Document Detail


Estimated Breastfeeding to Support Breastfeeding in the Neonatal Intensive Care Unit.
MedLine Citation:
PMID:  23181947     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effects of estimated breastfeeding on infant outcomes in comparison to test weighing and to describe staff members' experiences of estimated breastfeeding as a method for supporting the transition from tube feeding to breastfeeding. DESIGN: A mixed method evaluation. SETTING: Neonatal Intensive Care Unit (NICU) in Sweden. PARTICIPANTS: The study included 365 preterm (25(th) -36(th) gestational weeks) infants and 45 nurses or nurse assistants. METHODS: A retrospective comparative medical record study was used to assess infant outcomes during a period of test weighing (196 infants) and again after the implementation of estimated breastfeeding (169 infants). A qualitative survey was conducted to explore the staff experiences of estimated breastfeeding. RESULTS: No differences were found between groups regarding duration of tube feeding, length of hospital stay, gestational age, weight at discharge, and rate of any breastfeeding. Infants in the estimated breastfeeding group had a higher risk of not being exclusively breast milk fed than infants in the test-weighing group (OR = 2.76, CI [1.5, 5.1]). Staff perceived estimated breastfeeding as a more facilitative and less stressful method for mothers than test weighing. Some staff had difficulty following guidelines while simultaneously providing person-centered care. CONCLUSIONS: Estimated breastfeeding is a nonintrusive and feasible method for assessing and supporting the transition from tube feeding to breastfeeding among preterm infants in a NICU. However, the increased risk for not being exclusively breastfed is of concern. Additional research is needed to assess whether this method is appropriate and feasible in varying contexts and cultures.
Authors:
Jenny Ericson; Renée Flacking
Related Documents :
3763297 - Pulse oximetry advantages in infants with bronchopulmonary dysplasia.
8874117 - Reaction of term newborns with prolonged postnatal dyspnoea to early oxygen, mask conti...
11315287 - The western canadian experience with congenital diaphragmatic hernia: perinatal factors...
6882847 - Oxygen consumption in premature infants in an incubator of proven clinical efficacy.
6783277 - The formation of bilirubin diglucuronide by rat liver microsomal preparations.
893257 - Specific airway conductance in relation to postconceptional age during infancy.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-26
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  -     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Risky decision-making in HIV-associated neurocognitive disorders (HAND).
Next Document:  Behavioural/emotional problems in Brazilian children: findings from parents' reports on the Child Be...