Preterm Infant Breast Feeding Breastfeeding Promotion 10 steps brestfeeding in sick newborn Premature Birth Breast Feeding in sick newborn Lactation Mothers in preterm Neonatal intensive care unit Clinical Practice Guidelines
Conditions
Interventions
Participants receive care based on a Clinical Nursing Practice Guideline developed from evidence based practice and the Ten Steps for Promoting and Protecting Breastfeeding for Vulnerable Infants. The
Breastfeeding Promotion Clinical Nursing Practice Guideline in Preterm baby
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Mothers aged 18 years or older. 2. Able to communicate and understand Thai language. 3. Willing to participate and provide written informed consent. 4. Intend to breastfeed through direct breastfeeding or expressed breast milk. 5. Physically and mentally capable of breastfeeding. 6. Mothers of preterm infants with gestational age below 37 weeks admitted to the Neonatal Intensive Care Unit. 7. Registered nurses working in maternal and neonatal care units with at least 6 months of clinical experience and willing to participate.
Exclusion criteria
Exclusion criteria: 1. Mothers with medical or psychiatric conditions that may interfere with breastfeeding or study participation. 2. Mothers using illicit drugs or medications contraindicated during breastfeeding. 3. Preterm infants transferred to another hospital during the study period. 4. Preterm infants with major congenital anomalies or genetic disorders affecting oral feeding ability. 5. Preterm infants with severe medical conditions preventing breastfeeding participation, including major gastrointestinal disorders requiring prolonged fasting or surgery, severe neurological impairment, or uncontrolled seizures. 6. Infants requiring specialized nutrition other than breast milk.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset of Lactogenesis Within the first postpartum week Time from delivery to onset of copious milk production measured in hours,Feasibility of Guideline Implementation At completion of guideline implementation Feasibility questionnaire score completed by registered nurses,Breast Milk Volume Before discharge and 1 month after infant discharge Daily expressed breast milk volume measured in milliliters from maternal milk expression records,Nurse Satisfaction At completion of guideline implementation Nurse satisfaction questionnaire score | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal Stress At maternal discharge, before infant discharge and 1 month after discharge Thai Perceived Stress Scale 10 score,Infant Growth Before discharge and 1 month after discharge Body weight measured in grams | — |
Countries
Thailand
Contacts
Public Contactpreawpan sriyapai
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed