Analysis on the current situation of twin breastfeeding and its influencing factors

Wang, Shoucui; Li, Mei; Xiang, Xue; Guo, Xujin; Peng, Chaoli; Wang, Daping; Chen, Ya

doi:10.1097/md.0000000000035161

Cited by 5 publications

(1 citation statement)

References 35 publications

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“…It adopts a 7-level scoring method (1-7 points), with a total score of 12-36 indicating a low support level, 37-60 indicating moderate support level, and 61-84 indicating a high support level. The higher the total score, the higher the individual perceived social support ( 20 ).…”

Section: Methodsmentioning

confidence: 99%

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Quan,

Xu,

et al. 2024

Front. Psychiatry

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ObjectivesTo investigate and compare the associated factors of depression, anxiety, and other psychological differences between patients with Corona Virus Disease 2019 quarantined in square cabin hospitals (SCH) and isolation wards (IW) in China.MethodsCluster sampling method was performed during Shanghai’s Two-Month Lockdown in 2022. Hospital Anxiety and Depression Scale Depression subscale (HADS-D), 7-tiem Generalized Anxiety Disorder Scale (GAD-7), Pittsburgh sleep quality index (PSQI), and Perceived Social Support Scale (PSSS) were used to investigate psychological differences.ResultsThe HADS-D and GAD-7 scores of SCH patients were significantly higher than those in IW (p < 0.001; p = 0.0295). Sleep latency (SCH-IW = -3.76, p < 0.001), sleep duration (SCH-IW = -2.22, p < 0.05), habitual sleep efficiency (SCH-IW = -4.11, p < 0.001), sleep disturbance (SCH-IW = -3.59, p < 0.001) and use of sleep medication (SCH-IW = -5.18, p < 0.001) of SCH patients were significantly worse. Depression was the main emotional problem of quarantined patients. Patients in SCH had lower social support. Sleep disorders and the lowest oxygen saturation ≤ 93% were risk factors for depression, while social support and child status were protective factors. Myalgia and constipation were risk factors for anxiety, while marital status was the protective factor.ConclusionPatients quarantined in SCH had higher risks of depression and anxiety, lower sleep quality and social support. Somatic discomfort and sleep disorders exacerbated depression and anxiety, which could be ameliorated by social support and taken into consideration in future SCH construction.

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Section: Methodsmentioning

confidence: 99%

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Quan,

Xu,

et al. 2024

Front. Psychiatry

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Breastfeeding Practices in the Twin Town of India — A Cross-Sectional Study

Bhardwaj,

Smitha

2024

Twin Res Hum Genet

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The global rise in twinning rates poses health challenges due to increased risks for infants and mothers. Despite the benefits, breastfeeding rates among multiples are low, with exclusive breastfeeding (EBF) particularly scarce compared to singletons. Our study focuses on the mothers of twins in a unique population in Kodinhi village, Kerala, India, known for its high twinning rates, which aims to contribute to existing knowledge of breastfeeding practices and perspectives in a high twinning environment and offer valuable insights to promote optimal breastfeeding among mothers of twins. A retrospective cross-sectional survey was adopted. Seventy-five mothers with twins under 3 years of age from Kodinhi and neighboring areas were interviewed face to face using structured validated tools. Data collection focused on quantitative data supplemented by narrative descriptions. Most women delivered preterm (57.3%), operative delivery (58.7%), and had a late initiation of breastfeeding (32.9% within 24 hours). Colostrum feed was common (86.7%). The EBF rate was 4%, with 47.9% initiating nonexclusive breastfeeding before 3 months, and most of the twins (46.6%) were breastfed for 1−2 years. Fatigue (69.9%) and low milk supply (38.7%) were chief concerns. While 16.4% of mothers opted for a tandem breastfeeding technique, many preferred consecutive feeding as tandem was challenging. Mothers in Kodinhi demonstrated commendable efforts in breastfeeding twins; despite the low rate of EBF, breastfeeding extended to 1−2 years. Evidence-based interventions and personalized support, primarily focusing on maternal perspectives of milk insufficiency, fatigue and breastfeeding techniques, are crucial for sustaining optimal breastfeeding practices among mothers of twins.

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The breastfeeding experience of women with multiple pregnancies: a meta-synthesis of qualitative studies

Bai,

Cheng,

Shan

et al. 2024

BMC Pregnancy Childbirth

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Background The experiences and challenges associated with breastfeeding multiple births can be considerably more complex than those of singletons. Multiple births refer to the delivery of more than one offspring in a single birth event. Emphasizing the needs and experiences of mothers with multiple births during breastfeeding can enable healthcare providers to design targeted interventions that enhance breastfeeding rates. However, existing breastfeeding and health education resources and practices do not fully meet the needs of women who breastfeed multiples. This review aimed to review and synthesize qualitative studies on the breastfeeding experiences of women with multiple births. Methods A systematic search was conducted in 10 electronic databases for papers published from the inception of the database to March 2024. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was utilized to evaluate the methodological quality of the studies included. The thematic synthesis method of Thomas and Harden was employed to integrate and analyze the included literature to derive new categories and conclusions. Findings Eight studies met the inclusion criteria and quality assessment criteria for this study. Through the integration of their results, four themes were identified: the choice and willingness to breastfeed multiple births; the challenges of breastfeeding multiple births; stage management and individualised adaptation of breastfeeding; and the experience of support. Conclusion Throughout the feeding process from pregnancy to the postpartum period, mothers with multiple births often have predominantly negative experiences with breastfeeding. Consequently, hospitals should create a multidisciplinary follow-up team comprising obstetrics, neonatology, psychology, and community services to offer specialized and personalized support to these women at various stages. Systematic review registration [https://www.crd.york.ac.uk/PROSPERO/], identifier [PROSPERO 2024 CRD42024520348].

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Analysis on the current situation of twin breastfeeding and its influencing factors

Cited by 5 publications

References 35 publications

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Breastfeeding Practices in the Twin Town of India — A Cross-Sectional Study

The breastfeeding experience of women with multiple pregnancies: a meta-synthesis of qualitative studies

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