The Effect of Baby Friendly Neonatal Intensive Care Initiative on Exclusive Breastfeeding Rates following Discharge in Very Preterm Infants.

IF 1.5 4区医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-09-24 DOI:10.1097/JPN.0000000000000851

N Bengü Karaçağlar, Gülsüm Kadıoğlu Şimşek, Fuat Emre Canpolat, Sarkhan Elbayiyev, H Gözde Kanmaz Kutman

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Abstract

Aim: We aimed to investigate the effect of "Baby Friendly NICU" practice on exclusive breastfeeding rates following discharge in very preterm infants.

Background: The Baby-Friendly Hospital Initiative (BFHI) is a global program launched by the World Health Organization (WHO) and UNICEF.

Methods: The feeding technique, type of nutrition (breastfeeding, formula, mixed) and anthropometric measurements of the very preterm infants (≤32 gestational weeks) were recorded for every month following discharge up to corrected 6 months of age. Exclusive breastfeeding rates were compared between 2 periods before "Baby Friendly NICU" practice (group 1) and after (group 2).

Results: Data of 252 infants, 135 in group 1 and 117 in group 2 were analyzed. Exclusive formula feeding rates decreased by 6 months age in group 2 (46 vs. 32%, P = .02); however, exclusively breastfeeding rates did not changed significantly (20% vs. 29%, P = .14).

Conclusion: Baby friendly NICU practices significantly decreased formula feeding rates at 6 months; however, it did not have an effect on exclusive breastfeeding rates at any time point during follow-up probably due to small sample size.

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爱婴新生儿重症监护计划对极早产儿出院后纯母乳喂养率的影响。

目的：我们旨在研究 "爱婴新生儿重症监护室 "实践对极早产儿出院后纯母乳喂养率的影响：背景：爱婴医院倡议（BFHI）是由世界卫生组织（WHO）和联合国儿童基金会（UNICEF）共同发起的一项全球性计划：方法：记录极早产儿（妊娠周数小于32周）出院后至6个月大前每个月的喂养方法、营养类型（母乳喂养、配方奶、混合喂养）和人体测量数据。对 "爱婴新生儿重症监护室 "实践前（第一组）和实践后（第二组）两个时期的纯母乳喂养率进行了比较：结果：分析了 252 名婴儿的数据，其中第一组 135 名，第二组 117 名。到 6 个月大时，第 2 组婴儿的纯配方奶喂养率有所下降（46% 对 32%，P = .02）；但纯母乳喂养率变化不大（20% 对 29%，P = .14）：结论：婴儿友好型新生儿重症监护室的做法大大降低了6个月大时的配方奶喂养率；但是，可能由于样本量较小，在随访期间的任何时间点，它都没有对纯母乳喂养率产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatal & Neonatal Nursing 医学-妇产科学

CiteScore

1.60

自引率

7.70%

发文量

147

审稿时长

>12 weeks

期刊介绍： The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.