Estimated Breastfeeding to Support Breastfeeding in the Neonatal Intensive Care Unit

Ericson, Jenny; Flacking, Renée

doi:10.1111/j.1552-6909.2012.01423.x

Cited by 17 publications

(11 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Sweden, most mothers have the possibility to be with their infants 24/7 and may start breastfeeding as soon as the infant shows feeding cues. Staff in neonatal intensive care units (NICUs) also encourage breastfeeding directly at the breast from the start (Flacking, Ewald, & Wallin, ; Nyqvist, ); hence, few mothers use an alternative feeding method and most mothers feed directly at the breast (Ericson & Flacking, ; Flacking & Dykes, ). In other countries for example in the UK, it is relatively common to give expressed breast milk via bottle before starting breastfeeding directly at the breast (Flacking & Dykes, ).…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Ericson

Eriksson

Hoddinott

et al. 2018

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

Breastfeeding is challenging for mothers of preterm infants. The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers who breastfed their preterm infants at discharge from neonatal intensive care units (NICUs). The data come from a randomised controlled trial, which evaluated the effectiveness on exclusive breastfeeding at 8 weeks of proactive telephone support compared with reactive support offered to mothers of preterm infants following discharge from NICU. Six NICUs across Sweden randomised a total of 493 mothers. We used regression and survival analyses to assess the risk factors for ceasing breastfeeding and the long‐term outcomes of the intervention. The results showed that 305 (64%) of the infants were breastfed at 6 months and 49 (21%) at 12 months. Partial breastfeeding at discharge, low maternal educational level, and longer length of stay in the NICU increased the risk for ceasing breastfeeding during the first 12 months. Furthermore, the Kaplan–Meier analysis showed that the proportion of mothers who ceased breastfeeding did not differ between the intervention (n = 231) and controls (n = 262) during the first 12 months (log‐rank test p = .68). No difference was found between groups on method of feeding. More than 85% of the infants were fed directly at the breast. These findings provide important insights for health professionals who are supporting mothers of preterm infants to breastfeed long term. Registered in http://www.clinicaltrials.gov (NCT01806480).

show abstract

Section: Introductionmentioning

confidence: 99%

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Ericson

Eriksson

Hoddinott

et al. 2018

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

show abstract

“…Breastfeeding rates among preterm infants are much lower than in term infants [14], with a wide variation observed in the preterm population [15-18]. Furthermore, studies of preterm infants show that the proportion of very preterm (< 32 gestational weeks) infants who are exclusively breastfed at 2, 4 and 6 months corrected age is lower than among moderately preterm infants [17,19].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants: study protocol for a randomized controlled trial

et al. 2013

Self Cite

View full text Add to dashboard Cite

BackgroundAlthough breast milk has numerous benefits for infants’ development, with greater effects in those born preterm (at < 37 gestational weeks), mothers of preterm infants have shorter breastfeeding duration than mothers of term infants. One of the explanations proposed is the difficulties in the transition from a Neonatal Intensive Care Unit (NICU) to the home environment. A person-centred proactive telephone support intervention after discharge from NICU is expected to promote mothers’ sense of trust in their own capacity and thereby facilitate breastfeeding.Methods/designA multicentre randomized controlled trial has been designed to evaluate the effectiveness and cost-effectiveness of person-centred proactive telephone support on breastfeeding outcomes for mothers of preterm infants. Participating mothers will be randomized to either an intervention group or control group. In the intervention group person-centred proactive telephone support will be provided, in which the support team phones the mother daily for up to 14 days after hospital discharge. In the control group, mothers are offered a person-centred reactive support where mothers can phone the breastfeeding support team up to day 14 after hospital discharge. The intervention group will also be offered the same reactive telephone support as the control group. A stratified block randomization will be used; group allocation will be by high or low socioeconomic status and by NICU. Recruitment will be performed continuously until 1116 mothers (I: 558 C: 558) have been included. Primary outcome: proportion of mothers exclusively breastfeeding at eight weeks after discharge. Secondary outcomes: proportion of breastfeeding (exclusive, partial, none and method of feeding), mothers satisfaction with breastfeeding, attachment, stress and quality of life in mothers/partners at eight weeks after hospital discharge and at six months postnatal age. Data will be collected by researchers blind to group allocation for the primary outcome. A qualitative evaluation of experiences of receiving/providing the intervention will also be undertaken with mothers and staff.DiscussionThis paper presents the rationale, study design and protocol for a RCT providing person-centred proactive telephone support to mothers of preterm infants. Furthermore, with a health economic evaluation, the cost-effectiveness of the intervention will be assessed.Trial registrationNCT01806480

show abstract

“…The nurses realized that this protocol increased the mothers' confidence in their own abilities in breastfeeding, less stress and calmer breastfeeding, and less need for nursing intervention. 44 The oral stimulation of the newborn with raw breast milk in swab is an important motivator for mothers to maintain lactation and care for newborns with diaphragmatic hernia. 40 Milked mother's milk can be used as an olfactory sensory stimulus.…”

Section: From the Tube To The Oral Routementioning

confidence: 99%

Care Given to Newborns Fed by Gastric Tube: Concepts and Practices

Nascimento

Santos

Silva

2019

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to describe the conduct related to feeding care through gastric tube in neonates hospitalized in the Neonatal Intensive Care Unit, from scientific articles published in the last five years. Method: an integrative literature review was developed in the databases: MEDLINE, LILACS, SciELO, CINAHL and BDENF. The search for the studies was carried out in August 2016, in English, Spanish and Portuguese. Results: 33 articles were analyzed. The level of evidence was classified as level IV (30%), level VI (27%), level II (15%), level III (18%), level I, V and VII with 3% each. The analytical categories were: Gastric tubes, their materials and their use in the Neonatal Intensive Care Unit, Nursing care for enteral nutrition through gastric tube in the Neonatal Intensive Care Unit, From the tube the oral route. The time to reach total enteral nutrition is lower, as is the decrease in length of hospital stay. The largest losses of milk fat are during gastroclysis at the expense of gavage. The relationship of food tolerance to dietary dosage form and volumes is not yet conclusive. Nursing stands out: in favor of the bond with the family, in the physical examination and evaluation, in the positioning, in the non-nutritive suction during the diet, in the oral stimulus, in the observation and conduct regarding the gastric residue. Conclusion: due to the heterogeneity of the data, more randomized and qualitative clinical trials are required to better support the conduct and improvement of nursing care.

show abstract

Estimated Breastfeeding to Support Breastfeeding in the Neonatal Intensive Care Unit

Cited by 17 publications

References 32 publications

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

The effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants: study protocol for a randomized controlled trial

Care Given to Newborns Fed by Gastric Tube: Concepts and Practices

Contact Info

Product

Resources

About