Acceptability and Feasibility of a Breast Milk Expression Education and Support Intervention in Mothers of Preterm Infants

Héon, Marjolaine; Goulet, Céline; Garofalo, Carole; Nuyt, Anne Monique; Lévy, Émile

doi:10.1097/anc.0000000000000113

Cited by 9 publications

(14 citation statements)

References 29 publications

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“…However, it effectively removed most studies, articles, or information that we identified focused around education and support for exclusive expression. For example, a systematic review that specifically looked at methods of milk expression [17] contained references to studies comparing the improved experience of mothers when they are provided with specific instruction around expression [33, 34], but it is defined by its focus both on initiation and preterm infants, and thus was excluded.…”

Section: Discussionmentioning

confidence: 99%

Mechanisms of support for exclusive breastmilk expressers in the community: a scoping review

Strauch

Sweet

Scott

et al. 2019

BMC Pregnancy Childbirth

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BackgroundThe World Health Organization recommends that infants be exclusively breastfed until the age of six months. Breastfeeding is generally understood to mean the provision of human breastmilk to the infant by direct feeding at the breast, and interventions aimed at supporting exclusive breastfeeding are therefore targeted at this activity. However, breastfeeding is actually an umbrella term covering the provision of breastmilk to an infant by any means. Our population of interest is mothers who exclusively feed their infants indirectly using expressed breastmilk. Some research suggests that any expressing, and exclusively expressing in particular, can be a risk factor for early cessation of exclusive breastmilk provision, so we were interested to identify whether any specific support existed for exclusively expressing mothers outside of the context of premature infants and the Neonatal Intensive Care Unit setting.MethodsA scoping review following the Joanna Briggs Institute approach was used to explore the phenomenon of formal and informal supports in the community for exclusively expressing mothers. Searches were run across academic databases and of government websites and infant feeding support organisations. Finally, an informal internet search was run using a simple search string.ResultsOn analysis of results, there were no studies or articles that met the search criteria. An informal internet search linked us directly with websites and blogs that could be considered a form of support intervention. These informal results suggest that support material or programs could possibly exist in other modalities but we cannot find them in the context of this type of scoping review.ConclusionsThe results of the search corroborated what we had suspected – that exclusively expressing mothers are not specifically supported by usual channels for new parents and that it is also difficult to find acknowledgement that exclusive expression exists.The absence of results demonstrates the relevance of this study: exclusively expressing mothers are an under-served population. If we wish to strive towards achievement of World Health Organization breastfeeding goals, exclusively expressing mothers require targeted support to assist in their infant feeding experience, and there is little formal evidence of it currently being provided.

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Section: Discussionmentioning

confidence: 99%

Mechanisms of support for exclusive breastmilk expressers in the community: a scoping review

Strauch

Sweet

Scott

et al. 2019

BMC Pregnancy Childbirth

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“…Research has shown that structured approaches to the promotion of breastmilk expression are associated with significantly higher rates of human milk feeding and significantly lower incidences of NEC . In addition to this, such promotional efforts are effective in increasing time spent expressing . In 2012, we introduced a dedicated programme to promote and to educate mothers about breastmilk expression.…”

Section: Introductionmentioning

confidence: 99%

Structured promotion of breastmilk expression is associated with shortened hospitalisation for very preterm infants

et al. 2016

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“…Secondly, the recruitment percentage was 90% (45/50) and the retention percentage was 82.5% (33/40); this suggests a higher level of satisfaction compared with several prior studies on breastfeeding support in preterm infants [32][33][34][35][36]. In said studies, the recruitment percentage varied from 70% (40/57) [32] to 95% (204/214) [36], while the retention percentage varied from 79% (85/108) [35] to 82.5% (33/40) [32]. is could potentially be attributed to the professional support given to the participants, which is anticipated by mothers with premature infants [37].…”

Section: Discussionmentioning

confidence: 65%

The Acceptability, Feasibility, and Effectiveness of Breast Massage Combined with Acupoint Stimulation to Promote the Volume of Human Milk in Mothers with Preterm Infants: A Pilot Study

Jia

Ding

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Background. Preterm infant mothers have always encountered difficulties in human milk production. For this reason, an intervention of breast massage combined with acupoint stimulation was designed to increase the production. Purpose. Through a pilot randomized trial, we assessed the acceptability, feasibility, and effectiveness of breast massage combined with acupoint stimulation and the study procedures. Methods. 40 participants of preterm infants born at less than 34 weeks of gestation were randomly allocated to the CG (control group) or the EG (group with breast massage combined with acupoint stimulation). Data related to the acceptability, feasibility, and effectiveness of the intervention and research procedures were collected and analysed. Results. The daily volume progressively increased each day in the first 7 days in both groups and a significant difference was observed between the groups ( P < 0.001). The initiation time of lactogenesis stage II was 50.06 ± 6.78 (40.00–64.00) hours in the EG and 66.18 ± 14.64 (48.00–96.00) hours in the CG, where a significant difference was detected ( P < 0.05). The mean score of satisfaction with the intervention in the EG was 4.56 ± 0.32 (4.0–5.0), while the retention rates were 82.5% and 85.5% (17/20) in the CG, and 80% (16/20) in the EG. Conclusion. This pilot study was oriented towards the effectiveness of breast massage combined with acupuncture stimulation for the increase of human milk production in the participants. The intervention was accepted well and the study process was reasonable. A large-scale RCT will be able to determine the beneficial effects of this intervention on human milk production.

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Acceptability and Feasibility of a Breast Milk Expression Education and Support Intervention in Mothers of Preterm Infants

Abstract: Both the intervention and study procedures were acceptable and feasible. Improvements related to the fidelity of the intervention would ensure the feasibility and internal validity of a larger-scale trial.

Cited by 9 publications

References 29 publications

Mechanisms of support for exclusive breastmilk expressers in the community: a scoping review

Mechanisms of support for exclusive breastmilk expressers in the community: a scoping review

Structured promotion of breastmilk expression is associated with shortened hospitalisation for very preterm infants

The Acceptability, Feasibility, and Effectiveness of Breast Massage Combined with Acupoint Stimulation to Promote the Volume of Human Milk in Mothers with Preterm Infants: A Pilot Study

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