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2023年9月1日 · Background Although breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants face unique challenges of maternal-infant separation after birth. Moreover, little is known about Chinese ...
- Themes
- Health Professional Support
- Dissatisfaction with Non-Professional Support
Theme I: providing breast milk is a way to identify as a mother
With their preterm infants hospitalized immediately after birth and limited access to their infants, the mothers experienced difficulties as they attempted to establish their maternal role. “I haven’t seen my [baby] ‘till now [from birth to discharge] … I don’t feel I am a mother.”, “There is no real sense of motherhood.” A significant source of the mothers’ anxiety was their concern for the health and safety of their infants. One admitted that “When the child is hospitalized, I feel very anx...
Theme II: perceptions and intentions
While the mothers felt that providing breast milk for their infants was part of their maternal role, six indicated either mild or no intention of expressing breast milk. One, for example, was “… not sure I can keep on breastfeeding for a long time”, while another “… didn’t want to breastfeed”. Several factors contributed to their ambivalent attitude towards breastfeeding. Some misunderstood the nutrition of breast milk through comments such as: “I don’t think breast milk can provide enough nu...
Theme III Milk expression makes mothers exhausted
Most mothers reported difficulty expressing milk, with one describing the feeling as experiencing “…a nervous breakdown” and another as “… uncomfortable [as] the areola was hurt and painful.” Most found frequent expression challenging with one reporting she was “… too tired at night. No matter how late at night, as long as the alarm clock sounds, I have to sit up to express milk … [it] needs perseverance.” Others “… almost give up milk expression because of … mastitis.”
All the mothers had confidence in information they received from health providers. “Of course, I believe the healthcare providers. They are the experts.” “I trust doctors and nurses.” Although they preferred health professional support, they recognized hospital staff were busy and had limited time to offer any support. Their realization that “… doc...
As indicated above, the mothers received limited support for establishing their milk supply and coping with the breastfeeding problems. Some reported receiving helpful information from nurses following delivery; another noted that while “… in the maternity ward, the nurse asked me to watch a video about newborn care. It was very helpful.” A pediatr...
- Yuanyuan Yang, Debra Brandon, Hong Lu, Xiaomei Cong
- 2019
2020年11月3日 · Background The Baby-Friendly Hospital Initiative is generally considered an effective way to promote breastfeeding. Although China has the largest number of baby-friendly hospitals in the world, research on baby-friendly practices in China is limited, and the rate of exclusive breastfeeding (EBF) at 6 months, 20.7%, compared to the 2025 global goal of 50% is low. It is, therefore, important to ...
The World Health Organization and United Nations Children’s Fund recommend exclusive breastfeeding (EBF) for the first six months of an infant’s life. Although evidence suggests that maintaining breastfeeding ... Sasiwan Suthasmalee and Chadakarn Phaloprakarn. International Breastfeeding Journal 2024 19 :25.
2020年12月1日 · Background Exclusive breastfeeding rates in many high-income countries are considerably lower than the World Health Organization recommendations. Younger mothers are less likely than older mothers to exclusively breastfeed or to exclusively breastfeed for a long duration. This systematic review explores interventions to increase the rate of exclusive breastfeeding among young mothers in high ...
2022年10月17日 · Background Exclusive breastfeeding (EBF) for six months is recommended as one of the most important ways to support child health and survival, particularly during the COVID-19 pandemic. However, breastfeeding women encountered several obstacles during the pandemic. The purpose of this study was to conduct a survey to document breastfeeding practices, EBF rates and associated factors with six ...
2023年8月23日 · Background The breastfeeding rates of late preterm infants are lower than both term and extremely preterm infants. To explore the interventions of increasing full breast milk feeding rate of hospitalized late preterm infants on the 7th day after birth (D7) and evaluate the effect of these quality improvement (QI) interventions. Methods The full breast milk feeding (amount of enteral breast ...
