scholarly journals Maternal experience of intermittent kangaroo mother care for late preterm infants: a mixed-methods study in four postnatal wards in China

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e050221
Author(s):  
Bo Zhang ◽  
Jieya Yue ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preterm Infants ◽  
Northwest China ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Infant Crying ◽  
Late Preterm Infants ◽  
Maternal Experience ◽  
Raising Awareness ◽  
Semistructured Interviews

ObjectiveTo describe how mothers of late preterm infants experienced the provision of intermittent kangaroo mother care (KMC) in four postnatal wards in different hospitals in China, under a pilot KMC project.DesignA concurrent mixed-methods approach incorporating quantitative maternal questionnaires and qualitative semistructured interviews.SettingFour postnatal wards in level-III hospitals based in different provinces of Southeast and Northwest China.ParticipantsAll 752 mothers who provided intermittent KMC to their late preterm newborns in the four participating postnatal wards consented to participate in the study (quantitative component), as well as six nurses, two obstetricians and two mothers from two of the participating postnatal wards (qualitative component).Outcome measuresMaternal KMC experiences during a hospital stay, patients’ perceptions of KMC initiation, processes, benefits and challenges.ResultsMost mothers had not heard of KMC before being introduced to it in the postnatal ward. On average, mothers and newborns stayed in postnatal wards for 3.6 days; during their stay, mothers provided an average of 3.5 KMC sessions, which is an average of 1.1 sessions a day. Each KMC session lasted an average of 68 min, though there was much variation in the length of a session. Common reasons given for discontinuing a KMC session included restroom use, infant crying and perceived time limitations. Some mothers would have preferred to provide KMC for longer periods of time and nurses encouraged this. Most mothers experienced no difficulty providing KMC, received support from family and medical staff and intended to continue with KMC postdischarge.ConclusionIn order to improve the maternal experience of KMC, it is recommended that raising awareness of KMC should be included in antenatal care and after birth. Longer periods of KMC provision should be encouraged, greater privacy should be provided for mothers providing KMC in postnatal wards and family members should be encouraged to support KMC.

scholarly journals Maternal Experience of Intermittent Kangaroo Mother Care for Late Preterm Infants: A Mixed-Methods Study in Four Postnatal Wards in China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Jieya Yue ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preterm Infants ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Post Discharge ◽  
Infant Crying ◽  
Late Preterm Infants ◽  
Maternal Experience

Abstract Objective: To describe how mothers of late preterm infants experienced provision of intermittent kangaroo mother care (KMC) on four postnatal wards in different hospitals in China under a pilot KMC project.Methods: We used a concurrent mixed-methods approach incorporating quantitative and qualitative data. We collected quantitative data covering delivery and maternal experience of and attitude to KMC from 752 mothers who provided KMC to their late preterm newborns on the postnatal wards of four hospitals in different provinces of China. We gathered data from hospital records and maternal questionnaires. Qualitative data was collected from ten semi-structured interviews with nurses, obstetricians, and mothers from two of the participating postnatal wards. We used descriptive analysis for quantitative data and general inductive analysis for qualitative data.Results: Most mothers had not heard of KMC before being introduced to it on the postnatal ward. On average, mothers and newborns stayed on postnatal wards for 3.6 days: during their stay mothers provided an average of 3.5 KMC sessions, an average of 1.1 sessions a day. Each KMC session lasted an average of 68 minutes though there was much variation in length. Common reasons given for discontinuing a KMC session included restroom use, infant crying, and perceived time limitations. Some mothers would have preferred to provide KMC for longer periods of time and nurses encouraged this. Most mothers experienced no difficulty providing KMC, received support from family and medical staff and intended to continue KMC post discharge.Conclusion: In order to improve maternal experience of KMC it is recommended that awareness raising of KMC be included in antenatal care and after birth, longer periods of KMC provision be encouraged, greater privacy be provided for mothers providing KMC on postnatal wards and family members be encouraged to support KMC.

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

2017 ◽  
Vol 12 (10) ◽  
pp. 637-644 ◽  
Author(s):  
Melissa Pike ◽  
Alta Kritzinger ◽  
Esedra Krüger
Keyword(s):  
Preterm Infants ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Late Preterm Infants

scholarly journals Experiences, mental well‐being and community‐based care needs of fathers of late preterm infants: A mixed‐methods pilot study

Nursing Open ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 127-136
Author(s):  
Shahirose Sadrudin Premji ◽  
Sandra Reilly ◽  
Genevieve Currie ◽  
Aliyah Dosani ◽  
Lynnette May Oliver ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Preterm Infants ◽  
Well Being ◽  
Late Preterm ◽  
Care Needs ◽  
Community Based ◽  
Late Preterm Infants ◽  
Mental Well Being

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (95% CI 1.53, 3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (95% CI 1.15, 2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (95% CI 1.81, 3.61)), and use breastfeeding method at follow-up (OR=2.09 (95% CI 1.44, 3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

Respiratory distress management in moderate and late preterm infants: The NEOBS Study

2021 ◽  
Author(s):  
T. Debillon ◽  
P. Tourneux ◽  
I. Guellec ◽  
P.-H. Jarreau ◽  
C. Flamant
Keyword(s):  
Respiratory Distress ◽  
Preterm Infants ◽  
Late Preterm ◽  
Late Preterm Infants
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