Simple actions to support breastfeeding can avoid unwanted weaning in infants younger than 6 months hospitalized for bronchiolitis: A before/after study (Bronchilact II)

Gueriba, K. Ben; Heilbronner, Claire; Grimaud, Marion; Roy, Emeline; Hadchouel, Alice; Hachem, Taymme; Barbeyrac, C. de; Murmu, Mangal Charan; Renolleau, Sylvain; Rigourd, Virginie

doi:10.1016/j.arcped.2020.10.004

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…To try to reduce the levels of breastfeeding modification after hospitalisation for bronchiolitis, a programme of training, as well as investment in more breast pumps and better signage and health promotion posters, was implemented. The researchers in the study found that following this programme, only 20% of mothers had unwanted breastfeeding modification after discharge from hospital, compared with 50% before the training programme 29,51 …”

Section: Discussionmentioning

confidence: 97%

“…The researchers in the study found that following this programme, only 20% of mothers had unwanted breastfeeding modification after discharge from hospital, compared with 50% before the training programme. 29,51 More training has been clearly shown to increase skills in a general sense, but no study has so far explored the impact of different levels of training on skills. In this study, different levels of training had a clear impact on subsequent skill scores.…”

Section: Breastfeeding Clinical Skillsmentioning

confidence: 99%

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The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

Hookway

Brown

2023

J Human Nutrition Diet

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Background Breastfeeding is an important public health priority and may be particularly beneficial for medically complex infants and children. However, childhood illness and disability are associated with increased challenges and lower breastfeeding rates. The Baby Friendly Initiative has been shown to increase initiation of breastfeeding and improve health professional skills although as yet the standards have not been adopted in paediatrics. Previous studies have found breastfeeding knowledge gaps among paediatric nurses, and a recent systematic review highlighted insufficient lactation support, discouragement by healthcare professionals and lack of resources. The aim of this survey of UK paediatric professionals was to establish their self‐defined confidence and skills supporting breastfeeding. Methods An online survey was developed to explore associations between level of training and staff confidence and perceived skill, to establish whether there is evidence that more training and/or higher breastfeeding training credentials improve skill. In total, 409 professionals, including paediatric doctors at all grades, paediatric nurses and allied health professionals, were included in the analysis. Results This study identified specific skill gaps among professionals. Many healthcare professionals felt that different skills and specific training are required to support medically complex children. Several professionals noted that existing breastfeeding training focuses on establishing breastfeeding in healthy newborns rather than sick children in paediatrics. Participants were asked about 13 clinical competencies, and an aggregate skill score was calculated. Multiple univariate analysis of variance found that more extensive training and higher credentials are correlated with higher skill scores (p ≤ 0.001), whereas type of professional was not. Conclusions Despite this being a relatively motivated sample of healthcare professionals, the findings of this study suggest that breastfeeding skills are patchy and inconsistent, and particularly lacking when it comes to more complex clinical scenarios. This is significant, because it may mean that children who have more significant illness or medical complexity are disproportionately affected by gaps in knowledge and skill. Medically complex children encounter many barriers to optimal feeding − including absence of designated paediatric lactation staff, resources and support − and may have challenges such as low tone, higher calorie need and transitioning to the breast after ventilation or enteral feeding. Current skill gaps indicate that existing training would be insufficient, and bespoke paediatric breastfeeding training based on identified clinical challenges is thus justified.

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Section: Discussionmentioning

confidence: 97%

Section: Breastfeeding Clinical Skillsmentioning

confidence: 99%

The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

Hookway

Brown

2023

J Human Nutrition Diet

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“…Hospitalization of the breastfed child can interfere with the exclusivity of breastfeeding or even induce a switch to exclusive formula feeding [ 23 ]. It has been demonstrated that 51% of mothers of infants hospitalized for bronchiolitis changed their feeding pattern: 20.4% stopped breastfeeding and 14% switched to mixed feedings (breastfeeding plus formula feeding), while 16% noticed a reduction in milk production [ 24 ]. According to the mothers’ opinion, the change in feedings’ mode was mainly influenced by lack of support and appropriate advice (63%), severity of the child’s respiratory disease (32%), logistical hospital difficulties (30%), and personal organizational issues (9.3%) [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding support among re-hospitalized young children: a survey from Italy

Scarpato,

Salvatori,

Barbaglia

et al. 2024

Ital J Pediatr

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Background In 2021, the Task Force on Breastfeeding of the Italian Ministry of Health released a document calling for the provision of breastfeeding support in case of re-hospitalization of the child after birth. Since type and quality of breastfeeding support during re-hospitalization in Italian Pediatric Units (PUs) is largely unknown, the Breastfeeding Section of the Italian Society of Pediatrics (TASIP) conducted an ad hoc national survey. Methods In March 2023, a specifically designed electronic questionnaire was sent to the Directors of 328 PUs, who were requested to fill it online. Results Data from 161 PUs were received, with a response rate of 48.7%. Our results highlighted that 18.6% of units do not provide training on breastfeeding for healthcare professionals and 46% of PUs lack of an ad hoc policy on breastfeeding support in case of re-hospitalization of the child. Although 88.2% of PUs provide breast pumps to the mothers of the re-hospitalized young children, 34.8% lack of a protocol on the storage of expressed breast milk. Conclusions Breastfeeding support for the mothers of hospitalized breastfed young children appears to be suboptimal in Italian PUs. Interventions aimed to structure and improve the quality of breastfeeding support for the mother-child dyad are needed, particularly developing protocols and providing a training on breastfeeding to the majority of healthcare professionals.

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ABM Clinical Protocol #35: Supporting Breastfeeding During Maternal or Child Hospitalization

Bartick

Hernández-Aguilar

Wight

et al. 2021

Breastfeeding Medicine

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Simple actions to support breastfeeding can avoid unwanted weaning in infants younger than 6 months hospitalized for bronchiolitis: A before/after study (Bronchilact II)

Cited by 4 publications

References 11 publications

The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

Breastfeeding support among re-hospitalized young children: a survey from Italy

ABM Clinical Protocol #35: Supporting Breastfeeding During Maternal or Child Hospitalization

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