Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol
Abstract Background Breastmilk is the ideal nutrition for preterm infants. Yet, breastmilk feeding rates among preterm infants are substantially lower than those of full-term infants. Barriers incurred through hospital care practices as well as the physical environment of the neonatal intensive care...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-018-0168-7 |
| _version_ | 1818968129774026752 |
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| author | Meredith Brockway Karen M. Benzies Eloise Carr Khalid Aziz |
| author_facet | Meredith Brockway Karen M. Benzies Eloise Carr Khalid Aziz |
| author_sort | Meredith Brockway |
| collection | DOAJ |
| description | Abstract Background Breastmilk is the ideal nutrition for preterm infants. Yet, breastmilk feeding rates among preterm infants are substantially lower than those of full-term infants. Barriers incurred through hospital care practices as well as the physical environment of the neonatal intensive care unit (NICU) can result in physical and emotional separation of infants from their parents, posing a substantial risk to establishing and maintaining breastfeeding. Additionally, current practitioner-focused care provision in the NICU can result in decreased breastfeeding self-efficacy (BSE), which is predictive of breastfeeding rates in mothers of preterm infants at 6 weeks postpartum. Methods Family Integrated Care (FICare) integrates and supports parents to actively participate in the care of their infant while in the NICU. Nested within the broader FICare trial, we will conduct an explanatory sequential mixed methods study to investigate if FICare improves maternal BSE and rates of breastmilk feeding in moderate and late preterm infants at discharge from the NICU. In phase 1, we will calculate the mean difference between admission and discharge BSE scores for the intervention group. Mothers who score in the top and bottom 20th percentile of change scores will be invited to participate in a semi-structured telephone interview exploring maternal experiences with infant feeding in the NICU. We will conduct inductive thematic analysis to identify and describe the facilitators and barriers of FICare on maternal feeding experiences. Once data saturation is achieved and themes have been established, phase 2 will revisit the quantitative data to determine whether FICare was impactful on BSE and breastmilk feeding rates. Findings from the qualitative and quantitative phases will be integrated to determine how infant feeding experiences on FICare units work to improve or detract from maternal BSE and rates of breastmilk feeding. Discussion FICare may help to improve maternal BSE and rates of breastmilk feeding in moderate and late preterm infants. Improved breastmilk feeding outcomes can have a substantial impact on overall infant health, developmental outcomes, and maternal-infant bonding and will help to improve long-term health outcomes for moderate and late preterm infants. Trial registration (NCT02879799). Registered May 27, 2016 protocol version June 9, 2016 Version 2. |
| first_indexed | 2024-12-20T13:59:47Z |
| format | Article |
| id | doaj.art-dad8ce763fff4e9e902f849ec5cfb356 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-20T13:59:47Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-dad8ce763fff4e9e902f849ec5cfb3562022-12-21T19:38:24ZengBMCInternational Breastfeeding Journal1746-43582018-07-0113111110.1186/s13006-018-0168-7Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocolMeredith Brockway0Karen M. Benzies1Eloise Carr2Khalid Aziz3Faculty of Nursing, University of CalgaryFaculty of Nursing, University of CalgaryFaculty of Nursing, University of CalgaryDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of AlbertaAbstract Background Breastmilk is the ideal nutrition for preterm infants. Yet, breastmilk feeding rates among preterm infants are substantially lower than those of full-term infants. Barriers incurred through hospital care practices as well as the physical environment of the neonatal intensive care unit (NICU) can result in physical and emotional separation of infants from their parents, posing a substantial risk to establishing and maintaining breastfeeding. Additionally, current practitioner-focused care provision in the NICU can result in decreased breastfeeding self-efficacy (BSE), which is predictive of breastfeeding rates in mothers of preterm infants at 6 weeks postpartum. Methods Family Integrated Care (FICare) integrates and supports parents to actively participate in the care of their infant while in the NICU. Nested within the broader FICare trial, we will conduct an explanatory sequential mixed methods study to investigate if FICare improves maternal BSE and rates of breastmilk feeding in moderate and late preterm infants at discharge from the NICU. In phase 1, we will calculate the mean difference between admission and discharge BSE scores for the intervention group. Mothers who score in the top and bottom 20th percentile of change scores will be invited to participate in a semi-structured telephone interview exploring maternal experiences with infant feeding in the NICU. We will conduct inductive thematic analysis to identify and describe the facilitators and barriers of FICare on maternal feeding experiences. Once data saturation is achieved and themes have been established, phase 2 will revisit the quantitative data to determine whether FICare was impactful on BSE and breastmilk feeding rates. Findings from the qualitative and quantitative phases will be integrated to determine how infant feeding experiences on FICare units work to improve or detract from maternal BSE and rates of breastmilk feeding. Discussion FICare may help to improve maternal BSE and rates of breastmilk feeding in moderate and late preterm infants. Improved breastmilk feeding outcomes can have a substantial impact on overall infant health, developmental outcomes, and maternal-infant bonding and will help to improve long-term health outcomes for moderate and late preterm infants. Trial registration (NCT02879799). Registered May 27, 2016 protocol version June 9, 2016 Version 2.http://link.springer.com/article/10.1186/s13006-018-0168-7Breastmilk feedingBreastfeedingBreastfeeding self-efficacyMixed-methodsThematic analysis |
| spellingShingle | Meredith Brockway Karen M. Benzies Eloise Carr Khalid Aziz Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol International Breastfeeding Journal Breastmilk feeding Breastfeeding Breastfeeding self-efficacy Mixed-methods Thematic analysis |
| title | Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol |
| title_full | Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol |
| title_fullStr | Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol |
| title_full_unstemmed | Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol |
| title_short | Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol |
| title_sort | breastfeeding self efficacy and breastmilk feeding for moderate and late preterm infants in the family integrated care trial a mixed methods protocol |
| topic | Breastmilk feeding Breastfeeding Breastfeeding self-efficacy Mixed-methods Thematic analysis |
| url | http://link.springer.com/article/10.1186/s13006-018-0168-7 |
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