Biomedical subjects

K A Wambach

Publications and source records attributed to K A Wambach.

4 recordsLinked to original sources

PubMed1998

Maternal fatigue in breastfeeding primiparae during the first nine weeks postpartum.

This pilot study documented maternal fatigue levels and patterns among breastfeeding primiparae; relationships between maternal fatigue and select physiological, psychological, situational, and performance factors; and fatigue interference with activities of daily living. A convenience sample of 41 mothers completed self-report instruments measuring breastfeeding experiences, fatigue, sleep characteristics, perceived stress, depression, and infant temperament at 3 days, 3, 6, and 9 weeks postpartum. Positive moderate relationships were detected at all four times for: breastfeeding problem severity (r = .38-.66, p < .05), depression (r = .45-.71, p < .01), and perceived stress (r = .36-.70, p < .05). Maternal sleep disturbance (r = .40-.54, p < .05) and/or effectiveness (r = -.33-.45, p < .05) correlated with fatigue at each time period. Infant difficulty was positively and mildly related to fatigue at 6 and 9 weeks (r = .32-.43, p < .05). Maternal age correlated positively and moderately to fatigue (r = .31-.50, p < .05). Finally, the impact of fatigue on activities of daily living and maternal role activities was low and nonsignificant. Results suggest fatigue is moderately significant to breastfeeding primiparae in the early to late postpartum period.

Adolescent↗

PubMed1997

Breastfeeding intention and outcome: a test of the theory of planned behavior.

Causal modeling was used to test the hypotheses of the theory of planned behavior for the prediction of prenatal breastfeeding intentions and postpartum breastfeeding outcomes with 135 childbearing women. In support of the theory, prenatal breastfeeding attitudes and perceived behavioral control predicted breastfeeding intentions (R2 = 23); however, the subjective norm variable failed to meet statistical criteria for model entry. Breastfeeding intentions weakly predicted duration of breastfeeding up to 6 weeks postpartum (R2 = .04). No additional empirically suggested prenatal and postpartum variables increased the explanatory power of the model in predicting breastfeeding intentions and duration. Implications for practice and research are discussed.

Adolescent↗

PubMedDate not supplied

Interaction in graduate nursing Web-based instruction.

This article describes interaction and communication methods and issues in the context of two Web-based graduate nursing courses, a theory course and a research course. A conceptual model for graduate nursing Web-based instruction is presented in which learner-centered pedagogic philosophies and interaction techniques are combined to produce active learning at each phase of the Web-based courses. The focus is on asynchronous communication techniques because these represent the dominant communication form in the two courses. Asynchronous communication is interaction in which teacher and student activities are not occurring at the same time and/or place (Berge, 1999). Outcomes of the courses are examined briefly. J Prof Nurs 17:128-134, 2001.

Adult↗

PubMedDate not supplied

Breastfeeding and adolescents.

OBJECTIVES: To critically review research on adolescent infant-feeding decision-making and breastfeeding experiences. DATA SOURCES: Articles published between 1980 and 1999 on breastfeeding, infant feeding, and adolescence were located using CINAHL, MEDLINE, and PsycLit databases. STUDY SELECTION: English language research dealing with the subject was chosen. DATA EXTRACTION: Study findings were categorized: incidence of breastfeeding among adolescent mothers, physiologic aspects of lactation among teens, nonpregnant adolescents' breastfeeding knowledge and attitudes, factors related to infant-feeding decisions, and the adolescent breastfeeding experience. DATA SYNTHESIS: Most studies were descriptive in nature, with only two intervention studies published. Studies indicated that adolescents breastfeed less often than adults; teen mothers' breast milk is comparable to adults'; nonpregnant, pregnant, and delivered teens hold positive and negative attitudes toward breastfeeding that influence decision-making; and the breastfeeding teen has positive and negative experiences, some of which appear unique to her social situations and developmental level. CONCLUSIONS: There are considerable data on infant-feeding attitudes and decision-making among teens. Intervention research is indicated to improve breastfeeding initiation and duration. Further research is needed on actual infant feeding experiences of teens. Finally, descriptive research to identify health care professionals' beliefs and practices related to teens' choice and maintenance of breastfeeding is needed.

Adolescent↗