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Sökning: WFRF:(Flacking Renée)

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11.
  • Ericson, Jenny, et al. (författare)
  • Breastfeeding satisfaction post hospital discharge and associated factors - a longitudinal cohort study of mothers of preterm infants
  • 2021
  • Ingår i: International Breastfeeding Journal. - : BioMed Central (BMC). - 1746-4358 .- 1746-4358. ; 16:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Mothers' satisfaction with breastfeeding is important for breastfeeding duration but rarely investigated in mothers of preterm infants. The aim of this study was to describe breastfeeding satisfaction and associated factors during the first year in mothers of preterm infants (gestational age < 37 weeks). Methods: This longitudinal cohort study, based on secondary analysis data from a randomized controlled trial, included 493 mothers of 547 preterm infants. Data on breastfeeding duration and satisfaction, parental stress and attachment were collected at 8 weeks post discharge, and at 6 and 12 months after birth. Breastfeeding satisfaction was measured by the Maternal Breastfeeding Evaluation Scale. Descriptive statistics and linear mixed effect models were used when analyzing the data. Results: During the first 12 months breastfeeding satisfaction increased in the mean summary scores and points in the dimensions "role attainment" and "lifestyle and maternal body image". In the dimension "infant growth and satisfaction", there was an increase in mean points from 6 to 12 months after birth, but not between 8 weeks after discharge and 12 months after birth. The findings also showed that partial and no breastfeeding, higher parental stress, and infant gestational age < 32 weeks were associated with decreased breastfeeding satisfaction. Older maternal age and greater maternal attachment were associated with increased maternal breastfeeding satisfaction. There were no associations between maternal breastfeeding satisfaction and maternal educational level, parity, multiple birth, or maternal birth country other than Sweden, during the first 12 months after birth. Conclusions: Breastfeeding satisfaction was clearly associated with breastfeeding duration during the first year after birth. Breastfeeding satisfaction may be important to take into account when supporting breastfeeding and when designing interventions to support breastfeeding. Furthermore, these findings highlight the complexity of breastfeeding and emphasize the need for early and good support during neonatal care, so that mothers feel trust in themselves and their infant and in exclusive breastfeeding at discharge and in the first months thereafter.
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12.
  • Ericson, Jenny, et al. (författare)
  • Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units : a register study over 10 years
  • 2016
  • Ingår i: BMJ Open. - London, United Kingdom : BMJ Publishing Group Ltd. - 2044-6055. ; 6:12
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: There are indications that the prevalence of exclusively breastfed preterm infants is decreasing in Sweden. The objective was to investigate trends in exclusive breast feeding at discharge from Swedish neonatal units and associated factors in preterm infants.Design, setting and participants: This is a register study with data from the Swedish Neonatal Quality Register. Data from 29 445 preterm infants (gestational age (GA) <37 weeks) who were born during the period 2004–2013 were retrieved. Data included maternal, perinatal and neonatal characteristics. Data were analysed for the whole population as well as for 3 GA groups.Results: From 2004 to 2013, the prevalence of exclusive breast feeding decreased, in extremely preterm (GA 22–27 weeks) from 55% to 16%, in very preterm (GA 28–31 weeks) from 41% to 34% and in moderately preterm infants (GA 32–36 weeks) from 64% to 49%. The decline was statistically significant (p<0.001) in all 3 GA groups. This decline remained significant when adjustments were made for factors negatively associated with exclusive breast feeding andwhich became more prevalent during the study period, that is, small for GA (all groups) and maternal mental illness (very preterm and moderately preterm infants).Conclusions: In the past 10 years, Sweden has experienced a lower rate of exclusive breast feeding in preterm infants, especially in extremely preterm infants. The factors analysed in this study explain only a small proportion of this decline. The decline in exclusive breast feeding at discharge from neonatal units raises concern and present challenges to the units to support and promote breast feeding.
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13.
  • Ericson, Jenny, et al. (författare)
  • Decrease in Breast Milk intake in Preterm Infants Discharged from Swedish Neonatal Units 2004-2013
  • 2015
  • Konferensbidrag (refereegranskat)abstract
    • Objective: Sweden is traditionally regarded as a pro-breastfeeding culture with high rates of breastfeeding. The objective was to describe breast milk intake in preterm infants at discharge from neonatal units during 2004-2013 and to describe potential influencing factors for not receiving breast milk at discharge.Method: This study is a registry study with data collected from the Swedish Neonatal Quality Register (SNQ). 29.433 preterm infants who had information about breast milk intake at discharge, in the register, were included. Results: There is a decrease in exclusive breastfeeding from 59 % in 2004 to 45 % in 2013. Among extremely preterm infants (n=1931), the rate of any breastfeeding decreased from 73 % to 55 %, in very preterm infants (n=4587) from 81 % to 75 % and in moderately preterm infants (n=22.915) from 92 % to 89 %, during the study period. The adjusted odds ratios for not receiving breast milk at discharge were; gestational age 2.2 (2.0-2.4), multiple births 2.1 (1.9-2.3), gestational diabetes 2.1 (1.7-2.7), mothers’ mental health 2.1 (1.8-2.6), cesarean section 1.8 (1.7-2.0), mothers’ health 1.7 (1.6-1.9), ventilator treatment 1.5 (1.3-1.7), CPAP treatment 1.3 (1.1-1.4), small for age 1.2 (1.1-1.4) and neonatal illness 1.2 (1.0-1.4)Conclusions:  Breast milk intake at discharge from hospital has decreased among preterm infants in Sweden from 2004 to 2013. Gestational age, multiple births, and mothers’ health were the strongest risk factors for not receiving breast milk at discharge. This negative trend raises concern, and presents challenges to neonatal units to support and promote increased breast milk intake.
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14.
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15.
  • Ericson, Jenny, et al. (författare)
  • Estimated Breastfeeding to Support Breastfeeding in the Neonatal Intensive Care Unit
  • 2013
  • Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing. - : Elsevier BV. - 0884-2175 .- 1552-6909. ; 42:1, s. 29-37
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective To evaluate the effects of estimated breastfeeding on infant outcomes in comparison to test weighing and to describe staff members experiences of estimated breastfeeding as a method for supporting the transition from tube feeding to breastfeeding. Design A mixed method evaluation. Setting Neonatal Intensive Care Unit (NICU) in Sweden. Participants The study included 365 preterm (25th36th gestational weeks) infants and 45 nurses or nurse assistants. Methods A retrospective comparative medical record study was used to assess infant outcomes during a period of test weighing (196 infants) and again after the implementation of estimated breastfeeding (169 infants). A qualitative survey was conducted to explore the staff experiences of estimated breastfeeding. Results No differences were found between groups regarding duration of tube feeding, length of hospital stay, gestational age, weight at discharge, and rate of any breastfeeding. Infants in the estimated breastfeeding group had a higher risk of not being exclusively breast milk fed than infants in the test-weighing group (OR = 2.76, CI [1.5, 5.1]). Staff perceived estimated breastfeeding as a more facilitative and less stressful method for mothers than test weighing. Some staff had difficulty following guidelines while simultaneously providing person-centered care. Conclusions Estimated breastfeeding is a nonintrusive and feasible method for assessing and supporting the transition from tube feeding to breastfeeding among preterm infants in a NICU. However, the increased risk for not being exclusively breastfed is of concern. Additional research is needed to assess whether this method is appropriate and feasible in varying contexts and cultures.
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16.
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17.
  • Ericson, Jenny, et al. (författare)
  • Mothers' experiences of a telephone-based breastfeeding support intervention after discharge from neonatal intensive care units - a mixed-method study
  • 2017
  • Ingår i: International Breastfeeding Journal. - : Springer Science and Business Media LLC. - 1746-4358 .- 1746-4358. ; 12:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: After discharge from a neonatal intensive care unit (NICU), many mothers of preterm infants (gestational age<37 weeks) experience a lack of support for breastfeeding. An intervention study was designed to evaluate the effects of proactive (a daily telephone call initiated by a member of a breastfeeding support team) and/or reactive (mothers could call the breastfeeding support team) telephone based breastfeeding support for mothers after discharge from the NICU. The mothers in the intervention group had access to both proactive and reactive support; the mothers in the control group only had access to reactive support. The aim of this study was to explore the mothers' experiences of the proactive and reactive telephone support.Methods: This study was a qualitatively driven, mixed-method evaluation using three data sources: questionnaires with qualitative open-ended questions, visual analogue scales and telephone interviews. In total, 365 mothers contributed data for this study. The qualitative data were analysed with an inductive thematic network analysis, while the quantitative data were analysed with Student's t-test and the chi-square test.Results: Proactive support contributed to greater satisfaction and involvement in breastfeeding support. The mothers who received proactive support reported that they felt strengthened, supported and secure, as a result of the continuous care provided by staff who were knowledgeable and experienced (i.e., in breastfeeding and preterm infants), which resulted in the global theme 'Empowered by proactive support'. The mothers who received reactive support experienced contradictory feelings; some felt secure because they had the opportunity to call for support, whereas others found it difficult to decide when and if they should use the service, which resulted in the global theme; 'Duality of reactive support'.Conclusion: There were positive aspects of both proactive (i.e., greater satisfaction and feelings of empowerment) and reactive support (i.e., the opportunity to call for support); however, the provision of reactive support alone may be inadequate for those with the greatest need for support as they are the least likely to access it.
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18.
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19.
  • Ericson, Jenny, et al. (författare)
  • Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge : a randomised controlled trial
  • 2018
  • Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 107:5, s. 791-798
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: The aim was to evaluate the effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants after discharge from neonatal intensive care units (NICU).METHODS: Between March 2013 and December 2015, a randomised controlled trial was conducted at six NICUs across Sweden. At each NICU, a breastfeeding support team recruited, randomised and delivered the support to participating mothers. The intervention group received a daily proactive telephone call up to 14 days after discharge from the support team. The control group could initiate telephone contact themselves. Primary outcome was exclusive breastfeeding eight weeks after discharge. Secondary outcomes were maternal satisfaction with breastfeeding, attachment, quality of life and parental stress.RESULTS: In total, 493 mothers were randomised, 231 to intervention group and 262 to control group. There were no differences between the groups for exclusive breastfeeding, odds ratio 0.96, 95% CI 0.66-1.38, nor for maternal satisfaction with breastfeeding, attachment or quality of life. The intervention group reported significantly less parental stress than the controls, t=2.44, 95% CI 0.03-0.23, effect size d=0.26.CONCLUSION: In this trial, proactive telephone support was not associated with increased exclusive breastfeeding prevalence eight weeks following discharge. However, intervention group mothers showed significantly lower parental stress. This article is protected by copyright. All rights reserved.
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20.
  • Ericson, Jenny, et al. (författare)
  • Risk Factors for Not Breastfeeding at Discharge in Mothers of Preterm Infants
  • 2016
  • Konferensbidrag (refereegranskat)abstract
    • Background: Breastfeeding has nutritional, cognitive and immunological advantages compared to formula feeding1. Breastfeeding rates among preterm infants are lower than in term infants2. The aim was to investigate risk factors for not breastfeeding at discharge in mothers of preterm infants.Method: In this registry study, data on maternal and infant health were obtained from the Swedish Neonatal Quality Register (SNQ). The study included data on 29.445 preterm infants (<37 gestational weeks, gw) and their mothers who were discharged to home and where information on breastfeeding was available 2004-2013.Results: During the study period (2004-2013), there was a statistical significant increase in the proportion of mothers with a notification of any illness (15% to 29%), mental illness (2% to 6%), administration of antenatal corticosteroids (31% to 34%) and infants born small for age (4% to 9%). Factors that had a statistical significant adjusted odds ratios for not breastfeeding at discharge were; notification of any illness in mother 1.7 (1.5-1.8), mental illness 1.9 (1.6-2.2), gestational diabetes 1.8 (1.4-2.2), administration of antenatal corticosteroids 1.1 (1.0-1.2), cesarean sectio 1.6 (1.5-1.8), multiple births 1.3 (1.2-1.4), infants gestational week at birth: 22-27 gw 5.6 (4.8-6.5), 28-31 gw 2.6 (2.3-3.0) (gw 32-36 ref.), small for age 1.2 (1.1-1.4), and neonatal illness 1.4 (1.2-1.6).Conclusions: The strongest risk factors for not breastfeeding at discharge were low gestational weeks at birth, maternal illnesses and caesarean sectio. These findings are important and present challenges to health care to improve breastfeeding outcomes in these vulnerable groups of mothers and infants. References: 1. Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet.387(10017):475-490. 2. Flacking R, Nyqvist KH, Ewald U. Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. European journal of public health. 2007;17(6):579-584.
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