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Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea

  • 투고 : 2021.08.13
  • 심사 : 2021.10.03
  • 발행 : 2021.10.31

초록

Purpose: This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs). Methods: This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels. Results: The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction. Conclusion: A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

키워드

과제정보

Special thanks to Ms. Seo-yoon Kim, a lactation specialist nurse in the NICU, for obtaining the consent of participants and connecting the participants with the researcher.

참고문헌

  1. Korean Statistical Information Service. Birth statistics 2010 [Internet]. Daejeon: Statistics Korea; 2010 [cited 2021 September 20]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/2/1/index.board?bmode=read&aSeq=249892
  2. Korean Statistical Information Service. Birth statistics 2020 [Internet]. Daejeon: Statistics Korea; 2021 [cited 2021 September 20]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=391575
  3. Cartwright J, Atz T, Newman S, Mueller M, Demirci JR. Integrative review of interventions to promote breastfeeding in the late preterm infant. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017;46(3): 347-356. https://doi.org/10.1016/j.jogn.2017.01.006
  4. Cooper BM, Holditch-Davis D, Verklan MT, Fraser-Askin D, Lamp J, Santa-Donato A, et al. Newborn clinical outcomes of the AWHONN late preterm infant research-based practice project. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2012;41 (6):774-785. https://doi.org/10.1111/j.1552-6909.2012.01401.x
  5. UNICEF KOREA. Baby friendly hospital [Internet]. Seoul: The Korean Committee for Unicef; [cited 2021 August 5]. Available from: https://www.unicef.or.kr/child-rights/initiative/baby-friendly-hospital.asp
  6. Hallowell SG, Spatz DL. The relationship of brain development and breastfeeding in the late-preterm infant. Journal of Pediatric Nursing. 2012;27(2):154-162. https://doi.org/10.1016/j.pedn.2010.12.018
  7. Hackman NM, Alligood-Percoco N, Martin A, Zhu J, Kjerulff KH. Reduced breastfeeding rates in firstborn late preterm and early term infants. Breastfeeding Medicine. 2016;11(3):119-125. https://doi.org/10.1089/bfm.2015.0122
  8. Wells C, Ahmed A, Musser A. Strategies for neonatal hyperbilirubinemia: A literature review. American Journal of Maternal Child Nursing. 2013;38(6):377-382. https://doi.org/10.1097/NMC.0b013e3182a1fb7a
  9. Soldi A, Tonetto P, Varalda A, Bertino E. Neonatal jaundice and human milk. Journal of Maternal-Fetal and Neonatal Medicine. 2011;24(1):85-87. https://doi.org/10.3109/14767058.2011.607612
  10. Academy of Breastfeeding Medicine. ABM clinical protocol #10: Breastfeeding the late preterm infant (340/7 to 366/7 weeks gestation) (first revision june 2011). Breastfeeding Medicine. 2011; 6(3):151-156. https://doi.org/10.1089/bfm.2011.9990
  11. Briere CE, Lucas R, McGrath JM, Lussier M, Brownell E. Establishing breastfeeding with the late preterm infant in the NICU. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2015;44(1): 102-113. https://doi.org/10.1111/1552-6909.12536
  12. Chen CF, Hsu MC, Shen CH, Wang CL, Chang SC, Wu KG, et al. Influence of breast-feeding on weight loss, jaundice, and waste elimination in neonates. Pediatrics and Neonatology. 2011;52(2): 85-92. https://doi.org/10.1016/j.pedneo.2011.02.010
  13. McGillivray A, Polverino J, Badawi N, Evans N. Prospective surveillance of extreme neonatal hyperbilirubinemia in Australia. Journal of Pediatrics. 2016;168:82-87. https://doi.org/10.1016/j.jpeds.2015.08.048
  14. Park S, Kang J, Kwon S, Kim H, Kim Y. The clinical characteristics according to the risk factors of idiopathic nonhemolytic hyperbilirubinemia. Journal of the Korean Society of Neonatology. 2013; 17(2):224-231. https://doi.org/10.5385/jksn.2010.17.2.224
  15. Waite WM, Taylor JA. Phototherapy for the treatment of neonatal jaundice and breastfeeding duration and exclusivity. Breastfeeding Medicine. 2016;11(4):180-185. https://doi.org/10.1089/bfm.2015.0170
  16. De Onis M, Blossner M. The world health organization global database on child growth and malnutrition: Methodology and applications. International Journal of Epidemiology. 2003;32(4):518-526. https://doi.org/10.1093/ije/dyg099
  17. Villar J, Giuliani F, Barros F, Roggero P, Zarco IA, Rego MA, et al. Monitoring the postnatal growth of preterm infants: A paradigm change. Pediatrics. 2018;141(2):e20172467. https://doi.org/10.1542/peds.2017-2467
  18. Giugliani ER, Horta BL, de Mola CL, Lisboa BO, Victora CG. Effect of breastfeeding promotion interventions on child growth: A systematic review and meta-analysis. Acta Paediatrica. 2015;104(467): 20-29. https://doi.org/10.1111/apa.13160
  19. Jang GJ. Influence of a breastfeeding coaching program on the breastfeeding rates and neonatal morbidity in late preterm infants. Child Health Nursing Research. 2020;26(3):376-384. https://doi.org/10.4094/chnr.2020.26.3.376
  20. Jang GJ, Hong YR. Effects of a breastfeeding support program on the prevalence of exclusive breastfeeding and growth in late preterm infants. Child Health Nursing Research. 2020;26(1):90-97. https://doi.org/10.4094/chnr.2020.26.1.90
  21. Akahira-Azuma M, Yonemoto N, Mori R, Hosokawa S, Matsushita T, Sukhbat K, et al. An hour-specific transcutaneous bilirubin nomogram for Mongolian neonates. European Journal of Pediatrics. 2015;174(10):1299-1304. https://doi.org/10.1007/s00431-015-2536-2
  22. Romagnoli C, Tiberi E, Barone G, Curtis MD, Regoli D, Paolillo P, et al. Validation of transcutaneous bilirubin nomogram in identifying neonates not at risk of hyperbilirubinaemi: A prospective, observational, multicenter study. Early Human Development. 2012; 88(1):51-55. https://doi.org/10.1016/j.earlhumdev.2011.07.001
  23. Wataker H, Meberg A, Nestaas E. Neonatal family care for 24 hours per day: Effects on maternal confidence and breast-feeding. Journal of Perinatal and Neonatal Nursing. 2012;26(4):336-342. https://doi.org/10.1097/JPN.0b013e31826d928b
  24. Jang EH, Ju HO. Effects of an infant care education program for mothers of late-preterm infants on parenting confidence, breastfeeding rates, and infants' growth and readmission rates. Child Health Nursing Research. 2020;26(1):11-22. https://doi.org/10.4094/chnr.2020.26.1.11
  25. Kent JC, Hepworth AR, Langton DB, Hartmann PE. Impact of measuring milk production by test weighing on breastfeeding confidence in mothers of term infants. Breastfeeding Medicine. 2015;10(6):318-325. https://doi.org/10.1089/bfm.2015.0025
  26. Maisels MJ, Clune S, Coleman K, Gendelman B, Kendall A, McManus S, et al. The natural history of jaundice in predominantly breastfed infants. Pediatrics. 2014;134(2):e340-e345. https://doi.org/10.1542/peds.2013-4299
  27. Kim SK, Park S, Oh J, Kim J, Ahn S. Interventions promoting exclusive breastfeeding up to six months after birth: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies. 2018;80:94-105. https://doi.org/10.1016/j.ijnurstu.2018.01.004