Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol

  title={Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol},
  author={Meredith Lee Brockway and Karen M. Benzies and Eloise C. J. Carr and Khalid Aziz},
  journal={International Breastfeeding Journal},
BackgroundBreastmilk is the ideal nutrition for preterm infants. [] Key Method Nested within the broader FICare trial, we will conduct an explanatory sequential mixed methods study to investigate if FICare improves maternal BSE and rates of breastmilk feeding in moderate and late preterm infants at discharge from the NICU. In phase 1, we will calculate the mean difference between admission and discharge BSE scores for the intervention group.

Does breastfeeding self-efficacy theory apply to mothers of moderate and late preterm infants? A qualitative exploration.

The findings indicate that breastfeeding self-efficacy is an applicable theory for mothers of preterm infants and healthcare providers need to be aware of the influence that institutional culture and policies may have on maternal breastfeeding self,efficacy and breastfeeding outcomes.

Effect of Continuous Supportive Telephone Counselling on Improving Breastfeeding Self-efficacy in Mothers with Late Preterm Infants Four Months After Discharge: a Randomized, Controlled Study

The results showed that continuous supportive telephone counselling can improve breastfeeding self-efficacy in mothers with preterm infants and the approach seems to be an acceptable basis for designing intervention programs in this field.

Do a Few Weeks Matter? Late Preterm Infants and Breastfeeding Issues

The findings showed that late preterm infants had a low rate of breastfeeding initiation and early breastfeeding discontinuation at 15, 40 and 90 days of life, and the mothers with higher educational levels and previous positive breastfeeding experience had a longer breastfeeding duration.

Breast milk production and emotional state in mothers of very low birth weight infants.

BMP was positively associated with breastfeeding self-efficacy; no association was observed with anxiety and depression among mothers of VLBWIs.

Comparison of family centered care with family integrated care and mobile technology (mFICare) on preterm infant and family outcomes: a multi-site quasi-experimental clinical trial protocol

This exploratory multi-site quasi-experimental study will compare usual FCC with mobile enhanced FICare on growth and clinical outcomes of preterm infants born at or before 33 weeks gestational age, as well as the stress, competence and self-efficacy of their parents.

Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: an experimental study

The present investigation suggests that antenatal breastfeeding education is an effective way to increase the level of breastfeeding self-efficacy, which increases exclusive breastfeeding practice.

An Observational Cohort Study and Nested Randomized Controlled Trial on Nutrition and Growth Outcomes in Moderate and Late Preterm Infants (FLAMINGO)

The FLAMINGO study aims to improve understanding of the longitudinal growth, nutritional needs, and body composition of LMPT infants as well as their microbiome development and neurodevelopment and gain insights into their microbiome and neuro development.

Effects of a maternal role adjustment program for first time mothers who use postpartum care centers (Sanhujoriwon) in South Korea: a quasi-experimental study

Results indicate that the maternal role adjustment program was effective in improving maternal role confidence and breastfeeding success among first time mothers in the postpartum care center.

The effect of family integrated care on the prognosis of premature infants

The FICare can shorten the time of nasogastric tube retention, shorten time to achieve total enteral nutrition and hospital stay, increase the rate of exclusive breastfeeding and the rateof weight gain, finally improve the prognosis of preterm infants and have a positive effect on parents.

Factors affecting breast-feeding practice among a sample of Iranian women: a structural equation modeling approach

The study provided informative pathways on the association of maternal attitude, social support and self-efficacy with breast feeding behavior and could be useful for designing health education and promotion programs about breast feeding among women.



Psychometric testing of the modified breastfeeding self-efficacy scale (short form) among mothers of ill or preterm infants.

  • B. J. WheelerC. Dennis
  • Medicine, Psychology
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2013
Evidence is provided that the modified BSES-SF may be a valid and reliable measure of breastfeeding self-efficacy among a sample of mothers of ill or preterm infants and that demographic response patterns suggest that it is a unique tool to identify breastfeeding mothers at risk of prematurely discontinuing.

Feeding outcomes in preterm infants after discharge from the neonatal intensive care unit (NICU): a systematic review

Optimal growth and successful feeding in the neonatal intensive care unit (NICU) are difficult to achieve, and data indicate premature infants continue to struggle after discharge, and interventions focused on increasing breastfeeding rates are effective.

When Is It Safe to Initiate Breastfeeding for Preterm Infants?

  • R. LucasRebecca L. Smith
  • Medicine
    Advances in neonatal care : official journal of the National Association of Neonatal Nurses
  • 2015
It was reveled that stable preterm infants maintain their physiological status during exposure to the breast as early as 27 to 28 weeks' PCA, and several studies demonstrated infants during breastfeeding compared with bottle-feeding experienced minimal variation in oxygen saturation and heart rate during feeding.

Hospital care and early breastfeeding outcomes among late preterm, early-term, and term infants.

Differences in practices do not account for decreased exclusive breastfeeding among late preterm infants, and hospital supportive practices increase the likelihood of any breastfeeding.

Family Integrated Care (FICare) in Level II Neonatal Intensive Care Units: study protocol for a cluster randomized controlled trial

Evaluating length of stay, infant and maternal clinical outcomes, and costs following adaptation and implementation of FICare in Level II NICUs in Alberta will inform policy decisions by providing evidence about the clinical effectiveness and costs of Ficare.

Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta-Analysis

Interventions that were implemented in the postpartum period, used combined delivery settings, or were informed by BSE theory had the greatest influence on breastfeeding outcomes.

Maternal recall of infant feeding events is accurate.

Retrospective infant feeding data based on maternal recall of events up to 18 months in the past can be used with confidence in epidemiological studies, however, data on formula feeding may not be as accurate as data on breast feeding and solid food feeding, and accuracy may decrease as length of recall increases.

Perceived Maternal Parenting Self-Efficacy (PMP S-E) tool: development and validation with mothers of hospitalized preterm neonates.

The Perceived Maternal Parenting Self-Efficacy tool is a psychometrically robust, reliable and valid measure of parenting self-efficacy in mothers of relatively healthy hospitalized preterm neonates and has the potential to provide healthcare professionals with a reliable method of identifying mothers of preterm hospitalized babies who are in need of further support.

Development and psychometric testing of the Breastfeeding Self-Efficacy Scale.

This instrument may be used to identify new mothers with low breastfeeding confidence who are at high risk to prematurely discontinue breastfeeding and support for predictive validity was demonstrated.