Dehkhoda Nahid, Valizadeh Sousan, Jodeiry Behzad, Hosseini Mohammad-Bagher
Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
J Caring Sci. 2013 Jun 1;2(2):97-103. doi: 10.5681/jcs.2013.012. eCollection 2013 Jun.
Re-establishing breastfeeding (relactation) is necessary in preterm infants who are deprived of breastfeeding due to hospitalized in the neonatal intensive care unit (NICU). Although NICU nurses train mothers about breastfeeding and relactation to some degree, there exists a lack of support or evaluation for restarting breastfeeding. The present study tried to determine the effects of an educational and supportive relactation program on weight gain of preterm infants.
This clinical trial study was performed on 60 preterm infants with mean gestational age of 29 weeks hospitalized in NICU of Alzahra Hospital (Tabriz, Iran). The infants were evaluated in two groups of 30. The mothers of infants in the control group received routine training and support about relactation while the intervention group received routine training as well as the designed educational and supportive relactation program including breast pumping, increasing milk agents and kangaroo mother care. Daily follow-up was conducted by the researcher. All the infants were weighed by a co-researcher.
On the 14(th) day of the study, the mean (SD) weight of infants in the control and intervention groups was 1666.67 (136.08) and 1765.86 (156.96) g, respectively.
Providing mothers with support from the medical team and training on relactation and kangaroo mother care can lead to better weight gain of the low birth weight premature infants.
对于因入住新生儿重症监护病房(NICU)而未能进行母乳喂养的早产儿,重新建立母乳喂养(再泌乳)是必要的。尽管NICU护士在一定程度上对母亲进行了母乳喂养和再泌乳方面的培训,但在重新开始母乳喂养方面仍缺乏支持或评估。本研究试图确定一项教育性和支持性再泌乳计划对早产儿体重增加的影响。
本临床试验研究对阿尔扎赫拉医院(伊朗大不里士)NICU收治的60例平均胎龄29周的早产儿进行。将婴儿分为两组,每组30例。对照组婴儿的母亲接受关于再泌乳的常规培训和支持,而干预组除接受常规培训外,还接受设计好的教育性和支持性再泌乳计划,包括吸乳、增加泌乳剂和袋鼠式护理。研究人员进行每日随访。所有婴儿均由一名合作研究人员称重。
在研究的第14天,对照组和干预组婴儿的平均(标准差)体重分别为1666.67(136.08)克和1765.86(156.96)克。
为母亲提供医疗团队的支持以及再泌乳和袋鼠式护理培训,可以使低出生体重早产儿体重增加得更好。