Maternal Reasons for Early Termination of Exclusive Breastfeeding in Premature Infants

Skaaning, Diana; Brødsgaard, Anne; Kronborg, Hanne; Kyhnæb, Anne; Pryds, Ole; Carlsen, Emma Malchau

doi:10.1097/jpn.0000000000000693

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Podaci Ostović i sur. (18) (37). Edukacija očeva i njihovo uključivanje u donošenje odluka o dojenju pozitivno utječe na dužinu isključivog dojenja (38).…”

Section: Raspravaunclassified

Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.-2022.)

Čatipović,

Draušnik,

Kolarek Karakaš

et al. 2024

Paediatr Croat

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The goal of the research is to present data on the prevalence of breastfeeding in the Republic of Croatia for a three-year peroid. In cooperation with the Ministry of Health, the Croatian Institute of Public Health and the Department of Business Analysis of the MCS Group, data on the nutrition of children in the Republic of Croatia for years 2020, 2021 and 2022, have been extracted from the MCS Group database. In total, 63,969 records on the type of nutrition of infants and 15,871 records on the type of nutrition of children older than one year were processed, and collected from 55,042 children in total. The percentage of children exclusively breastfed for 1 month is 56.49%, for 3 months 46.09%, and for 6 months 9.66%. When it comes to complementary feeding, 47.87% of children were breastfed for 9 months, 37.26% for 12 months, and 7.64% for 24 months. The first month of a child’s life is characterized by a sudden drop in the number of breastfed children, compared to the percentage of breastfeeding represented in maternity hospitals. The rate of exclusive breastfeeding for six months is significantly below the rate recommended by WHO and UNICEF. The differences in the recommendations of WHO and UNICEF, the European Association for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), and the European Academy of Allergology and Clinical Immunology (EACCI) can be confusing for some health workers and parents. The results of total breastfeeding in months 12 and 24 are slightly below the values reported as the current rates of breastfeeding in the world by UNICEF. According to the current state of breastfeeding in the Republic of Croatia, the breastfeeding goals for 2030, set by WHO and UNICEF, will be difficult to achieve without reorganization and strengthening of the role of pediatricians in primary health care.

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“…Podaci Ostović i sur. (18) (37). Edukacija očeva i njihovo uključivanje u donošenje odluka o dojenju pozitivno utječe na dužinu isključivog dojenja (38).…”

Section: Raspravaunclassified

Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.-2022.)

Čatipović,

Draušnik,

Kolarek Karakaš

et al. 2024

Paediatr Croat

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“…11 This phenomenon reduces milk volumes after two weeks postpartum, resulting in insufficient milk supply and early weaning from breastfeeding. 12 Additionally, working mothers often have problems with lactation due to stress and fatigue caused by work responsibilities, as well as being unable to pump breast milk as often as desired. As a result, not only is the milk supply reduced, but it also needs to increase for the baby.…”

Section: Introductionmentioning

confidence: 99%

Effects of an Early Breastfeeding Education and Proactive Telephone Support Program for Mothers of Preterm Infants: A Quasi-experimental Study

Saehoong,

Pookboonmee,

Daramas

et al. 2024

PRIJNR

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Breast milk is optimal for both term and preterm infants as it provides essential nutrition and immunity. However, mothers of preterm infants often have insufficient milk supply, resulting in low breastfeeding rates, including in Thailand, where this quasi-experimental study was undertaken. We investigated the effects of an early breastfeeding education and proactive telephone support program, including early breastfeeding education and proactive telephone support. This included breastfeeding outcomes, including total breast milk volume, duration of exclusive breastfeeding, and exclusive breastfeeding rates at discharge and three months post-discharge in mothers of preterm infants. The participants included 57 mother-infant dyads and their families. The participants were assigned to either the control group (n = 28) receiving routine care or the experimental group (n = 29) receiving the intervention program. The assignment was done using purposive sampling and matching the number of pregnancies and gestational age between the two groups. Data were collected using the Demographic Characteristics Questionnaire, the Breast Milk Expressing Record Form, the Oral Care with Breast Milk Record Form, and the Breastfeeding Practice and Problems Record Form. Data analysis was performed using the chi-square test, Mann-Whitney U test, independent t-test, and descriptive statistics. The results indicated that, after receiving the program, the total breast milk volume from day 1 to day 7 and the duration of exclusive breastfeeding in the experimental group were significantly higher and longer than in the control group. At discharge, the rate of exclusive breastfeeding in the experimental group was higher than that of the control group but with no statistical difference. However, the experimental group had a significantly higher exclusive breastfeeding rate at three months than the control group. This study confirmed the program’s effectiveness in increasing the exclusive breastfeeding rate at three months. Nurses can integrate this program to promote breastfeeding as a critical component of preterm infant care. Still, a long-term follow-up study requires comprehensive testing of its effectiveness.

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Are Pediatric Residents in Saudi Arabia Equipped to Provide Breastfeeding Care? A Cross-Sectional Study

Bahawi,

Al-Wassia,

Bahaidarah

et al. 2023

Saudi Journal of Medicine &Amp; Medical Sciences

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Background: There is a progressive reduction in breastfeeding rates in Saudi Arabia. Counseling and support from health-care providers are useful in overcoming barriers to continuing breastfeeding. However, medical education and residency programs often do not adequately provide breastfeeding training. Objective: To determine the knowledge, comfort level, perception, and clinical practices of pediatric residents regarding breastfeeding in Saudi Arabia and to measure the level and type of education received during their residency training. Materials and Methods: This cross-sectional study included pediatric residents from across Saudi Arabia who were registered with the Saudi Commission for Health Sciences and was conducted from February 2021 to January 2022. A validated self-reported questionnaire was used to elicit information from the respondents. Knowledge score was calculated as a percentage of correct answers. Results: A total of 253 residents completed the survey. The mean knowledge score was 58.4% ± 22.7%, which was lower than the cut-off threshold of good knowledge. Almost half of the residents (49.4%) were confident about addressing breastfeeding-related concerns. Although nearly all residents (91.7%) agreed that breastfeeding promotion is part of their role, 35% never or rarely met the mother before birth to discuss breastfeeding. Didactic teaching was the most prevalent educational tool during their training (34.3%); however, most residents preferred learning through interactive workshops (83.7%) and following lactation consultants (82.8%). Conclusion: Despite positive perceptions and confidence in providing breastfeeding care, pediatric residents in Saudi Arabia lack optimal knowledge of breastfeeding. These findings indicate the need for enhancing breastfeeding curricula in pediatric residency programs to improve breastfeeding consultation and management.

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Maternal Reasons for Early Termination of Exclusive Breastfeeding in Premature Infants

Cited by 4 publications

References 17 publications

Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.-2022.)

Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.-2022.)

Effects of an Early Breastfeeding Education and Proactive Telephone Support Program for Mothers of Preterm Infants: A Quasi-experimental Study

Are Pediatric Residents in Saudi Arabia Equipped to Provide Breastfeeding Care? A Cross-Sectional Study

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