Breastfeeding practices in an Australian tertiary care hospital: A retrospective study

Vasilevski, Vidanka; Arnold, Tara; Halliday, Kathleen; Hughes, Jessica; Dwyer, N; Sweet, Linda

doi:10.1016/j.srhc.2021.100671

Cited by 4 publications

(1 citation statement)

References 31 publications

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“…A positive aspect that this study highlights from our practice is the high percentage of newborns discharged from the hospital under exclusive breastfeeding (85%), superior to the described by McDonald et al (61.6%) 16 , similar to the described by Castillejos et al (80.2%) 17 . This practice is a strong quality indicator following the Baby Friendly Health Initiative benchmark (75%) 18 . This study showed no differences between the early discharge group and the standard length of stay group (68.7% vs 66.7%) in the exclusive breastfeeding rate within 15-days after postpartum discharge.…”

Section: Discussionmentioning

confidence: 99%

Impact of early discharge on the newborn

Sousa,

Foz,

Sanches

et al. 2023

PJP

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Introduction and objectives:In Western countries, the average length of stay in the postpartum period for newborns without complications follows a decreasing trend. The aim of the present study was to evaluate the impact of early discharge on the newborn, particularly regarding the risk of hospital readmission. Methods: Cross-sectional study of newborns with early discharge born in a level II hospital with differentiated perinatal support, between June 2021 and May 2022. Clinical and demographic data were obtained from the analysis of the patient's medical records and phone contact. Early discharge was considered to be the interval less than or equal to 48h between birth and discharge of the newborn. Results: From the 508 newborns enrolled in our study, 217 (42.7%) had an early discharge and 291 (57.3%) had a standard length of stay. The mean length of stay was 2.3 days (1.8 early discharge vs 2.6 discharge after 48h). In the comparative analysis (early discharge vs. discharge after 48h) there was no statistically significant association between early discharge and hospital readmission rate (0.5% vs 1.4%, p = 0.399), emergency observation rate (13.4% vs 10%, p = 0.233) or abandonment of exclusive breastfeeding within 15-days after postpartum discharge (22.7% vs 28.4%, p = 0.180). The results were similar for the subgroup of NB discharged within 39h. Instrumented delivery, birth weight less than 2500g, prematurity and phototherapy were factors that contributed to longer length of stay. Conclusion: In this study, early discharge was not associated with a higher risk for the newborn. Regarding the clinical and social advantages, this approach should be considered and supported by adequate surveillance in primary health care.

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Section: Discussionmentioning

confidence: 99%

Impact of early discharge on the newborn

Sousa,

Foz,

Sanches

et al. 2023

PJP

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Publicly available Australian hospital data on infant feeding: A review and comparative analysis of outcomes

Meedya,

Hocking,

Atchan

et al. 2024

Women and Birth

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An innovative low‐cost breast pump‐hire program to enhance breastfeeding rates in a neonatal intensive care unit

Sweet,

Hughes,

Rasheed

et al. 2024

Journal of Advanced Nursing

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AimTo evaluate the outcomes of a low‐cost hospital‐grade breast pump hire program for women experiencing financial hardship with infants in neonatal intensive care.DesignA multi‐method evaluation including data audits and surveys.MethodsTwenty‐four electric breast pumps were purchased and rented to mothers at a cost of $1/day. To be eligible, mothers needed to have given birth to an infant <32 weeks and/or <1500 g and self‐identified as experiencing financial hardship. Data were collected by (1) a retrospective audit to evaluate infant feeding and clinical outcomes at hospital discharge; (2) prospective telephone surveys to evaluate women's satisfaction with the program; and (3) analysis of the breast pump register to determine any loss or damages.ResultsTwenty‐four mothers of 26 infants participated in the program. More than half of the infants were exclusively breastmilk fed at hospital discharge, and more than three‐quarters were fed a combination of breastmilk and formula. Women who intended to formula feed were supported to provide breastmilk to their infants in the first few weeks of life.Most participants were highly satisfied with the program. Women reported that accessibility to a hospital‐grade breast pump improved their ability to provide expressed breastmilk to their infants. Most participants were ‘extremely satisfied’ with the performance of the breast pump. One‐quarter of the women reported that they would have exclusively formula‐fed if they did not have access to the breast pump hire program. The audit of the equipment register showed no reported technical issues, loss or damages.ConclusionThe findings suggested that the low‐cost breast pump hire program supported equitable care, increasing women's ability to provide expressed breastmilk for their infants.ImpactProviding access to low‐cost hospital‐grade breast pumps to mothers of vulnerable infants is likely to prevent poor infant clinical outcomes and improve women's care satisfaction.Public or Patient ContributionNil.

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Breastfeeding practices in an Australian tertiary care hospital: A retrospective study

Cited by 4 publications

References 31 publications

Impact of early discharge on the newborn

Impact of early discharge on the newborn

Publicly available Australian hospital data on infant feeding: A review and comparative analysis of outcomes

An innovative low‐cost breast pump‐hire program to enhance breastfeeding rates in a neonatal intensive care unit

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