Early and Late Discharge after Hospital Birth: Breastfeeding

Waldenström, Ulla; Sundelin, Claes; Lindmark, Gunilla

doi:10.1111/j.1651-2227.1987.tb10556.x

Cited by 64 publications

(45 citation statements)

References 5 publications

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“…5,28,29 There have been studies that suggested that breastfeeding success was increased in women discharged earlier with optimal support. [11][12][13][14] The selective population of this study, as well as the fact that Ͼ70% of the women received a home visit, may explain some of the differences between our study and others.…”

Section: Discussionmentioning

confidence: 75%

“…4,8 -10 However, other studies from the early 1960s and from Europe have presented evidence suggesting that prompt discharge to home may allow earlier establishment of an adequate milk supply and less supplementation. [11][12][13][14] Factors that affect breastfeeding success have been examined extensively, primarily in the nursing literature. 5,[15][16][17] However, the impact of the health care delivery system, both in the hospital and after discharge, on breastfeeding success has been less well documented.…”

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confidence: 99%

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Health System Factors Contributing to Breastfeeding Success

Kuan¹,

Britto

Decolongon³

et al. 1999

Pediatrics

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ABSTRACT. Objective. To identify and characterize health care system factors that contribute to successful breastfeeding in the early postpartum period.Study Design. A prospective 8-week cohort study of 522 women at five area hospitals who had a vaginal delivery of a healthy, full-term single child and who intended to breastfeed. Mothers and infants had free access to each other for breastfeeding during the hospital stay. Data were obtained through chart review and surveys. In-person postpartum interviews in the hospital and 4-and 8-week telephone interviews were used to determine participants' perceptions of breastfeeding support by hospital personnel, home visit nurses, and family and friends. The hospital in-person interview with each mother was conducted before discharge to confirm maternal interest and intent to breastfeed. Questions were asked regarding breastfeeding information and support provided by medical and nursing personnel. Mothers were asked to rate the quality of information, as well as the degree of support they received for breastfeeding. Mothers also were asked to rate their hospital breastfeeding experience. A second interview was conducted by telephone 4 weeks after birth. The focus of this interview was to ascertain the rating of their breastfeeding experience, the quality of their interactions with health care professionals, and whether supplemental formula was being provided to the infant. If supplemental formula was being provided, the mothers were asked to quantify the volume and frequency of supplementation. A final telephone interview was conducted when the infants were 8 weeks of age. This interview determined the continuance or cessation of breastfeeding and information about formula supplementation, as in the 4-week interview. Mothers were given a journal and asked to note all telephone calls, clinic visits, and home nurse visits that related to breastfeeding issues and concerns. Demographic data examined included maternal age, marital status, highest level of education reached, race, employment, insurance coverage, and length of stay in the hospital. Pregnancy characteristics included prenatal care, parity, and gravity. Infant characteristics included gestational age and birth weight. Other factors examined included maternal rating of the support received from the infant's father for the decision to breastfeed, the time the infant spent in the mother's hospital room, and whether the infant was breastfed in the delivery room.Results. The women were mostly white (90%), educated (82% had some college education), married, older (mean maternal age of 29.3 years), and insured (92% commercial). The primary outcome of interest was success at breastfeeding. Success was determined based on each mother's initial estimate of the planned duration of breastfeeding. Of the participants, 76% breastfed successfully for at least as long as they had initially planned. Seventeen percent of the mothers had stopped breastfeeding at the time of the 4-week interview, and 29% had stopped by the 8-week in...

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Section: Discussionmentioning

confidence: 75%

mentioning

confidence: 99%

Health System Factors Contributing to Breastfeeding Success

Kuan¹,

Britto

Decolongon³

et al. 1999

Pediatrics

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“…Longer hospital stays were associated with lower breastfeeding rates among Arabs only. Longer hospital stays have been associated with a higher use of supplementary feeds 23 and a negative impact on breastfeeding. 24 Although it is not clear why this effect is seen only in the Arab group, the results identify these mothers as a higher risk group that could benefit from follow-up in the early postpartum period.…”

Section: Discussionmentioning

confidence: 99%

Intragroup Differences in Risk Factors for Breastfeeding Outcomes in a Multicultural Community

2006

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A sample of 221 women who delivered at Al Qassimi Hospital, Sharjah, United Arab Emirates, were included in this prospective study to identify breastfeeding patterns at day 1, 1 month, and 6 months postpartum. The exclusive breastfeeding rate was 76.5% on day 1, 48.4% at 1 month, and 13.3% at 6 months. At 6 months, 16.1% had stopped breastfeeding. Simple and multivariable binary logistic regression analyses were used to identify factors associated with better breastfeeding outcomes. Nationality significantly affected exclusive breastfeeding at day 1 and 1 month. Pethidine use was associated with lower levels of exclusive breastfeeding at 1 month. Education was the most significant determinant of breastfeeding behavior at 6 months. Effects of the interrelationships between factors were examined and shown to influence breastfeeding outcomes in different population subgroups. The findings of this study suggest that strategies to improve breastfeeding should focus on risk factors specific to the population subgroup.

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“…Early discharge from hospital and home visits by midwives was introduced in Sweden in 1984 (14). Since the early 1990s our clinic has aimed to distinguish between healthy women and children after delivery, and women and children in need of hospital care in order to provide the most appropriate postnatal care.…”

Section: Introductionmentioning

confidence: 99%

First-time parents' experiences of home-based postnatal care in Sweden

Johansson

Aarts

Darj

2010

Upsala Journal of Medical Sciences

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AimTo gain a deeper understanding of first-time parents' experiences of early discharge from hospital after delivery and home-based postnatal care.Material and methodsThe study was comprised of focus group interviews, interviews with couples and with fathers. Twenty-one parents participated. Inclusion criteria: healthy women who have given birth to their first child after a normal pregnancy and delivery, the women's partners, healthy and full term babies, Swedish-speaking, discharge from the delivery ward within 24 hours, resident in the Uppsala community, the parents cohabited at the time of the delivery. The material was analysed by qualitative content analysis.ResultsThree themes emerged: The family's strategy, which describes the family's expectations of postnatal care and their experiences of the real situation. Some are flexible concerning going home early, and others have decided in advance. Self-reliance and strength, which explores the parents' feelings of security and uncertainty, freedom and independence, and shared responsibility. Breast-feeding is described as the ‘main thing’, an interactive learning process. Professional support in the home summarizes the parents' experience of the midwife's support at home. While conflicting feelings may be revealed during the first days, the midwife confirms their new roles as parents. The midwife is seen as a support and adviser to the parents.ConclusionThis study shows that parents welcome home-based postnatal care with professional support from midwives. We conclude that this care suits healthy families. We think it will be more important in the future to discriminate between healthy families and those in need of hospital care, than to focus on the moment when they leave the hospital, early or late.

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Early and Late Discharge after Hospital Birth: Breastfeeding

Cited by 64 publications

References 5 publications

Health System Factors Contributing to Breastfeeding Success

Health System Factors Contributing to Breastfeeding Success

Intragroup Differences in Risk Factors for Breastfeeding Outcomes in a Multicultural Community

First-time parents' experiences of home-based postnatal care in Sweden

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