In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 2 ( 2021-2-3), p. e0245273-
Kurzfassung:
Early breast milk expression, prolonged skin-to-skin contact, rooming-in, use of test-weighing and minimizing use of pacifiers are positively associated with exclusive breastfeeding of preterm infants, whereas use of nipple shields is negatively associated. Aim To test whether a training program for neonatal nurses with a focus on these six breastfeeding-supportive clinical practices affects the rate of preterm infants exclusively breastfed at discharge to home, the postmenstrual age at establishment of exclusive breastfeeding, and maternal self-reported use of the practice in the neonatal intensive care unit, the. Methods A quasi-experimental multi-centre intervention study from 2016–2019 including a control group of 420 preterm mother-infant dyads, an intervention with a training program for neonatal nurses and implementation of weekly breastfeeding meetings for neonatal nurses, and an intervention group of 494 preterm mother-infant dyads. Results Significantly more preterm infants in the intervention group were exclusively breastfed at discharge to home (66.6%) than in the control group (58.1%) p = 0.008. There was no significant difference in postmenstrual age at establishment of exclusive breastfeeding between control and intervention group (37.5 vs.37.8 weeks, p = 0.073). Compared to the control group the number of infants continuing daily skin-to-skin contact after incubator care increased (83.2% vs. 88.3%, p = 0.035), infants using a nipple shield decreased (61.8% vs. 54.2%, p = 0.029), and the number of mothers initiating breast milk expression before six hours post-partum increased (32.6% vs. 42.4%, p = 0.007). There was a significant correlation between percentage of neonatal nurses participating in the breastfeeding training program and changes in exclusive breastfeeding rates (Pearson Correlation 0.638, p = 0.047). Conclusion Exclusive breastfeeding rates in preterm infants and maternal self-reported use of breastfeeding-supportive practices increased by training neonatal nurses in the six clinical practices. It is important to include all nurses in the breastfeeding training program to ensure positive effect on exclusive breastfeeding rates.
Materialart:
Online-Ressource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0245273
DOI:
10.1371/journal.pone.0245273.g001
DOI:
10.1371/journal.pone.0245273.g002
DOI:
10.1371/journal.pone.0245273.g003
DOI:
10.1371/journal.pone.0245273.t001
DOI:
10.1371/journal.pone.0245273.t002
DOI:
10.1371/journal.pone.0245273.t003
DOI:
10.1371/journal.pone.0245273.t004
DOI:
10.1371/journal.pone.0245273.t005
DOI:
10.1371/journal.pone.0245273.s001
DOI:
10.1371/journal.pone.0245273.s002
DOI:
10.1371/journal.pone.0245273.s003
DOI:
10.1371/journal.pone.0245273.s004
DOI:
10.1371/journal.pone.0245273.s005
DOI:
10.1371/journal.pone.0245273.s006
DOI:
10.1371/journal.pone.0245273.s007
DOI:
10.1371/journal.pone.0245273.r001
DOI:
10.1371/journal.pone.0245273.r002
DOI:
10.1371/journal.pone.0245273.r003
DOI:
10.1371/journal.pone.0245273.r004
Sprache:
Englisch
Verlag:
Public Library of Science (PLoS)
Publikationsdatum:
2021
ZDB Id:
2267670-3
