Research of the effects for the hepatitis B virus puerpera′s breastfeeding by pluralistic management in hospital / 中国实用护理杂志

Objective@#To discuss the impact and practicability of pluralistic management when puerpera with hepatitis B virus (HBV) in hospital.@*Methods@#By review researching and convenient sampling, two groups of puerpera with HBV were studied comparatively by the index of the time of breast milk, the breastfeeding rate and the satisfaction rate in hospital.The control group (411 cases, January to December, 2017) carried on the normal regulations nursing and the observation group (411 cases, January to October, 2018) carried on the pluralistic management in the Obstetrics and Gynecology Department of the Fifth Medical Center of PLA General Hospital.@*Results@#The rate of the starting time of milk secretion (<24, 24-48, 49-72, >72 h) was 29.4%(121/411), 36.0%(148/411), 24.6%(101/411), 1.0%(41/411) in the observation group, and 13.6%(56/411), 21.7%(89/411), 33.3%(137/411), 31.4%(129/411) in the control group. The differences between the two groups were significant (χ2 value was 7.66-57.43, all P<0.01). Postpartum hospital stay in 3 days and 6 days, the breastfeeding rate and average rate was 90.4%(198/219), 95.3%(183/192), 92.7%(381/411) in the observation group, and 79.0%(180/228), 84.2%(154/183), 81.3%(334/411) in the control group, the differences between the two groups were significant (χ2 value was 11.13, 12.7, 23.61, all P<0.01). The total satisfaction rate in hospital was 99.5%(409/411) in the observation group, and 91.2%(375/411) in the control group, the difference between the two groups was significant (χ2 value was 31.93, P<0.01).@*Conclusions@#Pluralistic management can raise the rate of breastfeeding of puerpera with HBV and the satisfaction of puerpera with HBV and her family.

Predictors of Breastfeeding Problems in The First Postnatal Week and Its Effect on Exclusive Breastfeeding Rate at Six Months: Experience in A Tertiary Care Centre in Northern India.

In spite of the countless benefi ts of breastfeeding, prevalence of exclusive breastfeeding (EBF) has been far from optimal in the developing world. Breastfeeding problems at or after 4 weeks has been reported as one among the constraints to EBF. The study aimed to determine the breastfeeding problems in the 1st postnatal week, their predictors and impact on EBF rate at 6 months. Under a prospective cohort design, 400 mother-newborn dyads were assessed for breastfeeding problems before discharge and at 60 ± 12 h of discharge. Nearly 89% of the mother-newborn dyads had one or more BF problems before discharge. Major concern was diffi culty in positioning and attaching the infant to the breast (88.5%), followed by breast and nipple problems (30.3%). BF problems continued to persist even after discharge in a signifi cant proportion of the mothers (72.5%). The only independent predictor of BF problems in the 1st week was the caesarean section (odds ratio: 1.9, 95% confi dence interval: 1.3-3.2, P < 0.05). There was a marked improvement in the EBF status (69.5%) at 6 months, and BF problems did not predict EBF failure at 6 months.

Breastfeeding Rate in Below 6 Months Infants during Recent 6-year in Korea Based on Childcare Database

PURPOSE: Breastfeeding is ideal diet for young infant and worldwidely recommended by many guidelines of authoritative centers. We investigated breastfeeding rate of young infant during recent 6-year in Korea and analyzed the tendency of it. METHODS: The subjectives were young infants whose mothers registered in childcare database of Mail dairies Co., Ltd. We surveyed exclusive breast feeding rate, mixed feeding rate, exclusive artificial milk feeding rate and ever breastfed rate at 1st week after birth and every months of age from the first to sixth months and assessed the changes of them during recent 6-year (2007-2012) in Korea. RESULTS: During the recent 6-year (2007-2012), the means of exclusive breastfeeding rates from the birth to 6th month in age were 34% for 1 week, 38% for 1 month, 42% for 2 months, 39% for 3 months, 33% for 4 months, 27% for 5 months and 25% for 6 months. The exclusive breastfeeding rate had been increased at 1 week, 1 month, 4 to 6 months aged infants during the recent 6-year. The mixed feeding rate had not been changed significantly and the exclusive artificial milk feeding rate had been decreased. Also, ever breastfed rate had been increased at 1 week to 2 months aged infants and had not been changed significantly at 4 to 6 months aged infants. CONCLUSION: The young infant's breastfeeding rate in Korea had been increased in recent 6-year from 2007 to 2012 and should be further increased.

A Survey on the Feeding Practices of Women for the Development of a Breastfeeding Education Program: Breastfeeding Knowledge and Breastfeeding Rates / 대한지역사회영양학회지

A survey was carried out to investigate the breastfeeding knowledge, breastfeeding rates and related factors among women in Seoul and the Chungbuk area, in order to obtain baseline data for the development of an education program on breastfeeding. Subjects included 671 lactating mothers who visited public health or pediatric centers, between December, 1999 and February, 2000 and were interviewed using a questionnaire. The results are as follows: In the breastfeeding knowledge, most of the subjects (93.4%) knew correctly that 'breastfeeding is better for a baby's emotional development than formula feeding,' whereas only half of the subjects (51.7%) answered correctly the question on whether 'formula is more nutritious than breastmilk.' The breastfeeding rates were about 57%, 40%, 33% and 12%, respectively for baby's aged 1, 3, 6, and 12 months. These results showed that the breastfeeding rate rapidly decreased with the baby's age. Lower breastfeeding rates were associated with high educational level (college graduate and above), high income, mothers' employment, no experience of attending breastfeeding education programs, and no planning on breastfeeding prior to pregnancy. There was a significant relationship between the level of knowledge and breastfeeding practice; the higher the knowledge score, the higher the breastfeeding rate. In conclusion, an education program should be developed and offered for each low breastfeeding rate group, in order to promote breastfeeding.