Pineda Roberta G, Foss Joanne, Richards Lorie, Pane Camille A
Washington University, School of Medicine, St Louis, Missouri, USA.
Neonatal Netw. 2009 Sep-Oct;28(5):311-9. doi: 10.1891/0730-0832.28.5.311.
To assess the effectiveness of an educational intervention aimed at staff and parents in changing breastfeeding practices in the NICU.
The breastfeeding education initiative consisted of three parts: breastfeeding training for NICU staff, issuance of complementary breastfeeding materials to mothers of infants in the NICU, and addition of a breastfeeding pathway to the individualized care plan. Infants admitted before and after the initiative were compared to evaluate for changes in breastfeeding practices.
The study sample included very low birth weight (VLBW) infants hospitalized in the NICU for more than seven days and born weighing <1,500 g. Infants were grouped based on whether they were admitted before (pre-intervention) or after (post-intervention) implementation of the education initiative.
Health care professional (HCP) knowledge of breastfeeding interventions in the NICU was measured using a posttest following training. Breast milk feeding initiation rates, breastfeeding rates, and rates of breast milk feeding at discharge were measured via retrospective chart review among pre- and post-intervention infant groups.
The post-intervention group demonstrated significant improvement in rates of breastfeeding (infants being put directly to the breast) in the NICU compared with the pre-intervention group. General positive trends in breast milk feeding initiation (up 11 percent) and breast milk feeding at discharge (up 5 percent) were observed, but these increases failed to reach significance.
评估一项针对医护人员和家长的教育干预措施在改变新生儿重症监护病房（NICU）母乳喂养行为方面的效果。
母乳喂养教育倡议包括三个部分：对NICU医护人员进行母乳喂养培训，向NICU婴儿的母亲发放补充母乳喂养材料，并在个性化护理计划中增加母乳喂养路径。对倡议实施前后入院的婴儿进行比较，以评估母乳喂养行为的变化。
研究样本包括在NICU住院超过7天且出生体重<1500克的极低出生体重（VLBW）婴儿。婴儿根据是否在教育倡议实施之前（干预前）或之后（干预后）入院进行分组。
通过培训后的后测来衡量医护人员（HCP）对NICU母乳喂养干预措施的知识掌握情况。通过对干预前和干预后婴儿组进行回顾性病历审查，来测量母乳喂养开始率、母乳喂养率以及出院时的母乳喂养率。
与干预前组相比，干预后组在NICU的母乳喂养率（婴儿直接进行母乳喂养）有显著提高。观察到母乳喂养开始（上升11%）和出院时母乳喂养（上升5%）总体呈积极趋势，但这些增长未达到显著水平。
