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Pilot test of a home-based program to prevent perceived insufficient milk.
Wood, Natsuko K; Sanders, Elizabeth A; Lewis, Frances M; Woods, Nancy F; Blackburn, Susan T.
Afiliación
  • Wood NK; Skagit Valley College, 2405 East College Way, Mount Vernon, WA 98273, USA. Electronic address: natsuko.wood@skagit.edu.
  • Sanders EA; Educational Psychology, Measurement & Statistics, The University of Washington, Seattle, WA, USA.
  • Lewis FM; Family and Child Nursing, The University of Washington, Seattle, WA, USA.
  • Woods NF; Biobehavioral Nursing and Health Systems, The University of Washington, Seattle, WA, USA.
  • Blackburn ST; Family and Child Nursing, The University of Washington, Seattle, WA, USA.
Women Birth ; 30(6): 472-480, 2017 Dec.
Article en En | MEDLINE | ID: mdl-28529088
PROBLEM: Although the World Health Organization and American Academy of Pediatrics recommend exclusive breastfeeding for the first six months, only 22% of U.S. mothers do so. Mothers' perceived insufficient milk (PIM) is the primary reason for breastfeeding discontinuation globally. There are two changeable causes of PIM: (1) mothers' misinterpretation of their infant's behavior, and (2) mothers' lack of confidence in their ability to breastfeed. AIM: The purpose of this study was to evaluate the short-term effect of a home-based intervention designed to prevent and/or reduce PIM. METHODS: A mixed-methods, single-group, pretest-midtest-posttest design was used for evaluating a home-based breastfeeding program. The program was implemented during three 1.0- to 1.5-h home intervention sessions at 6, 13, and 27 days postpartum, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants. FINDINGS: We found significant increases over time in mothers' sensitivity to infant behavior and breastfeeding self-efficacy as well as significant decreased attribution of infant crying to PIM. Exit interviews indicated that the program was accepted by participating mothers. DISCUSSION: This is the first intervention study that has directly targeted the causes of PIM. The home-based intervention has the potential to add to maternal competencies both in correctly assessing their infants' behavior, thereby preventing erroneous attribution of infant behavior to PIM, as well as simultaneously bolstering maternal confidence in breastfeeding skills. CONCLUSION: By building maternal competencies, the home-based intervention has a longer-range potential to prevent breastfeeding discontinuation. Further evaluation is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Percepción / Lactancia Materna / Autoeficacia / Leche Humana / Madres Tipo de estudio: Qualitative_research Aspecto: Equity_inequality Límite: Adult / Female / Humans / Infant / Newborn Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Percepción / Lactancia Materna / Autoeficacia / Leche Humana / Madres Tipo de estudio: Qualitative_research Aspecto: Equity_inequality Límite: Adult / Female / Humans / Infant / Newborn Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos