[Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit]

Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology

This study aimed to explore the experience of family-centered care (FCC) for high-risk infants admitted to the neonatal intensive care unit (NICU) among their parents and healthcare providers (HCPs) using the grounded theory methodology to understand the processes and interactions involved. By employing the grounded theory approach described by Corbin and Strauss, in-depth interviews were conducted with parents and HCPs experienced in NICU settings. Participants were selected via theoretical and snowball sampling, and data were managed and analyzed concurrently using MAXQDA software. The analysis was performed through open coding, process analysis, and category integration. The analysis of the experiences of FCC for high-risk infants in the NICU produced a detailed framework involving 71 concepts, 27 subcategories, and 11 upper categories. Through process analysis and category integration, the study identified a significant process termed "Union of care" characterized by four sequential phases: [Wandering]-[Approaching with one mind]-[Becoming a harmonious team]-[Carrying on the care]. This process model underscores the dynamic and collaborative nature of FCC in the complex environment of the NICU. This study highlights the importance of dynamic interaction and mutual understanding between parents and HCPs in FCC for high-risk infants. The promotion of a cooperative approach is recommended, with a focus on open communication, respect for parental roles, and HCPs' facilitation of parental involvement in care processes. Future research should consider larger and more diverse participant groups to broaden understanding and develop more inclusive FCC strategies.

[Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes]

PURPOSE

This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.

METHODS

Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.

RESULTS

In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ² = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ² = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ² = 7.59, p = .006).

CONCLUSION

A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

Fresh Parent's Own Milk for Preterm Infants: Barriers and Future Opportunities

While direct at-the-breast feeding is biologically optimal, Neonatal Intensive Care Unit (NICU) admission due to infant immaturity or illness often necessitates the expression and storage of parent's milk. The provision of freshly expressed (never stored) parent's own milk to preterm infants is not widely prioritized, and this article provides an exploration of NICU practices and their implications for feeding premature or ill infants with parent's own milk. In this article, we discuss the potential biological benefits of fresh parent's own milk, highlighting its dynamic components and the changes incurred during storage. Research suggests that fresh milk may offer health advantages over stored milk. The authors advocate for further research, emphasizing the need for standardized definitions. Research is needed on the biological impact of fresh milk, both short- and long-term, as well as defining and understanding healthcare economics when using fresh milk.