搜尋結果
The international breastfeeding guidelines recommend supporting all mothers in initiating breastfeeding within 1 h after birth, and coaching mothers who are separated from their infants on how to express breast milk [4].
- Purpose
- Study Design
- Setting
- Participants
- Data Collection
- Education Program
- Primary Outcome
- Secondary Outcome
- Data Analysis
The main aim of this study was to examine changes in the knowledge, attitude, and implementation of appropriate care of nurses and nurse-midwives after implementing an education program for nurses and nurse-midwives focused on early essential care for breast milk expression among mothers of preterm infants. The primary outcome was knowledge of appr...
The study used a pre- and post-intervention design in a single group of nurses and nurse-midwives. An observational study was also conducted to examine changes in the status of milk expression among mothers of preterm infants in the period of inquiry before and after the education program for nurses and nurse-midwives.
The setting was a perinatal medical center which had 33 beds in the maternity ward, six beds in the NICU, and 10 beds in the growing care unit. The perinatal medical center was located in a large urban area. The center has more than 1000 births per year. There are about 50 nurses and nurse-midwives who work in the maternity ward, with most being nu...
Nurses and nurse-midwives
Nurses and nurse-midwives who were working in the maternity ward of a single perinatal medical center and providing care for mothers of preterm infants were included regardless of their years of experience.
Sample size
The knowledge scores of healthcare workers on breastfeeding support were previously evaluated using the same study design . The mean knowledge scores at pre-intervention and post-intervention were 20.2 points (Standard Deviation (SD): unknown, range 8–30) and 22.2 points (SD: unknown, range 7–34), respectively, with a significant difference (p< 0.05). Consequently, in the present study, the difference in the mean scores at pre-intervention and post-intervention was estimated to be 1.0 poi...
Maternal inclusion and exclusion criteria
The inclusion criteria were as follows: mothers (a) giving birth at a gestational age of less than 35 weeks in the participating hospital, (b) expressing breast milk to feed their own baby, (c) admitted to the maternity ward, (d) separated from their infant, and (e) with no history of breast surgery. The maternal exclusion criteria included those who could not sufficiently recover after confinement and those whose infants were in critical condition with no recovery expected. As for nutritiona...
Nurses and nurse-midwives
The lead researcher (RT) explained the purpose of this study (late June to July 2018). Three months before the education program (pre-1; late June 2018 to mid-August 2018), just before the education program (pre-2; mid-October 2018 to late November 2018), and 3 months after the education program (post-2; late January 2019 to mid-March, 2019), questionnaires regarding (a) knowledge, (b) attitude, and (c) care implementation were distributed and collected. Just after the education program (post...
Mothers
In the period before (June to mid-October 2018) and after (late November 2018 to May 2019) the education program for nurses and nurse-midwives, the lead researcher (RT) provided an explanation regarding this study to mothers who met the inclusion criteria in the maternity ward. The questionnaires were distributed to mothers who agreed to participate with the following contents: (a) characteristics of mothers and infants, (b) mothers’ perception of nursing care for milk expression, and (c) a d...
Aims of the education program
1. A) To clarify the roles of nurses and nurse-midwives in early essential care for milk expression. 2. B) To understand the significance of early essential care for milk expression. 3. C) To know and implement appropriate early essential care for milk expression.
Contents of the education program
We developed and conducted a 60-min education program for nurses and nurse-midwives based on the Japanese guidelines and a literature review . The contents of care which should be enforced in an early postpartum period mainly in the maternity ward were extracted from the Japanese guidelines . The education program was held face-to-face by the lead researcher (RT). The program was repeated 15 times to enable all the participants who had different work schedules to be able to attend...
The questionnaire regarding knowledge was created based on the contents of the education program. It was composed of 20 items (see Additional file 1). When answering each item, the participants chose one from the following three options: “Correct”, “Incorrect”, and “Unclear”. The number of correct answers comprised the score.
The questionnaire regarding attitude was based on The Iowa Infant Feeding Attitude Scale . It was composed of 10 items (see Additional file 1). Each item was scored on a five-point Likert scale (1 = Strongly disagree, 2 = Disagree, 3 = Neither, 4 = Agree, 5 = Strongly agree). The total scores of the 10 items were calculated. The questionnaire regar...
Data from the questionnaire surveys were summarized using descriptive statistics [i.e., mean (standard deviation, SD) and median (interquartile range, IQR)] and used for statistical analysis. The Bonferroni method was applied to test for the correction of multiple hypotheses testing for time-series data. Therefore, the difference in the knowledge a...
- Rie Tanaka, Shigeko Horiuchi
- 2021
2024年4月3日 · Background. Healthcare providers play important roles in supporting breastfeeding. Although there has been insufficient actual breastfeeding support from healthcare providers in China, little research has been conducted to understand Chinese healthcare providers’ perceived barriers to providing breastfeeding support, especially in ...
2022年12月22日 · In this study, we developed and evaluated the effectiveness of an educational program for nurses and midwives to enable them to support breastfeeding of healthy LPIs. Methods. A randomized controlled trial was conducted in Japan from July 2018 to April 2019.
2023年7月19日 · A systematic review and meta-analysis of breastfeeding effects on metabolic health in offspring showed that breastfeeding for any length of time provides adequate nutrition to children and decreases the risk of developing obesity and type 2 diabetes mellitus (T2DM) compared to those who are not breastfed [ 9 ].
2021年1月4日 · Effect of vitamin supplements on breast milk composition. In total, six vitamins including vitamin A, B, D, C, E and K in addition to multi-vitamin supplements were reviewed. The summary about the effect of vitamin supplements on breast milk content is presented in Tables 1, 2, 3, 4, 5, 6 and 7.
In this study, we developed and evaluated the efectiveness of an educational program for nurses and midwives to enable them to support breastfeeding of healthy LPIs. Methods: A randomized controlled trial was conducted in Japan from July 2018 to April 2019.
