Development and validation of a predictive model of exclusive breastfeeding at hospital discharge: Retrospective cohort study

Ballesta‐Castillejos, Ana; Gómez‐Salgado, Juan; Rodríguez‐Almagro, Julián; Hernández‐Martínez, Antonio

doi:10.1016/j.ijnurstu.2021.103898

Cited by 10 publications

(8 citation statements)

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“…On multivariate analysis, the only demographic variable significantly associated with breastfeeding was the age at first birth; a lower age was associated with higher breastfeeding rates. This result should be interpreted with caution given that some authors have found a positive association between higher maternal age and breastfeeding continuation in large samples of mother-infant dyads (Tracz and Gajewska, 2020;Chooniedass et al, 2021), while others have reported results in line with this study's findings (Ballesta-Castillejos et al, 2021;Dong et al, 2022). There is also some evidence to suggest that breastfeeding may be optimal in mothers aged 26-35-in other words, both maternity at a very early age and advanced maternal age may be associated with reduced breastfeeding rates (Moshi et al, 2021).…”

Section: Relationships Between Breastfeeding and Other Demographic Or...supporting

confidence: 68%

The relationship between national cultural dimensions, maternal anxiety and depression, and national breastfeeding rates: An analysis of data from 122 countries

Rajkumar

2023

Front. Commun.

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IntroductionBreastfeeding is a natural and universal practice across countries and cultures. It is estimated that several thousand lives could be saved per year if optimal breastfeeding practices were adopted across countries. In addition, breastfeeding has numerous health, emotional and developmental benefits for both the mother and her infant. Despite widespread awareness of these benefits, rates of breastfeeding initiation and maintenance remain suboptimal, both in high- and in low- and middle-income countries. Unfavorable breastfeeding outcomes are related to several factors, including variations in cultural values and the occurrence of common mental disorders in women during pregnancy and in the postnatal period. However, the relative contributions of culture and mental health to variations in national breastfeeding rates have not been examined to date.MethodsIn the current study, recent United Nations International Children's Emergency Fund (UNICEF) data on lifetime breastfeeding rates is analyzed in two stages, to first explore and then confirm the impact of cultural values and maternal mental health status at a cross-national level.ResultsIt was found that the estimated prevalence of both depression and anxiety disorders in women of childbearing age was negatively correlated with breastfeeding rates. Significant associations were also observed for the cultural dimensions of individualism-collectivism and masculinity-femininity. The association between anxiety disorders and breastfeeding outcomes remained significant in multivariate analysis incorporating demographic and health variables that could exert a confounding effect.DiscussionThese results suggest that both cultural values and the assessment and treatment of maternal mental illness should be components of any programme aimed at communicating the benefits of breastfeeding or at improving breastfeeding outcomes. The inclusion of these components could help promote the values of cultural sensitivity, inclusiveness and equity in breastfeeding from a global perspective.

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Section: Relationships Between Breastfeeding and Other Demographic Or...supporting

confidence: 68%

The relationship between national cultural dimensions, maternal anxiety and depression, and national breastfeeding rates: An analysis of data from 122 countries

Rajkumar

2023

Front. Commun.

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“… 21 In preventive nursing intervention, there should be preoperative psychological adjustment to reduce the patient’s nervousness about surgery and shorten the distance between nurses and patients, which helps achieve the ideal effect of the interventions. 22 …”

Section: Discussionmentioning

confidence: 99%

Analysis of the Nursing Effect of Anesthesia Care Integration Combined with Preventive Nursing on Older Patients with Lumbar Disc Herniation During the Perioperative Period

Liu¹,

Li²,

Yu³

et al. 2023

RMHP

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Objective This study explored the nursing effect of anesthesia care integration combined with preventive nursing on older patients with perioperative lumbar disc herniation (LDH). Methods Clinical data of 100 older patients with LDH who were admitted to our hospital between May 2017 and May 2022 were used, and there were no patients who had not had surgery between January and May 2020 because of the COVID-19 pandemic. Based on the different nursing methods, the patients were divided into control and observation groups, with 50 cases each. The control group received anesthesia care integration, whereas the observation group received anesthesia care integration combined with preventive nursing. Lumbar spine function, pain score, anesthesia recovery assessment, and nursing effects were compared between the two groups. Results The scores of the anesthesia recovery assessment of the two groups were compared, and the vital signs of the observation group during recovery from anesthesia were significantly better than those of the control group ( P <0.05). After nursing care, the Japanese Orthopaedic Association (JOA) score of the observation group was significantly higher than that of the control group; however, the numerical scale (NRS) score of the observation group was significantly lower than that of the control group ( P <0.05). After nursing care, the physical comfort, emotional state, psychological support, self-care ability, and pain scores were higher in the observation group than in the control group; however, the NRS score of the observation group was significantly lower than that of the control group ( P <0.05). Conclusion Anesthesia care integration combined with preventive nursing has a positive effect on older patients with perioperative LDH, and it significantly improves lumbar spine function, reduces pain, shortens recovery time, and benefits physical and mental health.

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“…Compared with women who received other models of care, those cared for under midwife-led continuity of antenatal care were less likely to utilize epidural analgesia and experience complications in labor (Gidaszewski et al, 2019), both of which reduce the likelihood of exclusive breastfeeding at hospital discharge (Ballesta-Castillejos et al, 2021). The most recent Cochrane review to compare midwife-led continuity of care with other models of care included 15 randomized trials with a total of 17,674 participants, and concluded that midwife-led care was beneficial (Sandall et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Midwife-Led Continuity of Antenatal Care and Breastfeeding Duration Beyond Postpartum Hospital Discharge: A Systematic Review

et al. 2022

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Background: The World Health Organization recommends that infants should be exclusively breastfed for the first 6 months of life and that breastfeeding should continue for 2 years and beyond. Most women initiate breastfeeding, but many do not continue for the recommended duration. While midwife-led continuity of antenatal care is linked to improved mother and infant outcomes, the influence on breastfeeding duration has not been previously reviewed. Research Aim: To critically analyze the literature that compared midwife-led continuity of antenatal care with other models of care where researchers have measured breastfeeding duration beyond postpartum hospital discharge. Methods: A systematic literature review with critical analysis was used to answer the research aim. We systematically searched and screened five databases for quantitative studies where researchers had reported breastfeeding duration beyond postpartum hospital discharge after midwife-led continuity of antenatal care, compared with another model of antenatal care. Methodological quality was assessed using tools from the Cochrane Collaboration (RoB2 and ROBINS-I). In total, nine studies met the inclusion criteria. Results: Clear conclusions about the association between midwife-led continuity of antenatal care and breastfeeding duration were not found. The risk of bias within non-randomized studies ranged from serious to critical, and a judgement of “some concerns” of risk of bias in the one randomized study. Conclusion: To date, the question of whether midwife-led continuity of antenatal care improves breastfeeding duration has not been established. There has been a lack of consistency in definitions of breastfeeding and descriptions of models of care, which has weakened the evidence-based of literature reviewed. Our review protocol was registered with PROSPERO; although due to COVID-19, this registration was not checked for eligibility by the PROSPERO team (CRD42020151276). https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020151276

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Development and validation of a predictive model of exclusive breastfeeding at hospital discharge: Retrospective cohort study

Cited by 10 publications

References 48 publications

The relationship between national cultural dimensions, maternal anxiety and depression, and national breastfeeding rates: An analysis of data from 122 countries

The relationship between national cultural dimensions, maternal anxiety and depression, and national breastfeeding rates: An analysis of data from 122 countries

Analysis of the Nursing Effect of Anesthesia Care Integration Combined with Preventive Nursing on Older Patients with Lumbar Disc Herniation During the Perioperative Period

Midwife-Led Continuity of Antenatal Care and Breastfeeding Duration Beyond Postpartum Hospital Discharge: A Systematic Review

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