Child care support to mothers of extremely low birth weight babies : Building a system of ongoing support for breast feeding

对极低出生体重婴儿母亲的育儿支持：建立母乳喂养持续支持系统

• 批准号: 14572306
• 负责人: HIRASAWA Mieko
• 金额: $ 2.11万
• 依托单位: Japanese Red Cross College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572306/
• 关键词: ongoing support for breast feeding; home visits by midwives; accumulated fatigue of mothers; difficulty in getting appropriate advice; supply of advanced specialized human resources; 母乳育児のガイドライン; 専門助産師の訪問指導; 低体重児の発育指標の必要性; 低体重児退院後の母親の不安; 適時の訪問支援の

In FY2004 specialist midwives made home visits to former low birth weight NICU babies, in continuation of the previous year's objective of establishing a system for providing essential support for successful breast feeding of infants. The home visits were made at the request of 25 mothers who had been in the "N" Medical Center. In addition to providing the necessary assistance, semi-structured interviews were conducted to assess the physical conditions of the mothers and their babies, how well nursing was being conducted, whether or not the mothers were receiving support from others and the mothers' worries or annxieties.Of the 25 women,20 were primiparas and 5 were multiparas. There were three cases of twins and one of triplets. The aveage age of the mothers was 33.3,average gestational age was 29.7 weeks, and the babies' weights upon discharge from the center had an average weight of 2,452g. On average, the visits were made on the 24th day after discharge from the center. Most of the … More women were continuing to breast feed, either directly (in 10 cases) or by a combination of direct nursing and feeding expressed breast milk. In 12 cases, the husband alone was sharing in child care and no one shared the mother's burden in one case. Overall, the mothers' situations were that they received little support for child care.The visits brought to light background and family issues pertaining to child care. The subjects suffered from accumulated caregiver fatigue due to problems caused by their babies' insufficiently developed physical functions, their own uncertainties about what to expect or inavailability of good advice. The visits provided the subjects with critical mental reassurance as the result of having specific questions that had arisen in their home environments addressed, their gaining full understanding of the benefits of breast feeding and receiving direct care of their breasts, etc. These positive effects notwithstanding, however, with only their husbands to provide assistance, the multiple mothers were struggling valiently, the triplets mother, for example, affixing tape labels to her babies to keep track of numbers of feedings and amounts of milk consumed.Over time, fatigue build-up poses a danger to the health of these mothers. There is a need to establish community-based systems that provide full support for breast feeding, including visits by primary nurses with NICU experience that begin as soon as the infant leaves the medical facility. A supply of highly trained specialists must be assured in order to meet this need for a comprehensive system of ongoing caregiving to low birth weight babies. Less

在2004财政年度，专业助产士对新生儿重症监护病房出生的低体重婴儿进行了家访，继续实现前一年的目标，即建立一个为成功母乳喂养婴儿提供必要支持的制度。家访是应25名曾在“N”医疗中心的母亲的要求进行的。除了提供必要的援助外，还进行了半结构化的访谈，以评估母亲及其婴儿的身体状况、哺乳情况如何、母亲是否得到他人的支持以及母亲的担忧或焦虑。有三个双胞胎和一个三胞胎。母亲的平均年龄为33.3岁，平均胎龄为29.7周，婴儿出院时的平均体重为2，452 g。平均而言，访视是在从中心出院后的第24天进行的。大部分 ...更多信息 妇女继续母乳喂养，或者直接（10例），或者直接哺乳和喂挤出的母乳相结合。在12个案例中，丈夫独自分担育儿，在一个案例中，没有人分担母亲的负担。总的来说，母亲们的情况是，她们在儿童保育方面得到的支持很少，这些访问揭示了与儿童保育有关的背景和家庭问题。由于婴儿的身体功能发育不足、他们自己对期望的不确定性或得不到好的建议而引起的问题，受试者遭受了累积的照顾者疲劳。这些访问为受试者提供了重要的精神保证，因为他们的家庭环境中出现的具体问题得到了解决，他们充分了解了母乳喂养的好处，并接受了乳房的直接护理等。尽管有这些积极的影响，但是，只有丈夫提供帮助，多胞胎母亲仍然勇敢地挣扎，例如，三胞胎母亲，在婴儿身上贴上标签，记录婴儿的喂奶次数和奶量。久而久之，疲劳会对这些母亲的健康构成威胁。有必要建立以社区为基础的系统，为母乳喂养提供全面支持，包括婴儿离开医疗设施后开始由具有新生儿重症监护室经验的初级护士进行探访。必须确保提供训练有素的专家，以满足对低出生体重婴儿持续护理综合系统的需要。少