Breastfeeding start time of discharged premature newborns and its influencing factors
10.3760/cma.j.issn.1674-2907.2019.08.010
- VernacularTitle:早产儿出院后母乳喂养开始时间及影响因素分析
- Author:
Lei ZHAO
1
;
Danfeng LI
;
Mingli JIANG
;
Ruicun LU
;
Hongrui ZHU
;
Hong XIONG
Author Information
1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院新生儿疾病诊疗中心
- Keywords:
Infant,premature;
Breastfeeding;
Start time;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(8):967-970
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To understand the influencing factors of the breastfeeding start time of premature newborns after being discharged from the hospital, and to provide the theoretical basis for the effective promotion of breastfeeding for premature infants after discharge. Methods? Using the convenient sampling method, the mothers of premature infants who were hospitalized in Affiliated Children's Hospital of Zhengzhou University from October to December 2017 were selected as the research subjects. A self-designed questionnaire that included general demographic information, breastfeeding knowledge and breastfeeding burden was used in telephone follow-ups, in order to analyze the influencing factors of breastfeeding start time of premature newborns after discharge. SPSS 17.0 was used for data entry and statistical analysis. Among the 100 families that were initially chosen, 2 calls could not be completed, 5 calls were not answered by the parents or too much information was lost, which resulted in a total of 93 valid surveys with the response rate of 93%. Results? Among the 93 cases, 88 newborns were breastfed, and 5 newborns rejected breastfeeding and were put on formula. Only 21.51% of all premature infants were exclusively breastfed. The breastfeeding start time after discharge was 13.0(6.5,28.5)h. 45.45% premature newborns accepted breastfeeding with 3 d after discharge. The premature newborns of different cultures, places of residence, birth weight of premature infants, gestational age, time of first sucking nipples, number of days of NICU hospitalization, knowledge of maternal feeding, feeding burden, whether mothers received breastfeeding guidance during hospitalization, there was a statistically significant difference in the starting time of breastfeeding after discharge (P＜0.05). The results of multiple linear regression showed that the factors that affected the start time of breastfeeding after newborns being discharged from ICU were: birth weight, breastfeeding burden, and the mother's feeding knowledge. Conclusions? The current status of breastfeeding in premature infants should be improved. Nursing personnel should give breastfeeding to premature infants as much as possible during hospitalization while provide psychological guidance and training for breastfeeding for mothers.
