Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding

Jaafar, Sharifah Halimah; Ho, Jacqueline J; Lee, Kim Seng

doi:10.1002/14651858.cd006641.pub3

Cited by 87 publications

(91 citation statements)

References 44 publications

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“…Other barriers include the participants' experience of breastfeeding; the perception both breast milk and formula were not nutritious enough to feed the baby to six months of age. Similar results were documented in Mozambique [20,21] and other African countries [48][49][50][51]. Moreover, participants struggled to maintain the expected physical growth and ideal weight of their babies to avoid reprimands from the nurses rather than preventing malnutrition.…”

Section: Discussionsupporting

confidence: 67%

Exploring Perceptions and Practices of Biomedical Norms during Exclusive Breastfeeding among HIV-Positive Lactating Mothers in Mozambique

Cuinhane

Coene²,

Roelens

et al. 2017

J AIDS Clin Res

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Introduction: To prevent passing infection to their infants, Mozambican mothers with HIV are advised to follow biomedical norms during breastfeeding. However, little is yet known about how HIV-positive mothers perceive biomedical norms during the breastfeeding period.Objective: To analyse lactating mothers' perceptions and compliance with biomedical norms recommended for reducing the risk of mother-to-child transmission of HIV via breastfeeding. Method:A qualitative study was carried out consisting of in-depth interviews with 59 HIV-positive lactating mothers. This involved 5 focus group discussions, direct observation and 6 semi-structured interviews with nurses. We used Bourdieu's theory of practice as a guiding framework for data analysis.Results: Findings revealed participants had mixed perceptions and inadequate knowledge about breast milk and exclusive breastfeeding. As well, participants struggled to comply with some biomedical norms. Approximately half of the participants breastfed immediately after childbirth. Most participants do breastfeed on demand and all participants complied with prescription regarding antiretroviral therapy for their infants. Of the 59 participants, 53 complied with prescription of antiretroviral therapy for themselves.A total of 56 participants did not comply with exclusive breastfeeding to the sixth month. This was due to a lack of knowledge about exclusive breastfeeding, the perception that both breast milk and formula were not enough to feed the baby up to the age of six months. Other factors included returning to school or work, illness of the mother and child, lack of disclosure of HIV status of the mother as well as social norms. Conclusion:The study results suggest participants' perceptions, incorporated learned experiences and the social environment they inhabit seem to influence compliance to biomedical norms. These norms seem new, and participants are still processing its incorporation. Health education on exclusive breastfeeding and prevention of mother-to-child HIV transmission should take into account the participant's perceptions and their social environment.

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Section: Discussionsupporting

confidence: 67%

Exploring Perceptions and Practices of Biomedical Norms during Exclusive Breastfeeding among HIV-Positive Lactating Mothers in Mozambique

Cuinhane

Coene²,

Roelens

et al. 2017

J AIDS Clin Res

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“…Several studies have demonstrated the importance of the rooming-in for breastfeeding, providing greater confidence to the mother in relation to the latch-on and proper positioning for breastfeeding, autonomy to understand and care for the child, in addition to providing increased interaction between mothers and health professionals, which can take advantage of this environment to address essential aspects to enhancing the effectiveness of breastfeeding 44,45 . Cochrane systematic review found that the prevalence of exclusive breastfeeding until the fourth day before hospital discharge was higher among women who remained rooming-in than among those who were separated from their child 46 .…”

Section: Discussionmentioning

confidence: 99%

Fatores ligados aos serviços de saúde determinam o aleitamento materno na primeira hora de vida no Distrito Federal, Brasil, 2011

Sá

Gubert

Santos

et al. 2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To identify factors associated with breastfeeding in the first hour of life. Methods: A cross-sectional study conducted among mothers and children under one year of age, who attended the second stage of the polio vaccination campaign in the Federal District, Brazil, in 2011. The sample was composed of 1,027 pairs of mothers and children. Breastfeeding in the first hour of life was considered as the dependent variable; and the independent variables were: socio-demographic characteristics of the mother, prenatal, delivery and postpartum care, reference to physical or verbal violence/neglect during delivery, and children health. Unadjusted and adjusted prevalence ratios (PR) were used as measures of association, calculated by Poisson regression. Results: The prevalence of breastfeeding in the first hour of life was 77.3%. Inadequate prenatal care (PR = 0.72), cesarean section (PR = 0.88) and no access to rooming-in after birth (PR = 0.28) were factors that interfered negatively in breastfeeding in the first hour of life. No factor was associated with breastfeeding in the first hour of life for mother and children. Conclusions: Factors related to health services such as prenatal care, type of delivery and postpartum rooming-in interfered with breastfeeding in the first hour of life, indicating that health services, as well health professional practices were major determinants the breastfeeding in the first hour of life.

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“…35 Hospital staff members caring for mother-infant dyads have more opportunities to empower mothers to care for their infants than when infant care is conducted without the mother and in a separate nursery. For the breastfeeding mother-infant dyad, rooming-in may help to support cuebased feeding, leading to increased frequency of breastfeeding, especially in the first few days 36 ; decreased hyperbilirubinemia; and increased likelihood of continued breastfeeding up to 6 months. 37 SSC and rooming-in are 2 of the important steps in the WHO's "Ten Steps to Successful Breastfeeding" and serve as the basic tenets for a baby-friendly-designated delivery hospital.…”

Section: Evidence For Ssc and Rooming-inmentioning

confidence: 99%

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

Feldman-Winter¹,

Goldsmith²

2016

Pediatrics

163

110

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Skin-to-skin care (SSC) and rooming-in have become common practice in the newborn period for healthy newborns with the implementation of maternity care practices that support breastfeeding as delineated in the World Health Organization's "Ten Steps to Successful Breastfeeding." SSC and rooming-in are supported by evidence that indicates that the implementation of these practices increases overall and exclusive breastfeeding, safer and healthier transitions, and improved maternal-infant bonding. In some cases, however, the practice of SSC and rooming-in may pose safety concerns, particularly with regard to sleep. There have been several recent case reports and case series of severe and sudden unexpected postnatal collapse in the neonatal period among otherwise healthy newborns and near fatal or fatal events related to sleep, suffocation, and falls from adult hospital beds. Although these are largely case reports, there are potential dangers of unobserved SSC immediately after birth and throughout the postpartum hospital period as well as with unobserved rooming-in for at-risk situations. Moreover, behaviors that are modeled in the hospital after birth, such as sleep position, are likely to infl uence sleeping practices after discharge. Hospitals and birthing centers have found it diffi cult to develop policies that will allow SSC and rooming-in to continue in a safe manner. This clinical report is intended for birthing centers and delivery hospitals caring for healthy newborns to assist in the establishment of appropriate SSC and safe sleep policies.

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Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding

Abstract: We found little evidence to support or refute the practice of rooming-in versus mother-infant separation. Further well-designed RCTs to investigate full mother-infant rooming-in versus partial rooming-in or separate care including all important outcomes are needed.

Cited by 87 publications

References 44 publications

Exploring Perceptions and Practices of Biomedical Norms during Exclusive Breastfeeding among HIV-Positive Lactating Mothers in Mozambique

Exploring Perceptions and Practices of Biomedical Norms during Exclusive Breastfeeding among HIV-Positive Lactating Mothers in Mozambique

Fatores ligados aos serviços de saúde determinam o aleitamento materno na primeira hora de vida no Distrito Federal, Brasil, 2011

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

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