months postpartum. The in-depth face-to-face semi-structured individual interviews for data collection and Creswell's steps of thematic analysis were used.Results Two themes emerged; challenges, empowerment, support and resilience during initiation of exclusive breastfeeding, and diverse support and resilience during maintenance of exclusive breastfeeding. First- time mothers received practical support majorly from nurses and other mothers during the initiation; social support was from family members, friends, and community members for the maintenance of exclusive breastfeeding. Sometimes there was a disjuncture between practical support from nurses and that from family members and community. There were instances where the support was needed but not given or not supportive of exclusive breastfeeding.Conclusion These findings illustrate that professional, practical and social support for first-time mothers is crucial in the initiation and maintenance of exclusive breastfeeding for the first six months. Timing and the kind of support given to these mothers is crucial for successful exclusive breastfeeding.

Download Full-text