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Author: Pik Yuk Kam
Publisher:
ISBN:
Category : Breastfeeding
Languages : en
Pages : 0
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Book Description
Exclusive breastfeeding (EBF) for the baby's first six months after birth, and continue breastfeed (BF) up to two years and beyond, has been an ultimate goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) (Willumsen, 2013). BF has been recognized as having numerous health benefits for mothers and babies as well as cost-saving to families, and environmental friendly to the world. The aim of this study is to examine the effects of provision of BF education and EBF policies to health care professionals and mothers; intensive BF support to mothers, and the increase of staffing ratios on the improvement of EBF rate in the in-patient hospital setting. The significant drop of EBF rate (from 80-90% down to 60-70%) in the past few months at the author's baby-friendly hospital (BFH) drew the departmental managers' intention to initiate a pilot study to improve and maintain the EBF rate to required level (75%). Based on the research studies, low EBF rates could be increased by using intensified BF education and support from lactation consultants and nursing staff; strategies such as appropriate staffing ratios, collaboration of family members and support groups. Mothers who have health problems and unexpected birth experiences should receive extra BF support from health professionals and family members. To obtain the informal approval from key stakeholders is critical for the development of the implementation plan. Meetings are needed to address the issues; the evidence to support the proposed solutions and the urgency to change. After approval, a BF committee for the project will be formed and meeting will be carried out at a regular basis. The study takes a four-week period emphasizing on Breastfeeding Bundle (BFB) (Include: skin-to-skin care after delivery, initiate BF within the first hour, rooming-in, and no pacifier or supplement other than breast milk except medically indicated). Data collection for the evaluation process is chart review. The standard data measuring table will be used to assess the rate. BF committee members will review charts of discharged mothers and babies. Percentage of practicing skin-to-skin care, initiation of BF, BF education, and satisfaction will be calculated. Using the data collected at discharge from postpartum unit to identify the perinatal BF rates and the type of feeding. Previous studies concluded low EBF rates could be increased by intensified BF education and support; appropriate staffing ratios, and collaboration of family members and support groups. To disseminate the results, key committee members need to schedule meetings with the stakeholders to report the project outcome, to receive their input, and to ensure this EBP can be continued to sustain in the long run after implementation. Strategies for effective dissemination of results are presenting by PowerPoint, sending e-mails, posters, or flyers, et cetera.
Author: Pik Yuk Kam
Publisher:
ISBN:
Category : Breastfeeding
Languages : en
Pages : 0
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Book Description
Exclusive breastfeeding (EBF) for the baby's first six months after birth, and continue breastfeed (BF) up to two years and beyond, has been an ultimate goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) (Willumsen, 2013). BF has been recognized as having numerous health benefits for mothers and babies as well as cost-saving to families, and environmental friendly to the world. The aim of this study is to examine the effects of provision of BF education and EBF policies to health care professionals and mothers; intensive BF support to mothers, and the increase of staffing ratios on the improvement of EBF rate in the in-patient hospital setting. The significant drop of EBF rate (from 80-90% down to 60-70%) in the past few months at the author's baby-friendly hospital (BFH) drew the departmental managers' intention to initiate a pilot study to improve and maintain the EBF rate to required level (75%). Based on the research studies, low EBF rates could be increased by using intensified BF education and support from lactation consultants and nursing staff; strategies such as appropriate staffing ratios, collaboration of family members and support groups. Mothers who have health problems and unexpected birth experiences should receive extra BF support from health professionals and family members. To obtain the informal approval from key stakeholders is critical for the development of the implementation plan. Meetings are needed to address the issues; the evidence to support the proposed solutions and the urgency to change. After approval, a BF committee for the project will be formed and meeting will be carried out at a regular basis. The study takes a four-week period emphasizing on Breastfeeding Bundle (BFB) (Include: skin-to-skin care after delivery, initiate BF within the first hour, rooming-in, and no pacifier or supplement other than breast milk except medically indicated). Data collection for the evaluation process is chart review. The standard data measuring table will be used to assess the rate. BF committee members will review charts of discharged mothers and babies. Percentage of practicing skin-to-skin care, initiation of BF, BF education, and satisfaction will be calculated. Using the data collected at discharge from postpartum unit to identify the perinatal BF rates and the type of feeding. Previous studies concluded low EBF rates could be increased by intensified BF education and support; appropriate staffing ratios, and collaboration of family members and support groups. To disseminate the results, key committee members need to schedule meetings with the stakeholders to report the project outcome, to receive their input, and to ensure this EBP can be continued to sustain in the long run after implementation. Strategies for effective dissemination of results are presenting by PowerPoint, sending e-mails, posters, or flyers, et cetera.
Author: Jason Lichter
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 0
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Book Description
Prenatal breastfeeding education specifies a specific and deliberate manner of promoting and instructing pregnant mothers about breastfeeding throughout the 40 weeks of gestation. Through this structured format of education provided by physicians, midwives, nurse practitioners and nurses, the initiation and duration of breastfeeding could be significantly influenced. Prenatal breastfeeding education can also undermine a mother's decision to breast feed by inadequate levels of health care provider's knowledge and confidence in promoting and supporting a mother's decision to breastfeed and for a sustained continuation in the postpartum phase of pregnancy. In 2009, the United States reported the births of over 4 million babies. The education provided by health care providers significantly influenced many of those mothers' decisions of whether or not they initiated and/or continued breastfeeding after being discharged home from the hospital. Providers can drastically improve a mother's self-efficacy with breastfeeding through support and encouragement. Current breastfeeding rates may reflect the potential problems that may be happening in the current way breastfeeding education is currently being delivered. Breastfeeding rates of 73.9% for initiation and 43.4% duration at six months fall significantly below the Healthy People 2020 goals of 81.9% for initiation and 60.6% for continued duration of breastfeeding up to 6 months (Infant Health, 2015). The model that guides this study is the social support model which is often integrated into health promotion interventions which include informational, instrumental, appraising and emotional. Through this model expectant mothers enhance their positive self-image along with enhancing the quality of life for both the mother and the infant with breastfeeding. Many women are able to return to work quicker and have less work time missed related to recovering faster from pregnancy and labor and infants Prenatal breastfeeding education specifies a specific and deliberate manner of promoting and instructing pregnant mothers about breastfeeding throughout the 40 weeks of gestation. Through this structured format of education provided by physicians, midwives, nurse practitioners and nurses, the initiation and duration of breastfeeding could be significantly influenced. Prenatal breastfeeding education can also undermine a mother's decision to breast feed by inadequate levels of health care provider's knowledge and confidence in promoting and supporting a mother's decision to breastfeed and for a sustained continuation in the postpartum phase of pregnancy. In 2009, the United States reported the births of over 4 million babies. The education provided by health care providers significantly influenced many of those mothers' decisions of whether or not they initiated and/or continued breastfeeding after being discharged home from the hospital. Providers can drastically improve a mother's self-efficacy with breastfeeding through support and encouragement. Current breastfeeding rates may reflect the potential problems that may be happening in the current way breastfeeding education is currently being delivered. Breastfeeding rates of 73.9% for initiation and 43.4% duration at six months fall significantly below the Healthy People 2020 goals of 81.9% for initiation and 60.6% for continued duration of breastfeeding up to 6 months (Infant Health, 2015). The model that guides this study is the social support model which is often integrated into health promotion interventions which include informational, instrumental, appraising and emotional. Through this model expectant mothers enhance their positive self-image along with enhancing the quality of life for both the mother and the infant with breastfeeding. Many women are able to return to work quicker and have less work time missed related to recovering faster from pregnancy and labor and infants being less sick. The quality of care can be enhanced by having educated nurses and physicians that are confident with their knowledge about breastfeeding. Outcomes for both mother and infant are potentially greater with increased bonding facilitated with breastfeeding, reduced risk of postpartum hemorrhage and an enhanced immune system for the newborn to fight off infections from passive immunity from their mother. This project will examine prenatal breastfeeding education and how this significantly influences the initiation and duration or breastfeeding based on current education and support by physicians', midwives, nurse practitioners and nurses.
Author: Suzanne Hetzel Campbell
Publisher: Jones & Bartlett Learning
ISBN: 1284197166
Category : Health & Fitness
Languages : en
Pages : 279
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Book Description
Healthcare professionals, including lactation consultants and nurses, have the unique challenge of educating the community and their patients on healthy breastfeeding and the benefits of lactation. However, breastfeeding is not efficiently represented in texts specific to health promotion. With her 30 years’ experience educating undergraduate and graduate nursing students and interprofessional healthcare providers on maternal–infant health and lactation, Suzanne Hetzel Campbell is breaking that tradition. Lactation: A Foundational Strategy for Health Promotion uses evidence-based research and a person-centered care framework to empower healthcare practitioners to advocate for and support families in their breastfeeding ventures.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241562218
Category : Family & Relationships
Languages : en
Pages : 70
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Book Description
WHO and UNICEF jointly developed this global strategy to focus world attention on the impact that feeding practices have on the nutritional status, growth and development, health, and thus the very survival of infants and young children. The strategy is the result of a comprehensive two-year participatory process. It is based on the evidence of nutrition's significance in the early months and years of life, and of the crucial role that appropriate feeding practices play in achieving optimal health outcomes. The strategy is intended as a guide for action; it identifies interventions with a proven positive impact; it emphasizes providing mothers and families the support they need to carry out their crucial roles, and it explicitly defines the obligations and responsibilities in this regards of governments, international organizations, and other concerned parties.
Author: Jodi Haberstroh
Publisher:
ISBN:
Category : Breastfeeding
Languages : en
Pages : 0
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Book Description
The purpose of this study is to identify whether becoming a Baby-Friendly Hospital and implementing Baby-Friendly's Ten Steps to Successful Breastfeeding will affect a mother's initiation and duration of breastfeeding her baby. Scientific evidence supports that breastfeeding is best for the healthy growth and development of babies and is the most normal way for infants to be nourished. The World Health Organization (WHO) recommends exclusive breastfeeding up to 6 months of age. Although 80% of babies start out breastfeeding, only 22% of them are exclusively breastfed for 6 months as recommended (US Department of Health and Human Services, 2015). Research studies show how hospitals practice can make a difference in a mother's success. This paper provides written research that concludes if a hospital is designated Baby-Friendly its breastfeeding rates are higher. It utilizes correlational studies that show hospitals who implement the Baby-Friendly's Ten Steps to Successful Breastfeeding, give their mothers more support with proper information, confidence, and skills necessary to successfully initiate and continue breastfeeding their babies (Baby-Friendly USA Inc, 2012). The Self-Efficacy Theory is used to build patient relationships, while increasing a mother's motivation to complete her breastfeeding goal. Rates of initiation and exclusivity will be tracked through chart audits and questionnaires after implementing each step. This project determines that if a hospital is designated Baby-Friendly, the initiation and duration of breastfeeding rates will increase.
Author: Judith Lauwers
Publisher: Jones & Bartlett Publishers
ISBN: 1284052648
Category : Family & Relationships
Languages : en
Pages : 832
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Book Description
Written from a teaching perspective, Counseling the Nursing Mother: A Lactation Consultant’s Guide, Sixth Edition presents topics within a counseling framework with practical suggestions and evidence-based information interwoven throughout. Completely updated and revised, it includes new research on milk composition, the importance of the gut microbiome and skin-to-skin care, Affordable Care Act changes, and the latest guidelines from the World Health Organization for breastfeeding with HIV. Also explored and expanded are discussions on cultural competence, working effectively and sensitively with LGBTQ families, addressing disparities in health equity, milk banking issues, and social media trends for lactation information and support. Additionally, the Sixth Edition also serves as a significant teaching tool for students, interns, and other healthcare professionals.Important Notice:The digital edition of this book is missing some of the images or content found in the physical edition
Author: Alison Spiro
Publisher: Routledge
ISBN: 1000535762
Category : Medical
Languages : en
Pages : 200
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Book Description
Health visitors play a crucial role in supporting mothers who choose to breastfeed and their families. This accessible text enables readers to practise confidently in this vital area, focusing on underpinning knowledge and parent-centred counselling skills, and understanding cultural contexts. Breastfeeding a child improves the lifelong health of a population, and promoting breastfeeding is an important area of public health practice. Breastfeeding for Public Health incorporates the voices of health visitors, mothers and fathers to give insight into common practical challenges faced and suggestions for overcoming or working around them. Presenting up-to-date research, it explores the practical skills needed by health visitors to support mothers with breastfeeding; how to develop the communication skills and self-awareness necessary to build successful and trusting relationships with women and their families; why breastfeeding is so important for babies' and mothers' health and psychological attachment, closeness and long-term mental health; what we know about the content of breastmilk and the positive effect it has on the baby’s gut microbiome, which in turn benefits the infant’s long-term health and helps to protect against non-communicable diseases; the role of the father and grandparents in successfully initiating and sustaining breastfeeding; and how cultural awareness and sensitivity can influence practice for the better. Written by an experienced volunteer and practitioner with decades of experience as a health visitor and breastfeeding counsellor, this text is ideal for students taking Specialist Community and Public Health Nursing courses. It is also an important reference for practising health visitors.
Author: Sandra Lee Gardner
Publisher: Elsevier Health Sciences
ISBN: 0323570917
Category : Medical
Languages : en
Pages : 1267
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Book Description
Co-authored by an interprofessional collaborative team of physicians and nurses, Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 9th Edition is the leading resource for interprofessional, collaborative care of critically ill newborns. It offers comprehensive coverage with a unique interprofessional collaborative approach and a real-world perspective that make it a practical guide for both nurses and physicians. The new ninth edition features a wealth of expanded content on delivery-room care; new evidence-based care "bundles"; palliative care in the NICU; interprofessional collaborative care of parents with depression, grief, and complicated grief; and new pain assessment tools. Updated high-quality references have also been reintegrated into the book, making it easier for clinicians to locate research evidence and standards of care with minimal effort. These additions, along with updates throughout, ensure that clinicians are equipped with the very latest clinical care guidelines and practice recommendations — all in a practical quick-reference format for easy retrieval and review. UNIQUE! Core author team of two physicians and two nurses gives this internationally recognized reference a true interprofessional collaborative approach that is unmatched by any other resource. Consistent organization within clinical chapters include Physiology/Pathophysiology, Etiology, Prevention, Data Collection (History, Signs and Symptoms, and Laboratory Data), Treatment/Intervention, Complications, and Parent Teaching sections. UNIQUE! Color-highlighted point-of-care clinical content makes high-priority clinical content quick and easy to find. UNIQUE! Parent Teaching boxes outline the relevant information to be shared with a patient’s caregivers. Critical Findings boxes outline symptoms and diagnostic findings that require immediate attention to help the provider prioritize assessment data and steps in initial care. Case studies demonstrate how to apply essential content to realistic clinical scenarios for application-based learning. NEW! Updated content throughout reflects the latest evidence-based practice, national and international guidelines, and current protocols for interprofessional collaborative practice in the NICU. NEW! Up-to-date, high-quality references are now reintegrated into the text for quick retrieval, making it easier for clinicians to locate research evidence and standards of care with minimal effort. NEW! Expanded content on delivery-room care includes the impact of staffing on quality of care, delayed cord clamping, resuscitation, and more. NEW! Coverage of the new evidence-based care "bundles" keeps clinicians up to date on new guidelines that have demonstrated improved outcomes of very preterm infants. NEW! Coverage of new pain assessment tools equips NICU providers with essential resources for maintaining patient comfort. NEW! Expanded coverage of palliative care in the NICU provides the tools needed to ensure patient comfort. NEW! Expanded coverage of interprofessional collaborative care of parents with depression, grief, and complicated grief prepares clinicians for this essential area of practice.
Author: Chui-Yuk Idy Fu
Publisher: Open Dissertation Press
ISBN: 9781361343029
Category :
Languages : en
Pages :
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Book Description
This dissertation, "A Randomized Controlled Trial of a Professional Breastfeeding Support Intervention to Increase the Exclusivity and Duration of Breastfeeding" by Chui-yuk, Idy, Fu, 傅翠玉, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Breastmilk is the most natural and complete nutrition for infants, and breastfeeding incurs numerous benefits for both infants and mothers. The World Health Organization recommends that mothers exclusively breastfeed their infants for six months and continue breastfeeding for up to two years of age and beyond. More than 80% of Hong Kong mothers now initiate breastfeeding. However, overall breastfeeding duration remains short and rates of exclusive breastfeeding are low. Premature weaning is influenced by multiple factors, and mothers require additional support from healthcare professionals to overcome various lactation difficulties in the early postpartum period. This study aimed to evaluate the effect of two postnatal professional support interventions on the duration of any and exclusive breastfeeding. We conducted a cluster randomized controlled trial to evaluate the efficacy of in-hospital support and post-discharge telephone support on breastfeeding outcomes among first-time mothers in Hong Kong. Seven hundred and twenty two mother-infant pairs with uncomplicated, full-term pregnancies were recruited from the postnatal units of three large public hospitals. With the hospital as the unit of randomization, participants were allocated to standard care (n=263), in-hospital support (n=191), or post-discharge telephone support (n=268). Mothers in the in-hospital group were given three individualized breastfeeding support sessions during the postnatal hospitalization, with two sessions given in first 24 hours after birth and one the following day, providing lactation knowledge and instructions on breastfeeding techniques. Participants in the telephone group were provided with weekly 30-minute breastfeeding counseling and support sessions for the first four weeks after delivery, with first contact initiated within 72 hours after discharge. The primary study outcomes were the prevalence of any and exclusive breastfeeding at one, two and three months postpartum. Seven hundred (97%) participants completed the six-month follow-up, while eleven had partial follow-up and eleven could not be contacted. The rates of any and exclusive breastfeeding were higher among participants in the two intervention groups at all follow-up points when compared with those who received standard care. Participants receiving the telephone support were significantly more likely to continue any breastfeeding at one month (76.2% vs. 67.3%; OR=1.63, 95% CI 1.10-2.41) and two months (58.6% vs. 48.9%; OR=1.48, 95% CI 1.04-2.10), and to be exclusively breastfeeding at one month (28.4% vs. 16.9%; OR=1.90, 95% CI 1.24-2.91). Participants in the in-hospital support group were also more likely to be breastfeeding at all time points in the first six months but the effect was not statistically significant. Early professional breastfeeding support, especially weekly telephone counseling, significantly increased the rates of any and exclusive breastfeeding in the early postpartum period and significantly increased overall breastfeeding duration in the first six months among first-time mothers. Additional postnatal professional support when given to breastfeeding mothers on a one-to-one basis can improve breastfeeding outcomes. While hospital practices need to be strengthened to further promote and support breastfeeding, more well-designed
Author: Rhonda Coffey
Publisher:
ISBN:
Category : Breastfeeding promotion
Languages : en
Pages : 100
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Book Description
The purpose of this research study was to examine the level of self-efficacy for new mothers attending a formal breastfeeding education compared to those that did not. Participants were asked to complete the Breast Feeding Self-Efficacy Scale - Short Form via telephone. Twenty primigravida mothers who were breastfeeding at the time of discharge agreed to participate. A Pearson correlation coefficient was calculated examining the relationship between the participants' level of self-efficacy and participation in formal breastfeeding. The Pearson correlation coefficient was positive but was not statistically significant ( r (18)= .250, p > .05) indicating no relationship between the participant's self-efficacy score and participation in formal breastfeeding education.
