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

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN - 49(2020), 5 vom: 08. Sept., Seite 437-451

Sprache:

Englisch

Beteiligte Personen:

Bryanton, Janet [VerfasserIn]
Montelpare, William [VerfasserIn]
Drake, Patrice [VerfasserIn]
Drake, Rosemary [VerfasserIn]
Walsh, Donna [VerfasserIn]
Larter, Kathy [VerfasserIn]

Links:

Volltext

Themen:

Apgar score
Breastfeeding duration
Breastfeeding exclusivity
Childbirth
Effective breastfeeding initiation
Journal Article
Maternal weight
Oxytocin
Primiparas
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 29.06.2021

Date Revised 29.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jogn.2020.05.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312358598