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.
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Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea Gun Ja Jang, Sangjin Ko Child Health Nursing Research.2021; 27(4): 377. CrossRef
Purpose The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.
Methods A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.
Results There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, p=.712).
Conclusion The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.
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Effectiveness of Postnatal Maternal or Caregiver Interventions on Outcomes among Infants under Six Months with Growth Faltering: A Systematic Review Ritu Rana, Barkha Sirwani, Saranya Mohandas, Richard Kirubakaran, Shuby Puthussery, Natasha Lelijveld, Marko Kerac Nutrients.2024; 16(6): 837. CrossRef
Impact of theory of planned behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial Shirin Okhovat, Mojgan Janighorban, Ashraf Kazemi BMC Public Health.2024;[Epub] CrossRef
Challenges and Choices in Breastfeeding Healthy, Sick and Preterm Babies: Review Susanne H. Bauer, Harald Abele, Joachim Graf Healthcare.2024; 12(23): 2418. CrossRef
Nutritional Management of Moderate- and Late-Preterm Infants Commenced on Intravenous Fluids Pending Mother's Own Milk: Cohort Analysis From the DIAMOND Trial Tanith Alexander, Michael Meyer, Jane E. Harding, Jane M. Alsweiler, Yannan Jiang, Clare Wall, Mariana Muelbert, Frank H. Bloomfield Frontiers in Pediatrics.2022;[Epub] CrossRef
Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea Gun Ja Jang, Sangjin Ko Child Health Nursing Research.2021; 27(4): 377. CrossRef
Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants Gun Ja Jang Child Health Nursing Research.2020; 26(3): 376. CrossRef
Purpose To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge.
Methods This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home.
Results Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU.
Conclusion NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.
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Identifying Latent Topics and Trends in Premature Infant–Related Nursing Studies Using a Latent Dirichlet Allocation Method Myeong Seon Lee, Seonah Lee CIN: Computers, Informatics, Nursing.2023; 41(12): 957. CrossRef
Purpose The purpose of this study was to compare the rate of breastfeeding and factors which affect late preterm infants’ (LPIs) breastfeeding according to gestational age.
Methods Participants were LPIs of 34 weeks (n=70), 35 weeks (n=75), and 36 weeks (n=88). Data were collected from July to December, 2011 from four university hospitals in D city. Descriptive statistics and odds ratio were used to compare three groups.
Results The rate of breastfeeding at 1 week after LPIs’ discharge was 32.9%, 37.3%, 23.9% at 34, 35 and 36 weeks, respectively. The tendency to breastfeed in LPIs of 34 weeks was lower for LPIs born by Cesarean-section, while it was higher for LPIs with a longer period of breastfeeding during hospitalization and higher body weight at the first day of feeding. The prevalence of breastfeeding in LPIs of 35 weeks and 36 weeks was higher for infants with a history of more frequent breastfeeding during hospitalization.
Conclusion The rate of breastfeeding in LPIs of 36 weeks was the lowest. This study suggests that nurses should give more customized education to mothers with LPIs of 36 weeks during their stay in hospitals.
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PURPOSE The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. METHODS Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. RESULTS The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70+/-0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, 3.26+/-0.74.
Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). CONCLUSION These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.
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NICU nurses’ knowledge, attitudes, practices, and influencing factors regarding breastfeeding of newborns: a scoping review Hanmei Peng, Xia Li, Xuemei Guo, Ying-Xin Li, Xi Huang, Liangni Zeng, Chengmei Liu, Yuan Li, Yanling Hu International Breastfeeding Journal.2026;[Epub] CrossRef
Development of a Protocol for the Direct Breastfeeding of Premature Infants in Neonatal Intensive Care Units Eun Sook Kim, Hyun Gi Min, Ji Yeon Lee, Ji Yoon Lee, Young Hee Yi Journal of Perinatal & Neonatal Nursing.2024; 38(1): 73. CrossRef
Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants Jin Suk Ra Asian Nursing Research.2021; 15(2): 136. CrossRef
Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit Eun Sook Kim, Young Hee Cho, Hyejung Lee Journal of The Korean Society of Maternal and Chil.2020; 24(2): 102. CrossRef
Influencing Factors on Breastfeeding Nursing Activities of Nursing Students Ya Ki Yang Journal of Korean Academic Society of Nursing Educ.2019; 25(1): 83. CrossRef
Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers Jae In Shim, Sook Jung Kang Korean Journal of Women Health Nursing.2017; 23(2): 89. CrossRef
PURPOSE The purpose of this study was to identify the characteristics and the related factors of attachment-oriented caretaking behavior in mothers who are breast-feeding their infants. METHOD The subjects were 155 mothers who participated in a healthy breast-feeding contest in the Busan area. The data were collected from September 24, 2003, and were analyzed using SPSS WIN 10.0. RESULTS The mothers were highly affirmative in their attachment-oriented caretaking behaviors (total mean 2.59+/-.502 of a possible score of 3). Among the attachment-oriented caretaking behaviors (10 items), the scores for 6 items were higher than the average score and 4 items were lower than the average score. There were significant differences in the attachment-oriented caretaking behaviors according to level of education (p<0.05), and planned duration of breast-feeding (p<0.001).
Mothers with university education who planned to breast-feed as long as the baby wanted had higher scores. CONCLUSIONS The above results suggest that nursing interventions which are individualized and practical are needed to encourage the attachment-oriented caretaking behaviors essential to breast-feeding mothers.
PURPOSE The purpose of this study was to determine rate of breastfeeding practice at 3 months and to examine predictors for breastfeeding practice. METHOD Study subjects were 114 mothers who gave birth at one hospital in Busan area. Data regarding breastfeeding practice and potentially related factors to breastfeeding were collected through a self-administered questionaire at 1 weeks and a telephone survey at 3 months. Logistic regression was used to identifiy significant the predictors on breastfeeding practice. RESULT Rate of breastfeeding practice was 46.5% at three months of postpartum. The significant predictors for performing breastfeeding were lower the experience of breastfeeding trouble problem(OR=.88 compared with breastfeeding women, 95% CI; 78-.99), higher first breastfeeding satisfaction (OR=1.81 compared with non-breastfeeding women, 95% CI; 1.08-3.32), higher breastfeeding confidence(OR=1.84 compared with non-breastfeeding women, 95% CI; 1.08-3.32). CONCLUSION The findings suggest the necessity of support program for mothers during the positive postpartum period to provide correct information about breastfeeding knowledge and attitude and to teach problem-solving skills for any breastfeeding problems for highere rate of breastfeeding practice.
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