Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay |
| |
| Institution: | 1. Nursing Department I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Barrio Sarriena s/n, 48940 Leioa, Spain;2. Maternal-fetal group, Biocruces Health Research Institute, Cruces University Hospital, Plaza de Cruces 12, 48903 Barakaldo, Spain;3. Bioinformatics and Statistical Support Unit, Biocruces Health Research Institute, Plaza de Cruces 12, 48903, Barakaldo, Bizkaia, Spain;4. Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Sweden;1. City, University of London, 1 Myddelton Street, London, EC1R 1UB, UK;2. De Montfort University, The Gateway, Leicester, LE1 9BH, UK;3. University of Nottingham, University Park, Nottingham, NG7 2RD, UK;4. Universidade federal do Rio de Janeiro, 275 – Cidade Nova, Rio de Janeiro, RJ, 20071-003, Brazil;1. University of Technology Sydney, Faculty of Health, Centre for Midwifery and Child and Family Health, NSW, Australia;2. Burnet Institute, Victoria, Australia;3. Maridulu Budyari Gumal, The Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia;4. South Eastern Sydney Local Health District, District Offices, Sutherland Hospital Locked Bag 21, Taren Point, NSW 2229, Australia;5. Hunter New England Nursing and Midwifery Research Centre, Australia;6. University of Newcastle, Faculty of Health and Medicine, Australia;7. School of Women’s and Children’s Health, UNSW Medicine, UNSW, Australia;8. Department of Women’s and Children’s Health, St. George Hospital, Sydney, Australia;9. The George Institute for Global Health, UNSW Medicine, Australia;1. Epidemiology, Executive Medical Services, Western Sydney Local Health District, Sydney, Australia;2. Obstetrics and Gynaecology, Westmead Hospital, Sydney, Australia |
| |
| Abstract: | BackgroundLate-preterm infants show lower breastfeeding rates when compared with term infants. Current practice is to keep them in low-risk wards where clinical guidelines to support breastfeeding are well established for term infants but can be insufficient for late-preterm.ObjectiveThe aim of this study was to evaluate an intervention supporting breastfeeding among late-preterm infants in a maternity service in the Basque Country, Spain.MethodsThe intervention was designed to promote parents’ education and involvement, provide a multidisciplinary approach and decision-making, and avoid separation of the mother-infant dyad. A quasi-experimental study was conducted with a control (n = 212) and an intervention group (n = 161). Data was collected from clinical records from November 2012 to January 2015. Feeding rate at discharge, breast-pump use, incidence of morbidities, infant weight loss and hospital stay length were compared between the two groups.ResultsInfants in the control group were 50.7% exclusive breastfeeding, 37.8% breastfeeding, and, 11.5% formula feeding at discharge, whereas in the intervention group, frequencies were 68.4%, 25.9%, and 5.7%, respectively (p = 0.002). Mothers in the intervention group were 2.66 times more likely to use the breast-pump after almost all or all feeds and 2.09 times more likely to exclusively breastfeed at discharge. There were no significant differences in morbidities and infant weight loss between groups. Hospital stay was longer for infants who required phototherapy in the intervention group (p = 0.009).ConclusionThe intervention resulted in a higher breastfeeding rate at discharge. Interventions aimed to provide specific support among late-pretem infants in maternity services are effective. |
| |
| Keywords: | Breast feeding Late preterm infant Nursing care Quasi experimental Hospital stay |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
