Purpose This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs).
Methods This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels.
Results The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction.
Conclusion A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.
Citations
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Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson JAMA Network Open.2025; 8(3): e250024. CrossRef
Changes in anthropometry in full‐term breastfed newborns and associated factors for the first month Beril Aydın, Siddika Songül Yalçin American Journal of Human Biology.2024;[Epub] CrossRef
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.
Citations
Citations to this article as recorded by
Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson JAMA Network Open.2025; 8(3): e250024. CrossRef
Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial Mei Sze Wong, Wai Tong Chien Scandinavian Journal of Caring Sciences.2025;[Epub] CrossRef
A qualitative study on the perspectives of prenatal breastfeeding educational classes in Ireland: Implications for maternal breastfeeding decisions Jennifer Kehinde, Claire O’Donnell, Annmarie Grealish, Trhas Tadesse Berhe PLOS ONE.2024; 19(12): e0315269. CrossRef
The Effect of Breastfeeding and an Intensive Breast Milk Nutritional Support Program on Hospitalization Rates for Hyperbilirubinemia in Term Newborns: An Open Randomized Controlled Trial Nursan Cinar, Özge Karakaya Suzan, Ibrahim Caner, Sultan Peksen, Pinar Tabakoglu, Vedat Cinar Journal of Tropical 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
Purpose The purpose of this study was to develop a first aid coaching program (FACP) and to investigate its effects on the first aid knowledge, confidence, and performance of childcare teachers.
Methods A Delphi survey that included 16 experts was used to develop the FACP. A total of 60 participants were included to test the effectiveness of the program. The FACP developed using the survey results focused on improving first aid knowledge, confidence, and performance using a coaching-based method. First aid and cardiopulmonary resuscitation (CPR) performance was assessed using 39 items from the program content.
Results Using a 3-round Delphi survey, 6 areas and 42 detailed topics for group and individual coaching programs were developed. The knowledge scores were significantly higher in the experimental group than in the control group (t=4.24, p=.001). The confidence scores were significantly higher in the experimental group than in the control group (F=3.89, p<.001). The performance scores were significantly higher in the experimental group than in the control group (t=12.40, p<.001).
Conclusion Continuous application of the FACP among child care teachers is expected to minimize the harm caused by minor accidents at child care facilities. This program should be formally implemented on a consistent basis.
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Effectiveness of a Nurse‐Led Education Program in Childcare Settings: A Systematic Review Chakkrich Pidjadee, Kim Lam Soh, Hasni Idayu Saidi, Tassanee Attharos, Kim Geok Soh, Kanjana Siricharoenwong Worldviews on Evidence-Based Nursing.2025;[Epub] CrossRef
Unintentional injuries at home and in the preschool setting: Greek ECEC professionals’ and preschoolers’ parents’ knowledge and attitudes towards first aid Konstantina Rentzou, George Daglas Journal of Childhood, Education & Society.2024; 5(3): 371. CrossRef
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