Facilitating Breastfeeding in the Neonatal Intensive Care Unit: Identifying Barriers

Myers, Donna; Rubarth, Lori Baas

doi:10.1891/0730-0832.32.3.206

Cited by 16 publications

(8 citation statements)

References 16 publications

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“…The facilitators and barriers of breastfeeding were evaluated using a modified version of the questionnaire developed by Myer et al [7] The modified questionnaire was translated into Italian using back-translation. Before starting the study, the Italian version of the modified questionnaire was submitted to a group of mothers to clarify any doubts regarding item comprehension.…”

Section: Nutritional Practicesmentioning

confidence: 99%

“…Myers et al [7] performed a survey including 15 mothers who gave birth to infants with a gestational age ranging from 24 to 37 weeks, thus including late preterm infants, who were admitted to a neonatal intensive care unit and identified the facilitators and barriers of breastfeeding in neonatal intensive care units according to the mothers’ experiences. Kair et al [8] investigated the experience of breastfeeding late preterm infants in a cohort of 44 mothers who were interviewed by phone for the entire time they breastfed, up to a maximum of 12 months after delivery.…”

Section: Introductionmentioning

confidence: 99%

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Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences

et al. 2016

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BackgroundLate preterm infants account for the majority of preterm births. They are at an increased risk of neonatal mortality and morbidity and are less likely to initiate breastfeeding and to be exclusively breastfed at discharge compared to infants born at term. The aim of this study was to identify the facilitators and barriers to breastfeeding during hospital stays according to the experiences of mothers of late preterm infants.MethodsWe conducted a cross-sectional questionnaire survey. Mothers who intended to breastfeed and had given birth to a newborn admitted to level I and II care, with a gestational age of 34 0/7 to 36 6/7 weeks, were enrolled. Sociodemographic data, neonatal variables, mode of feeding and feeding status at discharge were also collected.ResultsA total of 92 mothers who had given birth to 121 infants were enrolled. At discharge, any human milk was fed to 94 % of infants, with exclusively human milk being fed in 43 % of cases; exclusively formula was fed to 6 % of infants. In the multivariate analysis, having expressed breast milk was independently associated with an increased risk of being fed with either any human milk or formula only (OR = 2.73, 95 % CI 1.05–7.1, p = 0.039), whereas being encouraged to practice kangaroo mother care tended to have a protective effect (OR = 0.46, 95 % CI 0.2–1.06, p = 0.07).ConclusionsBased on the present findings, health care professionals should strive to fully implement breastfeeding support for mothers of late preterm infants who intend to breastfeed, in particular optimizing breast milk expression and promoting kangaroo mother care. Further studies are needed to gain further insight into the complex interplay of the factors that modulate breastfeeding outcome in late preterm infants.

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Section: Nutritional Practicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences

et al. 2016

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“…Clinicians should take this time to educate mothers about the benefits of human milk oral care and focus on encouraging this practice any time the mother finishes pumping and has fresh milk available. Maintaining the milk supply in the context of the NICU is a challenge faced by many mothers (Alves et al, 2013;Hurst, Engebretson, & Mahoney, 2013;Maia, Brandao, Roncalli, & Maranhao, 2011;Myers & Rubarth, 2013;Rossman et al, 2013). For the mothers of infants with CDH, human milk oral care was a key driving factor to motivate them to continue pumping and maintain their milk supplies.…”

Section: Implications For Practicementioning

confidence: 99%

Making Meaning of Pumping for Mothers of Infants With Congenital Diaphragmatic Hernia

Froh

Deatrick²,

Curley³

et al. 2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Benefits for the mother include improved milk production and longer breastfeeding duration (Conde-Agudelo, Belizan, & Diaz-Rossello, 2000). Nurses have a key role in initiating early skin-to-skin care (Myers & Rubarth, 2013). In September 2013, a policy was developed, and staff education was completed in December 2013.…”

Section: Project Intervention and Implementationmentioning

confidence: 99%

Improving Human Milk and Breastfeeding Practices in the NICU

Fugate¹,

Hernández²,

Ashmeade³

et al. 2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Facilitating Breastfeeding in the Neonatal Intensive Care Unit: Identifying Barriers

Cited by 16 publications

References 16 publications

Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences

Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences

Making Meaning of Pumping for Mothers of Infants With Congenital Diaphragmatic Hernia

Improving Human Milk and Breastfeeding Practices in the NICU

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