From Expressing Human Milk to Breastfeeding—An Essential Element in the Journey to Motherhood of Mothers of Prematurely Born Infants

Brødsgaard, Anne; Andersen, Bente Lund; Skaaning, Diana; Petersen, Mette

doi:10.1097/anc.0000000000000962

Cited by 5 publications

(8 citation statements)

References 50 publications

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“…During the interviews we discovered that the mothers of preterm infants had a strong desire to breastfeed. EBF of preterm infants during the hospital stay is key to successful breastfeeding after hospital discharge [ 33 ]. The facility should prepare parents of perterm infants for continued breastfeeding and ensure access to support services/groups after hospital discharge [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach

Jiang,

Shan

et al. 2024

BMC Pregnancy Childbirth

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Background Breastfeeding practices are influenced by the maternal-infant bond relationship. Mothers of preterm infants in the puerperium face many challenges and support is needed to maintain breastfeeding after hospital discharge. This study explored the breastfeeding experiences among mothers of preterm infants and challenges that influenced their breastfeeding practices. Methods A qualitative phenomenological approach was used involving the mothers of preterm infants during the puerperium in Shanghai who fulfilled the inclusion criteria and consented to participate in the study. The mothers were recruited using purposive sampling. Eighteen participants were interviewed using semi-structured in-depth interviews. All interviews were recorded in digital audio, transcribed verbatim, and analyzed using thematic analysis. Findings The breastfeeding experience among mothers of preterm infants included four themes: breastfeeding motivation, breastfeeding challenges, breastfeeding support and education, and response to parental stress. Breastfeeding challenges included perceived insufficient milk, bottle preference, and maternal-infant separation. Two sub-themes of breastfeeding support included breastfeeding knowledge and approach. Conclusion To overcome breastfeeding challenges and improve the breastfeeding rate of preterm infants after discharge, medical professionals must develop individualized breastfeeding plans based on a comprehensive assessment of the needs of mothers who delivered a preterm infant.

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Section: Discussionmentioning

confidence: 99%

Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach

Jiang,

Shan

et al. 2024

BMC Pregnancy Childbirth

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“…Research has reported that mothers experience many challenges to BF their preterm infants after discharge. There is evidence of a steady decline in mothers who continue to breastfeed their preterm infants following discharge from the hospital [ 13 , 19 , 20 ]. Therefore, it is important that mothers feel that they can provide safe care to the preterm infant after discharge at home.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, only a small portion of mothers of preterm infants use EBF [ 18 ]. Research further reports that mothers with limited BF during NICU admission experience many challenges to BF their preterm infant after discharge [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…The mother’s discharge planning increases the mother’s readiness for the infant’s transition from hospital to home [ 26 , 27 ]. In addition to a supportive environment in the KMC and at home, special efforts from the mother, her motivation, and belief in BF are essential for successful BF [ 6 , 19 , 28 ]. It is therefore evident that the mothers’ BF self-efficacy is key to the establishment and maintenance of BF in the short and long term [ 2 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

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“Breastfeeding at Night Is Awesome” Mothers’ Intentions of Continuation of Breastfeeding Extreme and Very Preterm Babies upon Discharge from a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa

2023

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Kangaroo mother care (KMC) is effective in increasing mothers’ initiation and maintenance of breastfeeding (BF) for extreme and very preterm (VLBW) infants. Although South Africa has implemented KMC for more than two decades, little is known about mothers’ perspectives on KMC. The purpose of this study was to describe the BF intentions and practices of mothers of VLBW infants at home following discharge and assess the role long stay in KMC has on their decision to BF beyond discharge. This qualitative study was conducted at the KMC unit of a tertiary hospital in Pretoria, South Africa. Focus group interviews were conducted with 38 mothers of VLBW infants who had transitioned from neonatal intensive care (NICU) to KMC. We analysed transcripts following the five steps for qualitative thematic data analysis. Mothers were knowledgeable of the importance and value of BF preterm infants and conceded that breast milk has advantages over formula. Mothers had positive feelings toward BF their preterm infants. The stay in KMC increased the direct BF of their preterm infants, mothers’ BF efficacy, and had a positive influence on mothers’ intentions to continue BF following discharge and to exclusively breastfeed for six months. Their BF intentions, efficacy, and practices were influenced by the skilful BF counselling, training, and support they received from the nursing staff. High intention to BF among these mothers is suggestive of their knowledge and confidence in BF for their VLBW infants. It is important that nursing staff in NICU and KMC appreciate the significant role they play in mothers’ readiness and confidence to breastfeed beyond discharge.

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“…Exclusive nutrition with MOM has increased in NICUs with dedicated spaces and breastfeeding support staff [ 48 , 111 ].…”

Section: Determinants and Predictors Of Vlbws’ Nutrition With Materna...mentioning

confidence: 99%

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

Quitadamo,

Zambianco,

Palumbo

et al. 2024

Foods

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Aware of the utmost importance of feeding premature babies—especially those of lower weight—with human milk, as well as the need to monitor this important element of neonatal care, we focused on four aspects in this review. First of all, we reviewed the beneficial effects of feeding premature infants with breast milk in the short and long term. Secondly, we performed a quantitative evaluation of the rates of breastfeeding and feeding with human milk in Very-Low-Birth-Weight infants (VLBWs) during hospitalization in the Neonatal Intensive Care Unit (NICU) and at discharge. Our aim was to take a snapshot of the current status of human milk-feeding care and track its trends over time. Then we analyzed, on the one hand, factors that have been proven to facilitate the use of maternal milk and, on the other hand, the risk factors of not feeding with breast milk. We also considered the spread of human milk banking so as to assess the availability of donated milk for the most vulnerable category of premature babies. Finally, we proposed a protocol designed as a tool for the systematic monitoring of actions that could be planned and implemented in NICUs in order to achieve the goal of feeding even more VLBWs with human milk.

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From Expressing Human Milk to Breastfeeding—An Essential Element in the Journey to Motherhood of Mothers of Prematurely Born Infants

Cited by 5 publications

References 50 publications

Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach

Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach

“Breastfeeding at Night Is Awesome” Mothers’ Intentions of Continuation of Breastfeeding Extreme and Very Preterm Babies upon Discharge from a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

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