Biomedical subjects

Margaret J Dick

Publications and source records attributed to Margaret J Dick.

3 recordsLinked to original sources

PubMed2006

Toward a clinically useful method of predicting early breast-feeding attrition.

PURPOSE: The overall purpose of this study was to revise and test an instrument to identify, during the early postpartum period, women at risk for early breast-feeding attrition. This study was completed in two phases: the first phase tested a revision of the Breast-Feeding Attrition Prediction Tool (BAPT); the second, a new instrument, the Breast-Feeding Attitude Scale (BrAS), which was adapted from the BAPT. STUDY DESIGN AND METHODS: The two phases of this study involved 415 pregnant and postpartum women. Women answered questions either by phone (pregnant women) or in their hospital rooms after delivery (postpartum women). Data were analyzed using t tests and reliability analysis. RESULTS: The BAPT did not predict early breast-feeding attrition; however, the BrAS did differentiate between the attitudes of breast-feeding women and those of formula-feeding women and had adequate reliability. CLINICAL IMPLICATIONS: Women at risk for early breast-feeding attrition should be identified early so nursing interventions can be directed toward preventing early unintended weaning. Although the BrAS did not reliably identify women at risk in this sample, it did highlight important differences between breast-feeding and formula-feeding women that can be used in designing preconceptional or prenatal educational assessments and interventions.

Adolescent↗

PubMed2002

Predicting early breastfeeding attrition.

The Breastfeeding Attrition Prediction Tool (BAPT) is based on the theory of planned behavior, which explains behavior as a function of attitudes, subjective norm, and perceived control. The BAPT subscales are positive and negative attitudes toward breastfeeding, family and professional expectations, and perceived ability to be successful. The purpose of this study was to test the reliability and validity of the BAPT among 269 women who planned to breastfeed for at least 8 weeks. Subjects completed the BAPT in the hospital and during a telephone interview at 8 weeks. Based on factor analysis, several items were deleted. Using discriminant function analysis, the modified BAPT was an effective predictor of 78% of women who stopped breastfeeding before 8 weeks and 68% of those who were still breastfeeding. There is potential for the modified BAPT to be an adjunct for the clinician in identifying women at risk for early cessation of breastfeeding.

Adolescent↗

PubMedDate not supplied

Breastfeeding support and early cessation.

OBJECTIVE: To examine the types of help women received with breastfeeding both in the hospital and at home and the reasons why women stopped breastfeeding earlier than intended. DESIGN: A descriptive design with open-ended questions. SETTING: After participant recruitment in the postpartum hospital room, data were collected by phone 8 weeks after delivery. PATIENTS/PARTICIPANTS: Three hundred seventy-nine women planning to breastfeed for at least 8 weeks after uncomplicated delivery. MAIN OUTCOME MEASURES: Breastfeeding status at 8 weeks postpartum; report of help with breastfeeding in the hospital and at home. RESULTS: Sixty-eight percent of women were still breastfeeding at 8 weeks, although 37% of those reported supplementing with formula. Of those who had stopped, the most common reason was insufficient milk supply. Other reasons included painful nipples and latch problems, personal reasons, returning to work or school, and drugs/illness of the mother or baby. Most women received help with breastfeeding in the hospital, but only 55% received help with breastfeeding after hospital discharge. CONCLUSIONS: The primary reasons for early cessation of breastfeeding are amenable to nursing intervention. Every opportunity should be taken to address these issues both in the hospital and through follow-up calls.

Adolescent↗