Rykiel Kayla, Melchor Julian, Long Brittany, Chartier Marc, Samra Cynthia
College of Medicine, Florida State University College of Medicine, Tallahassee, USA.
College of Medicine, Florida State University College of Medicine, Sarasota, USA.
Cureus. 2023 Sep 11;15(9):e45022. doi: 10.7759/cureus.45022. eCollection 2023 Sep.
Background Maternal and infant benefits of breastfeeding have been established and widely recommended by the American Academy of Pediatrics. However, there is a discrepancy between the number of mothers initiating breastfeeding and those continuing to breastfeed for six months and beyond. In this project, we investigated current breastfeeding practices and barriers to feeding for mothers in Sarasota County, Florida to develop an intervention aimed at increasing the rate of exclusive breastfeeding at six months and beyond. Methodology The PDSA framework was used to develop interventions aimed at increasing breastfeeding rates in Sarasota County. Initially, breastfeeding mothers were administered a survey to understand breastfeeding practices and barriers. Community agencies that supported breastfeeding practices were identified. Based on survey data and feedback, a community breastfeeding conference was organized to improve collaboration and increase breastfeeding rates. Attendees' knowledge and confidence were assessed through a conference pre-test and post-test. Additionally, attendees developed Smart, Measurable, Achievable, Relevant, and Timely goals that were recorded for data collection. Results Of the 28 completed community breastfeeding surveys, the respondents were of Caucasian or Hispanic ethnicity with an average age of 31. The majority of respondents had a goal of breastfeeding for 12 months, but only two participants reported that they continued to exclusively breastfeed to the 12-month mark. A total of 38 individuals from different agencies pre-registered for the conference; of these pre-registrants, 19 individuals checked in for conference attendance, 17 completed the conference pre-test, and 15 completed the conference post-test. Each domain surveyed demonstrated an increase in the values. Conclusions Following our intervention, there is an evident need for improvement in the pipeline of expanding collaboration among breastfeeding community agencies in Sarasota County. Upon completing our community breastfeeding conference, it was shown that this intervention provided both an educational improvement (demonstrated by increased mean domain scores) and a novel platform for providers to network. Our project highlights that strengthening the existing breastfeeding service infrastructure may directly increase exclusive breastfeeding rates at six months and beyond. Future interventions will aim to solidify recurrent infrastructural processes and policies.
背景 母乳喂养对母婴的益处已得到证实，美国儿科学会也大力推荐。然而，开始母乳喂养的母亲数量与持续母乳喂养六个月及以上的母亲数量之间存在差异。在本项目中，我们调查了佛罗里达州萨拉索塔县母亲们当前的母乳喂养做法及喂养障碍，以制定一项旨在提高六个月及以后纯母乳喂养率的干预措施。方法 使用计划 - 实施 - 检查 - 处理（PDSA）框架来制定旨在提高萨拉索塔县母乳喂养率的干预措施。最初，对母乳喂养的母亲进行了一项调查，以了解母乳喂养做法和障碍。确定了支持母乳喂养做法的社区机构。根据调查数据和反馈，组织了一次社区母乳喂养会议，以改善合作并提高母乳喂养率。通过会议前测和后测评估与会者的知识和信心。此外，与会者制定了明确、可衡量、可实现、相关且有时限的目标，这些目标被记录下来用于数据收集。结果 在28份完整的社区母乳喂养调查问卷中，受访者为白种人或西班牙裔，平均年龄31岁。大多数受访者的目标是母乳喂养12个月，但只有两名参与者报告说他们持续纯母乳喂养到了12个月。共有来自不同机构的38人预先注册参加会议；在这些预先注册者中，19人签到参加会议，17人完成了会议前测，15人完成了会议后测。所调查的每个领域的数值都有所增加。结论 在我们的干预措施实施后，萨拉索塔县母乳喂养社区机构之间扩大合作的流程显然需要改进。在完成我们的社区母乳喂养会议后，结果表明该干预措施既带来了教育方面的改善（平均领域得分提高证明），又为提供者提供了一个建立联系的新平台。我们的项目强调，加强现有的母乳喂养服务基础设施可能直接提高六个月及以后的纯母乳喂养率。未来的干预措施将旨在巩固经常性的基础设施流程和政策。
