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A comparison of the incidence of breast feeding two and four months after delivery in mothers discharged within 72 hours and after 72 hours post delivery.

Abstract

OBJECTIVE

To compare breast feeding at two and four months after delivery in mothers discharged early (ED = before 72 hours post delivery) and late (LD = after 72 hours post delivery), and to explore the factors of greatest importance to the successful practice of breast feeding.

DESIGN

Ex-post facto design.

SETTING

In the country of Härryda, Sweden.

PARTICIPANTS

All Swedish speaking women in the country of Härryda whose babies were born between 01.01.94 and 31.05.94 and who were registered at the Child Health Station (CHS) by the age of three months. One hundred and ninety women were invited to participate and 157 (83%) accepted.

MEASUREMENTS AND FINDINGS

No significant difference was found in the breast feeding rates between the ED and LD group. However, ED mothers breast fed exclusively to a higher extent at two and at four months (exclusive breast feeding: at two months 89% and 86% respectively, and at four months 84% and 74% respectively, partial breast feeding: at two months 6% and 10% respectively, and at four months 5% and 12% respectively). If the woman considered that she had received encouragement and support while breast feeding for the first time, the probability of her breast feeding at two and at four months were about six times as great (Exp(B) 5.7594, df = 1, p = 0.0270; (Exp(B) 5.9781 df = 1, p = 0.0005 respectively).

KEY CONCLUSIONS

The length of the hospital stay had no significant effect on the incidence of breast feeding at two and four months post delivery. The most predominant factors influencing breast feeding were seen to be the mother's first experience of breast feeding and the degree of support, help and encouragement she received. Less than half of the women received a visit from the CHS nurse after their return home from hospital.

IMPLICATIONS FOR PRACTICE

The findings suggest that it is important that the midwife or nurse should prepare, support and encourage the mother when breast feeding for the first time. The midwife's or nurse's interventions are important for the incidence of breast feeding, at least during the first four months, and indirectly affect public health. This must also be taken into consideration when caring for mothers in the delivery ward and before discharge, i.e. that the breast feeding is working well, that the mother experiences it as working well, and also for planning follow-up after discharge.

Authors+Show Affiliations

,

Borås University College of Health Science, Sweden.

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Source

Midwifery 14:1 1998 Mar pg 37-47

MeSH

Adolescent
Adult
Attitude to Health
Breast Feeding
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Humans
Incidence
Infant, Newborn
Length of Stay
Mothers
Risk Factors
Social Support
Surveys and Questionnaires
Sweden
Time Factors

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

9633376

Citation

Svedulf, C I., et al. "A Comparison of the Incidence of Breast Feeding Two and Four Months After Delivery in Mothers Discharged Within 72 Hours and After 72 Hours Post Delivery." Midwifery, vol. 14, no. 1, 1998, pp. 37-47.
Svedulf CI, Bergbom Engberg IL, Berthold H, et al. A comparison of the incidence of breast feeding two and four months after delivery in mothers discharged within 72 hours and after 72 hours post delivery. Midwifery. 1998;14(1):37-47.
Svedulf, C. I., Bergbom Engberg, I. L., Berthold, H., & Höglund, I. E. (1998). A comparison of the incidence of breast feeding two and four months after delivery in mothers discharged within 72 hours and after 72 hours post delivery. Midwifery, 14(1), pp. 37-47.
Svedulf CI, et al. A Comparison of the Incidence of Breast Feeding Two and Four Months After Delivery in Mothers Discharged Within 72 Hours and After 72 Hours Post Delivery. Midwifery. 1998;14(1):37-47. PubMed PMID: 9633376.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of the incidence of breast feeding two and four months after delivery in mothers discharged within 72 hours and after 72 hours post delivery. AU - Svedulf,C I, AU - Bergbom Engberg,I L, AU - Berthold,H, AU - Höglund,I E, PY - 1998/6/20/pubmed PY - 1998/6/20/medline PY - 1998/6/20/entrez SP - 37 EP - 47 JF - Midwifery JO - Midwifery VL - 14 IS - 1 N2 - OBJECTIVE: To compare breast feeding at two and four months after delivery in mothers discharged early (ED = before 72 hours post delivery) and late (LD = after 72 hours post delivery), and to explore the factors of greatest importance to the successful practice of breast feeding. DESIGN: Ex-post facto design. SETTING: In the country of Härryda, Sweden. PARTICIPANTS: All Swedish speaking women in the country of Härryda whose babies were born between 01.01.94 and 31.05.94 and who were registered at the Child Health Station (CHS) by the age of three months. One hundred and ninety women were invited to participate and 157 (83%) accepted. MEASUREMENTS AND FINDINGS: No significant difference was found in the breast feeding rates between the ED and LD group. However, ED mothers breast fed exclusively to a higher extent at two and at four months (exclusive breast feeding: at two months 89% and 86% respectively, and at four months 84% and 74% respectively, partial breast feeding: at two months 6% and 10% respectively, and at four months 5% and 12% respectively). If the woman considered that she had received encouragement and support while breast feeding for the first time, the probability of her breast feeding at two and at four months were about six times as great (Exp(B) 5.7594, df = 1, p = 0.0270; (Exp(B) 5.9781 df = 1, p = 0.0005 respectively). KEY CONCLUSIONS: The length of the hospital stay had no significant effect on the incidence of breast feeding at two and four months post delivery. The most predominant factors influencing breast feeding were seen to be the mother's first experience of breast feeding and the degree of support, help and encouragement she received. Less than half of the women received a visit from the CHS nurse after their return home from hospital. IMPLICATIONS FOR PRACTICE: The findings suggest that it is important that the midwife or nurse should prepare, support and encourage the mother when breast feeding for the first time. The midwife's or nurse's interventions are important for the incidence of breast feeding, at least during the first four months, and indirectly affect public health. This must also be taken into consideration when caring for mothers in the delivery ward and before discharge, i.e. that the breast feeding is working well, that the mother experiences it as working well, and also for planning follow-up after discharge. SN - 0266-6138 UR - https://www.unboundmedicine.com/medline/citation/9633376/A_comparison_of_the_incidence_of_breast_feeding_two_and_four_months_after_delivery_in_mothers_discharged_within_72_hours_and_after_72_hours_post_delivery_ L2 - https://medlineplus.gov/breastfeeding.html DB - PRIME DP - Unbound Medicine ER -