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- All Subjects: Breastfeeding
- Creators: Arizona State University. College of Nursing & Healthcare Innovation
Description
The period of time between birth and 24 months of age is a sensitive period for infant growth, and adequate nutrition is vitally important. In this study, 150 Mexican-American mother-and-child pairs (N = 300) were periodically surveyed over the course of 36 months for demographics, financial status, and feeding practices to understand the feeding methods of Mexican-American families and any relations they may have to the weight and growth of developing infants. Results found that formula feeding had higher rates of usage and duration than breastfeeding, while solid foods were largely introduced at the recommended ages. At one year of age, the infants were predisposed towards overweight and obesity with a high maternal BMI, suggesting that breastfeeding practices were not fully utilized. However, the data did not differentiate between formula and breast milk when both were used at any specific age, making it difficult to determine how long infants were exclusively breastfed and how that would impact their growth.
ContributorsCorsi, Marisa Kalani Nicole (Author) / Reifsnider, Elizabeth (Thesis director) / Thatcher, Craig (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
This research addresses the importance of factors such as gestational weight gain (GWG) and postpartum weight of mothers, as well as obesity rates in infants born to these mothers who are included in the population of low-income Mexican-American mothers and infants enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Evaluating these factors will contribute to finding recommendations to help solve the obesity epidemic in this specific population. Breastfeeding duration, mother BMI, infant birth weight, and infant weight z-scores were statistically analyzed from a WIC population in Houston. The study participants are involved in a five year intervention study where the home environment and education on feeding practices, breastfeeding duration and obesity are evaluated. The results found that: (1) breastfeeding initially indicates a further continuation of breastfeeding; (2) mothers who breastfed for six months were likely to have a lower BMI at twelve to eighteen months than those who did not; (3) the birth weight of the infant is associated with the weight pattern of the child later; (4) the weight/height percentiles of a newborn are somewhat likely to stay the same until age three; (5) the prenatal weight of the mother impacts the weight of the newborn infant; and (6) the mother's postpartum BMI at one week is associated with a similar BMI at 12 months postpartum. In conclusion, women in this population tend to not breastfeed for 6 months and are not losing gestational weight postpartum, leading to increased wright retention after pregnancy, as well as heavier babies that will maintain this weight in early childhood. Further breastfeeding, nutrition, exercise, obesity, and proper infant feeding education are needed to reduce the rate of obesity in low-income Mexican-American WIC populations.
ContributorsSchmid, Emily Grace (Author) / Reifsnider, Elizabeth (Thesis director) / Danielson, Kim (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
Objectives: To measure nurses' knowledge of breastfeeding, assess nurses' attitudes towards perinatal substance abuse, and identify the perception of breastfeeding infants affected by neonatal abstinence syndrome (NAS). Design: Descriptive study. Setting: Online survey. Participants: Nurses (N=104) who are members of the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) and subscribe to their perinatal listserv were invited to participate via email. Methods: Participants completed a survey, which included a modified version of the Attitudes about Drug Abuse in Pregnancy (AADAP) questionnaire, knowledge questions, and a sociodemographic questionnaire. Statistical analysis was conducted. Results: Most nurses (88.46%) have cared for a newborn affected by NAS or their mother before, and every respondent has cared for an opioid-addicted patient. Most nurse respondents (82.69%) reported breastfeeding being a very common topic of discussion with patients, yet 78 (75%) reported being poorly prepared by nursing school in this topic. Despite this, the majority answered the knowledge questions correctly. Most respondents (94.23%) reported that they would assess the possibility of breastfeeding for women who used drugs during pregnancy, and 39.42% expressed that prenatal drug use should be considered child abuse. Conclusion: Despite feeling angry at mothers who perinatally abuse drugs, nurses recognize the benefits of breastfeeding for these patients. Self-assessment can help nurses identify personal bias and implement evidence-based nursing interventions
ContributorsCostello, Natalie Ann (Author) / Bever, Jennie (Thesis director) / Milowski, Meredith (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Background: Breastmilk is the optimal source of nutrition for infants as recommended by the American Academy of Pediatrics and the World Health Organization (WHO). Despite proven benefits, rates of breastfeeding have shown to decrease drastically at six months of age.
Purpose: The purpose of this project is to assess the effectiveness of virtual peer support and infant education in increasing/improving a mother’s wellbeing and breastfeeding relationship. This project was guided by the theory of self-efficacy.
Methods: Participants were recruited utilizing flyers that were posted to social media and distributed at a breastfeeding center in Southwestern United States. Six breastfeeding mothers were recruited, and each participated in four, one-hour peer support sessions that were held weekly via Zoom. Participants completed the WHO Well Being Index and the Breastfeeding Relationship scale before and after the intervention. Pre- and post-implementation scores were compared.
Ethical Considerations: The research was approved by the IRB board at Arizona State University and was in compliance with ethical considerations and standards of the institution.
Results: Descriptive analysis conducted on the WHO Well-Being Index showed the same results or improvement for 80% of the questionnaire. Descriptive analysis conducted on the Breastfeeding Relationship Scale showed improvement on 81% of questions.
Conclusions/Discussion: Breastfeeding can be taxing and overwhelming for mothers leading them to discontinue earlier than planned. Peer support has been identified to be substantial to women going through this process in helping them initiate and continue to breastfeed their infant.
ContributorsLopez, Danielle (Author) / Reifsnider, Elizabeth (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Breastfeeding provides significant health benefits for mothers and infants, but many women fall short of the breastfeeding goals set by the Healthy People initiative. National guidelines such as the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, the Academy of Breastfeeding Medicine, and the American Academy of Family Physicians recommend exclusive breastfeeding through six months of age. Peer support and education are key components in helping women achieve their breastfeeding goals and improve breastfeeding self-efficacy. A private obstetrics and gynecology office in the Southwestern United States did not routinely provide breastfeeding support. As the number of people using online peer support groups has grown in popularity and with the project site having an existing active Facebook© page, a project was created utilizing a private Facebook© group for breastfeeding mothers to receive peer support and evidence-based education. Over 12 weeks, evidence-based education postings and discussion prompts were created to encourage conversation upon participants. Sixteen participants made 30 discussion posts. After 11 weeks, three completed the confidential survey and the Breastfeeding Self-Efficacy Scale Short Form, which showed significant levels of breastfeeding self-efficacy. One hundred percent (n=3) of participants accessed the education handouts and found them helpful. Education and peer support results in high breastfeeding self-efficacy which in turn increases breastfeeding duration and exclusivity.
ContributorsSchwartz, Jennifer (Author) / Santerre, Jennifer (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-28
Description
Breastfeeding has been shown to dramatically improve health outcomes for both infants and mothers. Despite recommendations by almost all world and national health organizations to breastfeed exclusively for 6 months and to continue breastfeeding for one year, this goal is not met by the majority of women in the United States for multiple reasons. Health professionals, including physicians and nurses, can play a major role in educating and influencing mothers about breastfeeding, especially for women with comorbidities, taking medications, or undergoing medical procedures. An online survey was created to evaluate healthcare professionals' breastfeeding knowledge and opinions at a large hospital in Phoenix, Arizona using QuestionPro software. This survey was distributed for three weeks to the nursing and physician departments at the hospital in primarily the obstetric and post partum units. Of the seventy-nine individuals who completed the survey, the respondents were primarily female obstetric nurses. Respondents recognized the benefits of breastfeeding for both mother and infant, believed health professionals can influence the decision to breastfeed, and found a lack of support was the number one reason women discontinue breastfeeding. Despite this information, it is apparent from this survey, and similar studies in the past, that there are significant gaps in knowledge especially when it comes to contraindications to breastfeeding, medications used while breastfeeding, fluid intake during breastfeeding, and foods that can be consumed while breastfeeding. Additionally, the majority of the nurses who completed this survey did not believe their schooling adequately trained them in breastfeeding education and hands-on practice. This information could be used in future studies to guide breastfeeding education for nurses, physicians, and other health care professionals at the stated hospital and other facilities across the nation.
ContributorsConstenius, Lindsey Bowes (Author) / Bever, Jennie (Thesis director) / Kelly, Lesly (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
DescriptionThe goal of this study is to explore the relationship between breastfeeding, postpartum depression and postpartum weight at 1 and 6 months.
ContributorsFlowers, Jenna (Author) / Reifsnider, Elizabeth (Thesis director) / Bever, Jennie (Committee member) / Moramarco, Michael (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12