Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Hughes, Kimberly N.; Rodriguez-Carter, Jann; Hill, Jennifer; Miller, Dena; Gómez, C.

doi:10.1111/1751-486x.12244

Cited by 7 publications

(4 citation statements)

References 22 publications

(20 reference statements)

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“…The results also showed that the time that mothers and infants spend together -both day and night -is positively connected to EBF success, as 21 . In addition, this study demonstrated that skin-to-skin contact at the maternity ward positively influenced a mother's tendency to practice skin-to-skin at later time points, a finding which is supported by previous research 51 . These findings support the ideas that implementing the BFHI steps can increase EBF during hospitalisation 6 , and that they increase the likelihood of early and continued EBF.…”

Section: Discussionsupporting

confidence: 88%

Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study

Hakala¹,

Kaakinen²,

Kääriäinen³

et al. 2021

Eur J Midwifery

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INTRODUCTION This study aimed to describe exclusive breastfeeding (EBF, Step 6 of the Baby-Friendly Hospital Initiative) in Finnish maternity hospitals and identify factors that promote or limit EBF. METHODS A cross-sectional study design was used, and data were collected from eight maternity hospitals in Finland during a 10-day period in May 2014. The staff completed questionnaires (n=1554) from separate work shifts. The data were analyzed using descriptive statistics, and chi-squared and Fisher's tests. Responses to open-ended questions were analyzed using content analysis. RESULTS Maternity ward staff reported that 72% (n=1105) of the infants were exclusively breastfed during their work shift. The strongest promoting factors of exclusive breastfeeding were: maternity ward staffs' profession and education in breastfeeding counselling; multiparity; vaginal delivery; early skin-to-skin contact between mother and infant; initial breastfeeding after birth; rooming-in; and initial success of breastfeeding. The use of a nipple shield, the need for additional breastfeeding counselling, and infants' blood tests were limiting factors to exclusive breastfeeding. Open-ended answers revealed that exclusive breastfeeding was mainly delayed because of medical issues for the mother or infant. CONCLUSIONS Finnish maternity hospitals could improve exclusive breastfeeding rates by focusing attention and resources on breastfeeding counselling and evidence-based maternity care practices related to immediate care after birth, promoting vaginal delivery, rooming-in and availability of skilled counselling.

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Section: Discussionsupporting

confidence: 88%

Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study

Hakala¹,

Kaakinen²,

Kääriäinen³

et al. 2021

Eur J Midwifery

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“…Of concern is that 76 (50%) respondents had a negative attitude towards skin-to-skin contact between the mother and baby, as they indicated that it causes hypothermia. Skin-to-skin contact is the first step towards successful initiation of breastfeeding and its potential sensory stimulus includes newborn warming, tactile stimulation and promotion of breastfeeding (Hughes et al 2015:486). Hypothermia can only occur if babies are not put skin-to-skin with their mothers, and if this happens those babies will die because of hypothermia.…”

Section: Discussionmentioning

confidence: 99%

“…Hypothermia can only occur if babies are not put skin-to-skin with their mothers, and if this happens those babies will die because of hypothermia. In order for babies to be kept warm and ensure that they can suck from their mothers’ breast, skin-to-skin contact should be implemented (Hughes et al 2015:486).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province

Mgolozeli¹,

Shilubane²,

Khoza³

2019

Curationis

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Background: The implementation of the Mother-Baby Friendly Initiative (MBFI) strategy demonstrated its capabilities to improve global children’s health and maternal survival. However, its implementation in primary healthcare (PHC) facilities remains a challenge as many nurses are reluctant to adopt it for the improvement of child and maternal healthcare services in their respective clinics.Objectives: The primary objective of this study was to determine the attitudes of nurses towards the implementation of the MBFI in selected PHC facilities in the Makhuduthamaga Municipality, Limpopo province.Method: This study used a quantitative, descriptive design, and all respondents were conveniently sampled. A self-administered questionnaire was used to collect data. One-hundred and seventy-seven questionnaires were distributed, and 153 nurses responded and completed the questionnaire. The Statistical Package for Social Sciences version 23 was used to analyse data.Results: Results show that the majority of nurses (professional nurses [PNs] = 65, 78%; enrolled nurses [ENs] = 18, 72%; enrolled nursing auxiliaries [ENAs] = 23, 51%) had a positive attitude towards the MBFI strategy implementation as they agreed that it increased breastfeeding rates. Most PNs (n = 58, 70%) and ENs (n = 15, 60%) showed positive attitudes towards exclusive breastfeeding (EBF) as they agreed that it was the ideal feeding option for any child, and most ENAs (n = 38, 84%) showed a negative attitude as they disagreed that EBF was the ideal feeding option for any child.Conclusion: In this study, most PNs and ENs had a positive attitude in all the aspects that determined their attitudes towards MBFI strategy implementation. A concern is the fact that most ENAs showed negative attitudes in almost all the statements that were in line with the principles of MBFI, as they disagreed in most aspects. Therefore, this study recommends that on-going orientation and trainings should be offered to all nurses including ENAs to equip them with information that can assist in changing their attitudes towards MBFI implementation in PHC facilities.

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“…Duration of breastfeeding in mothers who had frequent skin-to-skin contact while rooming-in was longer compared to mothers who spent less time skin to skin with their newborns during the first 5 days after birth (Bigelow et al, 2014). SSC while rooming-in also is an effective intervention for mothers having breastfeeding difficulties and who are at risk for supplementation or breastfeeding cessation (Chiu, Anderson, & Burkhammer, 2008;Hughes, Rodriguez-Carter, Hill, Miller, & Gomez, 2015).…”

Section: Beyond the Moment Of Birthmentioning

confidence: 99%

Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

Crenshaw

2019

J Perinat Educ

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Mothers and newborns have an emotional and physiological need to be together at the moment of birth and during the hours and days that follow. Keeping mothers and newborns together is a safe and healthy birth practice. Evidence supports immediate, undisturbed skin-to-skin care after vaginal birth and during and after cesarean surgery for all medically stable mothers and newborns, regardless of feeding preference; and, no routine separation during the days after birth. Childbirth educators and other health-care professionals have an ethical responsibility to support this essential healthy birth practice through education, advocacy, and implementation of evidence-based maternity practices.

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Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Cited by 7 publications

References 22 publications

Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study

Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study

Nurses’ attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province

Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

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