Exploring the mother's perception of latching difficulty in the first days after birth: An interview study in an Italian hospital

Mauri, Paola Agnese; Zobbi, Virna Franca; Zannini, Lucia

doi:10.1016/j.midw.2011.09.010

Cited by 8 publications

(8 citation statements)

References 49 publications

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“…These evidence could alert health-care professionals to pay special attention to mothers with advanced age and infants with low gestational age during antenatal care who are in the high risk group for caesarean section. Moreover, it is necessary to implement active strategies, including gentle hand expression, warm compresses or shower prior to breastfeeding, frequently latching the baby, applying ice, using lanolin cream, and placing a silver spoon on the nipple between feeds [ 15 , 26 ] to improve the comfort level during breastfeeding in women who undergo cesarean section [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

“…Multiparous women were more likely to repeat their previous breastfeeding experiences and practices with their preceding children [ 54 ]. In contrast, first-time mothers who had little prior experience with infant feeding reported difficulties in handling their infants and in coordinating their movements during breastfeeding [ 15 ]. Furthermore, first-time mothers were less likely to be aware of WHO guidelines for breastfeeding [ 55 ] and were more likely to use pacifiers, which have been shown to be negatively associated with breastfeeding techniques [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

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Maternal, Infant Characteristics, Breastfeeding Techniques, and Initiation: Structural Equation Modeling Approaches

et al. 2015

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ObjectivesThe aim of this study was to examine the relationships among maternal and infant characteristics, breastfeeding techniques, and exclusive breastfeeding initiation in different modes of birth using structural equation modeling approaches.MethodsWe examined a hypothetical model based on integrating concepts of a breastfeeding decision-making model, a breastfeeding initiation model, and a social cognitive theory among 952 mother-infant dyads. The LATCH breastfeeding assessment tool was used to evaluate breastfeeding techniques and two infant feeding categories were used (exclusive and non-exclusive breastfeeding).ResultsStructural equation models (SEM) showed that multiparity was significantly positively associated with breastfeeding techniques and the jaundice of an infant was significantly negatively related to exclusive breastfeeding initiation. A multigroup analysis in the SEM showed no difference between the caesarean section and vaginal delivery groups estimates of breastfeeding techniques on exclusive breastfeeding initiation. Breastfeeding techniques were significantly positively associated with exclusive breastfeeding initiation in the entire sample and in the vaginal deliveries group. However, breastfeeding techniques were not significantly associated with exclusive breastfeeding initiation in the cesarean section group. Maternal age, maternal race, gestations, birth weight of infant, and postnatal complications had no significant impacts on breastfeeding techniques or exclusive breastfeeding initiation in our study. Overall, the models fitted the data satisfactorily (GFI = 0.979–0.987; AGFI = 0.951–0.962; IFI = 0.958–0.962; CFI = 0.955–0.960, and RMSEA = 0.029–0.034).ConclusionsMultiparity and jaundice of an infant were found to affect breastfeeding technique and exclusive breastfeeding initiation respectively. Breastfeeding technique was related to exclusive breastfeeding initiation according to the mode of birth. This relationship implies the importance of early effective interventions among first-time mothers with jaundice infants in improving breastfeeding techniques and promoting exclusive breastfeeding initiation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maternal, Infant Characteristics, Breastfeeding Techniques, and Initiation: Structural Equation Modeling Approaches

et al. 2015

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“…Hal tersebut serupa dengan penelitian sebelumnya yang menjelaskan manfaat menyusui bagi ibu dan bayi. 19 Namun, meskipun ketujuh partisipan merasakan manfaat ASI, partisipan tetap memberikan MPASI dini pada bayinya. Partisipan mulai mengenalkan MPASI sejak bayinya berusia dua sampai empat bulan.…”

Section: Pembahasanunclassified

Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang

Choiriyah

Hapsari

Lismidiati

2015

Kesmas: National Public Health Journal

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AbstrakBerat badan lahir rendah (BBLR) merupakan salah satu penyebab utamakematian bayi di dunia. World Health Organization tahun 2003 telah merekomendasikan menyusui sebagai salah satu penanganan BBLR. Namun, ibu yang memiliki bayi BBLR mengalami kesulitan di awal persalinan. Selain itu, menyusui di Indonesia juga dipengaruhi oleh sosial dan budaya yang dipercayai sehingga memengaruhi keputusan ibu untuk memilih tetap menyusui atau tidak sama sekali di periode awal postpartum. Tujuan penelitian ini untuk mengeksplorasi makna pengalaman ibu untuk tetap menyusui bayi dengan BBLR. Penelitian kualitatif ini dengan pendekatan fenomenologi. Tujuh orang partisipan adalah ibu yang pernah menyusui bayi BBLR. Pengumpulan data dilakukan dengan wawancara mendalam semiterstruktur, observasi, dan data sekunder pada bulan Mei – Juni 2015. Analisis data menggunakan metode Colaizzi tahun 1978. Ditemukan empat tema, yaitu pengenalan menyusui sejak dini untuk bayi BBLR, pemberian makanan pendamping air susu ibu dini sebagai alternatif dalam mengatasi kesulitan menyusui, tradisi yang dipercayai, dan lingkungan sosial memengaruhi dukungan bagi ibu menyusui serta menerima menyusui sebagai bagian dari kodrat seorang perempuan. Menyusui bayi BBLR memiliki tingkat kesulitan yang tinggi serta adanya tradisi yang dipercayai keluarga dan pengaruh lingkungan sosial sangat memengaruhi dukungan yang diberikan kepada ibu dalam menyusui.Tradition and Social Environment Influence Breastfeeding Support on LowBirth Weight in MalangAbstractLow birthweight (LBW) is one of main causes of infant mortality in the world. World Health Organization in 2003 had recommended breastfeeding for LBW handling. However, LBW mothers face many difficulties during early postpartum period. Moreover, breastfeeding in Indonesia is also influenced by social and cultural belief, so it may influence mothers’ decision whether remain breastfeeding or not in early postpartum period. This study aimed to explore the meaning of the experience of mothers to remain breastfeeding their LBW infants. This qualitative study was conducted using phenomenological approach. Seven participants were mothers ever breastfeeding their LBW infants. Data were collected through semi-structured in-depth interview, observation and secondary data on May – June 2015. Data analysis used Colaizzi method (1978). There were four themes found namely introduction of breastfeeding since early for LBW infants, granting of early complementary feeding as an alternative to overcome breastfeeding problem, cultural belief and social environment influencing support for breastfeeding mothers as well as accepting breastfeeding as the very nature of woman. Breastfeeding LBW infants has higher difficulty le-vel, also any tradition family believe and social environment really affect support given to mothers in breastfeeding.

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“…Effective breastfeeding techniques can be divided into essential parameters that are important for overall success [ 5 ], but two review papers [ 6 , 7 ] emphasized that no general consensus was found regarding the parameters comprising successful predictors. The commonly used parameters include rooting, latching, active sucking, audible swallowing and correct positioning [ 8 , 9 ], all which were identified in a study of the objective predictors of successful breastfeeding [ 10 ]. To determine whether an infant is able to feed successfully, one must begin with an accurate assessment of feeding readiness and a thoughtful progression to full oral feeding [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Evaluation of 5- and 4-Item Versions of the LATCH Breastfeeding Assessment Tool during the Initial Postpartum Period among a Multiethnic Population

et al. 2016

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ObjectivesThe aim of this study was to evaluate the internal consistency, structural validity, sensitivity and specificity of the 5- and 4-item versions of the LATCH assessment tool among a multiethnic population in Singapore.MethodsThe study was a secondary analysis of a subset of data (n = 907) from our previous breastfeeding survey from 2013 to 2014. The internal consistency of the LATCH was examined using Cronbach’s alpha. The structural validity was assessed using an exploratory factor analysis (EFA), and the proposed factors were confirmed by confirmatory factor analysis (CFA) using separate samples. Receiver operating characteristic analysis was used to evaluate the sensitivity and specificity of the LATCH score thresholds for predicting non-exclusive breastfeeding.ResultsThe Cronbach’s alpha values of the 5- and 4-item LATCH assessments were 0.70 and 0.74, respectively. The EFA demonstrated a one-factor structure for the 5- and 4-item LATCH assessments among a randomized split of 334 vaginally delivered women. Two CFA of the 4-item LATCH demonstrated better fit indices of the models compared to the two CFA of the 5-item LATCH among another randomized split of 335 vaginally delivered women and 238 cesarean delivered women. Using cutoffs of 5.5 and 3.5 were recommended when predicting non-exclusive breastfeeding for 5- and 4-item versions of the LATCH assessment among vaginally delivered women (n = 669), with satisfactory sensitivities (94% and 95%), low specificities (0% and 2%), low positive predictive values (25%) and negative predictive values (20% and 47%). A cutoff of 5.5 was recommended to predict non-exclusive breastfeeding for 5- and 4-item versions among cesarean delivered women (n = 238) with satisfactory sensitivities (93% and 98%), low specificities (4% and 9%), low positive predictive values (41%) and negative predictive values (65% and 75%). Therefore, the tool has good sensitivity but poor specificity, positive and negative predictive values.ConclusionsWe found that the 4-item version demonstrated sound psychometric properties compared to the 5-item version. Health professionals can use the 4-item LATCH as a clinical tool because it is a concise, easy-to-use and valid tool for assessing breastfeeding techniques among a multiethnic population.

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Exploring the mother's perception of latching difficulty in the first days after birth: An interview study in an Italian hospital

Cited by 8 publications

References 49 publications

Maternal, Infant Characteristics, Breastfeeding Techniques, and Initiation: Structural Equation Modeling Approaches

Maternal, Infant Characteristics, Breastfeeding Techniques, and Initiation: Structural Equation Modeling Approaches

Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang

Psychometric Evaluation of 5- and 4-Item Versions of the LATCH Breastfeeding Assessment Tool during the Initial Postpartum Period among a Multiethnic Population

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