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  #1  
Old December 13th 03, 01:52 AM
Chookie
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Default New articles about bfing

Collected from Ingenta.

The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short
Form
Journal of Obstetric, Gynecologic, and Neonatal Nursing, November 2003, vol.
32, no. 6, pp. 734-744(11)
Dennis C-L.[1]

Abstract:
Objective: The purpose of this study was to reduce the number of items on the
original Breast-feeding Self-Efficacy Scale (BSES) and psychometrically assess
the revised BSES-Short Form (BSES-SF).
Design: As part of a longitudinal study, participants completed mailed
questionnaires at 1, 4, and 8 weeks postpartum.
Setting: Health region in British Columbia.
Participants: A population-based sample of 491 breastfeeding mothers.
Results: Internal consistency statistics with the original BSES suggested item
redundancy. As such, 18 items were deleted, using explicit reduction criteria.
Based on the encouraging reliability analysis of the new 14-item BSES-SF,
construct validity was assessed using principal components factor analysis,
comparison of contrasted groups, and correlations with measures of similar
constructs. Support for predictive validity was demonstrated through
significant mean differences between breastfeeding and bottle-feeding mothers
at 4 (p .001) and 8 (p .001) weeks postpartum. Demographic response
patterns suggested the BSES-SF is a unique tool to identify mothers at risk of
prematurely discontinuing breast-feeding.
Conclusions: These psychometric results indicate the BSES-SF is an excellent
measure of breastfeeding self-efficacy and considered ready for clinical use
to (a) identify breastfeeding mothers at high risk, (b) assess breastfeeding
behaviors and cognitions to individualize confidence-building strategies, and
(c) evaluate the effectiveness of various interventions and guide program
development.

The Loving Support Breastfeeding Campaign: Awareness and Practices of Health
Care Providers in Mississippi
Journal of Obstetric, Gynecologic, and Neonatal Nursing, November 2003, vol.
32, no. 6, pp. 753-760(8)
Mitra A.K.; Khoury A.J.; Carothers C.; Foretich C.
Abstract:
Objectives: To evaluate the impact of the national breastfeeding promotion
campaign, Loving Support Makes Breastfeeding Work, on health care providers in
Mississippi.
Design: Cross-sectional study.
Setting: The Mississippi WIC (Women, Infants, and Children) program
implemented the national Loving Support project for the state. Questionnaires
were mailed to all hospitals with obstetric services and WIC clinics and to a
random sample of one half of the practicing pediatricians and one third of the
practicing family physicians in the state.
Participants: Two hundred and two health care providers, including 104 nurses
and 98 physicians, responded to the questionnaire.
Main Outcome Measures: Health care providers¹ (a) awareness of the
breastfeeding promotion activities in the state; (b) changes in practice in
providing breastfeeding advice and referrals to lactation specialists and for
breast pumps; and (c) changes in the management of breastfeeding-related
problems.
Results: A significantly higher proportion of nurses than physicians mentioned
breastfeeding benefits to mothers, provided breastfeeding management advice,
and referred mothers for breast pumps and to lactation specialists after the
campaign.
Conclusions: This study showed the positive impact of the campaign on nurses¹
breastfeeding awareness and practices. More efforts are needed to continue
breastfeeding outreach activities for health care providers.

Is breast best? Is early solid feeding harmful?
Journal of The Royal Society for the Promotion of Health, 1 September 2003,
vol. 123, no. 3, pp. 169-174(6)
MacDonald A.
Abstract:
The health benefits of breastfeeding for babies and mothers have long been
recognised and it is now globally recommended that it be continued exclusively
for six months. Although there are few controlled trials to support this
recommendation, the most important advantage is less morbidity from
gastrointestinal infection in developing countries. There is also evidence
that respiratory tract infections and atopic dermatitis is reduced, and the
maternal risk of breast cancer decreases, particularly with a longer duration
of breastfeeding and a high parity. There is little to suggest that exclusive
breastfeeding for six months adversely affects infant growth, nutritional
status or infant feeding skills, but more studies are needed. Equally, there
is no evidence that introduction of solids from 17 weeks is harmful in
developed countries. However, in the UK breastfeeding prevalence is low and
solids are introduced early for the majority of infants and much can be done
to positively encourage and support all mothers to continue breastfeeding for
a longer period.


Effect of Operative Delivery in the Second Stage of Labor on Breastfeeding
Success
Birth, December 2003, vol. 30, no. 4, pp. 255-260(6)
Patel R.R.; Liebling R.E.; Murphy D.J.

Abstract:
Background:Operative delivery rates are currently rising in many countries,
but the effects of this factor on the initiation and duration of breastfeeding
are unclear. The purpose of this study was to evaluate breastfeeding success
after instrumental vaginal delivery or cesarean section at full dilatation,
and to investigate whether timing of discharge after operative delivery
affects breastfeeding rates.
Methods: A prospective cohort study was conducted of 393 women with term,
singleton, live, cephalic pregnancies who required delivery in theater during
the second stage of labor between February 1999 and February 2000. Postal
questionnaires were mailed to participants at 6 weeks and 1 year. Logistic
regression models were used to explore the relationships between infant
feeding and mode of delivery, controlling for factors previously correlated
with breastfeeding success.
Results: Rates of exclusive breastfeeding at discharge and 6 weeks postpartum
were 70 and 44 percent, respectively. No significant differences occurred when
instrumental vaginal delivery was compared with cesarean section, adjusted OR
0.84 (95% CI 0.50, 1.41) and 1.15 (95% CI 0.69, 1.93) respectively.
Breastfeeding rates after failed instrumental delivery were similar to those
after immediate cesarean section, adjusted OR 0.99 (95% CI 0.72, 1.38) and
1.28 (95% CI 0.91, 1.78). Women who had a longer in-patient stay after
cesarean section were more likely to achieve exclusive breastfeeding at
hospital discharge (78% vs 66%, p = 0.03).
Conclusions: Method of operative delivery in the second stage of labor does
not appear to influence initiation or duration of exclusive breastfeeding. A
longer inpatient stay may help cesarean-delivered women to initiate
breastfeeding. (BIRTH 30:4 December 2003)


Breastfeeding Support from Partners and Grandmothers: Perceptions of Swedish
Women
Birth, December 2003, vol. 30, no. 4, pp. 261-266(6)
Ekström A.; Widström A-M.; Nissen E.

Abstract:
Background: Support from the mother's network of relatives, friends, and
professional caregivers during childbirth is likely to be important for
breastfeeding success. Few studies have been conducted to examine mothers¹
perceptions of breastfeeding support. The objective of this study was to
describe breastfeeding support and feelings of confidence of primiparas and
multiparas in relation to duration of breastfeeding.
Methods: Mothers who delivered vaginally were eligible for inclusion. After
receiving a questionnaire when their children were 9 to 12 months of age, 194
primiparas and 294 multiparas responded to questions on breastfeeding history
and on perceived and overall breastfeeding support and feelings of confidence.
Results: Feelings of overall breastfeeding support were correlated with
duration of exclusive breastfeeding in both primiparas ( p 0.001) and
multiparas ( p 0.001). Multiparas who knew how long they were breastfed as a
child showed a longer duration of exclusive ( p = 0.006) and total ( p =
0.007) breastfeeding than multiparas who did not know. The time during which
the partner was present after labor was correlated with the duration of
exclusive ( p 0.001) and total breastfeeding ( p = 0.002) in primiparas.
Feelings of confidence when the baby was 6 to12 months old, as retrospectively
rated on a visual analog scale, was correlated with feelings of confidence in
the partner during childbirth in both primiparas ( p 0.001) and multiparas (
p 0.001) and the experience of overall breastfeeding support (primiparas, p
= 0.002; multiparas, p 0.001). Both groups were more content with
breastfeeding information they received from midwives in the maternity wards,
compared with that from antenatal midwives and postnatal nurses ( p 0.001).
Conclusions: A helpful support strategy for mothers with respect to
breastfeeding outcome is for health professionals to discuss the grandmother's
perception of breastfeeding with the mother. It is important for perinatal
caregivers to provide an environment that enables the family to stay together
after delivery. A helpful support strategy for health professionals might be
to mobilize grandmothers with positive breastfeeding perception to provide
support for their daughters¹ breastfeeding. (BIRTH 30:4 December 2003)


Support for breastfeeding mothers: a systematic review
Paediatric & Perinatal Epidemiology, October 2003, vol. 17, no. 4, pp.
407-417(11)
Sikorski J.; Renfrew M.J.; Pindoria S.; Wade A.
Abstract:
Although the benefits of breastfeeding are widely accepted, the effectiveness
of different strategies to promote the continuation of breastfeeding once
initiated are less clear. The objective of this systematic review was to
describe studies comparing standard care with the provision of extra
breastfeeding support and to measure its effectiveness. Outcome measures used
were rates of cessation of any breastfeeding or exclusive breastfeeding at
chosen points in time. Measures of child morbidity and maternal satisfaction
were also used when these were reported.
Twenty eligible randomised or quasi-randomised controlled trials were
identified, involving 23 712 mother*infant pairs. Extra support had a
beneficial effect on the duration of any breastfeeding (RR [95% confidence
intervals] for stopping any breastfeeding before the last study assessment up
to 6 months 0.88 [0.81, 0.95]; 15 trials, 21 910 women). The effect was
greater for exclusive breastfeeding (RR for stopping exclusive breastfeeding
before the last study assessment 0.78 [0.69, 0.89]; 11 trials, 20 788 women).
Although the point estimates of relative risk were very similar, benefit
derived from professional support achieved statistical significance for any
breastfeeding (RR 0.89 [0.81, 0.97]; 10 trials, 19 696 women) but not for
exclusive breastfeeding (RR 0.90 [0.81, 1.01]; six trials, 18 258 women). Lay
support was effective in reducing the cessation of exclusive breastfeeding (RR
0.66 [0.49, 0.89]; five trials, 2530 women) while the strength of its effect
on any breastfeeding was less clear (RR 0.84 [0.69, 1.02]; five trials, 2224
women). Professional support in the largest trial to assess health outcomes
produced a significant reduction in the risk of gastrointestinal infections
and atopic eczema. In two trials with children suffering from diarrhoeal
illness, extra support was highly effective in increasing short-term exclusive
breastfeeding rates and reducing recurrence of diarrhoea.
This review supports the conclusion that supplementary breastfeeding support
should be provided as part of routine health service provision. There is clear
evidence for the effectiveness of professional support on the duration of any
breastfeeding although the strength of its effect on the rate of exclusive
breastfeeding is uncertain. Lay support is effective in promoting exclusive
breastfeeding although the strength of its effect on the duration of any
breastfeeding is uncertain. Evidence supports the promotion of exclusive
breastfeeding as central to the management of diarrhoeal illness in partially
breast-fed infants.

--
Chookie -- Sydney, Australia
(Replace "foulspambegone" with "optushome" to reply)

"Jeez; if only those Ancient Greek storytellers had known about the astonishing
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grows back..." -- MJ, cam.misc
  #2  
Old December 13th 03, 03:01 AM
H Schinske
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Posts: n/a
Default New articles about bfing

Does anyone else find the name of the Breastfeeding Self-Efficacy Scale
hilarious? And whatever does it mean, anyway?

--Helen, picturing a toddler insisting "I do it AW by my seff!"
 




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