Maternal and Infant Assessment for Breastfeeding and Human Lactation: A Guide for the Practitioner

Cadwell, Karin; Turner‐Maffei, Cynthia; OʼConnor, Barbara; Sudbury, Anna Blair.

doi:10.1111/j.1542-2011.2004.tb04416.x

Cited by 7 publications

(11 citation statements)

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“…At present in Australia, second-line strategies are often controlled by policies at birthing facilities [42,43] and opportunities for women to engage in informed decision making about such strategies may be limited. There is some discussion in recent literature that control of breastfeeding should be ‘handed back’ to women [41,44,45]. Evidence of the success of this approach has been provided by Wan et al [46], who found increased satisfaction in woman-centred postpartum care rather than task-centred postpartum care.…”

Section: Discussionmentioning

confidence: 99%

“…Choice of second-line strategies by the woman should be based on her own values and beliefs (which form BFSE via vicarious learning and verbal/social persuasion), establishing a continuance of woman-centred care beyond birth. Where women have knowledge deficits, a continuity of care model facilitates education based on midwives prior knowledge of the woman [45]. …”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study

Keemer

2013

Int Breastfeed J

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BackgroundBreastfeeding self-efficacy (BFSE) supports breastfeeding initiation and duration. Challenges to breastfeeding may undermine BFSE, but second-line strategies including nipple shields, syringe, cup, supply line and bottle feeding may support breastfeeding until challenges are resolved. The primary aim of this study was to examine BFSE in a sample of women using second-line strategies for feeding healthy term infants in the first week postpartum.MethodsA retrospective self-report study was conducted using the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF), demographic and infant feeding questionnaires. Breastfeeding women who gave birth to a singleton healthy term infant at one private metropolitan birthing facility in Australia from November 2008 to February 2009 returned anonymous questionnaires by mail.ResultsA total of 128 (73 multiparous, 55 primiparous) women participated in the study. The mean BSES-SF score was 51.18 (Standard deviation, SD: 12.48). The median BSES-SF score was 53. Of women using a second-line strategy, 16 exceeded the median, and 42 were below. Analyses using Kruskal-Wallis tests confirmed this difference was statistically significant (H = 21.569, p = 0.001). The rate of second-line strategy use was 48%. The four most commonly used second-line strategies were: bottles with regular teats (77%); syringe feeding (44%); bottles with wide teats (34%); and nipple shields (27%). Seven key challenges were identified that contributed to the decision to use second-line strategies, including: nipple pain (40%); unsettled infant (40%); insufficient milk supply (37%); fatigue (37%); night nursery care (25%); infant weight loss > 10% (24%); and maternal birth associated pain (20%). Skin-to-skin contact at birth was commonly reported (93%). At seven days postpartum 124 women (97%) were continuing to breastfeed.ConclusionsThe high rate of use of second-line strategies identified in this study and high rate of breastfeeding at day seven despite lower BFSE indicate that such practices should not be overlooked by health professionals. The design of this study does not enable determination of cause-effect relationships to identify factors which contribute to use of second-line strategies. Nevertheless, the significantly lower BSES-SF score of women using a second-line strategy highlights this group of women have particular needs that require attention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study

Keemer

2013

Int Breastfeed J

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“…Nurses and lactation consultants on the maternity ward help new mothers learn how to position their neonate at the breast. Th e most frequently taught techniques are the cradle, the cross-cradle, the football or clutch, and the sidelying position (Cadwell et al, 2002;Huggins, 1995;Lauwers & Swisher, 2005;Mohrbacher & Stock, 2003;Riordan & Hoover, 2005;Walker, 2011). In the side-lying position, a mother lies on her side with the infant's body on his or her side and completely facing and in contact with her (Walker, 2011).…”

Section: Side-lying Breastfeeding Positionmentioning

confidence: 99%

“…Breastfeeding has a positive impact on a child's survival, health, nutrition and development (United Nations Children's Fund [UNICEF], 2008). Among a number of positions off ered to mothers to assist with breastfeeding, side-lying, in which the woman lies down with the infant lying alongside her and feeds from the lower breast, is one option (Cadwell, Turner-Maff ei, O'Connor, & Blair, 2002;Huggins, 1995;Lauwers & Swisher, 2005;Mohrbacher & Stock, 2003;Riordan & Hoover, 2005;Walker, 2011; see Figure 1). Th is is thought to allow the woman maximal rest while off ering close and continuous contact with the feeding infant (Lauwers & Swisher; Mohrbacher & Stock; Walker).…”

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confidence: 99%

Two Cases of Apparent Suffocation of Newborns During Side‐lying Breastfeeding

Feldman

Whyte²

2013

Nursing for Women's Health

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“…The midwives received training related to the research protocol, skilled assessment of a breastfeeding session, use of research tools, education for breastfeeding management, and appropriate corrective interventions for latch-on and positioning problems. The assessment techniques and corrective interventions used in this study are described in detail elsewhere (Cadwell, Turner-Maffei, O'Connor, & Blair, 2002) and summarized in Table 2. Post-testsdusing video, live models, and photographs dassured that the midwives correctly, consistently, and accurately used the assessment and documentation tools.…”

Section: Methodsmentioning

confidence: 99%