scholarly journals Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea

2021 ◽  
Vol 27 (4) ◽  
pp. 377-384
Author(s):  
Gun Ja Jang ◽  
Sangjin Ko
Keyword(s):  
South Korea ◽  
Preterm Infants ◽  
Head Circumference ◽  
Neonatal Jaundice ◽  
Late Preterm ◽  
Control Group ◽  
Significant Group ◽  
Transcutaneous Bilirubin ◽  
Late Preterm Infants ◽  
Experimental Group

Purpose: This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs).Methods: This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels.Results: The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction.Conclusion: A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

scholarly journals Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants

2020 ◽  
Vol 26 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Gun Ja Jang ◽  
Yeon Ran Hong
Keyword(s):  
Weight Gain ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Support Program ◽  
Late Preterm ◽  
Control Group ◽  
Breastfeeding Support ◽  
Late Preterm Infants ◽  
Feeding Type ◽  
Experimental Group

Purpose: The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.Methods: A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.Results: There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, <i>p</i>=.712).Conclusion: The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.

scholarly journals Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

2020 ◽  
Vol 26 (3) ◽  
pp. 376-384
Author(s):  
Gun Ja Jang
Keyword(s):  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
University Hospital ◽  
Control Group ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
Experimental Group

Purpose: This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge.Methods: This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem.Results: The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge (<i>x</i><sup>2</sup>=7.17, <i>p</i>=.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups (<i>x</i><sup>2</sup>=1.95, <i>p</i>=.164).Conclusion: The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.

scholarly journals Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates

2020 ◽  
Vol 26 (1) ◽  
pp. 11-22 ◽  
Author(s):  
Eun Hye Jang ◽  
Hyeon Ok Ju
Keyword(s):  
Preterm Infants ◽  
Education Program ◽  
Late Preterm ◽  
Control Group ◽  
Readmission Rates ◽  
Late Preterm Infants ◽  
Care Education ◽  
Parenting Confidence ◽  
Breastfeeding Rate ◽  
Experimental Group

Purpose: The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants’ growth and readmission rate.Methods: The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x<sup>2</sup> test, and repeated-measures analysis of variance.Results: Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants’ growth and readmission rates between the experimental and control groups.Conclusion: A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.

scholarly journals The Effect of Problem-Solving-Approach-Based Counselling on Maternal Role Adaptation in Women with Late Preterm Infant: A Randomized Controlled Trial

2021 ◽  
Vol 10 (2) ◽  
pp. 62-69
Author(s):  
Atefeh Rajabi ◽  
Azam Maleki ◽  
Mohsen Dadashi ◽  
Farzaneh Karami Tanha
Keyword(s):  
Randomized Controlled Trial ◽  
Problem Solving ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Block Design ◽  
Late Preterm ◽  
Control Group ◽  
Maternal Role ◽  
Late Preterm Infants ◽  
Randomized Controlled

Abstract Introduction: Mothers with preterm infants experience numerous stressful problems which can have negative effects on maternal role adaptation. This study aimed to investigate the effectiveness of consultation using a problem-solving approach on adaptation to the maternal role in women with late preterm infants. Methods: This randomized controlled trial (RCT) was carried out on 80 women with spontaneous late preterm infants recruited at Ayatollah Mousavi Hospital of Zanjan. Using convenience sampling method, the participants were assigned into two groups of intervention and control according to block design. Taking a problem-solving approach, counselling was carried out individually in four sessions. The control group received only routine care. The data were collected using adaptation to maternal role questionnaire including 33 items based on a five-point Likert scale ranging in seven areas, in two steps (before counselling and one month after the last counselling session). Data analysis was performed using the SPSS ver. 16.0 software (SPSS, Inc., Chicago, IL). Results: The total score of adaptations to maternal role and its areas was significantly higher in the intervention group after the follow-up period. Conclusion: A comprehensive counselling including various dimensions of maternity adaptation had a positive effect on improving the adaptation to maternal role in mothers with late preterm infants.

scholarly journals Antenatal dexamethasone use and respiratory distress in late preterm infants: results from first Vietnamese matched cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tran Tuan Hung Ho ◽  
Quang Vinh Truong ◽  
Thi Kim Anh Nguyen ◽  
Minh Tam Le ◽  
Vu Quoc Huy Nguyen
Keyword(s):  
Cohort Study ◽  
Treatment Group ◽  
Respiratory Distress ◽  
Preterm Infants ◽  
Matched Control ◽  
Late Preterm ◽  
Control Group ◽  
Matched Control Group ◽  
Late Preterm Infants ◽  
Nicu Admission

Abstract Background Respiratory distress syndrome (RDS) is one of the leading causes of early neonatal morbidity and mortality in late preterm infants (LPIs) worldwide. This matched cohort study aimed to assess how the antenatal dexamethasone use affect the respiratory distress (RD) proportion in preterm newborns between 34 0/7 weeks and 36 6/7 weeks of gestation. Methods This was a prospective cohort study on 78 women with singleton pregnancy who were in threatened preterm birth and had not received prior dexamethasone, who were admitted between 34 0/7 weeks and 36 6/7 weeks at Hue University of Medicine and Pharmacy Hospital from June 2018 to May 2020. The matched control group without dexamethasone use included 78 pregnant women diagnosed with threatened late preterm births who were at similar gestational ages and estimated fetal weights as the treatment group. The treatment group received 6 mg intramuscular dexamethasone every 12 h for a total of 4 doses or until delivery. Primary outcome was the rate of neonatal RD. Secondary neonatal outcomes included the need for respiratory support, neonatal intensive care unit (NICU) admission, hypoglycemia, necrotizing enterocolitis, intraventricular hemorrhage, and neonatal death. Statistical analyses were performed by using SPSS software, version 26.0. Results The proportion of RD in LPI was significantly lower in the treatment group than in the matched control group (10.3% vs. 23.1%, respectively), adjusted Odds Ratio [aOR] 0.29; 95% confidence interval [CI] 0.10 – 0.83 and p = 0.021. Neonatal hypoglycemia was more common in the dexamethasone group than in the matched group (25.6% vs. 12.8%, respectively; aOR, 2.59; 95% CI, 1.06 – 6.33; p = 0.037). There were no significant between-groups differences in the incidence of respiratory support, NICU admission or length of hospital stay. Conclusions Administration of antenatal dexamethasone to women at risk for late preterm birth could help to lower the proportion of respiratory distress in late preterm infants.

scholarly journals Effect of Antenatal Dexamethasone on Respiratory Distress in Late Preterm Infants: Results from the First Vietnamese Matched Cohort Study

2021 ◽  
Author(s):  
Tran Tuan Hung Ho ◽  
Quang Vinh Truong ◽  
Thi Kim Anh Nguyen ◽  
Minh Tam Le ◽  
Vu Quoc Huy Nguyen
Keyword(s):  
Cohort Study ◽  
Treatment Group ◽  
Respiratory Distress ◽  
Preterm Infants ◽  
Matched Control ◽  
Late Preterm ◽  
Control Group ◽  
Matched Control Group ◽  
Late Preterm Infants ◽  
Nicu Admission

Abstract BackgroundRespiratory distress (RD) is one of the leading causes of early neonatal morbidity and mortality in late preterm infants (LPIs) worldwide. This study aimed to evaluate the effect of antenatal dexamethasone on the RD rate in preterm newborns between 34 0/7 weeks and 36 6/7 weeks of gestation.MethodsThis was a prospective cohort study of 78 women with singleton pregnancy who were in threatened preterm birth and had not received prior dexamethasone who were admitted between 34 0/7 weeks and 36 6/7 weeks at Hue University of Medicine and Pharmacy Hospital from June 2018 to May 2020. The matched control group (no dexamethasone) included 78 pregnant women with threatened late preterm births who were at similar gestational ages and estimated fetal weights as the treatment group. The treatment group received 6 mg intramuscular dexamethasone every 12 hours for a total of 4 doses or until delivery. Primary outcome was the rate of neonatal RD. Secondary neonatal outcomes included the need for respiratory support, neonatal intensive care unit (NICU) admission, hypoglycemia, necrotizing enterocolitis, intraventricular hemorrhage, and neonatal death. Statistical analyses were performed by using SPSS software.ResultsThe rate of RD in LPI was significantly lower in the treatment group than in the matched control group (10.3% vs. 23.1%, respectively), with relative risk [RR] 0.44; 95% confidence interval [CI] 0.21 – 0.96 and p = 0.03. Neonatal hypoglycemia was more common in the dexamethasone group than in the matched group (25.6% vs. 12.8%, respectively; RR, 2.00; 95% CI, 1.00 – 3.99; p = 0.04). There were no significant between-group differences in the incidence of respiratory support, NICU admission or length of hospital stay.ConclusionsAdministration of antenatal dexamethasone to women at risk for late preterm birth could significantly reduce the rate of respiratory distress in late preterm infants.

scholarly journals The effects of betamethasone on clinical outcome of the late preterm neonates born between 34 and 36 weeks of gestation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yas Arimi ◽  
Narges Zamani ◽  
Mamak Shariat ◽  
Hossein Dalili
Keyword(s):  
Preterm Infants ◽  
Adverse Outcomes ◽  
Late Preterm ◽  
Respiratory Support ◽  
Preterm Neonates ◽  
Control Group ◽  
Corticosteroid Administration ◽  
Late Preterm Infants ◽  
Beneficial Effects ◽  
Lung Maturity

Abstract Background Prenatal corticosteroid administration in preterm labor is one of the most important treatments available to improve neonatal outcomes; however, its beneficial effects on late preterm infants (after the 34th week of gestation) remained unknown. We aimed to assess the effects of betamethasone on the clinical condition of the late preterm infants born between 34 and 36 weeks of gestation. Methods This retrospective cohort study was performed on 100 consecutive infants born between 34 and 36 weeks of gestation and received betamethasone before delivery as the cases and 100 neonates with the same delivery conditions but without receiving betamethasone. All neonates were followed up within hospitalization to assess the neonatal outcome. Results The neonates receiving betamethasone suffered more from respiratory distress syndrome (49% versus 31%, p = 0.008, RR = 1.59 95% CI (1.12–2.27)) and requiring more respiratory support (71% versus 50%, p = 0.002, RR = 1.43 95% CI (1.13–1.80)) as compared to the control group. There was no difference between the two groups in other neonatal adverse events or death. Conclusion the use of betamethasone in the late preterm period (after 34 weeks of gestation) has no beneficial effects on lung maturity or preventing neonatal adverse outcomes, even may lead to increase the risk for RDS and requiring respiratory support.

scholarly journals The effects of betamethasone on clinical outcome of the late preterm neonates born between 34 and 36 weeks of gestation

2021 ◽  
Author(s):  
Yas Arimi ◽  
Narges Zamani ◽  
Mamak Shariat ◽  
Hossein Dalili
Keyword(s):  
Preterm Infants ◽  
Adverse Outcomes ◽  
Late Preterm ◽  
Respiratory Support ◽  
Preterm Neonates ◽  
Control Group ◽  
Corticosteroid Administration ◽  
Late Preterm Infants ◽  
Beneficial Effects ◽  
Lung Maturity

Abstract Background: Prenatal corticosteroid administration in preterm labor is one of the most important treatments available to improve neonatal outcomes; however its beneficial effects on late preterm infants (after the 34th week of gestation) remained unknown. We aimed to assess the effects of betamethasone on the clinical condition of the late preterm infants born between 34 and 36 weeks of gestation. Methods: This retrospective cohort study was performed on 100 consecutive infants born between 34 and 36 weeks of gestation and received betamethasone before delivery as the cases and 100 neonates with the same delivery conditions but without receiving betamethasone. All neonates were followed up within hospitalization to assess the neonatal outcome. Results: The neonates receiving betamethasone suffered more from respiratory distress syndrome (49% versus 31%, p = 0.008) and requiring more respiratory support (71% versus 50%, p = 0.002) as compared to the control group. There was no difference between the two groups in other neonatal adverse events or death. Conclusion: the use of betamethasone in the late preterm period (after 34 weeks of gestation) has no beneficial effects on lung maturity or preventing neonatal adverse outcomes, even may lead to increase the risk for RDS and requiring respiratory support.

Sign in / Sign up

Export Citation Format

Share Document