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  • 1.
    Ekström, Anette
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Widström, Ann-Marie
    Department of Woman and Child Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden.
    Nissen, Eva
    Högskolan i Skövde, Institutionen för vård och natur.
    Duration of Breastfeeding in Swedish Primiparous and Multiparous Women2003Ingår i: Journal of Human Lactation, ISSN 0890-3344, E-ISSN 1552-5732, Vol. 19, nr 2, s. 172-178Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe the effects of sociodemographicfactors and maternity ward practices on the duration of breastfeedingin Swedish primiparas (n = 194) and multiparas (n = 294), consecutivelyselected from hospital birth files for 3 months, who respondedto a questionnaire 9 to 12 months after childbirth. The impactof sociodemographic data and maternity ward practices on exclusiveand any breastfeeding were examined. Smoking and supplementationwithout medical reasons influenced the duration of both exclusiveand any breastfeeding negatively, whereas early first breastfeedinginfluenced the duration of both exclusive and any breastfeedingpositively, and parity had no significant influence. Late hospitaldischarge influenced the duration of exclusive breastfeedingpositively, and higher maternal age influenced the durationof any breastfeeding positively. These variables altogetherexplained 11.4% (P <.001) of the variance in the durationof exclusive breastfeeding and 8.2% (P <.001) of the durationof any breastfeeding

  • 2.
    Grguric, Josip
    et al.
    Department of Pediatrics, University Medical School, Zagreb / UNICEF Croatia.
    Wen, Ruth-Ann
    Centre of Excellence for Nutrition, Health Promotion Board, Singapore / Association for Breastfeeding Advocacy (Singapore), Singapore.
    Kylberg, Elisabeth
    Högskolan i Skövde, Institutionen för vård och natur.
    Ashmore, Sue
    UNICEF UK Baby Friendly Initiative.
    MacEnroe, Trish
    Baby-Friendly USA, Inc..
    International Perspectives on the Baby-Friendly Initiative2012Ingår i: Journal of Human Lactation, ISSN 0890-3344, E-ISSN 1552-5732, Vol. 28, nr 3, s. 281-284Artikel i tidskrift (Övrigt vetenskapligt)
  • 3.
    Hedberg Nyqvist, Kerstin
    et al.
    Uppsala University.
    Häggkvist, Anna-Pia
    Oslo University Hospital.
    Ness Hansen, Mette
    Oslo University Hospital.
    Kylberg, Elisabeth
    Högskolan i Skövde, Institutionen för vård och natur.
    Lyng Frandsen, Annemi
    Holbaek Hospital.
    Maastrup, Ranghild
    Lund University.
    Ezeonodo, Aino
    Children's Hospital, Helsinkin University.
    Hannula, Leena
    Metropolia University of Applied Sciences.
    Koskinen, Katja
    Helsinki University Central Hospital.
    Haiek, Laura N.
    McGill University.
    Expansion of the Ten Steps to Successful Breastfeeding into Neonatal Intensive Care: Expert Group Recommendations for Three Guiding Principles2012Ingår i: Journal of Human Lactation, ISSN 0890-3344, E-ISSN 1552-5732, Vol. 28, nr 3, s. 289-296Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The World Health Organization/United Nations Children’s Fund Baby-Friendly Hospital Initiative: Revised, Updated, and Expanded for Integrated Care (2009) identifies the need for expanding the guidelines originally developed for maternity units to include neonatal intensive care. For this purpose, an expert group from the Nordic countries and Quebec, Canada, prepared a draft proposal, which was discussed at an international workshop in Uppsala, Sweden, in September 2011. The expert group suggests the addition of 3 “Guiding Principles” to the Ten Steps to support this vulnerable population of mothers and infants:

    1. The staff attitude to the mother must focus on the individual mother and her situation.

    2. The facility must provide family-centered care, supported by the environment.

    3. The health care system must ensure continuity of care, that is, continuity of pre-, peri-, and postnatal care and postdischarge care.

    The goal of the expert group is to create a final document, the Baby Friendly Hospital Initiative for Neonatal Units, including standards and criteria for each of the 3 Guiding Principles, Ten Steps, and the Code; to develop tools for self-appraisal and monitoring compliance with the guidelines; and for external assessment to decide whether neonatal intensive/intermediate care units meet the conditions required to be designated as Baby-Friendly. The documents will be finalized after consultation with the World Health Organization/United Nations Children’s Fund, and the goal is to offer these documents to international health care, professional, and other nongovernmental organizations involved in lactation and breastfeeding support for mothers of infants who require special neonatal care.

  • 4.
    Nyqvist, Kerstin H.
    et al.
    Department of Women’s and Children’s Health, University Children’s Hospital, Uppsala, Sweden.
    Häggkvist, Anna-Pia
    Norwegian Resource Centre for Breastfeeding, Women and Children’s Division, Oslo University Hospital, Oslo, Norway.
    Hansen, Mette N.
    Norwegian Resource Centre for Breastfeeding, Women and Children’s Division, Oslo University Hospital, Oslo, Norway.
    Kylberg, Elisabeth
    Högskolan i Skövde, Institutionen för vård och natur.
    Frandsen, Annemi L.
    Pediatric Department, Holbaek Hospital, Holbaek, Denmark.
    Maastrup, Ragnhild
    Neonatal Intensive Care Unit, Rigshospitalet, Copenhagen, Denmark, and Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Ezeonodo, Aino
    Helsinki University Central Hospital, Children’s Hospital, Department of Neonatology, Neonatal Intensive Care Unit, K7, Helsinki, Finland / Faculty of Health Care and Nursing, Helsinki Metropolia University of Applied Sciences, Helsinki, Finland.
    Hannula, Leena
    Faculty of Health Care and Nursing, Helsinki Metropolia University of Applied Sciences, Helsinki, Finland.
    Haiek, Laura N.
    Ministère de la Santé et des Services sociaux, Direction générale de santé publique, Quebec, Canada, and Department of Family Medicine, McGill University, Montréal, Québec, Canada.
    Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care: Expert group recommendations2013Ingår i: Journal of Human Lactation, ISSN 0890-3344, E-ISSN 1552-5732, Vol. 29, nr 3, s. 300-309Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the World Health Organization/United Nations Children’s Fund document Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care, neonatal care is mentioned as 1 area that would benefit from expansion of the original Ten Steps to Successful Breastfeeding. The different situations faced by preterm and sick infants and their mothers, compared to healthy infants and their mothers, necessitate a specific breastfeeding policy for neonatal intensive care and require that health care professionals have knowledge and skills in lactation and breastfeeding support, including provision of antenatal information, that are specific to neonatal care. Facilitation of early, continuous, and prolonged skin-to-skin contact (kangaroo mother care), early initiation of breastfeeding, and mothers’ access to breastfeeding support during the infants’ whole hospital stay are important. Mother’s own milk or donor milk (when available) is the optimal nutrition. Efforts should be made to minimize parent–infant separation and facilitate parents’ unrestricted presence with their infants. The initiation and continuation of breastfeeding should be guided only by infant competence and stability, using a semi-demand feeding regimen during the transition to exclusive breastfeeding. Pacifiers are appropriate during tube-feeding, for pain relief, and for calming infants. Nipple shields can be used for facilitating establishment of breastfeeding, but only after qualified support and attempts at the breast. Alternatives to bottles should be used until breastfeeding is well established. The discharge program should include adequate preparation of parents, information about access to lactation and breastfeeding support, both professional and peer support, and a plan for continued follow-up.

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