Biomedical subjects
Publications and source records attributed to R J Hewat.
At the Vancouver Breastfeeding Centre (VBC), breastfeeding is facilitated through a process of assessment, analysis, diagnosis, care and counsel, and evaluation. This process is described and related to phases of breastfeeding kinetics by considering two presenting problems: sore nipples, and inadequate production of milk.
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A quasi-experimental six months longitudinal study of women planning to breastfeed was carried out in Vancouver, B.C., Canada. The purpose was to increase breastfeeding duration through the provision of nursing support, and information about breastfeeding. This paper reports on the patterns of infant feeding by 131 mothers for six months postpartum. Included are data on initiation of breastfeeding, feeding intervals, supplementation, initiating semi-solids and duration of breastfeeding. Unsupplemented breastfeeding declined from 90.8% at the time of discharge from hospital to 65% at one month, 45% at three months and 3.9% at six months. For some infants, semi-solids were introduced at one month and by three months 11.4% were being fed semi-solids. The implications for health care professionals caring for breastfeeding women are outlined.
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A 5-week programme of breastfeeding inservice education, included classes on a repeated series of three topics, a film, provision of reading material, tests and the availability of a nurse-clinician for consultation and assistance. The study was carried out in a 50-bed maternity unit. Participation was voluntary. Of the 112 registered nurses and 42 practical nurses, between one-third and one-half participated in one or more of the various aspects. Follow-up tests revealed considerable disagreement among the staff on knowledge and nursing interventions related to breastfeeding.
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The postpartum period is one of sexual adjustment for parents. A prospective study of a convenience sample of 194 women ascertained their perceptions of physical, social, and emotional aspects of spousal relationships at one, three, and six months postpartum. Attrition resulted in 131, 114, and 104 women remaining in the study at those time periods, respectively. Open-ended questions and rating scales were self-administered in the women's homes and returned in the stamped, addressed envelopes provided. Although perceptions of the spousal relationships changed little, sexual interest of the women declined over six months. The few women who responded to these questions felt positively about their mates' changed sexual interest in them. Of these women, the majority felt that breastfeeding did not affect their sexual enjoyment. At three and six months postpartum, the condom was the contraceptive method most frequently reported.