Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit
| Autor: | Esedra Kruger, Melissa Pike, Alta M. Kritzinger |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Breastfeeding 03 medical and health sciences South Africa 0302 clinical medicine 030225 pediatrics Intensive Care Units Neonatal Skin Physiological Phenomena Maternity and Midwifery Late preterm Medicine Humans 030212 general & internal medicine Infant Nutritional Physiological Phenomena business.industry Obstetrics Health Policy Infant Newborn Obstetrics and Gynecology Gestational age Social Support Mean age Orogastric feeding Kangaroo-Mother Care Object Attachment Mother-Child Relations Expressed breast milk Kangaroo-Mother Care Method Breast Feeding Sucking Behavior Female business Infant Premature |
| Zdroj: | Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. 12(10) |
| ISSN: | 1556-8342 |
| Popis: | To describe the breastfeeding characteristics of late-preterm infants (LPIs) in a kangaroo mother care (KMC) unit.In a 20-bed KMC unit, the breastfeeding of 73 purposively-selected LPIs' (mean gestational age: 34.8 weeks) was observed once-off, using the Preterm Infant Breastfeeding Behavior Scale. Participants' mean age was 9.5 days, mean number of days in the unit was 3.1 days, and mean number of days breastfeeding was 7.5 on observation.Only 13.7% of participants were directly breastfeeding without supplementary naso- or orogastric feeding/cup-feeding and 86.3% received supplementary cup-feeding of expressed breast milk. Most participants did not exhibit obvious rooting (83.5%) and although most latched-on (97.3%), those who did, latched shallowly (93%). The mean longest sucking burst was 18.8 (standard deviation: 10.5) and approximately half the participants swallowed repeatedly (53.4%). The mean breastfeeding session duration was 17.8 minutes, but most participants breastfed for less than 10 minutes (76.7%). No statistically significant differences in breastfeeding characteristics were detected between participants of different chronological ages. A general trend toward more mature behaviors in participants' breastfeeding for more days was present for many breastfeeding characteristics. More infants exhibited the most mature behavior for each breastfeeding characteristic when the environment was quiet, rather than noisy and disturbing, except for depth of latching (quiet: 0%, disturbance: 15.2%).LPIs in this sample presented with subtle breastfeeding difficulties, highlighting their need for breastfeeding support. Further research is required to examine the effect of KMC on breastfeeding in LPIs. |
| Databáze: | OpenAIRE |
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