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Interventions infirmieres relatives a l'allaitement maternel de nouveau-nes prematures.

机译:与早产儿母乳喂养有关的护理干预措施。

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摘要

Problem statement. Based on observations from an unsuccessful randomized clinical trial that aimed to evaluate the effects of hindmilk on the short-term growth and development of preterm infants, a lactation support intervention for mothers of preterm infants has been developed. Mothers who give birth prematurely are three times more likely to have an insufficient milk output compared to those who give birth at term. It is therefore crucial to support these mothers in order to facilitate the establishment and maintenance of their milk supply. The aim of this pilot study is to estimate the effects of a lactation support intervention on the expression of breast milk and milk output of mothers who gave birth prematurely and assess the acceptability and feasibility of the intervention, study and its procedures.;Research hypothesis. A lactation support intervention in mothers who deliver prematurely enables them to express their milk significantly longer and more frequently, and produce a greater milk output with a higher lipid concentration compared to mothers who deliver prematurely and receive usual care.;Method. Design: A pilot study of a randomized clinical trial. Sample: Forty mothers of preterm infants born at 30 weeks of gestation and admitted to a neonatal intensive care unit. Procedures: The mothers in the control group receive usual care while those in the experimental group receive a lactation support intervention. The intervention has four components: an education session on the establishment and maintenance of an adequate milk supply, a telephone follow-up, a telephone helpline and the loan of a double electric breast pump. In both the intervention and control groups, mothers kept a logbook of the frequency, duration and volume of their breast milk expressions.;Results. Both the study design and the intervention are feasible and acceptable to mothers of preterm infants. With the exception of milk lipid concentration, the results are oriented in the same direction as the research hypothesis.;Recommendations. A larger scale study should be conducted to evaluate the effects of the lactation support intervention on the frequency, duration, and volume of breast milk expression among mothers of premature infants. As for the clinical practice, concerted interprofessional actions must be undertaken to create the environment and conditions conducive to breast milk expression in these mothers.;Keywords: Breast feeding, lactation, premature infant, nursing intervention, lactation consultant.
机译:问题陈述。基于一项旨在评估后奶对早产儿短期生长和发育的影响的随机临床试验的失败结果,已开发出针对早产儿母亲的哺乳支持干预措施。早产的母亲产奶量是足月分娩的母亲的三倍。因此,至关重要的是要支持这些母亲,以促进建立和维持其牛奶供应。这项初步研究的目的是评估泌乳支持干预措施对早产母亲的母乳表达和产奶量的影响,并评估该干预措施,研究及其程序的可接受性和可行性。研究假设。与早产和接受常规护理的母亲相比,对早产的母亲进行的泌乳支持干预措施使他们能够更长久,更频繁地分泌乳汁,并以较高的脂质浓度生产出更多的牛奶。设计:一项随机临床试验的初步研究。样本:妊娠<30周时出生并入新生儿重症监护病房的四十名早产母亲。程序:对照组的母亲接受常规护理,而实验组的母亲接受哺乳支持干预。干预措施包括四个部分:关于建立和维持充足的牛奶供应的教育会议,电话跟进,电话热线服务和双电动吸奶器的贷款。在干预组和对照组中,母亲均记录了其母乳表达的频率,持续时间和数量的日志。研究设计和干预措施都是可行的,对于早产母亲来说是可以接受的。除乳脂浓度外,结果与研究假设的方向相同。应该进行大规模研究,以评估哺乳支持干预对早产母亲的母乳表达频率,持续时间和体积的影响。在临床实践中,必须采取共同的跨部门行动,为这些母亲创造有利于母乳表达的环境和条件。关键词:母乳喂养,哺乳,早产儿,护理干预,哺乳顾问。

著录项

  • 作者

    Heon, Marjolaine.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 375 p.
  • 总页数 375
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

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