Improving Breastfeeding Outcomes
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Improving Breastfeeding Rates
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Author : Emily H. Emmott
language : en
Publisher: Cambridge University Press
Release Date : 2023-02-23
Improving Breastfeeding Rates written by Emily H. Emmott and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-02-23 with Psychology categories.
Breastfeeding is championed as an effective way to improve global health, associated with improved health outcomes for children and mothers. Various public health strategies to promote breastfeeding have been developed and implemented for over four decades, yet progress has stagnated, and exclusive breastfeeding rates remain low globally. From an evolutionary anthropological perspective, low breastfeeding rates seem like an 'evolutionary puzzle'; breastfeeding is a behaviour which confers survival and fitness advantage to children and mothers, yet so many mothers do not breastfeed exclusively or at all. Is this a globally maladaptive behaviour? Framing breastfeeding as a maternal investment behaviour, an evolutionary perspective directs us to consider the fitness costs of breastfeeding, together with the role of social learning and cultural norms. Indeed, an evolutionary anthropological perspective provides insights to why some breastfeeding-promotion strategies may have been ineffective, while pointing to potentially promising policies and practices which have been overlooked
Improving Breastfeeding Outcomes
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Author : Karen Ann McQueen
language : en
Publisher:
Release Date : 2009
Improving Breastfeeding Outcomes written by Karen Ann McQueen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.
Breastfeeding is recommended as the optimal source of nutrition for newborns for the first 6 months of life and beyond with the addition of complementary foods. While breastfeeding initiation rates have been increasing, duration rates remain a concern as many women prematurely discontinue due to difficulties encountered rather than maternal choice. In addition, there is a sizable gap between rates of exclusive breastfeeding and current recommendations. Targeting modifiable variables that may be amenable to intervention is one strategy to improve breastfeeding outcomes. One such modifiable variable is breastfeeding self-efficacy. Although research has clearly shown that breastfeeding self-efficacy is predictive of breastfeeding duration and exclusivity, it is unknown whether it can be enhanced to improve breastfeeding outcomes. The purpose of this pilot randomized controlled trial was to examine the feasibility and compliance of a newly developed trial protocol and the acceptability of an intervention to increase breastfeeding self-efficacy in the immediate postpartum period. Secondary outcomes included determining whether there were any trends between groups related to breastfeeding self-efficacy, duration, and exclusivity. Participants included 150 primiparous mothers who were breastfeeding their healthy, full-term infants. Eligible and consenting mothers were randomized to either a control group (standard postpartum care) or an intervention group (standard postpartum care plus the self-efficacy intervention). Participants allocated to the intervention group received three individualized, self-efficacy enhancing sessions with the researcher; two sessions were conducted in hospital, and one was administered via telephone 1 week following hospital discharge. A research assistant blinded to group allocation collected outcome data at 4 and 8 weeks postpartum. The results suggested that the administration of the intervention was feasible and that there was a high degree of protocol compliance; the majority of participants reported that the intervention was beneficial. Secondary outcomes identified that there was a trend among participants in the intervention group to have improved breastfeeding outcomes, including higher rates of breastfeeding self-efficacy, duration, and exclusivity at 4 and 8 weeks postpartum. Preliminary evidence also suggested that the self-efficacy intervention may have assisted to decrease perceptions of insufficient milk supply among the intervention group participants. Overall, the findings from this pilot trial indicated that a larger trial is warranted.
Improving Breastfeeding Outcomes A Pilot Randomized Controlled Trial Of A Self Efficacy Intervention With Primiparous Mothers
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Author :
language : en
Publisher:
Release Date : 2004
Improving Breastfeeding Outcomes A Pilot Randomized Controlled Trial Of A Self Efficacy Intervention With Primiparous Mothers written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.
PhD.
Breastfeeding Programs And Policies Breastfeeding Uptake And Maternal Health Outcomes In Developed Countries
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Author : Cynthia Feltner
language : en
Publisher:
Release Date : 2018
Breastfeeding Programs And Policies Breastfeeding Uptake And Maternal Health Outcomes In Developed Countries written by Cynthia Feltner and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
OBJECTIVES: To summarize the effectiveness of community, workplace, and health care system-based programs and policies aimed at supporting and promoting breastfeeding and determine the association between breastfeeding and maternal health. DATA SOURCES: We searched PubMed(r)/MEDLINE(r), the Cochrane Library, and CINAHL(r) from January 1, 1980, to October 12, 2017, for studies relevant to the effectiveness of health care system-based, workplace, and community breastfeeding programs and policies. For evidence on breastfeeding and maternal health, we updated the 2007 Agency for Healthcare Research and Quality report on this topic and searched the same databases from November 1, 2005, to October 12, 2017. For studies of breastfeeding programs and policies, trials, systematic reviews, and observational studies with a control group were eligible; we excluded primary care-based programs delivered as part of routine care. For studies related to breastfeeding and maternal health, we included systematic reviews, case-control studies, and cohort studies. REVIEW METHODS: Pairs of reviewers independently selected, extracted data from, and rated the risk of bias of relevant studies; they graded the strength of evidence (SOE) using established criteria. We synthesized all evidence qualitatively. RESULTS: We included 128 studies (137 publications) and 10 systematic reviews. Of these, 40 individual studies were relevant to the effectiveness of breastfeeding programs or policies, and the remainder were relevant to one or more maternal health outcomes. Based on evidence from one large randomized controlled trial (RCT) (Promotion of Breastfeeding Intervention Trial [PROBIT], N=17,046) enrolling mothers who intended to breastfeed and nine cohort studies (1,227,182 women), we graded the SOE for the Baby-Friendly Hospital Initiative (BFHI) as moderate for improving rates of breastfeeding duration. Evidence from eight cohort studies of BFHI (135,983 women) also demonstrates improved rates of breastfeeding initiation (low SOE). Low SOE (k=4 studies; 1,532 women) supports the conclusion that health care education or training of staff alone (without additional breastfeeding support services) does not improve breastfeeding initiation rates. Women, Infants and Children (WIC, a Federal supplemental nutrition program) interventions that focus on peer support are effective in improving rates of breastfeeding initiation and duration (low SOE). We found limited evidence for other (community-based) interventions and no comparative studies on workplace or school-based interventions or harms associated with interventions. For maternal health outcomes, low SOE supports the conclusion that ever breastfeeding or breastfeeding for longer durations may be associated with lower rates of breast cancer, epithelial ovarian cancer, hypertension, and type 2 diabetes, but not fractures. Because of heterogeneity and inconsistent results, we found insufficient evidence on whether breastfeeding is associated with postpartum depression, cardiovascular disease, or postpartum weight change. CONCLUSIONS: The body of evidence for breastfeeding programs and policies was diverse in terms of interventions and settings. Current evidence supports the benefit of BFHI for improving rates of breastfeeding initiation and duration; however, evidence from one large RCT (PROBIT) has limited applicability, and observational studies do not clearly establish the magnitude of benefit. For women enrolled in WIC, low SOE supports peer-support interventions for improving breastfeeding outcomes. The identified associations between breastfeeding and improved maternal health outcomes are supported by evidence from observational studies, which cannot determine cause-and-effect relationships.
Improve Breastfeeding Outcomes
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Author : Firouzeh T. Moncrief
language : en
Publisher:
Release Date : 2014
Improve Breastfeeding Outcomes written by Firouzeh T. Moncrief and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Breastfeeding categories.
Breastfeeding provides the infant with significant benefits, such as decreased risk of infection, autoimmune disease, Sudden Infant Death Syndrome (SIDS), type 2 diabetes, and obesity. Yet the rates of exclusive breastfeeding for the first six months of infants' life is low in this country. This paper proposes an implementation plan on how to improve breastfeeding outcomes.
Continuity Of Care In Breastfeeding
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Author : Karin Cadwell
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2009
Continuity Of Care In Breastfeeding written by Karin Cadwell and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Health & Fitness categories.
Implementing Continuity of Care in Breast Feeding emphasizes quality and continuity of care; management issues; and policies and procedures that support breastfeeding in the hospital setting whether in the inpatient maternity, NICU, or ambulatory care.
A Quality Improvement Initiative To Develop And Implement An Infant Feeding Strategy For Healthy Start
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Author : Elaine L. Fitzgerald
language : en
Publisher:
Release Date : 2012
A Quality Improvement Initiative To Develop And Implement An Infant Feeding Strategy For Healthy Start written by Elaine L. Fitzgerald and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
Abstract: Background: Disparities in breastfeeding rates may contribute to poor health outcomes among Black infants and mothers. There is strong evidence associating breastfeeding with improved health outcomes of conditions that disproportionately affect Black women and children; improving breastfeeding rates among Black women is a potential strategy to address health disparities. Healthy Start, a federally-funded initiative, provides case management and home visiting services to pregnant and postpartum women in 104 communities nationwide. Boston Healthy Start Initiative (BHSI) offers services to self-identified Black women and children and has identified breastfeeding initiation, exclusivity, and duration as areas for improvement.Objective: To use quality improvement (QI) methods to improve perinatal case manager knowledge and self-efficacy to promote breastfeeding among Black women participating in a national program to improve birth outcomes.Methods: We used a QI learning collaborative and rapid Plan Do Study Act (PDSA) cycles to develop an infant feeding strategy that included a training program and Infant Feeding Toolkit. QI activities occurred from May 2011 to April 2012 and were implemented at 4 Boston Healthy Start Initiative sites: 2 community health centers and 2 community-based nonprofit organizations. To assess changes in case manager knowledge and behaviors, we used the Breastfeeding Self-Efficacy Scale and developed an Infant Feeding Knowledge Self-Assessment Tool. Additionally, a Site Supervisor Observation Worksheet was created to assess case manager-client interactions to promote and support breastfeeding.Results: The QI learning collaborative successfully standardized the training and assessment of Healthy Start case managers to support breastfeeding. The training resulted in a positive change in infant feeding knowledge and case manager self-efficacy to promote breastfeeding, which was observed in all participating BHSI sites. The implementation of an Infant Feeding Toolkit for Case Managers improved breastfeeding outcomes. Among 24 BHSI participants who delivered infants during the project period. 100% initiated and continued breastfeeding at one week postpartum. and 92% were breastfeeding at 2 weeks postpartum.Conclusion: The QI learning collaborative proved effective as an approach to improve the quality of perinatal case management through the development and implementation of an infant feeding strategy that was feasible to implement at a marginal cost and well received by participants.
Interventions To Improve Breastfeeding Outcomes
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Author : Yvonne Anthonio
language : en
Publisher:
Release Date : 2011
Interventions To Improve Breastfeeding Outcomes written by Yvonne Anthonio and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Breastfeeding categories.
Breastfeeding
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Author : Kingsley Emwinyore Agho
language : en
Publisher: MDPI
Release Date : 2020-05-28
Breastfeeding written by Kingsley Emwinyore Agho and has been published by MDPI this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-05-28 with Science categories.
Breastfeeding is the preferred method of feeding in early life. It is also one of the most cost-effective childhood survival interventions. Breastfeeding practices are important for preventing child mortality and morbidity, as well as ensuring the optimal growth, health, and development of infants. The public health benefits of breastfeeding have been well documented in the medical literature, and include the following: associations with decreased risk for early-life diseases such as otitis media, respiratory tract infection, diarrhoea, and early childhood obesity (to name but a few). This Special Issue book includes a collection of studies on the use of novel methods to improve breastfeeding rates, and research exploring the short- and long-term benefits of breastfeeding for both the infant and mother, including technology-based approaches.
Infant And Young Child Feeding
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Author :
language : en
Publisher:
Release Date : 2009
Infant And Young Child Feeding written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.
The Model Chapter on Infant and Young Child Feeding is intended for use in basic training of health professionals. It describes essential knowledge and basic skills that every health professional who works with mothers and young children should master. The Model Chapter can be used by teachers and students as a complement to textbooks or as a concise reference manual.