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Feeding outcomes and influences within the neonatal unit
J Wheeler1, C Chapman, M Johnson
1Newborn Care Unit, Liverpool Health Service, Liverpool, New South Wales, Australia.
International Journal of Nursing Practice
|March 23, 2001
Summary
Mothers in neonatal units often intend to breast-feed, influenced by personal choice and bonding. Early feeding experiences and nurse support significantly impact breast-feeding success in preterm infants.
Area of Science:
- Neonatal care
- Maternal-infant bonding
- Breastfeeding support
Background:
- Neonatal units present unique challenges for establishing maternal feeding intentions.
- Understanding factors influencing feeding choices is crucial for supporting mothers.
Purpose of the Study:
- To examine maternal feeding intentions in the neonatal unit.
- To identify factors influencing these intentions.
- To explore changes in factors affecting feeding choices.
Main Methods:
- Surveyed 100 mothers regarding feeding intentions and influencing factors.
- Examined maternal experiences and nurse-assisted feeding activities.
- Analyzed feeding intentions in relation to gestational age and feeding methods.
Main Results:
- 81% of mothers intended to breast-feed post-discharge.
- Personal choice, perceived benefits, and maternal-infant closeness were key influences.
- Early sucking experiences and frequent milk expression were higher in mothers intending to breast-feed.
- Nurse-assisted feeding scores varied significantly with infant gestational age.
Conclusions:
- Maternal feeding intentions are multifactorial, with personal choice being paramount.
- Specific early feeding experiences and nurse support appear to promote breast-feeding.
- Gestational age is a significant factor in the need for nurse-assisted feeding.
- The Feeding Activities Calendar may enhance breast-feeding rates in preterm infants.