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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 creature that is the *Usenet hydra*: you cut off one head, and *a stupider one* grows back..." -- MJ, cam.misc |
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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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New articles about bfing
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