Discharge Timing, Outpatient Follow-up, and Home Care of Late-Preterm and Early-Term Infants

Hwang, Sung Kwan; Barfield, Wanda D.; Smith, Ruben; Morrow, Brian; Shapiro-Mendoza, Carrie K.; Prince, Cheryl B.; Smith, Vincent C.; McCormick, Marie C.

doi:10.1542/peds.2012-3892

Cited by 60 publications

(83 citation statements)

References 23 publications

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“…The researchers also found that LPIs are less likely to be discharged home exclusively breastfeeding (OR = 0.4, p = .04). These findings are supported by the work of Hwang et al () who found LPIs are less likely than term infants to initiate breastfeeding ( n = 242,471; OR = .95; p < .01). These researchers also found that LPIs have lower rates of continued breastfeeding (defined as continued breastfeeding to at least 10 weeks).…”

Section: Resultssupporting

confidence: 79%

Establishing Breastfeeding with the Late Preterm Infant in the NICU

Briere¹,

Lucas²,

McGrath³

et al. 2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Resultssupporting

confidence: 79%

Establishing Breastfeeding with the Late Preterm Infant in the NICU

Briere¹,

Lucas²,

McGrath³

et al. 2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…3 Although greater attention and tailored management is being implemented for late preterm infants, 4-5 late preterm birth is associated with lower rates of breastfeeding, earlier breastfeeding cessation, and more infant feeding-related morbidities than term birth. 6-11 The discrepancy in breastfeeding outcomes include those who prenatally reported intent to breastfeed. 12 Exclusive breastfeeding for 6 months and continued breastfeeding for 2 years or beyond is recommended for optimal infant nutrition and development.…”

Section: Background and Significancementioning

confidence: 99%

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

Tully

Holditch‐Davis

Silva

et al. 2017

Advances in Neonatal Care

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Background Late preterm birth is associated with lower rates of breastfeeding and earlier breastfeeding cessation than term birth. Purpose The objectives of this secondary analysis were to compare the incidence of exclusive breastfeeding after late preterm and term childbirth and to examine the association between infant feeding outcomes and maternal emotional well-being. Methods Participants were 105 mother-infant dyads (54 late preterm and 51 term) at a southeastern U.S. medical center. Face-to-face data collection and telephone follow up occurred during 2009-2012. Results Late preterm mothers were less likely to exclusively provide their milk than were term mothers during hospitalization. Feeding at one month did not differ between late preterm and term infants. Among late preterm mothers, (1) formula supplementation during hospitalization was associated with greater severity of anxiety compared to those exclusively providing formula and (2) exclusive provision of human milk at one month was associated with less severe depressive symptoms relative to those supplementing or exclusively formula feeding. Among term mothers, feeding outcome was not related to emotional well-being measures at either time point. Implications for Practice Mothers of late preterm infants may particularly benefit from anticipatory guidance and early mental health screening, with integrated, multidisciplinary lactation teams to support these interrelated health care needs Implications for Research Prospective research is critical to document women’s intentions for infant feeding and how experiences with childbirth and the early postpartum period impact achievement of their breastfeeding plans.

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“…Family members can help reduce stress related to caring for LBW infant at home. Family empowerment improves parents' ability to care the infant and affects infants's health (Browne and Talmi, 2005;Hwang et al, 2013;Melnyk et al, 2009;Rustina et al, 2014). As part of the discharge planning process, nurses should assess how family support can be used to meet the needs of infants and mothers.…”

Section: Discussionmentioning

confidence: 99%

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

2017

Aust. J. Basic & Appl. Sci.

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Background: Low birth weight infants are born weighing less than 2500 grams. The chance of life increases with the advancement of technology through intensive care in the perinatology ward. High medical needs during infant care, duration of care, and lack of knowledge about the condition of the infant are factors that causes stress on mothers to bring the infant home. Mother may feel incompetence in caring for the infant at home. Greater stress occurs among mothers who are lack of proper coping skills. Objective: This study aimed to appraise mothers' coping strategies for dealing with stress related to the discharge preparations of a low birth weight (LBW) infant. Sixty mothers of LBW infants hospitalized in a perinatology ward participated in this descriptive-correlational study. They were selected using a convenience sampling method. Data were collected using a structured questionnaire of the Stress and Coping Strategies Scale, and the questionnaire was tested for validity and reliability (Cronbach's alpha: 0.72). Descriptive and inferential statistics, including the Pearson's correlation test, were applied to analyze the data using SPSS. Results: Most mothers (86%) used coping strategies focused on emotions, and 78% reported using ones that focus on solving problems. There was a significant correlation among the infant's length of hospitalization (p. 0.024) and history of hyperbilirubinemia (p. 0.007) with a mother's coping strategy. We also found a strong significant correlation between mothers' stress and coping strategies (r. −0.641; p. < 0.001). Conclusion: This study indicate that stress scores are significantly associated with coping strategies: the higher the score, the lower the mother's coping ability. Developing a maternal coping strategy that focuses on problem solving will increase mother's confidence in preparing for the discharge of LBW infants from perinatology ward and able to care for the baby at home. We recommend that nurses help mothers develop coping strategies with a focus on problem solving through family involvement and educational care for LBW infants.

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Discharge Timing, Outpatient Follow-up, and Home Care of Late-Preterm and Early-Term Infants

Cited by 60 publications

References 23 publications

Establishing Breastfeeding with the Late Preterm Infant in the NICU

Establishing Breastfeeding with the Late Preterm Infant in the NICU

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

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