scholarly journals An Overview of Guidelines for Supplemental Feeding of Infants in Swedish Maternity Clinics

2021 ◽  
Vol 11 (1) ◽  
pp. 95-104
Author(s):  
Birgitta Kerstis ◽  
Anna Richardsson ◽  
Alexandra Stenström ◽  
Margareta Widarsson
Keyword(s):  
Best Practice ◽  
Supplemental Feeding ◽  
National Guidelines ◽  
Skin Contact ◽  
Purposeful Sampling ◽  
Breastfeeding Rate ◽  
Cup Feeding ◽  
Feeding Methods ◽  
Skin To Skin ◽  
Maternity Clinics

This study aims to describe the local guidelines for the supplemental feeding of infants of Swedish women’s clinics with maternity wards. Purposeful sampling was used during a four-week data collection time in 2019. Guidelines from 41 of the 43 Swedish women’s clinics with maternity wards were analysed using qualitative and quantitative content analysis. The information provided, and length of the guidelines varied widely in 38 guidelines. Feeding methods were included in 28 guidelines, but 10 provided no information about feeding methods. The most common feeding methods were cup feeding and feeding probes. Suggestions for supplemental feeding included infant formula (32), breast milk (27) and no suggestions (6). The methods to support breastfeeding were skin-to-skin contact (25), breastfeeding freely (22), a caring plan (18), extra supervision (3), optimising the caring environment (2), supplying a breast pump (1) and breastfeeding observation (1). Twenty-two guidelines included information about how long formula should be given and that the feeding should be phased out gradually. We conclude that a national guideline for the supplemental feeding of infants is needed to ensure equal best practice care for infant safety and the support of parents to increase the breastfeeding rate. More national guidelines are needed in general because it is easier to update only one set of guidelines.

Mitigating Infant Medical Trauma in the NICU: Skin-to-Skin Contact as a Trauma-Informed, Age-Appropriate Best Practice

2018 ◽  
Vol 37 (6) ◽  
pp. 343-350
Author(s):  
Carly Eliades
Keyword(s):  
Best Practice ◽  
Nursing Intervention ◽  
Traumatic Experiences ◽  
Negative Consequences ◽  
Medical Trauma ◽  
Neurologic Outcomes ◽  
Skin Contact ◽  
Age Appropriate ◽  
Trauma Informed ◽  
Skin To Skin

Infant medical trauma in the NICU is associated with serious and lasting consequences. Skin-to-skin contact (SSC) of infants with their parents is a nursing intervention that provides significant benefits and can mitigate the negative consequences of the infant’s traumatic experiences in the NICU. The purpose of this article is to explain how SSC aligns with the concept of trauma-informed age-appropriate care (TIAAC) in the NICU. The evidence supporting SSC will be reviewed and discussed using TIAAC as a framework. SSC is an effective and evidence-based care strategy that reduces the infant’s traumatic NICU experiences by improving parental proximity, attachment, and lactation; decreasing stress and pain; improving physiologic stability; supporting sleep; and enhancing neurologic outcomes.

Increasing the exclusive breastfeeding rate in a private hospital in UAE through quality improvement initiatives

2021 ◽  
pp. 1-7
Author(s):  
M. Kaushal ◽  
K. Sasidharan ◽  
A. Kaushal ◽  
P. Augustine ◽  
M. Alex
Keyword(s):  
Exclusive Breastfeeding ◽  
Care Staff ◽  
Direct Observations ◽  
Skin Contact ◽  
Breastfeeding Education ◽  
Breastfeeding Rate ◽  
Postnatal Mothers ◽  
Breastfeeding Rates ◽  
Skin To Skin ◽  
Antenatal Classes

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in breastfeeding.

scholarly journals Baby Friendly Hospital Initiative Breastfeeding Outcomes in Mothers with COVID-19 Infection During the First Weeks of the Pandemic in Spain

2021 ◽  
pp. 089033442110391
Author(s):  
◽  
Miguel A Marín Gabriel ◽  
Laura Domingo Goneche ◽  
Irene Cuadrado Pérez ◽  
Mar Reyne Vergeli ◽  
...  
Keyword(s):  
Observational Study ◽  
Exclusive Breastfeeding ◽  
Protective Role ◽  
Baby Friendly Hospital Initiative ◽  
Skin Contact ◽  
Longitudinal Observational Study ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
Skin To Skin

Background: Adherence to the Ten Steps of the Baby-Friendly Hospital Initiative has been shown to have a protective role for the initiation and maintenance of breastfeeding. Research Aims: (1) To determine the breastfeeding rate during the first 6 months of life in children of mothers diagnosed with COVID-19 infection at the time of birth; and (2) to assess the possible influence of being born in a center with Baby-Friendly Hospital Initiative accreditation. Methods: This was a two-group comparative longitudinal observational study of infants born to mothers with COVID-19 at the time of birth, between March 13–May 31, 2020 (the first wave of the pandemic) in Spain. Fourteen Spanish hospitals participated, five (35.7%) were Baby-Friendly Hospital Initiative accredited. Type of feeding was assessed prospectively at discharge, 1, 3, and 6 months of age. A total of 248 newborns were included in the study. Results: A total of 117 (47.3%) newborns were born in Baby-Friendly Hospital Initiative (BFHI) accredited centers. These centers applied skin-to-skin contact with greater probability ( OR = 1.9; 95% CI [1.18, 3.29]) and separated the newborns from their mothers less frequently ( OR = 0.46; 95% CI [0.26, 0.81]) than non-accredited centers. No differences were observed in relation to the presence of a companion at the time of birth. At discharge, 49.1% ( n = 57) of newborns born in BFHI-accredited centers received exclusive breastfeeding versus 35.3% ( n = 46) in non-accredited centers ( p = .03). No differences were observed in breastfeeding rates throughout follow-up. Conclusions: The exclusive breastfeeding rate at discharge in children of mothers with COVID-19 infection at birth was higher in Baby-Friendly Hospital Initiative accredited centers, which most frequently applied skin-to-skin contact at birth as well as rooming-in.

scholarly journals Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Rosely Sayuri Kuamoto ◽  
Mariana Bueno ◽  
Maria Luiza Gonzalez Riesco
Keyword(s):  
Best Practice ◽  
Participant Observation ◽  
Upper Airway ◽  
Cross Sectional Study ◽  
Full Term ◽  
Sectional Study ◽  
Cross Sectional ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

ABSTRACT Objective: to analyze skin-to-skin contact practice in full-term newborns after birth. Method: a cross-sectional study carried out in São Paulo-SP with 78 mother-child binomials. Data were obtained from medical records and by non-participant observation. Maternal, neonatal and care conditions, length of skin-to-skin contact and breastfeeding attachment were analyzed. Results: skin-to-skin contact was performed in 94.9% of births, with a mean length of 29 minutes. Births with intact perineum took longer, neonates with Apgar 10, without upper airway aspiration, assisted by a nurse-midwife and with neonatal assistance by a resident in pediatrics. The variables that favor breastfeeding attachment were perineal integrity, newborn with good vitality, without upper airway aspiration and who received professional assistance for breastfeeding attachment. Conclusion: skin-to-skin contact was performed in almost all births, but with less time than recommended as best practice.

THE EFFECT OF EARLY SKIN TO SKIN CONTACT IN TERM NEONATES AFTER C-SECTION ON BREASTFEEDING CHOICE AT THE TIME OF DISCHARGE

2019 ◽  
Vol 9 (2) ◽  
pp. 1
Author(s):  
POURABOLI BATOOL ◽  
ESTABRAGHI MAHDIEH ◽  
JAHANI YOUNES ◽  
◽  
◽  
...  
Keyword(s):  
Term Neonates ◽  
Skin Contact ◽  
Skin To Skin

scholarly journals The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage

2020 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Wedad M. Almutairi ◽  
Susan M. Ludington ◽  
Mary T. Quinn Griffin ◽  
Christopher J. Burant ◽  
Ahlam E. Al-Zahrani ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Retrospective Chart Review ◽  
Skin Contact ◽  
Labor Duration ◽  
Third Stage Of Labor ◽  
Estimated Blood Loss ◽  
Third Stage ◽  
Skin To Skin ◽  
Increasing Trends

Objectives: were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. Design: A retrospective chart review conducted using codes for atonic PPH. Setting: Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. Results: PPH rate increased by 47.50% from 2009–2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Conclusions: Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.

The evolution of the science of kangaroo (mother) care (skin‐to‐skin contact)

2019 ◽  
Vol 111 (15) ◽  
pp. 1032-1043 ◽  
Author(s):  
Raouth R. Kostandy ◽  
Susan M. Ludington‐Hoe
Keyword(s):  
Kangaroo Mother Care ◽  
Skin Contact ◽  
Skin To Skin
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