Biophysiologic and social stress relationships with breast milk feeding pre- and post-discharge from the neonatal intensive care unit.
J Obstet Gynecol Neonatal Nurs
; 41(3): 347-57, 2012.
Article
em En
| MEDLINE
| ID: mdl-22834882
ABSTRACT
OBJECTIVE:
To determine influences on incidence of breast milk feeding (BMF) at time of discharge and 6 months later among infants cared for in the neonatal intensive care unit (NICU).DESIGN:
A 2-year prospective descriptive NICU hospital-based cohort design.SETTING:
Academic Center Level III-IV NICU.PARTICIPANTS:
Five hundred and thirty-five infants cared for in NICU and a subgroup of one hundred twenty-nine participant mothers who answered questionnaires.METHODS:
Predischarge data were collected using maternal and infant medical records. Post-discharge data were collected from maternal questionnaires.RESULTS:
At NICU discharge, biophysiologic stressors predictive of not receiving BMF included birth weight <1500 grams (p < .035), heart surgery (p = .014), and inhaled nitric oxide treatment (p = .002). Teenage mothers were less likely to BMF (p = .022). After discharge, BMF duration correlated with BMF duration of a prior infant (p < .009). Most mothers reported BMF >4 months, 91% continued pumping, and 89% indicated an interest in a hospital support group. Logistic regression analysis (R(2) 0.45) identified factors that significantly increased the likelihood of BMF > 4 months BMF plan (p < .001), convenience (p = .018), and family as resource (p = .025). Negative associations were awareness of immune benefits (p = .025), return to work (p = .002), and infants requiring surgical ligation of the patent ductus arterious (p = .019).CONCLUSIONS:
Social and medical stressors contribute to BMF duration pre- and post-NICU discharge. We speculate that active NICU BMF support targeting vulnerable infants and their families and assisting with plans for BMF pre- and post-discharge will help overcome barriers.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estresse Fisiológico
/
Estresse Psicológico
/
Aleitamento Materno
/
Atitude Frente a Saúde
/
Leite Humano
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article