Interruptions to Breastfeeding Dyads on Postpartum Day 1 in a University Hospital

Morrison, Barbara; Ludington‐Hoe, Susan M.; Anderson, Gene Cranston

doi:10.1111/j.1552-6909.2006.00095.x

Cited by 17 publications

(15 citation statements)

References 32 publications

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“…The intervention in this study was daily for 10 days, whereas Urech et al 20 (n = 39) investigated the effects of a single 10-minute session. 71 The majority of these interruptions were by the primary registered nurse and personal care assistants. The timing of the measures may also play a role in the results.…”

Section: Discussionmentioning

confidence: 99%

“…Such findings may underscore the importance of intensity or dose of the intervention. 71 Similarly, hospitalized antepartum patients (n = 39) reported frequent disruptions from interruptions and noise, especially during the night, negatively affecting their ability to sleep. While the current study evaluated blood pressure within minutes of listening to the GI CD, a previous study (n = 69) measured daytime ambulatory blood pressures weekly but not necessarily in relation to listening.…”

Section: Discussionmentioning

confidence: 99%

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Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women

Jallo

Cozens

Smith

et al. 2013

Holistic Nursing Practice

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Using repeated-measures pre-/posttest design, the effects of guided imagery on maternal stress in 19 hospitalized pregnant women were examined. Mean stress and systolic blood pressure measurements postintervention were significantly lower than mean levels before listening to the guided imagery CD. All participants identified benefits of this holistic intervention. The study provides preliminary evidence that a guided imagery intervention may be effective in reducing maternal stress in hospitalized pregnant women and supports the feasibility of conducting a randomized clinical trial to further support incorporating this intervention into care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women

Jallo

Cozens

Smith

et al. 2013

Holistic Nursing Practice

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“…As such, motherinfant dyads tend to have fewer interruptions or separations for resident or student teaching, and mother-infant dyads spend more time rooming-in. 52,53 The number of interruptions has been negatively correlated with the frequency of breastfeeding, maternal perceptions of breastfeeding success, and maternal satisfaction. 52,53 Because of these concerns and the recognition that separating mothers and infants can adversely impact breastfeeding success, recent recommendations call for providers to conduct newborn examinations and screening tests in the patient's room to reduce maternal-infant separation time, 54 and to limit visiting hours except for the mother's primary support person.…”

Section: Discussionmentioning

confidence: 99%

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

et al. 2017

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OBJECTIVES: We examined the variation between 126 New York hospitals in formula supplementation among breastfed infants after adjusting for socioeconomic, maternal, and infant factors and stratifying by level of perinatal care. METHODS:We used 2014 birth certificate data for 160 911 breastfed infants to calculate hospital-specific formula supplementation percentages by using multivariable hierarchical logistic regression models. RESULTS:Formula supplementation percentages varied widely among hospitals, from 2.3% to 98.3%, and was lower among level 1 hospitals (18.2%) than higher-level hospitals (50.6%-57.0%). Significant disparities in supplementation were noted for race and ethnicity (adjusted odds ratios [aORs] were 1.54-2.05 for African Americans, 1.85-2.74 for Asian Americans, and 1.25-2.16 for Hispanics, compared with whites), maternal education (aORs were 2.01-2.95 for ≤12th grade, 1.74-1.85 for high school or general education development, and 1.18-1.28 for some college or a college degree, compared with a Master's degree), and insurance coverage (aOR was 1.27-1.60 for Medicaid insurance versus other). Formula supplementation was higher among mothers who smoked, had a cesarean delivery, or diabetes. At all 4 levels of perinatal care, there were exemplar hospitals that met the HealthyPeople 2020 supplementation goal of ≤14.2%. After adjusting for individual risk factors, the hospital-specific, risk-adjusted supplemental formula percentages still revealed a wide variation. CONCLUSIONS:A better understanding of the exemplar hospitals could inform future efforts to improve maternity care practices and breastfeeding support to reduce unnecessary formula supplementation, reduce disparities, increase exclusive breastfeeding and breastfeeding duration, and improve maternal and child health outcomes.

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“…The negative consequences of hospital birth, including lack of sleep, reduced breastfeeding and maternal dissatisfaction with the birth/post-birth experience are, at least in part, consequences of mother-infant separation in the immediate and early postnatal period, and of disruption occurring in the postnatal ward environment that inhibits mothers and babies from behaving in an instinctive manner. Morrison et al [66], for example, documented the effects of postnatal-ward disruption on the mother-infant dyad, recording a mean of 54 interruptions per participant during the 12-hour observation period (8am to 8pm on postnatal day 1), lasting an average of 17 minutes each. These "frequent, erratic, and lengthy" (p713) interruptions, and the concomitant lack of private, quiet time alone with their family, were described as extremely disruptive by mothers in this study and others [35,67,68].…”

Section: Sleep Disruption and Separation In Early Infancymentioning

confidence: 99%

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

Russell¹,

Robinson²,

Ball³

2013

TOSLPJ

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Abstract:Coping with sleep disruption is a common difficulty faced by new parents. Here we take a critical, contextual and evolutionary perspective on recent evidence surrounding the development of normal infant sleep in the postnatal period, its relationship with feeding method and the relevance of sleep location. Firstly, we explore the question of defining 'normal' infant sleep, considering the timing of sleep consolidation, cross-cultural and historical perspectives, and the impact of feeding method on infant waking and parental tiredness. In the second part of the review we focus on infant sleep location, physiological and behavioural functioning and sleep safety. We summarise recent research exploring the consequences of alternate infant sleep locations, including in-hospital interventions testing the effect of these sleep locations on outcomes associated with mother-infant proximity. Finally we provide an up-to-date review of SIDS research, including case-control and cross-cultural studies that inform policy-creation and authoritative advice to parents. We find that many researchers still neglect crucial variables affecting infant sleep including sleep location and feeding method and conclude that whilst the field of infant sleep research is well-established, future studies would benefit from consideration of infant evolutionary biology and the heterogeneity of infant care practices, which would lead to valuable new research insights in understanding normal infant sleep.

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Interruptions to Breastfeeding Dyads on Postpartum Day 1 in a University Hospital

Cited by 17 publications

References 32 publications

Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women

Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

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