| 1. |
- Andresen, Erika, et al.
(författare)
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Non-medical formula use in newborn infants still common at two Swedish hospitals after a breastfeeding support program.
- 2023
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Ingår i: Acta Paediatrica. - 0803-5253 .- 1651-2227. ; 112:10, s. 2121-2128
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To evaluate the effectiveness of a breastfeeding support programme on reducing infant formula use and to investigate indications for formula in newborn infants in Sweden.METHODS: A quasi-experimental study design was carried out. It included 255 mother-infant pairs in a control group, who received standard care and 254 pairs in an intervention group, who took part in a breastfeeding support programme. Data were collected by reviewing patient records from two regional hospitals in Uppsala and Gotland and recruitment took place between 2017 and 2019.RESULTS: Median age of mothers were 31 years (range 20-49) and median gestational age of infants were 39 + 6 weeks/days (range 37 + 0 to 42 + 4). The intervention did not reduce infant formula use. In total, 87/507 (17%) of the infants received formula. Among children receiving formula 30/87 (34%) had a medical indication, whereas 57/87 (66%) had no medical indication. Main reasons for medically indicated formula use were hypoglycaemia, 13/30 (43%), and weight loss, 13/30 (43%). Main reasons for non-medical use were mothers'/parents' wishes, 25/57 (44%) and infants' dissatisfaction, 11/57 (19%).CONCLUSION: Continued efforts are needed to develop effective breastfeeding interventions with increased focus on infant formula reduction.
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| 2. |
- Blixt, Ingrid, 1968-, et al.
(författare)
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Breastfeeding training improved healthcare professional's self-efficacy to provide evidence-based breastfeeding support : A pre-post intervention study
- 2023
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Ingår i: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 125
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To describe healthcare professional's (HCP's) perceived self-efficacy in their ability to provide breastfeeding support before and after a breastfeeding training program.DESIGN: Pre-post intervention study.SETTING: Antenatal care and child healthcare (CHC) centres in Sweden during 2020.PARTICIPANTS: An intervention group consisting of 39 HCPs (midwives 51.3%, child healthcare nurses 46.2%) completing a questionnaire at baseline and after intervention, and a control group of 34 HCPs (midwives 61.8%, child healthcare nurses 38.2%) completing a questionnaire at baseline.INTERVENTION: A breastfeeding training program in line with the Ten Steps to Successful Breastfeeding and WHO recommendations about breastfeeding.MEASUREMENTS AND FINDINGS: The 11-item Breastfeeding Support Confidence Scale (BSCS) measures HCP's self-efficacy regarding providing breastfeeding support in line with Ten Steps to Successful Breastfeeding and WHO recommendations. The intervention group experienced a significantly increased self-efficacy from pre-intervention to post-intervention for 8 of the 11 BSCS items, with the overall BSCS index score increasing from 36.87 to 39.56 points (p = 0.001). The index score in the intervention group at follow-up was significantly higher than the corresponding score in the control group at baseline (p = 0.025). The intervention group had significantly higher scores at follow-up than the control group at baseline on the questions: "I'm sure that I can help mothers continue to breastfeed even if the infant doesn't follow the growth curve" (p = 0.026) and "I'm sure that I can help mothers continue to breastfeed when the breastfeeding is painful" (p = 0.048).KEY CONCLUSIONS: The breastfeeding training program improved HCP' self-efficacy to provide evidence-based support to breastfeeding mothers.IMPLICATIONS FOR PRACTICE: This training program is well suited to implement in clinical practice and follows the Ten Steps to Successful Breastfeeding.TRIAL REGISTRATION: ACTRN12623000648628.
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| 3. |
- Blixt, Ingrid, 1968-, et al.
(författare)
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Partners' experiences of breastfeeding : a qualitative evaluation of a breastfeeding support intervention in Sweden
- 2024
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Ingår i: International Breastfeeding Journal. - : BioMed Central (BMC). - 1746-4358. ; 19
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Tidskriftsartikel (refereegranskat)abstract
- Background: The World Health Organization states that women and their families need breastfeeding support from the healthcare system. However, knowledge about the most effective way to involve the partner in breastfeeding is lacking. A qualitative evaluation can provide insight and knowledge about the partner's experiences towards a breastfeeding support intervention and thus contribute to how forthcoming breastfeeding support policies are designed. The aim of this study was to explore partners' experiences regarding breastfeeding while participating in The Breastfeeding Study.Methods: An exploratory, longitudinal and qualitative design was used. This study was part of The Breastfeeding Study, which took place in Sweden. The intervention was performed in line with the Ten Steps to Successful Breastfeeding. Partners in the in the intervention group (IG) were part of a structured breastfeeding support programme. An individual breastfeeding plan was established in cooperation with the parents-to-be during pregnancy, and the plan was followed up at the child healthcare centre. A purposive sample was recruited from March to December 2021. Interviews and diary entries from IG (n = 8) and control group (CG) (n = 8) during pregnancy and 2 months after birth were analysed by content analysis, in accordance with the COREQ guidelines.Results: Partners' experiences can be summarised under the main category of 'Striving to be part of the family and important that the family's everyday life was well-functioning'. IG partners experienced that both parents were involved and cooperated in the breastfeeding process and that guidance from healthcare professionals (HCPs) helped them to feel secure. CG partners experienced feeling excluded and not receiving support from HCPs.Conclusion: Both parents need to be targeted in breastfeeding support policies to meet the support needs. Midwives at antenatal care and child healthcare nurses at the child healthcare centre have important roles to play in providing structured breastfeeding support and a breastfeeding plan. Both IG and CG partners strived to become a part of the infant's life and to make family life work. Midwives should involve both parents in a reflective dialogue on how the partner can be involved, apart from just feeding the infant.
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| 4. |
- Blixt, Ingrid, et al.
(författare)
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Partners’ Experiences of Breastfeeding: A Qualitative Evaluation of an Intervention
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Tidskriftsartikel (refereegranskat)abstract
- Background The World Health Organization states that women and their families need breastfeeding support from the healthcare system. However, knowledge about the most effective way to involve the partner in breastfeeding is lacking. A qualitative evaluation can provide insight and knowledge about the partner’s experiences towards a breastfeeding support intervention and thus contribute to how forthcoming breastfeeding support policies are designed. The aim of this study was to explore partners’ experiences regarding breastfeeding.MethodsAn exploratory, longitudinal and qualitative design was used. Partners in an intervention group (IG) and control group (CG) participated in interviews or wrote diaries during pregnancy and two months after birth. The intervention was performed in line with the Ten Steps to Successful Breastfeeding. Partners in the IG were part of a structured breastfeeding support programme. An individual breastfeeding plan was established in cooperation with the parents-to-be during pregnancy, and the plan was followed up at the child healthcare centre. A purposive sample was recruited from March to December 2021. Interviews and diary entries from 16 Swedish partners (8 IG and 8 CG) were analysed by content analysis, in accordance with the COREQ guidelines.ResultsPartners’ experiences can be summarised under the main category of ‘Striving to be part of the family and important that the family’s everyday life was well-functioning’. IG partners experienced that both parents were involved and cooperated in the breastfeeding process and that guidance from healthcare professionals (HCPs) helped them to feel secure. CG partners experienced feeling excluded and not receiving support from HCPs.ConclusionBoth parents need to be targeted in breastfeeding support policies to meet the support needs. Midwives at antenatal care and child healthcare nurses at the child healthcare centre have important roles to play in providing structured breastfeeding support and a breastfeeding plan. Both IG and CG partners strived to become a part of the infant’s life and to make family life work. Midwives should involve both parents in a reflective dialogue on how the partner can be involved, apart from just feeding the infant.
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| 5. |
- Blixt, Ingrid, 1968-
(författare)
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Support to breastfeeding women
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Breastfeeding has important health benefits for mothers and infants in high- and low-income countries. For that reason, the World Health Organization (WHO) recommends exclusive breastfeeding for six months and partial breastfeeding for two years or longer. During pregnancy, a majority of women state that they intend to breastfeed, but they often stop earlier than they want because they face many barriers. Thus, it is important that women get the opportunity to breastfeed as long as they want. The overall aim of this thesis was to explore women’s perceptions of what assisted them in breastfeeding and their advice to healthcare professionals regarding breastfeeding support. An additional aim was to evaluate a breastfeeding support programme based on the Ten Steps to Successful Breastfeeding and the WHO’s recommendations on breastfeeding. In Paper I, an exploratory qualitative design was used based on the critical incident technique. The main finding was that supporting women to continue breastfeeding is both complex and multifaceted. In Paper II, an exploratory qualitative design illuminated that Swedish women advised healthcare professionals to provide up-to-date and evidence-based breastfeeding support in a sensitive and individualised manner to help the mothers to reach their breastfeeding goals. In Paper III, a breastfeeding training programme was evaluated using a pre-post design. The programme improved midwives’ and child healthcare nurses’ self-efficacy to provide evidence-based support in line with the Ten Steps to Successful Breastfeeding and the WHO’s recommendations on breastfeeding. Paper IV used an exploratory, longitudinal and qualitative design. Specifically, the study showed that partners who participated in the breastfeeding support programme and received structured support felt that both parents were important. They felt involved and that the family cooperated in the breastfeeding process. In conclusion, it is crucial to understand families’ perceptions and experiences of breastfeeding when supporting women to breastfeed. Midwives and child healthcare nurses have important roles to play by providing structured breastfeeding support during the breastfeeding process. The whole family must be targeted to decrease the partner’s feelings of being excluded. Both parents must be involved in a reflective dialogue, where healthcare professionals explain how breastfeeding works and how the partner can be involved without bottle-feeding the infant.
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| 6. |
- Blomqvist, Ylva Thernström, 1974-, et al.
(författare)
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Parents need support to find ways to optimise their own sleep without seeing their preterm infant's sleeping patterns as a problem
- 2017
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 106:2, s. 223-228
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This study described how parents perceived their own sleep, and their infants', during neonatal intensive care unit (NICU) admission and after discharge. It also explored the infants' sleeping location at home.METHODS: The study was conducted in the NICUs of two Swedish university hospitals. The parents of 86 infants - 86 mothers and 84 fathers - answered questionnaires during their infants' hospital stay, at discharge and at the infants' corrected ages of two, six and 12 months. The parents' own sleep was explored with the Insomnia Severity Index.RESULTS: Mothers reported more severe insomnia than fathers during their infants' hospitalisation, and these higher insomnia severity scores were associated with more severe infant sleep problems at discharge (p = 0.027) and at two months (p = 0.006) and 12 months (p = 0.002) of corrected age. During the study period, 4%-10% of the parents reported severe or very severe infant sleeping problems. The bed-sharing rate was 75% after discharge and about 60% at the corrected age of 12 months.CONCLUSION: Maternal insomnia during an infant's hospital stay was associated with later perceptions of sleep problems in their children. Parents need support to find solutions for optimal sleep without seeing their child's sleeping patterns as a problem.
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| 7. |
- Cato, Karin, 1977-, et al.
(författare)
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Instrument development and an intervention to increase parents' self-efficacy regarding their infant's sleep
- 2024
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier. - 1877-5756 .- 1877-5764. ; 39
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveMany Swedish parents experience that their infant has sleeping problems. Parents’ self-efficacy regarding their infants’ sleep may play an important role in how they perceive these problems. This pilot study aimed to develop an instrument measuring parents’ self-efficacy regarding their infant’s sleep and to examine if parents’ self-efficacy was affected by an intervention focusing on parental education.MethodMothers and fathers, at a maternity unit in Sweden, were drawn into either an intervention (n = 46) or a control (n = 42) group. The intervention group received a home visit from a nurse who provided information about infant sleep; the importance of attachment; and advice regarding sleep, breastfeeding and bed sharing, including guidelines for safe bed sharing. Three months later, the participants answered questions on background data, breastfeeding, sleep and self-efficacy.ResultsThe 11-item two-factor Uppsala Parental Self-Efficacy about Infant Sleep Instrument (UPPSEISI) was constructed to measure parents’ perceived self-efficacy. In adjusted analyses, being in the intervention group was associated with a higher self-efficacy (P = 0.035), as were being a mother (P = 0.003) and being satisfied with one’s own sleep (P = 0.007), while parents’ own sleeping problems were associated with a lower self-efficacy (P = 0.015).ConclusionImportantly, parental education may increase parents’ self-efficacy regarding their infant’s sleep.
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| 8. |
- Dykes, Charlotta, et al.
(författare)
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Parents experience a sense of guilt when their newborn is diagnosed small for gestational age, SGA : A grounded theory study in Sweden
- 2022
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Ingår i: Journal of Pediatric Nursing. - : Elsevier BV. - 0882-5963 .- 1532-8449. ; 62, s. e8-e15
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: To become a parent of a child who is born small for gestational age can lead to challenges in addition to the newly acquired parenting role. There is currently a lack of knowledge regarding parents' experiences of having a child born small for gestational age.PURPOSE: The purpose of this study was to describe the experience of becoming a parent of a child small for gestational age DESIGN AND METHOD: A qualitative inductive approach was chosen with grounded theory as a method, a strategic selection was used and individual interviews with open questions were performed.RESULTS: The results showed that the parents expressed guilt over the child's size and focused on the ability to nourish their child to keep their unexpectedly small child alive. An experienced concern about the child's food intake could be seen throughout the entire interview material and the need for information was great. A common experience of the parents was that constant feeding of the child dominates their lives.CONCLUSION: The conclusion is that the unexpectedly small size of the child awakens the parent's instinct to provide life-sustaining care and the parents need increased support and more information around the child's condition. This requires well-trained professionals, because parents to children born SGA often harbour feelings of unpreparedness and guilt.PRACTICE IMPLICATIONS: Increased understanding and knowledge about the parents' experience of having a child born SGA, healthcare services can optimize the potential for better attachment between parent and child as well as offer appropriate support.
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| 9. |
- Funkquist, Eva-Lotta, 1965-, et al.
(författare)
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Breastfeeding patterns in one-year-old children was not affected by a breastfeeding support intervention☆
- 2024
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Ingår i: Early Human Development. - : Elsevier. - 0378-3782 .- 1872-6232. ; 192
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Tidskriftsartikel (refereegranskat)abstract
- Background: Breastfeeding patterns in 12-month-old children play a central role in the mother-infant dyad, but studies describing the patterns are scarce. Aim: To investigate breastfeeding patterns in 12-month-old infants before and after a breastfeeding support programme.Study design: A baseline/intervention design as part of a larger implementation project aiming to revive the Ten Steps to Successful Breastfeeding programme.Subjects: During a 24-h period, 28 mothers from a baseline group and 24 mothers from an intervention group recorded all breastfeeding sessions on a pen and paper form.Results: The median (range) frequency of breastfeeding sessions was 6 (1-22) in the baseline group and 7 (1-20) times per 24 h in the intervention group. No significant difference was observed in frequencies between the two groups. The majority of children (57 % in the baseline group and 62 % in the intervention group) exhibited a pattern classified as partial breastfeeding, engaging in breastfeeding 6 or more times per 24 h throughout a substantial part of the day. A second pattern was classified as token breastfeeding, with few breastfeeding sessions, suggesting that breastfeeding occurred primarily for comfort.Conclusion: This study illuminates the breastfeeding behaviours of 12-month-old children and can serve to normalise frequent breastfeeding patterns, potentially aiding mothers who wish to continue breastfeeding beyond infancy. The findings indicate no difference between the groups, suggesting that the implemented intervention did not influence maternal breastfeeding practices at one year of age. This underscores the potential necessity for prolonged support for parents throughout the breastfeeding period. ISRCTN registry: doi.org/10.1186/ISRCTN91972905.
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| 10. |
- Funkquist, Eva-Lotta, et al.
(författare)
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Consulting on feeding and sleeping problems in child health care: what is at the bottom of advice to parents?
- 2005
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Ingår i: Journal of Child Health Care. - : SAGE Publications. - 1367-4935 .- 1741-2889. ; 9:2, s. 137-152
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate and interpret ideas inherent in sleep and diet consultations concerning infants in Swedish child health services. Data were obtained through semi-structured interviews of professionals employed in these services. A qualitative method with a phenomenological approach was applied to analyse the data. The results indicate that professionals have underlying conceptions. They considered that when parents force food on their child, this is a violation of the child’s integrity. This view is based on the idea that such actions restrict the child’s right to self-determination. In the participants’ opinions, when the child is forced to sleep well, this is not regarded as a violation of the child’s integrity, but is perceived as support of the child’s autonomy. An underlying theoretical view may be that parents’ time can be saved if the child becomes independent of the parents at as early an age as possible.
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