Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital

Stafford, Jade D; Goggins, Emily R.; Lathrop, Eva; Haddad, Lisa

doi:10.1007/s10995-020-03030-1

Cited by 21 publications

(17 citation statements)

References 14 publications

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“…In general, low HL was also correlated with lower socioeconomic or employment status (Sørensen et al, 2013). Accordingly, mothers with a higher education level tended to initiate BF more often and were likely to breastfeed for a more extended period of time, compared with their less-educated (Kaufman et al, 2001), and with a significantly high likelihood of BF continuation at postpartum (Stafford et al, 2016). Other authors have observed an association between maternal HL and BF self-efficacy (Khorasani et al, 2017).…”

Section: Discussionmentioning

confidence: 87%

Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study

Vila‐Candel

Soriano‐Vidal

Mena‐Tudela

et al. 2020

Journal of Advanced Nursing

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Aims: Research the association between health literacy (HL) and exclusive breastfeeding at 4-months postpartum. Background: Despite the benefits of breastfeeding (BF), its rates are low worldwide. Among the reasons for abandonment is the level of maternal education. Maternal education has been associated with HL, but evidence between HL and BF maintenance is limited. Design: A cross-sectional study. Methods: The sample compromised 229 nursing mothers recruited from January 2018 to the end of December 2018 at Spain by systematic sampling method. Women were interviewed postpartum on parameters associated with the start and continuation of BF up to 4 months postpartum. Multivariate logistic regression models to explain exposure variables and exclusive BF cessation at 4 months. Results: Approximately 10% of the participants had inadequate HL. Factors associated with early cessation of exclusive BF at 4 months in the multivariate model adjusted using a stepwise variable selection process based on a likelihood ratio test were civil status, risk of pregnancy, type of delivery, limited or inadequate level of HL, and LATCH score at discharge, with an 85.6% area under the ROC curve. Conclusions: Our study offers preliminary evidence regarding the hitherto inconsistent relation between HL and early cessation exclusive BF at 4 months, supporting the conduct of further studies with larger sample sizes and greater statistical

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Section: Discussionmentioning

confidence: 87%

Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study

Vila‐Candel

Soriano‐Vidal

Mena‐Tudela

et al. 2020

Journal of Advanced Nursing

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“…37,38 They are more likely to understand the benefits of exclusive breastfeeding, more likely to ask pertinent questions where they do not fully understand, and more likely to act on the breastfeeding information they receive. 39 Our results which showed that, Hausa/Fulani women will initiate early breastfeeding and breastfeed for at least six months compared to Igbo women may be linked to cultural differences. It is common for fulani women to use a wet nurse in the first few days of birth, while waiting to produce their own milk.…”

Section: Journal Of Global Health Reportsmentioning

confidence: 72%

Association between skin-to-skin contact post-birth and breastfeeding behaviour: a cross-sectional study of Nigerian women using the 2018 Demographic Health Survey

Obioha

Martin

Obioha

et al. 2021

Journal of Global Health Reports

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BackgroundThe World Health Organisation (WHO) recommends skin-to-skin contact at birth as part of the essential newborn care processes that can help improve breastfeeding behaviours in new mothers. In 2019 Nigeria had the highest number of infant mortalities (270,000 infant deaths), second only to India (522,000 infant deaths). Consequently, the possible benefits of skin-to-skin contact and healthy breastfeeding behaviours to both mother and child cannot be overemphasised. This study seeks to understand the rate of skin-to-skin contact post-birth and how this affects early breastfeeding initiation, breastfeeding duration, and exclusive breastfeeding among Nigerian women. It also seeks to understand if the place of delivery or internet access affects the associations between skin-to-skin contact and breastfeeding behaviours. MethodsData from the Demographic and Health Survey (2018) on Nigerian women were analyzed, and 19,328 women were included in this study. The association between skin-to-skin contact post-birth (independent variable) and breastfeeding initiation, exclusive breastfeeding, and breastfeeding duration (dependent variables) were analyzed with multivariable logistic regression models adjusted for known confounders. The modifying effects of place of delivery and internet use were also assessed. ResultsNearly 13% of Nigerian women experienced skin-to-skin contact post-birth. The odds of exclusive breastfeeding were higher for women who experienced skin-to-skin contact with their newborns, compared to those that did not (odds ratio, OR=1.24, 95% confidence interval, CI=1.13-1.36). Conversely, the odds of initiating breastfeeding within the first hour of birth (OR=0.87, 95% CI=0.79-0.96) were lower in women who experienced skin-to-skin contact post-birth. There was no association between skin-to-skin contact and breastfeeding duration. Delivering their baby in private hospitals modified the association between skin-to-skin contact and early breastfeeding initiation (OR=3.27, 95% CI=2.33-4.60, P<0.001), as well as the association between skin-to-skin contact and breastfeeding duration (OR=1.56, 95% CI=1.14-2.15, P=0.008) more strongly than delivering their baby in public hospitals. ConclusionsIn Nigerian women, skin-to-skin contact post-birth is associated with some breastfeeding behaviours (early initiation and exclusive breastfeeding). However, associations between skin-to-skin contact and breastfeeding behaviours of early breastfeeding initiation and breastfeeding duration may be modified by the place of delivery. Therefore, health interventions to increase skin-to-skin contact practices should target skilled health providers, particularly in public hospitals.Placing a newborn baby on its mother's bare chest immediately after birth, 1 for an hour or till their first feed (skinto-skin contact), 2 is classified as an early essential newborn care by the World health Organisation (WHO). 3 It is also part of the WHO's 'Ten steps to successful breastfeeding' found in the 'Baby-Friendly Hospital Initiative' 2...

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“…29 Yapılan diğer çalışmalarda da kadınların sağlıkla ilgili temel bilgileri sağlama, anlama, kullanma, kendisi ya da bebeği için uygun sağlık kararları verebilmede sağlık okuryazarlık düzeyinden etkilendiği vurgulanmaktadır. 10,30 Ayrıca kadınların kendileri ve çocukları ile ilgili etkin karar verebilmelerinde farklı sağlık okuryazarlığı statülerine göre postpartum uygulamalarının da değişebildiği bildirilmiştir. 30 Doğum sonu dönemde bilgi ihtiyacının oldukça fazla olduğu ve bilgi gereksinimlerini karşılamak için internetin kullanıldığı görülmektedir.…”

Section: Araştirma Eti̇ği̇unclassified

“…Ayrıca daha yüksek sağlık okuryazarlığı olan kadınların emzirmeye devam etme durumlarının da daha fazla olduğu görülmüştür. 10 Sağlık okuryazarlık düzeyi yüksek olan kadınlar, kendi sağlık durumlarına ve çocuk bakımına yönelik ihtiyaçlarını karşılamak için çevrelerindeki tüm bilgi kaynaklarını araştırırlar. Kadınların sağlık okuryazarlığı düzeyi, kadınların gebelik ve doğum sırasında sergilediği endişeli davranışları etkileyebilir.…”

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The Relationship Between Obsessive and Compulsive Behaviors of Mothers Regarding Baby Care and Health Literacy in the Postpartum Period: Descriptive Research

Kırca¹,

Altun²,

Apay³

et al. 2022

Turkiye Klinikleri J Nurs Sci

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Bu araştırma, postpartum dönemde annelerin bebek bakımı ile ilgili obsesif ve kompulsif davranışları ve sağlık okuryazarlığı arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, tanımlayıcı-ilişki arayıcı türde planlanmıştır. Çalışma 218 kadın ile yürütülmüştür. Araştırmanın verileri Kasım 2020-Temmuz 2021 tarihleri arasında kişisel bilgi formu, e-Sağlık Okuryazarlık Ölçeği ve Doğum Sonu Dönemde Annelerin Bebek Bakımı ile İlgili Obsesif ve Kompulsif Davranışları Ölçeği ile toplanmıştır. Veriler, tanımlayıcı ve ilişki arayıcı istatistikler kullanılarak değerlendirilmiştir. Bulgular: Kadınların %45,9'unun 26-35 yaş arasında olduğu, %37,2'sinin ilköğretim mezunu olduğu saptanmıştır. Kadınların %96,3'ünün kronik hastalığı olmadığı, %51,4'ünün son doğumunun vajinal olduğu, %63,8'inin bebeğini ilk 1 saat içinde emzirdiği belirlenmiştir. Kadınlar, e-Sağlık Okuryazarlığı Ölçeği'nden 23,25±8,290 puan almışlardır. Doğum Sonu Dönemde Annelerin Bebek Bakımı ile İlgili Obsesif ve Kompulsif Davranışları Ölçeği'nden 27,42±8,935 puan aldıkları saptanmıştır. Annelerin e-Sağlık Okuryazarlık Ölçeği ve Doğum Sonu Dönemde Annelerin Bebek Bakımı ile İlgili Obsesif ve Kompulsif Davranışları Ölçeği puan ortalamaları arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır. Sonuç: Bu çalışmada yer alan kadınların, sağlık okuryazarlığı ve bebek bakımı ile ilgili obsesif ve kompulsif davranışlarının orta düzeyde olduğu saptanmıştır. Kadınların sağlık okuryazarlığı düzeyinin artırılması ve bebek bakımı ile ilgili obsesif ve kompulsif davranışlarının azaltılması için sağlık bakım profesyonelleri eğitimler yapmalı ve gerekli yönlendirmelerde bulunmalıdır. Anah tar Ke li me ler: Doğum sonu; sağlık okuryazarlığı; obsesif ve kompulsif davranış; hemşirelik ABS TRACT Objective: This study was conducted to determine the relationship between mothers' obsessive and compulsive behaviors related to baby care and health literacy in the postpartum period. Material and Methods: The research was planned as descriptive-correlational study. The study was conducted with 218 women. The data of the study were collected with the personal information form, the e-Health Literacy Scale and the Mothers' Obsessive and Compulsive Behaviors Regarding Baby Care in the Postpartum Period between November 2020 and July 2021. Data were evaluated using descriptive and correlational statistics. Results: It was determined that 45.9% of the women were between the ages of 26-35 and 37.2% were primary school graduates. It was determined that 96.3% of the women did not have a chronic disease, 51.4% had a vaginal last delivery, and 63.8% breastfed their baby within the first hour. Women got 23.25±8.290 points from the e-Health Literacy Scale. It was determined that the mothers got 27.42±8.935 points from the Obsessive and Compulsive Behaviors of Infant Care Scale in the Postpartum Period. No statistically significant correlation was found between the mothers' e-Health Literacy Scale and the Obsessive and Compulsive Behaviors of the Postpartu...

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Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital

Cited by 21 publications

References 14 publications

Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study

Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study

Association between skin-to-skin contact post-birth and breastfeeding behaviour: a cross-sectional study of Nigerian women using the 2018 Demographic Health Survey

The Relationship Between Obsessive and Compulsive Behaviors of Mothers Regarding Baby Care and Health Literacy in the Postpartum Period: Descriptive Research

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