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Achieving sufficient milk supply supports mothers to cope with premature birth.
Schwab, Isabella; Wullenkord, Ricarda; Ohnhäuser, Tim; Dresbach, Till; Scholten, Nadine.
Afiliación
  • Schwab I; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Chair for Health Services Research, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
  • Wullenkord R; CITEC Center for Cognitive Interaction Technology, University Bielefeld, Bielefeld, Germany.
  • Ohnhäuser T; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Chair for Health Services Research, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
  • Dresbach T; Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.
  • Scholten N; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Chair for Health Services Research, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Acta Paediatr ; 113(9): 2039-2047, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38863298
ABSTRACT

AIM:

To explore whether and how expressing breast milk is perceived as helpful in coping with negative emotions due to premature birth by mothers of very low birth weight (VLBW) infants.

METHODS:

Qualitative interviews and a retrospective cross-sectional questionnaire with mothers of VLBW infants were conducted and analysed using an exploratory sequential mixed-method design. Hypotheses were built using qualitative content analysis and quantitatively tested using multivariate regression analysis.

RESULTS:

Interviews with 12 mothers and questionnaires of 518 mothers were analysed. Coping with prematurity by expressing milk was seen as a way to maintain the caregiving role for the mothers, where three relevant factors arouse making up for what happened, providing the best for their infant and fear of low milk supply. Quantitative analysis showed that mothers with a high milk supply (Coef. = 1.1, p < 0.000) and more feelings of guilt due to premature birth (Coef. = -0.1; p = 0.015) perceived expressing breast milk significantly more as a resource for coping.

CONCLUSION:

This study adds knowledge on how expressing breast milk for their VLBW infant may support mothers in coping with premature birth, by revealing the association with milk supply and feelings of guilt due to premature birth.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Adaptación Psicológica / Recién Nacido de muy Bajo Peso / Madres Límite: Adult / Female / Humans / Newborn Idioma: En Revista: Acta Paediatr Año: 2024 Tipo del documento: Article País de afiliación: Alemania

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Adaptación Psicológica / Recién Nacido de muy Bajo Peso / Madres Límite: Adult / Female / Humans / Newborn Idioma: En Revista: Acta Paediatr Año: 2024 Tipo del documento: Article País de afiliación: Alemania