Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants

  • Received : 2020.06.04
  • Accepted : 2020.06.20
  • Published : 2020.07.31
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Abstract

Purpose: This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge. Methods: This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem. Results: The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge (χ2=7.17, p=.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups (χ2=1.95, p=.164). Conclusion: The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.

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References

  1. Korean Statistical Information Service. 2018 live births by period of pregnancy [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 January 6]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=377055
  2. Cartwright J, Atz T, Newman S, Mueller M, Demirci JR. Integrative review of interventions to promote breastfeeding in the late preterm infant. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017;46(3):347-356. https://doi.org/10.1016/j.jogn.2017.01.006
  3. Engle WA. A recommendation for the definition of "late preterm" (near-term) and the birth weight-gestational age classification system. Seminars in Perinatology. 2006;30(1):2-7. https://doi.org/10.1053/j.semperi.2006.01.007
  4. Medoff Cooper B, Holditch-Davis D, Verklan MT, Fraser-Askin D, Lamp J, Santa-Donato A, et al. Newborn clinical outcomes of the AWHONN late preterm infant research-based practice project. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2012;41(6):774-785. https://doi.org/10.1111/j.1552-6909.2012.01401.x
  5. Tomashek KM, Shapiro-Mendoza CK, Weiss J, Kotelchuck M, Barfield W, Evans S, et al. Early discharge among late preterm and term newborns and risk of neonatal morbidity. Seminars in Perinatology. 2006;30(2):61-68. https://doi.org/10.1053/j.semperi.2006.02.003
  6. Chen CF, Hsu MC, Shen CH, Wang CL, Chang SC, Wu KG, et al. Influence of breast-feeding on weight loss, jaundice, and waste elimination in neonates. Pediatrics and Neonatology. 2011;52(2):85-92. https://doi.org/10.1016/j.pedneo.2011.02.010
  7. Radtke JV. The paradox of breastfeeding-associated morbidity among late preterm infants. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2011;40(1):9-24. https://doi.org/10.1111/j.1552-6909.2010.01211.x
  8. Seagraves K, Brulte A, McNeely K, Pritham U. Supporting breastfeeding to reduce newborn readmissions for hyperbilirubinemia. Nursing for Women's Health. 2014;17(6):498-507. https://doi.org/10.1111/1751-486X.12078
  9. Soldi A, Tonetto P, Varalda A, Bertino E. Neonatal jaundice and human milk. The Journal of Maternal-Fetal and Neonatal Medicine. 2011;24(sup 1):85-87. https://doi.org/10.3109/14767058.2011.607612
  10. Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #22: Guidelines for management of jaundice in the breastfeeding infant equal to or greater than 35 weeks' gestation. Breastfeeding Medicine. 2010;5(2):87-93. https://doi.org/10.1089/bfm.2010.9994
  11. Adamkin DH. Feeding problems in the late preterm infant. Clinics in Perinatology. 2006;33(4):831-837. https://doi.org/10.1016/j.clp.2006.09.003
  12. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012;129(3):e827-e841. https://doi.org/10.1542/peds.2011-3552
  13. Hackman NM, Alligood-Percoco N, Martin A, Zhu J, Kjerulff KH. Reduced breastfeeding rates in firstborn late preterm and early term infants. Breastfeeding Medicine. 2016;11(3):119-125. https://doi.org/10.1089/bfm.2015.0122
  14. Lee SY, Jang GJ. Prevalence and predictors of exclusive breastfeeding in late preterm infants at 12 weeks. Child Health Nursing Research. 2016;22(2):79-96. https://doi.org/10.4094/chnr.2016.22.2.79
  15. Goyal NK, Attanasio LB, Kozhimannil KB. Hospital care and early breastfeeding outcomes among late preterm, early-term, and term infants. Birth. 2014;41(4):330-338. https://doi.org/10.1111/birt.12135
  16. Waldrop JB, Anderson CK, Brandon DH. Guideline-based educational intervention to decrease the risk for readmission of newborns with severe hyperbilirubinemia. Journal of Pediatric Health Care. 2013;27(1):41-50. https://doi.org/10.1016/j.pedhc.2011.09.002
  17. Jang GJ, Hong YR. Effects of a breastfeeding support program on the prevalence of exclusive breastfeeding and growth in late preterm infants. Child Health Nursing Research. 2020;26(1):90-97. https://doi.org/10.4094/chnr.2020.26.1.90
  18. DeMauro SB, Patel PR, Medoff-Cooper B, Posencheg M, Abbasi S. Postdischarge feeding patterns in early-and late-preterm infants. Clinical Pediatrics. 2011;50(10):957-962. https://doi.org/10.1177/0009922811409028
  19. Rayfield S, Oakley L, Quigley MA. Association between breastfeeding support and breastfeeding rates in the UK: A comparison of late preterm and term infants. BMJ Open. 2015;5(11):e009144. https://doi.org/10.1136/bmjopen-2015-009144
  20. Jang EH, Ju HO. Effects of an infant care education program for mothers of late-preterm-infants on parenting confidence, breastfeeding rates, and infants' growth and readmission rates. Child Health Nursing Research. 2020;26(1):11-22. https://doi.org/10.4094/chnr.2020.26.1.11
  21. Escobar GJ, Greene JD, Hulac P, Kincannon E, Bischoff K, Gardner MN, et al. Rehospitalisation after birth hospitalisation: Patterns among infants of all gestations. Archives of Disease in Childhood. 2005;90(2):125-131. https://doi.org/10.1136/adc.2003.039974
  22. Kim MJ. Readmission of late preterm infants after discharge from nursery. Korean Journal of Pediatrics. 2009;52(8):888-892. https://doi.org/10.3345/kjp.2009.52.8.888
  23. Kim SK, Park S, Oh J, Kim J, Ahn S. Interventions promoting exclusive breastfeeding up to six months after birth: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies. 2018;80:94-105. https://doi.org/10.1016/j.ijnurstu.2018.01.004

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