Relationships Among Factors Related to Childbirth and Breastfeeding Outcomes in Primiparous Women
Copyright © 2020 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved..
OBJECTIVES: To explore the relationships among potentially modifiable factors related to childbirth and effective breastfeeding initiation at approximately 36 hours after birth and duration and exclusivity at hospital discharge, 2 weeks, 2 months, and 6 months after birth in primiparous women and to explore whether modifiable and nonmodifiable secondary factors and covariates influenced the relationships among factors related to childbirth and these breastfeeding outcomes.
DESIGN: A prospective, longitudinal, cohort study.
SETTING: The postpartum units of two general hospitals in eastern Canada.
PARTICIPANTS: Ninety-seven mother-infant dyads.
METHODS: We recorded demographic, childbirth, obstetric history, and breastfeeding data through chart review. A breastfeeding observation was completed at approximately 36 hours after birth by unit nurses. Participants maintained breastfeeding logs in hospital and for 6 months after birth and completed three self-report questionnaires before discharge. We analyzed outcomes using backward stepwise linear and logistic regression.
RESULTS: One childbirth factor, labor induced with oxytocin, was negatively associated with effective initiation of breastfeeding, and none was related to breastfeeding duration and exclusivity at any time point. Maternal weight; professional support; and newborn's gestational age at birth, 5-minute Apgar score, weight loss, LATCH score, and active feeds (newborn actively suckled at the breast) were significantly associated with breastfeeding outcomes.
CONCLUSION: Induction of labor with oxytocin should be used judiciously; when used, nurses must be hypervigilant to assess the mother-infant dyad for breastfeeding issues and to intervene to prevent or remediate them.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
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Enthalten in: |
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN - 49(2020), 5 vom: 08. Sept., Seite 437-451 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Bryanton, Janet [VerfasserIn] |
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Links: |
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Themen: |
Apgar score |
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Anmerkungen: |
Date Completed 29.06.2021 Date Revised 29.06.2021 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.jogn.2020.05.008 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM312358598 |
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500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2020 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved. | ||
520 | |a OBJECTIVES: To explore the relationships among potentially modifiable factors related to childbirth and effective breastfeeding initiation at approximately 36 hours after birth and duration and exclusivity at hospital discharge, 2 weeks, 2 months, and 6 months after birth in primiparous women and to explore whether modifiable and nonmodifiable secondary factors and covariates influenced the relationships among factors related to childbirth and these breastfeeding outcomes | ||
520 | |a DESIGN: A prospective, longitudinal, cohort study | ||
520 | |a SETTING: The postpartum units of two general hospitals in eastern Canada | ||
520 | |a PARTICIPANTS: Ninety-seven mother-infant dyads | ||
520 | |a METHODS: We recorded demographic, childbirth, obstetric history, and breastfeeding data through chart review. A breastfeeding observation was completed at approximately 36 hours after birth by unit nurses. Participants maintained breastfeeding logs in hospital and for 6 months after birth and completed three self-report questionnaires before discharge. We analyzed outcomes using backward stepwise linear and logistic regression | ||
520 | |a RESULTS: One childbirth factor, labor induced with oxytocin, was negatively associated with effective initiation of breastfeeding, and none was related to breastfeeding duration and exclusivity at any time point. Maternal weight; professional support; and newborn's gestational age at birth, 5-minute Apgar score, weight loss, LATCH score, and active feeds (newborn actively suckled at the breast) were significantly associated with breastfeeding outcomes | ||
520 | |a CONCLUSION: Induction of labor with oxytocin should be used judiciously; when used, nurses must be hypervigilant to assess the mother-infant dyad for breastfeeding issues and to intervene to prevent or remediate them | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a Apgar score | |
650 | 4 | |a breastfeeding duration | |
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650 | 4 | |a effective breastfeeding initiation | |
650 | 4 | |a maternal weight | |
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700 | 1 | |a Walsh, Donna |e verfasserin |4 aut | |
700 | 1 | |a Larter, Kathy |e verfasserin |4 aut | |
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