81010625

open access

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Mothers' Breastfeeding-Related Durations and Nursing Management During the Early Postpartum Period in a Mixed Hospital Ward with an Obstetrics Department: A Prospective Observational Study

The Kobe journal of the medical sciences

64(5)

160-169

Kobe University School of Medicine

2018

2019-02-13

Purpose: This study aimed to quantify duration of in-hospital breastfeeding (BF)-related activities in mothers after childbirth in a mixed ward-type hospital with an obstetrics department in Japan (hereafter, mixed ward). Methods: Twenty-two postpartummothers (primiparous and multiparous) who had vaginal delivery in a mixed ward were instructed to wear radio beacons. A smartphone was placed in the BF room and detected the presence of a nearby beacon, 24 hours daily, measuring the number of hours a mother spent in the nursing room (defined as BF time [hereafter, BF-related duration]). BF-related duration included time spent for BF, diaper changes before and after BF, bottlefeeding, and support from nurses. BF-related total hours during postpartum hospitalization were calculated. The effects of parity and each postpartum day number (postpartum days 1–4) on Daily BF-related duration were determined. Results: Percentage of total postpartum hospitalization time spent for BF-related duration was21.6% and 19.9%for primiparous and multiparous mothers, respectively, with no significant difference between groups. BF-related duration was significantlydifferentbetween parity group and postpartum day, with peaks on postpartum day 4 (387.7 minutes) and day 2 (318.0 minutes) for primiparous and multiparous groups, respectively. (F=2.813, p=0.048).Conclusion: Mothers spent 20% of their postpartum hospitalization period for BF-related activities. Individual support is necessary, especially for primiparousmothers, who spent more time than multiparous mothers for BF-related activities on postpartum day 4. In a mixed ward, postpartum mothers need a comfortable hospital environment in which midwives can dedicate themselves to mother-child dyad care.

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