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Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes
BACKGROUND: The best nutrition for all new-borns and especially vulnerable groups like preterm infants is motheŕs own milk (MOM). Nevertheless, recent research showed that many preterm infants receive formula in neonatal intensive care units (NICU) in Germany. In order to achieve MOM feeding in pret...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596370/ http://dx.doi.org/10.1093/eurpub/ckad160.857 |
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author | Schwab, I Ohnhaeuser, T Scholten, N |
author_facet | Schwab, I Ohnhaeuser, T Scholten, N |
author_sort | Schwab, I |
collection | PubMed |
description | BACKGROUND: The best nutrition for all new-borns and especially vulnerable groups like preterm infants is motheŕs own milk (MOM). Nevertheless, recent research showed that many preterm infants receive formula in neonatal intensive care units (NICU) in Germany. In order to achieve MOM feeding in preterm infants, a MOM-friendly clinical environment is crucial. In Germany, no data is yet available on the attitudes towards MOM of physicians and nurses in NICUs and mothers. METHODS: Written surveys were conducted to assess attitudes and the current status of MOM-feeding from different perspectives (medical and nursing staff and mothers of preterm infants). Questions included personal attitudes towards MOM and perceived lactation support in NICUs. Descriptive statistics and bivariate tests (Spearman's rho, Pearson chi(2)) were examined. RESULTS: Data of 158 leading physicians (response rate: 76%), 143 nurses (response rate: 68%) and 533 mothers (response rate: 32%) was included. The personal importance of MOM feeding is slightly higher in both physicians and nurses than their attitude towards the effects of feeding with MOM on the medical outcome of preterm infants (M: 9.5/9.5 vs. 8.3/8.9; [1-10]). Mothers predominantly perceived the NICU staff as MOM promotive (M:4.7,4.9; [1-6]) and reported an overall positive attitude towards feeding preterm infants with MOM (M:5.6; [1-6]). Their attitude showed no significant differences between educational levels (p = 0.635), age (p = 0.079) or ethnicity (p = 0.184), whereas the MOM promotive NICU staff was significantly correlated to the motherś attitude (p = 0.001, p = 0.001). CONCLUSIONS: The status quo of attitudes towards MOM in Germany is rather positive in both health care professionals and mothers, independently of sociodemographic characteristics. Presumably, the challenge in achieving MOM feeding seems to occur in transferring positive attitudes to actual interventions. KEY MESSAGES: • To enhance MOM feeding in preterm infants, future interventions should focus on the transmission of positive attitudes to actual strategies. • NICU staff that is MOM promotive is eminent for the maternal attitudes towards MOM. |
format | Online Article Text |
id | pubmed-10596370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105963702023-10-25 Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes Schwab, I Ohnhaeuser, T Scholten, N Eur J Public Health Poster Walks BACKGROUND: The best nutrition for all new-borns and especially vulnerable groups like preterm infants is motheŕs own milk (MOM). Nevertheless, recent research showed that many preterm infants receive formula in neonatal intensive care units (NICU) in Germany. In order to achieve MOM feeding in preterm infants, a MOM-friendly clinical environment is crucial. In Germany, no data is yet available on the attitudes towards MOM of physicians and nurses in NICUs and mothers. METHODS: Written surveys were conducted to assess attitudes and the current status of MOM-feeding from different perspectives (medical and nursing staff and mothers of preterm infants). Questions included personal attitudes towards MOM and perceived lactation support in NICUs. Descriptive statistics and bivariate tests (Spearman's rho, Pearson chi(2)) were examined. RESULTS: Data of 158 leading physicians (response rate: 76%), 143 nurses (response rate: 68%) and 533 mothers (response rate: 32%) was included. The personal importance of MOM feeding is slightly higher in both physicians and nurses than their attitude towards the effects of feeding with MOM on the medical outcome of preterm infants (M: 9.5/9.5 vs. 8.3/8.9; [1-10]). Mothers predominantly perceived the NICU staff as MOM promotive (M:4.7,4.9; [1-6]) and reported an overall positive attitude towards feeding preterm infants with MOM (M:5.6; [1-6]). Their attitude showed no significant differences between educational levels (p = 0.635), age (p = 0.079) or ethnicity (p = 0.184), whereas the MOM promotive NICU staff was significantly correlated to the motherś attitude (p = 0.001, p = 0.001). CONCLUSIONS: The status quo of attitudes towards MOM in Germany is rather positive in both health care professionals and mothers, independently of sociodemographic characteristics. Presumably, the challenge in achieving MOM feeding seems to occur in transferring positive attitudes to actual interventions. KEY MESSAGES: • To enhance MOM feeding in preterm infants, future interventions should focus on the transmission of positive attitudes to actual strategies. • NICU staff that is MOM promotive is eminent for the maternal attitudes towards MOM. Oxford University Press 2023-10-24 /pmc/articles/PMC10596370/ http://dx.doi.org/10.1093/eurpub/ckad160.857 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Walks Schwab, I Ohnhaeuser, T Scholten, N Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title | Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title_full | Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title_fullStr | Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title_full_unstemmed | Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title_short | Motheŕs own milk (MOM) feeding in preterm infants in Germany – A status quo of personal attitudes |
title_sort | motheŕs own milk (mom) feeding in preterm infants in germany – a status quo of personal attitudes |
topic | Poster Walks |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596370/ http://dx.doi.org/10.1093/eurpub/ckad160.857 |
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