Professional Support in Pregnancy Influence Maternal Relation to and Feelings for the Baby after Cesarean Birth: An Intervention Study

Thorstensson, Stina; Nissen, Eva; Ekström, Anette

doi:10.4172/2167-1168.1000112

Cited by 5 publications

(4 citation statements)

References 60 publications

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“…This training was shown to promote attitudes towards parental support and breastfeeding among health professionals that were more facilitative and less regulating. This in turn led to mothers in the intervention group experiencing improved self‐reported relations to and feelings for the baby, regardless of whether the birth was normal or caesarean (Thorstensson, Andersson, et al., 2015; Thorstensson, Nilsson, et al., 2015; Thorstensson et al., 2012). As well as improved preparation for the parental role, breastfeeding became more prevalent and partners became more actively supportive, via parental support groups.…”

Section: Resultsmentioning

confidence: 99%

The concept, importance and values of support during childbearing and breastfeeding – A discourse paper

2021

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Background Professional support in childbearing has beneficial effects on childbirth experience, interactions within the family, breastfeeding and medical outcomes. However, more knowledge is needed about prerequisites for professional support to be valuable and satisfactory during childbearing. Aim The aim of this discourse paper is to describe and explore prerequisites for professional support that are of value for women and their families during childbearing as well as how healthcare organizations can be formed to facilitate these prerequisites. Design Discourse paper. Methods This discourse paper is based on our own experiences and is supported by literature and theory. Results Well‐functioning structures and processes facilitate professional support that leads to safe, secure, calm and prepared parents with the ability to handle the challenges of childbearing and parenting. When organizing care in childbearing, prerequisites for support needs must also be considered.

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Section: Resultsmentioning

confidence: 99%

The concept, importance and values of support during childbearing and breastfeeding – A discourse paper

2021

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“…The seven-graded Likert MIRF scale (Mother to Infant Relations and Feelings scale) (ranging from 1 to 7) was used to assess the parents' relation toward and feelings for their child (34,(45)(46)(47). The scale is validated through interviews with parents (34).…”

Section: Measurements and Data Collectionmentioning

confidence: 99%

Effects of the “Inspirational Lecture” in Combination With “Ordinary Antenatal Parental Classes” as Professional Support for Expectant Parents: A Pilot Study as a Randomized Controlled Trial

Thorstensson

Ekström‐Bergström

Bäckström

2020

Front. Public Health

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Background: Both expectant mothers and their partners describe weaknesses in ordinary parental preparatory professional support provided internationally and nationally within Sweden. Therefore, it is necessary to develop the parental preparatory professional support provided by midwives for expectant parents within Sweden. This study will evaluate the effects on expectant parents of receiving a combination of an “inspirational lecture” and “ordinary antenatal parental classes” compared with only “ordinary antenatal parental classes.” Methods/Design: This block randomized controlled trial included an intervention as a pilot study, in which expectant parents were randomized for (1) the inspirational lecture and ordinary antenatal parental classes (intervention group [IG]) ( n = 66) or (2) ordinary antenatal parental classes (control group [CG]) ( n = 60). Data collection with repeated questionnaires was conducted in the first week and 6 months after birth. Statistical analyses were conducted for participant characteristics, differences between parents within IG and CG, effects of the intervention, intention to treat, and internal consistency of the included measurements. Results: The intervention showed a tendency to be gainful for one out of four outcomes related to birth experience, and parents' perceived quality of parental couple relationship consensus and sexuality and manageability. These results were more prominent for the partners. Parents within both the intervention and control groups reported decreased social support in the first 6 months after birth. Conclusion and Clinical Implications: Overall, the concept of the inspirational lecture in combination with ordinary antenatal parental classes as parental preparatory professional support seems to be a valuable care intervention. However, this study was a pilot study and the results should therefore be interpreted with caution. More research is needed since childbirth and transition to parenthood are complex processes in need of comprehension.

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“…The mothers’ perception of support from the professionals and improved the maternal relationship and feelings for the baby were strengthened compared with the control groups receiving traditional care. There was also a positive correlation between preparation for the parental role and a reduced number of infants being given breast milk substitutes without medical reasons during the first week, as well as a delayed introduction of breast milk substitutes after discharge from hospital, if the health professional received the process-oriented education [ 18 , 30 - 32 ]. The aim in this study was to evaluate the effects of a process-oriented training in breastfeeding support counselling for midwives and child health nurses, in relation to women’s satisfaction with breastfeeding counselling, problems with insufficient breast milk, pain or nipple sores in relation to exclusive breastfeeding shorter or longer than 3 months.…”

Section: Introductionmentioning

confidence: 99%

Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

2014

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BackgroundThe World Health Organization recommends promoting exclusive breastfeeding for six months. Women often end breastfeeding earlier than planned, however women who continue to breastfeed despite problems often experience good support and counselling from health professionals. The aim of this study was to evaluate the effects of a process-oriented training in breastfeeding support counselling for midwives and child health nurses, on women’s satisfaction with breastfeeding counselling, problems with insufficient breast milk and nipple pain in relation to exclusive breastfeeding shorter or longer than 3 months.MethodsAn intervention through process-oriented training for health professionals regarding support in childbearing and breastfeeding took part in the south west of Sweden. This study was conducted in Sweden, in 2000 - 2003. Ten municipalities were paired, and within each pair, one was randomly assigned to the group of five intervention (IG) municipalities and one to the group of five control municipalities. Primiparas (n = 540) were invited to participate in a longitudinal study to evaluate the care they received. A survey was distributed at 3 days, 3 months and 9 months postpartum. Data collection for control group A (n = 162) started before the intervention was initiated. Data for control group B (n = 172) were collected simultaneously with the intervention group (IG) (n = 206). Women were also divided into two groups depending on whether they exclusive breastfed < 3 months or ≥ 3 months.ResultsWomen in IG were more satisfied with the breastfeeding counselling (p = 0.008) and felt the breastfeeding counselling was more coherent (p = 0.002) compared to control groups, when exclusive breastfeeding was < 3 months. In addition fewer women in the IG, among the group exclusively breastfeeding < 3 months, had problems with insufficient breast milk compared to the control groups (p = 0.01).ConclusionA process-oriented training for health professionals in support influenced women’s ability to solve breastfeeding problems such as the experience of insufficient breast milk production. Women with exclusive breastfeeding lasting ≥ 3 months more often had breastfeeding duration in line with their planned breastfeeding duration, compared to women who had breastfeeding duration < 3 months.Trial registrationACTRN12611000354987

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Professional Support in Pregnancy Influence Maternal Relation to and Feelings for the Baby after Cesarean Birth: An Intervention Study

Cited by 5 publications

References 60 publications

The concept, importance and values of support during childbearing and breastfeeding – A discourse paper

The concept, importance and values of support during childbearing and breastfeeding – A discourse paper

Effects of the “Inspirational Lecture” in Combination With “Ordinary Antenatal Parental Classes” as Professional Support for Expectant Parents: A Pilot Study as a Randomized Controlled Trial

Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

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