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A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Effect of pre- and postdischarge interventions on breastfeeding outcomes and weight gain among premature infants

Azza H Ahmed1, Laura P Sands2

  • 1School of Nursing, Purdue University, West Lafayette, IN..

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|April 23, 2010
PubMed

Insights

Pre- and postdischarge interventions effectively improved breastfeeding duration, exclusivity, and maternal satisfaction in preterm infants. However, these interventions did not significantly impact infant weight gain. Further research is needed for optimal breastfeeding support.

Area of Science:

  • Neonatal Care
  • Maternal-Child Health
  • Lactation Science

Background:

  • Preterm infants often face challenges with breastfeeding and adequate weight gain.
  • Effective interventions are crucial for optimizing health outcomes in this vulnerable population.

Purpose of the Study:

  • To evaluate the impact of pre- and postdischarge interventions on breastfeeding outcomes and weight gain in preterm infants.
  • To synthesize evidence from randomized controlled trials on breastfeeding support for preterm infants.

Main Methods:

  • Systematic literature search of PubMed and CINAHL databases.
  • Inclusion of randomized controlled trials (RCTs) involving preterm infants (≤37 weeks gestation).
  • Extraction and synthesis of data on breastfeeding duration, exclusivity, maternal satisfaction, and infant weight gain.

Main Results:

  • Eight RCTs met inclusion criteria, involving infants born between 26 and 37 weeks gestation.
  • Interventions like kangaroo care, peer counseling, and postdischarge lactation support enhanced breastfeeding exclusivity, duration, and maternal satisfaction.
  • No significant effect of interventions on preterm infant weight gain was observed.

Conclusions:

  • Pre- and postdischarge breastfeeding interventions are effective in improving key breastfeeding metrics for mothers of preterm infants.
  • Clinical practice should incorporate evidence-based breastfeeding support before and after discharge.
  • Further research is necessary to identify interventions that promote exclusive and sustained breastfeeding in preterm infants.
Abstract

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