2010 - International Lactation Consultant Association

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infants received an average of 673ml more intravenous fluid than infants who lost ≤7% of birth weight, suggesting a fluid shift exists. Conclusions: These results have significant implications for clinical practice as previous studies have shown that early supplementation interferes with the establishment and exclusivity of breastfeeding, leading to decreased maternal confidence, and shorter breast feeding durations. To prevent postpartum weight losses in excess of 7%, clinicians should plan carefully the use of intravenous therapy. If practitioners are unable to limit the amount of intravenous therapy to a level below the cut-point (1225ml), clinicians should expect that the infant’s weight loss will exceed 7%, which should be taken into account before considering supplementation of breastfed infants in the absence of any clinical symptoms of dehydration. THE EFFECT OF STRUCTURED GROUP PRENATAL EDUCATION ON BREASTFEEDING CONFIDENCE, DURATION, AND EXCLUSIVITY TO TWELVE WEEKS POSTPARTUM Patricia Lynn Olenick, RNC, CNM, PhD Texas A&M University- Corpus Christi 1141 Oak Ave Rockport, TX 78382 361-825-2270; ivan-patricia@sbcglobal.net ABSTRACT Background: Breastfeeding exclusivity & duration remain below U.S. <strong>2010</strong> goals. Self-efficacy literature supports the premise that increased maternal confidence prevents premature weaning. Goals: 1. To determine if group prenatal education can improve breastfeeding outcomes in a private practice population. 2. Identify the relationship between maternal confidence (measured with the Breastfeeding Self-Efficacy Scale) and breastfeeding outcomes. Methods: A randomized, controlled prospective trial on whether one class based on breastfeeding self-efficacy theory improves outcomes. Results: 182 mothers participated in the study with 168 completing data collection; the majority were Hispanic, married, and low-income. Breastfeeding confidence was associated with higher rates of full breastfeeding at weeks one, six and twelve. High versus low confidence was associated with longer duration (10 weeks vs. 5). The group class (intervention) was not associated with significant differences in outcomes with “intent to treat” analysis. However, in analysis by actual attendance, there were consistent differences in at-risk subgroups. For example, at 12 weeks, the “any breastfeeding class” group had higher “full breastfeeding” rates for Cesarean mothers (35% vs. 8%). Mothers without prior breastfeeding experience (35% vs.11%). Both sub-groups also had longer duration (9 vs. 6 and 5 weeks, respectively) with breastfeeding class attendance. In multivariate analysis, the effects of actual attendance to any breastfeeding class on rates of full breastfeeding were confirmed at one week postpartum. Breastfeeding confidence was consistently a strong predictor of exclusivity and duration. Conclusions: Breastfeeding education shows potential for improving breastfeeding outcomes, especially in at-risk subgroups. Increased maternal confidence improves exclusivity & duration. CURRENT BREASTFEEDING KNOWLEDGE OF SENIOR UNIVERSITY NURSING STUDENTS Azza H Ahmed, DNS, RN, IBCLC, CPNP; Diana C L Bantz, PhD, BC-FNP; Clara J Richardson, MSN, RN-BC Purdue University
3221 Conington Street West Lafayette, IN 47906 765-494-4040; ahmedah@purdue.edu ABSTRACT Background: Studies in the past have found that nurses have inadequate knowledge about breastfeeding topics and suggested improvement in breastfeeding education. Objective: To assess the current breastfeeding knowledge of senior nursing students and to examine the variables associated with breastfeeding knowledge and skills. Method Design: An exploratory descriptive design. Subjects: A total of 115 senior nursing students from two different Midwestern universities filled out the questionnaire. Inclusion criteria included students who finished maternal/child nursing didactic and clinical courses, and were regular bachelor senior nursing students and second degree students. Instrument: A Breastfeeding Knowledge Questionnaire was adapted from Brodribb, Fallon, Jackson, and Hegney (2008). The questionnaire consisted of 24 items covering three main categories in including benefits of breastfeeding, physiology of lactation and feeding adequacy, breastfeeding skills including exclusive breastfeeding, maternal conditions that may affect breastfeeding, and common breastfeeding problems. Statistical Analysis: Two-tailed t test and Pearson correlation were used to test the differences in breastfeeding knowledge and the relationship between the knowledge categories. Results: Findings revealed a significant difference in the students’ knowledge regarding physiology and benefits (t = -3.615, p = .000) and benefits and skills (t = 5.255 and P = .000). There was also significant correlation between knowledge of physiology and benefits (r = 0. 241, p = .009) and benefits and skills (r = .027, p = .000). Conclusion: More strategies to improve breastfeeding education in nursing curriculum focusing on breastfeeding skills need to be addressed. THE BUTTERBALL TURKEY EFFECT: MATERNAL IV FLUIDS AND INFANT WEIGHT Robin Lynn Hirth, Med, BS, IBCLC; Tina Leigh Weitkamp, MSN, BSN Mercy Hospital Fairfield 6085 Springdale Road Cincinnati, OH 45247 513-870-7883; rlhirth@health-partners.org ABSTRACT Background: Health care providers use infant weight loss in the first few days of life as a measurement of effective feeding. Breastfeeding supplementation or increased formula feeds are often recommended with an infant weight loss of 7-10% of birth weight. Goal: This study goal was to examine if the amount of maternal IV fluids during labor affects average birth weight and subsequent weight loss of infants. Methods: The study was a retrospective review of medical records for mother/infant dyads. Study population was a random sample of 200 mothers/infant dyads delivering at one Midwestern hospital. Exclusion criteria for dyads included: conditions impacting health and weight of the infant, infants with birth weight 4000 gm, and/or infant gestational age 42 weeks. A data collection tool was utilized to review medical records and record data.
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2010 - International Lactation Consultant Association

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