Matching Items (3)
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- All Subjects: Breastfeeding
- Creators: Kelly, Lesly
Description
Late preterm infants (LPIs), born between 34 and 37 weeks gestation, are at risk for a myriad of health conditions related to neuro-muscular and physiologic immaturity. However, relative stability allow many of these infants to avoid care in specialty nurseries and discharge home with their mothers after birth. Due to underlying immaturity, feeding difficulty is the most common issue LPIs experience, resulting in early breastfeeding cessation, increased risk for secondary diagnoses, and hospital readmission. The purpose of this study was to assess early breastfeeding behavior of LPIs, including testing inter-rater reliability of an assessment tool and the feeding patterns of infants over time. An extensive review of breastfeeding assessment tools resulted in the selection of the Premature Infant Breastfeeding Behavior Scale (PIBBS) based on its reliability and validity in the preterm infant population. A convenience sample of LPI dyads was recruited and used to conduct inter-rater reliability testing of PIBBS. A longitudinal one-group non-experimental study was used for observational follow-up. A strong statistical agreement of PIBBS scores occurred between mothers and a healthcare professional (Cohen’s kappa values of items ranged from .776 to 1.000, p = <.001). Participants continued using the PIBBS tool after hospital discharge until their infants expected due dates (40 weeks adjusted age). T-test analyses were conducted to examine changes in scores over time indicating increase in item scores (p = .003 - .193). PIBBS appears to be a valid and reliable tool to assess breastfeeding among LPI dyads. Incorporation of PIBBS into a comprehensive plan of care could better support and protect breastfeeding among the LPI population.
ContributorsLober, Angela (Author) / Komnenich, Pauline (Thesis advisor) / Kelly, Lesly (Thesis advisor) / Dodgson, Joan (Committee member) / Arizona State University (Publisher)
Created2018
Description
The purpose of this cross-sectional questionnaire is to explore women’s awareness about the lactation support amendments under the Affordable Care Act (ACA) and the support they received from their insurance companies and employers based on the act. Using convenience sampling and snowball sampling, participants were recruited to participate in a survey through social media and flyers. The goals of this research are to examine the number of women who were 1) aware of the lactation support provisions under the ACA, 2) received breastfeeding support from insurance their health insurance with no cost sharing 3) received reasonable break time and a private space to express milk from their employers, and 4) if there were any challenges in receiving the support mandated under the ACA from their insurers and employers or lactation support in general. The results show that many women who responded to the survey were aware of the amendments under the ACA and many of those women did receive the benefits of the provisions. There were many common reasons for why women did not receive the support they desired. These underlying reasons prevent women from accessing lactation support and provide a challenging environment for women to continue breastfeeding their children.
ContributorsBaker, Michelle Jane (Author) / Bever, Jennie (Thesis director) / Kelly, Lesly (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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