After reviewing the literature, discuss the evidence regarding what in-hospital practices may impact on the initiation and duration of breastfeeding. Include in your discussion the role of the midwife.
Initiation and duration of breastfeeding can be affected through in-hospital practices. The World Health Organisation (WHO) recommends that exclusive breastfeeding should occur until 6 months of age for the health benefits for both the mother and baby (Forster & McLachlan, 2007; WHO, 2014). In Australia, 80-90% of women initiate breastfeeding however duration drops with only around 14% of babies being exclusively breastfed at 6 months (Amir & Donath, 2008; Department of Education and Early Childhood Development, 2010; Forster, McLachlan & Lumley,
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The presence of staff has been strongly correlated with an increase in initiation and duration of breastfeeding (Amir et al., 2010). Staff in the antenatal and early postnatal period play an integral role in assisting mothers to initiate breastfeeding (Amir et al., 2010). During the postnatal period, duration of breastfeeding can be increased through providing positive support, problem solving and continual patient education (Brand et al., 2011). A barrier to a lack of support during the early postnatal time in hospitals is that there is a 1:8 ratio of midwife to woman/baby leading to a limit in time with women and therefore support in the critical early stages of initiation of breastfeeding (Amir et al., 2010; Kervin et al., …show more content…
Evidence from high quality systematic reviews show that the strategies most likely to increase breastfeeding initiation incorporate mainly antenatal interventions. These include antenatal breastfeeding education and antenatal peer support programs as well as the postnatal intervention of promoting an increase in duration of early mother-infant contact (Amir et al., 2010; Brand et al., 2011). One of the main factors is maternal intention to breastfeed (Forster & McLachlan, 2007). Mothers with prenatal intention to breastfeed were more likely to have a longer duration of breastfeeding (Kervin et al., 2010). Research suggests that the decision to breastfeed is often made before falling pregnant or during the early stages of pregnancy (Forster & McLachlan, 2007). The role of the midwife at these points is to discuss the woman’s desire and intention to breastfeed and positively influence this decision by showing the benefits of breastfeeding (BFHI number 3) (Amir et al., 2010; Apostolakis-Kyrus, Valentine & DeFranco, 2013; Forster et al., 2006; Forster & McLachlan, 2007). Hospital education that includes hands on problem solving activities involving the partner and support network is evidenced to be more beneficial than pamphlets (Amir et al., 2010; Forster & McLachlan, 2007; Hunter & Cattelona, 2014). Despite the evidence of the importance of the role of the midwife in
Veronica Tingzan is an International Board Certified Lactation Consultant (IBCLC) who attained her degree through the University of California, San Diego in the year 2005. Now, aside from being a mother, she works for two San Diego hospitals as a lactation consultant. In her article “Bonding with your Baby through Breastfeeding,” she discusses the relationship that is formed between mother and child during the process of breastfeeding. When mothers breastfeed, they are providing nourishment to the child by feeding him or her milk from her breasts.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for
Shouldice Hospital had an excellent well-developed, focused service delivery system. The business strategy was to not only provide its patients with a quick, quality and low cost surgery but also providing an unforgettable experience and comfortable environment in the facility.
The World Health Organization suggests that mothers solely breastfeed for the first six months of life, and continue to use breast milk to supplement the child’s diet for up to two years and beyond. Despite this being encouraged all around the world, the percentage of mothers who actually follow this advice is only high in developing countries. In these countries, over 99% of mothers typically begin breastfeeding newborns, and many children continue to be breastfed through their second year (Brown, 2015). In developed countries, the percentage drops drastically. In the UK, and similarly in America, Australia, and much of Europe, the percentage of mothers who begin breastfeeding is high, 81%, but the percentage drops to just 55% at six weeks. Norway experienced similar percentages in the 1970s, but there has been a culture change that has led to 98% of mothers breastfeeding at
It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).
“Breast feeding rates in developed countries such as the UK, Australia and the US are typically lower than World Health Organisation goals” Parkinson (2010) 3. From a study carried out by Queensland university stressed the importance of not only the delivery of literature on how effective breastfeeding is for your babies health but that what was also needed to increase the number of breast feeders was to give personal support and explains social and environmental benefits also. When they looked at the UK in particular, Parkinson (2010) 3 stated “women already understood that breastfeeding was good for their baby, and what they needed were the tools to help them to breastfeed longer. From this it is clear that although effective and sufficient information around the benefits of the child is being addressed, there is no sufficient information or skills being given direct to the parents in order for them to carry this out for any length of time. Another piece of research was carried out in 2010 on ways to change the paradigm of breastfeeding, from encouraging promotion of breast feeding within the employment setting.
It is shown that the longer the duration of breastfeeding, the less likely they are to develop these health issues (Godfrey, Lawrence 1598).
The immediate and long-term benefits of breastfeeding have been demonstrated. Mothers are encouraged to begin breastfeeding immediately after delivery, however mothers choosing to breastfeed find numerous challenges once returning to work. There are not appropriate accommodations to support nursing mothers in the workplace. Although there are laws in place to support accommodations in the workplace these laws are not enforced and therefore it is virtually impossible for mothers to continue to breastfeed as a result of the significant barriers they face to effectively find suitable accommodations in the workplace. There needs to be a standard for enforcing these policies if the goal is to move toward encouraging all mothers to breastfeed throughout the first six months of life.
Traditional hospitals using standard medical treatment and Western-educated personnel tend to treat the patient's physical being while ignoring other equally important aspects of the patient and the caregiver. Fortunately, healing hospitals have transformed the concept of healing through the principle of "Radical Love." Recognizing the equal importance of physical, mental, emotional and spiritual wellbeing for all members of the hospital environment, Radical Love enhances the entire wellbeing of the entire community.
All mothers have a choice in how they decide to raise their family. In the hospital, the health care team is supposed to be there in support to protect and to educate their patient, help them in identifying their rights, and educating them with proper and abundant information. The dilemma I am exploring specifically relates to the postpartum floor at Kaiser Walnut Creek, which is the idea of breastfeeding versus formula feeding. According to Healthy People 2020 as cited by the Centers for Disease Control and Prevention, in 2011, 81.9% of mothers breast-fed during the early postpartum period, 60.6% until 6 months, and 34.1% until 12 months. In addition to the increasing rate of breast-feeding, there are many benefits for the newborn, as well as the mother. The newborn will have passive immunity against infections, decreased rate of sudden infant death syndrome, reduced risk of allergies and asthma, and decreased incidence of diabetes mellitus and obesity later in the future. The mother will have easier postpartum weight loss and lessens bleeding, delayed fertility, and reduced risk of breast and ovarian cancer. In addition, breast-feeding is convenient and cost effective (Ladewig,
The research by Noble-Carr and Bell (2012) demonstrated that nurses need to provide their patients with readily accessible, clear and concise breastfeeding information early on in their pregnancy. Preparation can begin to prepare the women’s mind for the will breastfeeding requires. Women choose to not breastfeed continually due to the constraints that it can put on their lives. In pregnant and post-partum mothers, can targeted education and strategies focused on patient constraints to breastfeeding positively impact the initiation and continuance of breastfeeding as opposed to general education focused on only the benefits of breastfeeding
In completing post-class questionnaires, participants scored significantly higher for breastfeeding knowledge, rated breastfeeding as significantly more important, and cited significantly higher confidence levels in breastfeeding than in pre-class questionnaires. In the 6-week postpartum interview, 70 of the original 153 mothers were interviewed. 91% were
Although breastfeeding has been known to benefit both the mother and the infant, many women still come across many obstacles to breastfeeding, even after a successful beginning. Most families are partial in their beliefs that are influenced by society’s cues (available places to breastfeed in public) and family traditional norms (whether a family has traditionally participated in breastfeeding or formula feeding; and opinions about the preferred feeding choice in that family) around breastfeeding. Many of these opinions impact the choice and options that the family and new mother have. Studies after studies have been performed to search for the answer to the question every woman asks herself, “What is the best way to feed my baby?”
“The World Health Organisation recommends exclusive breastfeeding for the first 6 months for all babies. “In Australia, the National Health and Medical Research Council (NHMRC) recommend breastfeeding exclusively until around 6 months of age, and continued breastfeeding after the introduction of solid foods until the
Breastfeeding is an experience that is foreign for most people until they actually experience it. I had limited knowledge of breastfeeding until I interviewed my friend who currently has two children. Before she had her first child, she read a lot of books and watched a lot of videos, but they still didn’t quite capture the experience. She is a nurse and with her healthcare background, she felt confident about the importance of breastfeeding her children, especially in the first 6 -12 months. Before her baby, she was worried about the physical process and what it would feel like. After birth, she was more worried about her baby being able to breastfeed. For the first few weeks, her baby was having a hard time breastfeeding and she had to occasionally