Teaching antenatal hand expression: a feasibility study in an inner urban U.S. hospital.
Teaching antenatal hand expression: a feasibility study in an inner urban U.S. hospital.
复制标题
DOI：
10.1186/s13006-023-00578-w
复制
发表时间：
2023-08-10
影响因子：
3.5
通讯作者：
中科院分区：
文献类型：
--
作者：
许多女性对母乳喂养缺乏信心，担心母乳量少或母乳喂养不舒服。母亲的手表达可能是一个机会，帮助妇女感到更舒适的母乳喂养，并有助于促进纯母乳喂养。在美国宾夕法尼亚州费城的一家医院进行的一项研究评估了在社会经济弱势群体中教授39周产前手部表达的可行性，整体参与者满意度以及手部表达和母乳喂养的采用。从2020年3月到2021年6月，在34-39周招募的女性被教导手工表达，收集和储存初乳。从39周开始，要求参与者每天练习手部表达1-3次，直到分娩，记录他们的经历，并储存表达的初乳。与女性联系，鼓励她们继续表达手势，并回答任何问题。产后，调查评估满意度的手表达和遇到的问题。调查还询问了母乳喂养计划和障碍，以及妇女是否完全母乳喂养（定义为婴儿从出生时起只接受母乳喂养）。对产后或健康婴儿访视记录进行图表审查，以确定妇女是否继续母乳喂养。在29名参与者中，72%（21/29）的女性报告在家中用手表达，没有女性报告在用手表达时出现宫缩。参与者的平均满意度为8.1/10（SD = 1.62），产前手部表情，平均满意度为9.4/10（SD = 0.90）对于手部表情教育，平均可能性为9.4/10（SD = 1.24）建议手的表达给别人，和8.1/10（SD = 1.69）的平均得分手的表达是如何帮助母乳喂养开始。90%（26/29）的妇女在出生后开始母乳喂养，72%（21/29）在出院时纯母乳喂养，但只有11/29（38%）在产后4-6周重新评估时继续纯母乳喂养。障碍包括产妇不适、牛奶供应不足以及产妇或婴儿疾病。这项研究表明，在城市环境中的妇女愿意练习产前手的表达。一项更大规模且充分有力的研究可能可以确定产前手部表情与母乳喂养率和信心之间的关联。在线版本包含补充材料，可通过10.1186/s13006-023-00578-w获得。
Many women have low confidence in breastfeeding and have concerns regarding low milk volume or discomfort with breastfeeding. Antenatal hand expression may be an opportunity to help women feel more comfortable with breastfeeding and help promote exclusive breastfeeding. A study at a hospital in Philadelphia, Pennsylvania, U.S. assessed the feasibility of teaching antenatal hand expression at 39 weeks among socioeconomically disadvantaged populations, overall participant satisfaction and adoption of hand expression and breastfeeding. From March 2020 to June 2021, women recruited at 34–39 weeks were taught to hand express, collect, and store colostrum. Starting from 39 weeks, participants were asked to practice hand expression 1–3 times / day until delivery, log their experiences, and store colostrum expressed. Women were contacted to encourage continued hand expression and answer any questions. Postpartum, a survey assessed satisfaction with hand expression and issues encountered. The survey also inquired about breastfeeding plans and barriers, and whether women were exclusively breastfeeding (defined as infants who received only breastmilk from the time of birth). Chart review of postpartum or well-baby visit notes determined whether women continued breastfeeding. Of the 29 participants, 72% (21/29) reported hand expressing at home, and no women reported contractions when hand expressing. Participants rated mean satisfaction of 8.1/10 (SD = 1.62) with antenatal hand expression, mean satisfaction of 9.4/10 (SD = 0.90) toward hand expression education, mean likelihood of 9.4/10 (SD = 1.24) recommending hand expression to others, and a mean score of 8.1/10 (SD = 1.69) on how helpful hand expression was in breastfeeding initiation. 90% (26/29) of women initiated breastfeeding after birth and 72% (21/29) exclusively breastfed on discharge, but only 11/29 (38%) continued exclusively breastfeeding when re-assessed 4–6 weeks postpartum. Barriers included maternal discomfort, low milk supply, and maternal or infant illness. This study suggests that women in an urban setting would be willing to practice antenatal hand expression. A larger and adequately powered study could be feasible to determine associations between antenatal hand expression and breastfeeding rates and confidence. The online version contains supplementary material available at 10.1186/s13006-023-00578-w.
登录
查看更多内容
母乳表达工具包的评估：M.I.L.K调查研究。
影响因子：
3.5
作者：
Alibhai KM;Murphy MSQ;Dunn S;Keely E;O'Meara P;Anderson J;El-Chaâr D
通讯作者：
El-Chaâr D
影响因子：
168.9
作者：
Forster, Della A.;Moorhead, Anita M.;Amir, Lisa H.
通讯作者：
Amir, Lisa H.
影响因子：
3.4
作者：
Fair, Frankie J.;Watson, Helen;Soltani, Hora
通讯作者：
Soltani, Hora
影响因子：
2.5
作者：
Admasu, Jatani;Egata, Gudina;Bassore, Dereje Getahun;Feleke, Fentaw Wassie
通讯作者：
Feleke, Fentaw Wassie
DOI：
10.1056/nejmoa1800566
发表时间：
2018-08-09
期刊：
The New England journal of medicine
影响因子：
--
作者：
Grobman WA;Rice MM;Reddy UM;Tita ATN;Silver RM;Mallett G;Hill K;Thom EA;El-Sayed YY;Perez-Delboy A;Rouse DJ;Saade GR;Boggess KA;Chauhan SP;Iams JD;Chien EK;Casey BM;Gibbs RS;Srinivas SK;Swamy GK;Simhan HN;Macones GA;Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network
通讯作者：
Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network