Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants

Jang, Gun Ja; Hong, Yeon Ran

doi:10.4094/chnr.2020.26.1.90

Cited by 4 publications

(12 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This discrepancy indicates that Korean LPIs are less likely to be continued to be breastfed than LPIs in other nations. This result is consistent with a study on a breastfeeding support program provided for LPIs, which showed that the exclusive breastfeeding rate in the experimental group (55%; n=20) was higher than that in the control group (25%; n=20) at the fourth week [17]. In the study by Jang and Hong [17], the higher exclusive breastfeeding rate than was observed in this study reflected the conditions of the LPIs.…”

Section: Discussionsupporting

confidence: 92%

“…This result is consistent with a study on a breastfeeding support program provided for LPIs, which showed that the exclusive breastfeeding rate in the experimental group (55%; n=20) was higher than that in the control group (25%; n=20) at the fourth week [17]. In the study by Jang and Hong [17], the higher exclusive breastfeeding rate than was observed in this study reflected the conditions of the LPIs. Specifically, 50% of the LPIs in both groups in the study by Jang and Hong [17] were recruited from a nursery and had relatively fewer health issues, whereas the LPIs in this study were recruited from the NICU alone.…”

Section: Discussionsupporting

confidence: 92%

“…In the study by Jang and Hong [17], the higher exclusive breastfeeding rate than was observed in this study reflected the conditions of the LPIs. Specifically, 50% of the LPIs in both groups in the study by Jang and Hong [17] were recruited from a nursery and had relatively fewer health issues, whereas the LPIs in this study were recruited from the NICU alone. This result also aligns with that reported by the study of Jang and Ju [20], which provided the mothers of 53 LPIs with an infant care education program focused on promoting breastfeeding and demonstrated a significantly higher breastfeeding rate (73.1%) in the experimental group (n=26) at 1 month after discharge than in the control group (40.7%; n=27).…”

Section: Discussionsupporting

confidence: 40%

“…The required sample size was calculated as 36 using PASS 2008 (NCSS LLC, Kaysville, UT, USA), with a significance level of .05, a statistical power of .08, four repeated measurements and two groups (experimental and control) with breastfeeding rates of 55% and 25%, respectively [17]. Forty LPIs were selected as the final sample, considering a possible withdrawal rate of 10%.…”

Section: Study Design and Participantsmentioning

confidence: 99%

“…The BCP used a modified version of the breastfeeding support program (BSP) developed by Jang and Hong [17] for LPIs discharged from the NICU ( Table 1). This program consisted of web-based breastfeeding education and practical breastfeeding support, and was provided for mothers in the experimental group on a weekly basis through a researcher's home visit.…”

Section: Intervention Programmentioning

confidence: 99%

See 4 more Smart Citations

Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

Jang¹

2020

Child Health Nurs Res

Self Cite

View full text Add to dashboard Cite

Purpose: This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge.Methods: This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem.Results: The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge (x2=7.17, p=.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups (x2=1.95, p=.164).Conclusion: The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 40%

Section: Study Design and Participantsmentioning

confidence: 99%

Section: Intervention Programmentioning

confidence: 99%

See 3 more Smart Citations

Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

Jang¹

2020

Child Health Nurs Res

Self Cite

View full text Add to dashboard Cite

show abstract

Nutritional Management of Moderate- and Late-Preterm Infants Commenced on Intravenous Fluids Pending Mother's Own Milk: Cohort Analysis From the DIAMOND Trial

et al. 2022

View full text Add to dashboard Cite

BackgroundExclusive breastmilk is the desired enteral nutrition for babies born moderate- and late-preterm between 32+0 and 36+6 weeks' gestation; however, this goal is often difficult to achieve.MethodsA prospective cohort of babies 32+0 −35+6 weeks' gestation enrolled in the DIAMOND trial were randomized to a condition specifying that babies should receive mother's own milk (MOM) as the only enteral feed. Factors associated with the successful transition to MOM, defined as MOM being the sole enteral feeding at the time of the first cessation of intravenous (IV) fluids, were investigated by logistic regression. Time to commencement of a milk other than MOM was analyzed by Kaplan–Meier survival curves.ResultsA total of 151 eligible babies (60% boys) were included, 93 (63%) of whom successfully transitioned from IV fluids onto MOM only. Alternative sources of milk, mostly formula, were used to transition from IV fluids onto enteral feeds more often in multiples and Māori, and was commenced earlier in Māori than other ethnicities (p = 0.007) and in late-preterm compared with moderate-preterm babies (p=0.01). Receiving exclusively breastmilk at discharge was more likely for babies who successfully transitioned from IV fluids onto MOM only [OR (95% confidence intervals) 4.9 (2.3–10.6)] and who received only MOM in the first week after birth [4.8 (2.2–10.4)], both p < 0.0001. Receiving breastmilk exclusively at discharge was less likely for Māori than Caucasian babies [0.2 (0.1–0.6), p < 0.0006]. There was no difference in the use of alternative sources of milk in babies who received parenteral nutrition or dextrose or between small-for-gestational-age and appropriate-for-gestational-age babies.ConclusionsDespite an intention to provide only MOM, significant numbers of moderate- and late-preterm babies received formula to transition from IV fluids, and this differed by ethnicity. The drivers underlying these decisions require further investigation. These data highlight an urgent need for quality initiatives to support and encourage mothers of moderate- and late-preterm babies in their lactation.

show abstract

Effectiveness of Postnatal Maternal or Caregiver Interventions on Outcomes among Infants under Six Months with Growth Faltering: A Systematic Review

Rana,

Sirwani,

Mohandas

et al. 2024

Nutrients

View full text Add to dashboard Cite

The care of infants at risk of poor growth and development is a global priority. To inform new WHO guidelines update on prevention and management of growth faltering among infants under six months, we examined the effectiveness of postnatal maternal or caregiver interventions on outcomes among infants between 0 and 6 months. We searched nine electronic databases from January 2000 to August 2021, included interventional studies, evaluated the quality of evidence for seven outcome domains (anthropometric recovery, child development, anthropometric outcomes, mortality, readmission, relapse, and non-response) and followed the GRADE approach for certainty of evidence. We identified thirteen studies with preterm and/or low birth weight infants assessing effects of breastfeeding counselling or education (n = 8), maternal nutrition supplementation (n = 2), mental health (n = 1), relaxation therapy (n = 1), and cash transfer (n = 1) interventions. The evidence from these studies had serious indirectness and high risk of bias. Evidence suggests breastfeeding counselling or education compared to standard care may increase infant weight at one month, weight at two months and length at one month; however, the evidence is very uncertain (very low quality). Maternal nutrition supplementation compared to standard care may not increase infant weight at 36 weeks postmenstrual age and may not reduce infant mortality by 36 weeks post-menstrual age (low quality). Evidence on the effectiveness of postnatal maternal or caregiver interventions on outcomes among infants under six months with growth faltering is limited and of ‘low’ to ‘very low’ quality. This emphasizes the urgent need for future research. The protocol was registered with PROSPERO (CRD42022309001).

show abstract

Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants

Cited by 4 publications

References 22 publications

Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

Nutritional Management of Moderate- and Late-Preterm Infants Commenced on Intravenous Fluids Pending Mother's Own Milk: Cohort Analysis From the DIAMOND Trial

Effectiveness of Postnatal Maternal or Caregiver Interventions on Outcomes among Infants under Six Months with Growth Faltering: A Systematic Review

Contact Info

Product

Resources

About