Nursing mothers satisfaction with the promotion of breastfeeding and professionals adherence to the recommendations. Multi-center study

e202012152

Authors

  • María Dolores Quiñoz-Gallardo Subdirección de Gestión de Cuidados. Hospital Universitario Virgen de las Nieves. Granada. España.
  • Pilar Rodríguez-Soberado Consultas Externas. Hospital Medina del Campo. Medina del Campo. Valladolid. España.
  • Esther González-María Unidad de Investigación en Cuidados de Salud (Investen-isciii). Instituto de Salud Carlos III. Madrid. España.
  • Laura Albornos-Muñoz Unidad de Investigación en Cuidados de Salud (Investen-isciii). Instituto de Salud Carlos III. Madrid. España.
  • María Mar Gutiérrez-Martínez Unidad de Obstetricia y Ginecología. Hospital Universitario Virgen de las Nieves. Granada. España.
  • David Harillo-Acevedo Unidad de Paritorio. Hospital Universitario Rafael Méndez. Lorca. Murcia. España.
  • Benedicta Cutanda-Carrión Departamento de Obstetricia. Complejo hospitalario Universitario de Albacete. Albacete. España.
  • Patricia del Rio-Martínez Servicio de Pediatría. Organización Sanitaria Integrada Debabarrena. Mendaro. Guipúzcoa. España.
  • David Lozano-Díaz Servicio de Pediatría. Hospital General La Mancha Centro. Alcázar de San Juan. Ciudad Real. España.
  • María Ángeles Maestre-García Unidad Materno-Infantil. Hospital Valle del Nalón. Langreo. España.
  • María Ángeles Cabrera-Cabrera Departamento de Obstetricia y Ginecología. Hospital Dr. Jose Molina Orosa. Lanzarote. España.
  • Inmaculada Gómez-Martín Departamento de Osbtetricia/Puerperio. Hospital Universitario Vall d’Hebron. Barcelona. España.
  • Esther Pino-Morales Unidad Maternidad-Pediatría. Hospital Medina del Campo. Valladolid. España.

Keywords:

Breastfeeding, Skin-to-skin contact, Clinical practice guideline, Satisfaction, Breastfeeding support, Evidence-based practice

Abstract

Background: The Baby-friendly Hospital Initiative or clinical practice guideline implementation programs have a positive impact on the promotion of breastfeeding (BF). There are knowledge gaps regarding the perceptions of new mothers towards these initiatives, and their degree of satisfaction. Our objective was to describe the satisfaction of BF mothers and adherence to the recommendations of the “Breastfeeding” guide from the Registered Nurses’ Association of Ontario (RNAO).
Methods: Between 2018-2019, in 9 Spanish hospitals that implemented the guide, 2,397 nursing mothers were surveyed who met inclusion criteria. A self-administered survey was designed with sociodemographic data, mother-child, BF promotion interventions carried out and degree of satisfaction. Descriptive and bivariate analysis was performed.
Results: The recommendations for skin-to-skin contact, help in breastfeeding, observation of a breastfeeding session and resolution of doubts presented adhesions >84%. Information about support groups, rooming-in and recognize signs of baby satisfaction obtained adhesions <40%. The exclusive BF rate at discharge was 77.5%. The mean satisfaction with skin-to-skin contact and the percentage of satisfaction at discharge were 5.8 and 96.8% respectively. The differences were significant between the degree of satisfaction and the educational level, age, work situation, type of delivery and type of hospital (p<0.05).
Conclusions: According to puerperal women, adherence to the recommendations of the Clinical Practice Guide is good for most interventions and the degree of satisfaction is high.

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References

World Health Organization (WHO). (2017). Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and services. World Health Organization, Geneva; 2017. Licence: CC BY-NC-SA 3.0 IGO. Available from: http://www.who.int/nutrition/publications/guidelines/breastfeeding-facilities-maternity-newborn/en/

Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N et al. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatr. 2015;104(467):96-113.

Burns E, Schmied V, Sheehan A, Fenwick J. A meta-ethnographic synthesis of women’s experience of breastfeeding. Matern Child Nutr. 2010;6(3):201-19.

Williamson I, Leeming D, Lyttle S, Johnson S. ‘It should be the most natural thing in the world’: exploring first-time mothers’ breastfeeding difficulties in the UK using audio-diaries and interviews. Matern Child Nutr. 2012;8(4):434-47.

de Almeida JM, Luz S de A, Ued Fda V. Support of breastfeeding by health professionals: integrative review of the literature. Rev Paul Pediatr. 2015;33(3):356-63.

McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD001141. DOI: 10.1002/14651858.CD001141

Wouk K, Lara-Cinisomo S, Stuebe AM, Poole C, Petrick JL, McKenney KM. Clinical Interventions to Promote Breastfeeding by Latinas: A Meta-analysis. Pediatrics. 2016;137(1):e20152423.

UNICEF. From the first hour of life: Making the case for improved infant and young child feeding everywhere. United Nations Children’s Fund UNICEF, New York;2016. ISBN: 978-92-806-4852- 2. Available from: https://data.unicef.org/resources/first-hour-life-new-report-breastfeeding-practices/

Perrine CG, Scanlon KS, Li R, Odom E, Grummer-Strawn LM. Baby-Friendly hospital practices and meeting exclusive breastfeeding intention. Pediatrics. 2012;130(1):54-60.

Pérez-Escamilla R, Martinez JL, Segura-Pérez S. Impact of the Baby-friendly Hospital Initiative on breastfeeding and child health outcomes: A systematic review. Matern Child Nutr. 2016;12:402–17.

Harillo-Acevedo D, Ramos-Morcillo AJ, Ruzafa-Martinez M. Factors associated with breastfeeding support from health care professionals by implementing a Clinical Practice Guideline. Birth. 2019;46:146–56. Available from: https://doi.org/10.1111/birt.12382

Munn AC, Newman SD, Mueller M, Phillips SM, Taylor SN. The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes Breastfeed Med. 2016;11(5): 222-30.

Gavine A, MacGillivray S, Renfrew MJ, Siebelt L, Haggi H, McFadden A. Education and training of healthcare staff in the knowledge, attitudes and skills needed to work effectively with breastfeeding women: a systematic review. Int Breastfeed J. 2017; 12:6.

Edwards R. An exploration of maternal satisfaction with breastfeeding as a clinically relevant measure of breastfeeding success. J Hum Lact. 2018;34(1):93–6.

Jeffs L, Sidani S, Rose D, Espin S, Smith O, Martin K et al. Using theory and evidence to drive measurement of patient, nurse and organizational outcomes of professional nursing practice. Int J Nurs Pract. 2013;19(2):141-8.

Díaz-Sáez J, Catalán-Matamoros D, Fernández-Martínez MM, Granados-Gámez G. La comunicación y la satisfacción de las primíparas en un servicio público de salud. Gac Sanit. [Internet]. 2011;;25(6):483-89. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112011000600008&lng=es. Accessed January 17, 2020.

Mesquita NS, Rodrigues DP, Ferreira ALA, Manguinho CPC, Brandão JC. Percepções de puérperas acerca do cuidado de enfermagem recebido no pós-parto imediato. Rev Pesqui Cuid Fundam. (Online). 2019;11(1):160-6. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-968595-

Registered Nurses’ Association of Ontario. Breastfeeding Best Practice Guidelines for Nurses. Supplement. 2nd ed. Toronto (ON): Registered Nurses’ Association of Ontario; 2007. Available from: http://rnao.ca/sites/rnao-ca/files/D0015_564_Lactancia_022014.pdf. Citado el 7 de marzo 2018.

Registered Nurses’ Association of Ontario. Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding for Newborns, Infants, and Young Children. 3rd ed. Toronto (ON): Registered Nurses’ Association of Ontario; 2018. Available from: https://rnao.ca/sites/rnao-ca/files/bpg/translations/BPG_Lactancia_Materna.pdf. Citado el 1 de junio 2019.

González-María E, Moreno-Casbas MT, Albornos-Muñoz L, Grinspun D, Grupo de Trabajo del Programa de implantación de buenas prácticas en Centros Comprometidos con la Excelencia en Cuidados®. Implantación de Guías de Buenas Prácticas en España a través del Programa de Centros Comprometidos con la Excelencia en Cuidados®. Enferm Clin. 2020;30(3):136-44.

World Health Organization (WHO). Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services – the revised Baby-friendly Hospital Initiative. World Health Organization, Geneva; 2018. Licence: CC BY-NC-SA 3.0 IGO. Available from: https://www.ihan.es/wp-content/uploads/bfhi-implementation-2018.pdf

Vila-Candel R, Soriano-Vidal FJ, Murillo-Llorente M, Pérez-Bermejo M, Castro-Sánchez E. Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana. Aten Primaria. 2019;51(2):91-8.

Díaz-Gómez NM, Ruzafa-Martínez M, Ares S, Espiga I, De Alba C. Motivaciones y barreras percibidas por las mujeres españolas en relación a la lactancia materna. Rev Esp Salud Pública. 2016;90: 15 de septiembre e1-e18.

Aguilar Cordero MJ, Sáez Martín I, Menor Rodríguez MJ, Mur Villar N, Expósito Ruiz M, Hervás Pérez A et al. Valoración del nivel de satisfacción en un grupo de mujeres de Granada sobre atención al parto, acompañamiento y duración de la lactancia. Nutr Hosp. [Internet]. 2013;28(3):920-6. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112013000300050&lng=es. Accessed January 03, 2020.

Barnes M, Cox J, Doyle B, Reed R. Evaluation of a Practice-Development Initiative to Improve Breastfeeding Rates. J Perinat Educ. 2010;19(4):17–23.

Bick D, Murrells T, Weavers A, Rose V, Wray J, Beake S. Revising acute care systems and processes to improve breastfeeding and maternal postnatal health: a pre and post intervention study in one English maternity unit. BMC Pregnancy Childbirth. 2012;12:41.

Larson E, Sharma J, Bohren MA, Tunçalp Ö. When the patient is the expert: measuring patient experience and satisfaction with care. Bull World Health Organ. 2019;97(8):563–9.

Manary MP, Boulding W, Staelin R, Glickman SW. The patient experience and health outcomes. N Engl J Med. 2013;368(3):201-3.

Ocampo PS, Vargas N, Leon N, Agüero SD, Araya M, Rudman J et al. El tipo de parto, ¿podría condicionar el éxito en la lactancia materna exclusiva? Rev Esp Nutr Comunitaria 2018;24(2).

Lau Y, Tha PH, Ho-Lim SST, Wong LY, Lim PI, Mattar BZ et al. An analysis of the effects of intrapartum factors, neonatal characteristics, and skin to-skin contact on early breastfeeding initiation. Matern Child Nutr. 2018; 14:e12492.

Guala A, Boscardini L, Visentin R, Angellotti P, Grugni L, Barbaglia M et al. Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study. Scientific World Journal. 2017: 2017:1940756.

Hung KJ, Berg O. Early Skin-to-Skin After Cesarean to Improve Breastfeeding. MCN Am J Matern Child Nurs. 2011;36(5): 318–24.

Stevens J, Schmied V, Burns E, Dahlen H. Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature. Matern Child Nutr. 2014;10(4):456– 73.

Chen C, Yan Y, Gao X, Xiang S, He Q, Zeng G et al. Influences of cesarean delivery on breastfeeding practices and duration: a prospective cohort studye. J Hum Lact. 2018;34(3):526-34.

Balatero JS, Spilker AF, McNiesh SG. Barriers to Skin-to-Skin Contact after Cesarean Birth. MCN Am J Matern Child Nurs. 2019;44(3):137-43 .

Brown A. What Do Women Really Want? Lessons for Breastfeeding Promotion and Education. Breastfeed Med. 2016;11:102-10.

Miller CW, Wognar D. Breastfeeding support. Guided by Swanson’s Theory of Caring. MCM Am J Matern Child Nurs. 2019;44(6):351-6.

Simpson KR, Lyndon A, Spetz J, Gay CL, Landstrom GL. Missed Nursing Care During Labor and Birth and Exclusive Breastfeeding During Hospitalization for Childbirth MCN Am J Matern Child Nurs. 2020; 10.1097/NMC.0000000000000644

Long K, Rondinelli J, Yim A, Cariou C, Valdez R. Delaying the First Newborn Bath and Exclusive Breastfeeding. MCN Am J Matern Child Nurs. 2020;45(2):110-5.

Published

2020-12-10

How to Cite

1.
Quiñoz-Gallardo MD, Rodríguez-Soberado P, González-María E, Albornos-Muñoz L, Gutiérrez-Martínez MM, Harillo-Acevedo D, et al. Nursing mothers satisfaction with the promotion of breastfeeding and professionals adherence to the recommendations. Multi-center study: e202012152. Rev Esp Salud Pública [Internet]. 2020 Dec. 10 [cited 2024 Nov. 22];94:17 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/798

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