Hello! My name is Tracy Rosten and I am a junior nursing student at
the University of North Dakota. I am currently enrolled in a
childbearing class and have experienced 3 exciting days on the OB
floor. I also will be following an expectant mother this semester. I
joined Lactnet a week ago and have enjoyed looking through some emails
to see what is discussed on line.
I am very excited to follow the labor and delivery of my
expectant mom. (It also helps that she is my sister). This will be her
first pregnancy and so far everything has gone well, she is at 36 weeks
and beginning to get a little nervous. I understand the importance of
breastfeeding and I was thrilled to hear that she is planning on
breastfeeding. We have picked out a pump and I recently attended a
breastfeeding educational class with her provided by the local
hospital. I thought it had great information for new breastfeeding
mothers, but when I discussed it with her she revealed that the class
had made her nervous about it. She just kept saying how much work it
was going to be and I saw a large decrease in her confidence level. I
decided to look up some journal articles on predictors to early
termination of breastfeeding. In her visits with her doctor I was also
unimpressed with his lack of enthusiasm toward breastfeeding. In a
study by Labarere, Gelbert-Baudino, Ayral, e
t al. (2005) relating to support provided by trained clinicians during
an early routine, preventive visits. They agree with the American
Academy of Pediatrics policy calling for pediatricians to promote and
support breastfeeding. The randomized trial compared usual care with
mother who attended routine, preventive, outpatient visit in the office
of a primary care physician by 2 week. This was associated with a
significant increase in the rates of exclusive breastfeeding at 4 weeks
and long duration in general.
According to Ertem, Votto, and Leventhal (2001) that early
discontinuation of breastfeeding was not dependent on problems of
lactation or on lack of knowledge but was mainly connected to the
mother confidence in herself. It discussed how there is much emphasis
on interventions that focus on increasing knowledge for the new
mother. This study focused on rate, timing, and predictors of early
discontinuation of breastfeeding.
In a study by Ann Henderson, Georgina Stamp, and Jan Pincombe
(2001) focused on positioning and attachment education for increasing
breastfeeding. They found that although it is important to educate the
new mother on positioning and attachment there may be an increase in
anxiety related to first time mothers. The stress placed on proper
positioning and attachment may have contributed to a feeling that
breastfeeding was too difficult.
My question is how you instill in a new mother that she is
capable of breastfeeding. Also as a nurse and a sister how can I show
my support and help to boost her confidence.
References:
Ertem, I. Votto, N. and Leventhal J. (2001). The Timing and Predictors
of the Early
Termination of Breastfeeding. American Academy of Pediatrics, 107(3).
543-548.
Henderson, A., Stamp. G., and Pincombe, J. (2001).Postpartum
Positioning and
Attachment Education for Increasing Breastfeeding: A Randomized Trail.
Birth, 28(4).237-242.
Labarere, Gelber-Baudino, Ayral, Duc, Berchotteau, Bouchon,
Schelstraete, Vittoz,
Francois, and Pons, (2005). Efficacy of Breastfeeding Support Provided
by Trained Clinicians During and Early, Routine, Preventive Visit: A
Prospective, Randomized, Open Trail of 226 Mother-Infant Pairs.
American Academy of Pediatrics.115 (2).139-146.
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