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When Parents Ask ... about Preterm Birth, Breastfeeding Success, Breast Cancer, or Waterbirth 
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下载免费PDF全文 Moore ML 《The Journal of perinatal education》2003,12(4):40-43
IN THIS COLUMN, THE AUTHOR REVIEWS RESEARCH ON FOUR SEPARATE TOPICS: the prevention of preterm birth, the effect of epidurals on breastfeeding success, the possible protective effect of lactation on breast cancer, and laboring in water. In two separate studies-a multisite study in the United States and a second study from Brazil-natural progesterone was shown to significantly reduce the incidence of preterm birth in women at high risk. A third study conducted in the United Kingdom examined the effect of clindamycin on preventing infection that can lead to preterm birth. A group of studies related to lactation found that early breastfeeding was more successful in women who did not have epidural anesthesia. In a Korean study, the lifetime duration of breastfeeding was associated with a significant reduction in breast cancer. Concerning waterbirth, Swiss researchers found that, when a woman labored in water, she regulated both water temperature and bathing duration to ensure that her body temperature and that of the fetus remained within a normal physiological range. 相似文献
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Social support interventions that incorporate professionally mediated peer support (PMPS) for improved breastfeeding outcomes were compared with no special breastfeeding support. Fifty-five breastfeeding mothers participated. The breastfeeding outcomes of duration, completeness, satisfaction, and exclusive breastfeeding were compared at 6 weeks postpartum among an experimental group that received PMPS, and among younger community (YC) and older community (OC) groups that received no special breastfeeding support. The PMPS group exclusively breastfed for a significantly longer duration than the YC group. At 6 weeks, mothers in both community groups who had weaned were significantly less satisfied with their breastfeeding experiences than the mothers who were still nursing their babies. Professionally mediated peer support can improve the early breastfeeding outcomes of duration of exclusive breastfeeding and satisfaction with breastfeeding. 相似文献
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The purpose of this study was to examine maternal attitudes and sociodemographic variables associated with Taiwanese mothers' continuation of breastfeeding at 6 weeks postpartum. A sample of 140 in-hospital breastfeeding mothers was recruited in Taiwan. Participants completed the Iowa Infant Feeding Attitude Scale (IIFAS) in the hospital prior to discharge. Postdischarge participants were contacted by telephone at 3 and 6 weeks postpartum to obtain information regarding their feeding method and duration. Findings revealed that in-hospital maternal breastfeeding attitudes are predictive of breastfeeding duration. Insufficient milk supply was the reason most often given for discontinuing breastfeeding. Women's husband/partner was found to be the main source of breastfeeding support. We recommend health-care professionals add the IIFAS to their assessment to identify mothers at high risk for discontinuing breastfeeding and to develop and better evaluate breastfeeding promotion programs. 相似文献
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Research literature supports the notion that maternal comfort should be considered a priority and that mothers should receive adequate information regarding any drug prior to receiving that drug. Some studies indicate that difficulties with breastfeeding may be related to the amount of the anesthetic or analgesic that is administered to the mother. Thus, it seems wise to administer the lowest possible dose to the mother in order to minimize the amount of drug (or metabolite) exposure to the nursing infant. Infant exposure can be further reduced if breastfeeding is avoided during the times when the mother receives high doses of anesthetics and analgesics. However, because relatively small amounts of the drug are excreted into the breast milk, some mothers may opt to continue nursing after weighing the benefits of breastfeeding against the potential risk to the infant. Others may choose to "pump and dump" breast milk while they receive anesthetic or analgesic agents. Any concerns in this regard should be discussed with the anesthesia provider, preferably prior to labor or to any surgeries while breastfeeding. 相似文献
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Cheryl Tatano Beck 《The Journal of perinatal education》2021,30(2):89
This secondary qualitative analysis identified metaphorical expressions mothers of twins used to describe their first year caring for their infants. Data from the primary grounded theory study were reanalyzed using metaphor identification procedure and revealed eight metaphors: blur, life on hold, being an orchestrator, being a juggler, being an equalizer, being a quick-change artist, being a milk factory, and open invitation. These metaphors give clinicians an insider''s view of the struggle''s mothers of twins experience during the first year after birth. Being attentive to the metaphors mothers used can provide a unique approach to helping them. Lactation consultants are key to providing much needed support for mothers who are breastfeeding twins. 相似文献
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John K. Rempel Lynn A. Rempel Dinh T.P. Hoa Le T. Vui Tran K. Long 《Child development》2020,91(2):e345-e364
A multifaceted, relationally focused intervention involving group and individual pre- and postnatal counseling, print resources, and community resources encouraged 390 fathers of newborn infants in Vietnam to responsively support mothers and work with them as a parenting team. Both partners completed questionnaires prebirth and 1-, 4-, and 9-months postbirth on measures of breastfeeding support, exclusive breastfeeding duration, relationship quality, and infant development. Compared to 412 comparison group couples, intervention couples evidenced greater father support, especially in terms of helping and responsiveness to the mother's needs. This support predicted longer exclusive breastfeeding duration, improved relationship quality, and higher levels of infant development at 9 months. Sensitively working together with mothers as a coordinated team enhanced couple's relationship functioning and improved children's developmental outcomes. 相似文献
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Moore ML 《The Journal of perinatal education》2003,12(2):44-46
IN THIS COLUMN, THE AUTHOR EXAMINES RECENT RESEARCH ON TWO SEPARATE TOPICS: 1) breastfeeding; 2) postpartum length of hospital stay. Recent studies suggest long-term effects of breastfeeding that benefit both mother and infant. Benefits include a reduced risk of breast cancer in breastfeeding mothers and a reduced level of total and LDH cholesterol in adults who were breastfed as infants. Infants of mothers with maternal asthma had lower rates of asthma if the mother breastfed. In a study of women in the United States who planned to breastfeed, those mothers who breastfed exclusively and planned to breastfeed more than three months were more likely to achieve their goals than mothers who planned to combine breast and human-milk substitute feeds and to breastfeed less than three months.In a Canadian study, shortened postpartum stays led to increased re-admission to hospital for mothers with cesarean births. In contrast, in a Massachusetts study, shortened postpartum stays did not lead to an increase in infant visits for urgent care. However, the Massachusetts study did not reflect a decrease in maternity-related costs associated with shortened length of postpartum stay. 相似文献
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Although breastfeeding is known to be beneficial to both mother and infant, many women encounter barriers to breastfeeding, even after successful breastfeeding initiation, which may put them at greater risk for early cessation of breastfeeding. The objectives of this study were to conduct a secondary analysis of data from a longitudinal study of postpartum depression to (a) examine factors related to very early discontinuation of breastfeeding (at 2 weeks postpartum) following hospital discharge and (b) identify women's reasons for very early cessation of breastfeeding. The results of this study support findings from previous research. Having a perceived support system, whether it is personal or professional, may have an effect on both the initiation and duration of breastfeeding. Educating expectant and new mothers, especially women who encounter multiple barriers and are at risk for very early cessation of breastfeeding, of the benefits of breastfeeding and supporting them in developing efficient techniques and problem-solving skills can help increase the duration of breastfeeding. 相似文献
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Difrisco E Goodman KE Budin WC Lilienthal MW Kleinman A Holmes B 《The Journal of perinatal education》2011,20(1):28-35
Substantial evidence documents the superiority of breastfeeding for mothers and breastmilk for babies. Although the American Academy of Pediatrics and the U.S. Healthy People 2010 initiative promote breastfeeding, current breastfeeding rates often fall short of recommendations. This study determined factors associated with exclusive breastfeeding 2 to 4 weeks following discharge from a large, urban, academic medical center striving for Baby-Friendly designation. Results indicated that mothers who breastfed within the first hour of birth (61%) were significantly more likely to be exclusively breastfeeding 2 to 4 weeks after discharge. Incorporating care practices that include a number of the "Ten Steps to Successful Breastfeeding," as recommended by the Baby-Friendly Hospital Initiative, may increase the duration of exclusive breastfeeding after discharge. 相似文献
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为探讨农村留守初中生自尊与自杀意念的关系,以及领悟社会支持在其间的中介作用和性别的调节作用,采用自尊量表、青少年领悟社会支持量表和青少年自杀意念量表对513名辽宁省农村留守初中生进行问卷调查。研究结果表明:自杀意念与自尊、领悟社会支持呈显著负相关,自尊与领悟社会支持呈显著正相关;自尊显著负向预测自杀意念,领悟社会支持在自尊与自杀意念之间起部分中介作用;自尊对自杀意念的影响受到性别的调节,相对于女生而言,男生的自尊对自杀意念的作用更为显著。因此,可通过自尊提升训练及提高领悟社会支持等角度来促进农村初中生的积极心理,减少自杀意念的产生。 相似文献
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孙虎林 《连云港教育学院学报》2013,(1):64-67
采用领悟社会支持量表和主观幸福感问卷对451名文科女大学生进行问卷调查。结果表明：文科女大学生的社会支持良好;大二的社会支持得分显著高于大一的;社会支持得分在出生排行上存在显著差异;生活满意度和积极情感对社会支持有显著的预测力;对室友、经济状况、自己、朋友、家庭和社会关系的满意度对社会支持有显著的预测力。 相似文献
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目的:探讨领悟社会支持和应对方式在自我肯定与生命质量之间的作用机制。方法:采用一般健康问卷、领悟社会支持量表、特质应对方式问卷、TDL生命质量测定表对319名高职学生进行调查。结论:高职学生的自我肯定、领悟社会支持和积极应对与生命质量显著正相关,消极应对与生命质量显著负相关;领悟社会支持和积极应对、消极应对在自我肯定与生命质量之间起链式中介作用。 相似文献
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Parenting stress and social support in hearing mothers of deaf and hearing children: a longitudinal study 总被引：2，自引：0，他引：2
This longitudinal study investigated the impact of child deafness on mothers' stress, size of social networks, and satisfaction with social support. Twenty-three hearing mothers of deaf children and 23 hearing mothers of hearing children completed a series of self-report questionnaires when their children were 22 months, 3, and 4 years old. When children were 22 months, more mothers of deaf children reported pessimism about their children's achieving self-sufficiency and concerns about their children's communication abilities than did mothers of hearing children. When their children were 3 and 4 years old, mothers of deaf and hearing children did not differ in their reports of general parenting stress, as measured by the Parenting Stress Index (PSI). Likewise, mothers' ratings of satisfaction with social support were not affected by child deafness, nor did they change developmentally. Mothers of deaf and hearing children did differ in the types of support networks utilized. Mothers of deaf 22-month-olds reported significantly larger professional support networks, while mothers of hearing children reported significantly larger general support networks across all child ages. Mothers' feelings of stress and satisfaction with social support were very stable across the 2 years examined. The results suggest that most mothers of deaf children do not feel a high level of general parenting stress or dissatisfaction with their lives and support networks. However, mothers of deaf children are likely to feel stress in areas specific to deafness. In addition, because parenting stress was highly stable, special efforts should be made to intervene when mothers of deaf children are expressing high levels of stress. 相似文献
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The objective of this integrative review was to assess birth and postpartum doulas'' roles in supporting breastfeeding initiation and duration. The electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PubMed, and Scopus were searched using the key terms doula and breastfeeding. Fourteen articles met inclusion criteria. Six key themes were identified. Doulas may acquire only modest amounts of lactation-specific education; however, doula care still enhances the breastfeeding care provided by health-care professionals. Doulas offer prenatal and intrapartum support that encourages breastfeeding initiation in the hospital, as well as providing breastfeeding support in the community and home settings. This reinforces the unique role of the doula in bolstering maternal–infant health. The effect of doulas on breastfeeding duration is less clear. 相似文献
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吴双双 《潍坊教育学院学报》2013,26(1):42-45
为了考察大学生领悟社会支持与生活满意度之间的关系,本文采用《领悟社会支持量表》(PSSS)和《生活满意度量表》(SLS)对368名被试大学生进行问卷调查。结果如下:(1)领悟社会支持和生活满意度在人口学变量上的分析表明,性别在领悟社会支持及其各要素上存在主效应;性别和专业在家庭支持上存在交互效应;专业在生活满意度上存在主效应。(2)领悟社会支持和生活满意度的相关分析表明,大学生的生活满意度与领悟社会支持总分、家庭支持、朋友支持及其他支持均呈显著正相关。(3)生活满意度对领悟社会支持及各因素的回归分析表明,家庭支持、朋友支持和其他支持均能显著预测大学生的生活满意度。通过分析,得出如下结论:大学生领悟社会支持是大学生生活满意度的重要影响因素。 相似文献
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以280名高职生为样本,采用问卷调查法,考察高职生获得支持与提供支持的关系和相互作用,结果发现,高职生在获得支持与提供支持之间表现为失衡关系且提供支持大于获得支持;二者的平衡性在不同的社会关系中和支持类型上存在显著差异,说明社会关系和支持类型是平衡性的相关影响因素;恩惠感和欠负感是获得支持作用于提供支持的影响因素,而代价损耗是提供支持作用于获得支持的影响因素。因此,要根据高职生社会支持的特点以及他们的需要为该群体提供更多的社会支持。 相似文献
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大学生焦虑与领悟社会支持关系的研究 总被引：1，自引：0，他引：1
探讨领悟社会支持与焦虑的关系，为大学心理健康教育提供帮助。方法：用《领悟社会支持量表》（Perceived social supportscale，PSSS）和《焦虑自评量表》（Self-Rating Anxiety Scale，SAS），对277名大学生进行测查和分析。结果：（1）领悟社会支持能力与焦虑之间呈显著负相关；（2）大学生焦虑与领悟家庭内支持及领悟家庭外支持均呈显著负相关．结论：领悟社会支持能力是影响大学生心理健康状况的重要因素． 相似文献
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In this position paper-one of six care practice papers published by Lamaze International and reprinted here with permission-the value of keeping mothers and their babies together from the moment of birth is discussed and presented as an evidenced-based practice that helps promote, protect, and support normal birth. The paper is written for childbearing women and their families. Babies held skin-to-skin with their mothers cry less often, breathe easier, and stay warmer than babies who are separated from their mothers. They also instinctively attach to the breast and begin breastfeeding, usually within one hour of birth. The advantages of rooming-in for mother and baby are also discussed. The accompanying commentary-written by two leading professionals in the field of maternity care and pediatrics-provides further evidence to support the practice of keeping mothers and their babies together after birth. Lamaze International encourages women to give birth in settings that do not separate mothers and babies after birth. 相似文献