Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit

dc.contributor.advisorRaban, Moegammad Shukrien_ZA
dc.contributor.advisorJoolay, Yaseenen_ZA
dc.contributor.authorMutesu-Kapembwa, Kundaen_ZA
dc.date.accessioned2017-09-26T14:50:31Z
dc.date.available2017-09-26T14:50:31Z
dc.date.issued2017en_ZA
dc.description.abstractBackground: The maternal struggle to provide adequate breast milk for the infants' nutritional needs disadvantage preterm infants as the outcomes of those exclusively breast milk fed are superior to those fed infant formula. Objectives: To determine the proportion of Mothers' Own breast Milk (MOM) consumed by very low birth weight (VLBW) infants at Groote Schuur Hospital and explore potential maternal difficulties to provide MOM. Methods: In a prospective cross sectional study of 104 VLBW infant-mother dyads admitted between January and May 2015, an interviewer administered a structured questionnaire to the participating mothers before day 3 and on day 14. Infant folders were reviewed for gestational age, weight, and mode of delivery and the proportion of MOM received on days 1, 7 and 14 of life. Results: Ninety-one (88%) infants received <25% of enteral feeds as MOM on day 1. MOM made up >75% of enteral feeds in 60 infants (62%) on day 14 of life and 56(57.7%) received 100% as MOM. Infants with 2 or less siblings (22.2% vs 33.7% p=0.010) received a greater proportion MOM on day 14 as compared to those with larger families. 85.7% of the interviewed mothers would have preferred to stay in the hospital with their infants post discharge. Infant's weight, mode of delivery, maternal age, HIV status, hypertension, breastfeeding counselling, income, transport mode or distance from the hospital had no impact on MOM provision. Conclusion: Domestic responsibilities may affect mothers' breast milk provision to the newborn preterm. Breast-feeding counselling did not improve breast milk provision in this study. The effectiveness of current counselling methods may need to be examined and improved. Facilitating accommodation and rooming in of mother infant pairs from delivery to discharge may be useful in improving MOM provision to VLBW infants.en_ZA
dc.identifier.apacitationMutesu-Kapembwa, K. (2017). <i>Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Neonatology. Retrieved from http://hdl.handle.net/11427/25390en_ZA
dc.identifier.chicagocitationMutesu-Kapembwa, Kunda. <i>"Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Neonatology, 2017. http://hdl.handle.net/11427/25390en_ZA
dc.identifier.citationMutesu-Kapembwa, K. 2017. Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Mutesu-Kapembwa, Kunda AB - Background: The maternal struggle to provide adequate breast milk for the infants' nutritional needs disadvantage preterm infants as the outcomes of those exclusively breast milk fed are superior to those fed infant formula. Objectives: To determine the proportion of Mothers' Own breast Milk (MOM) consumed by very low birth weight (VLBW) infants at Groote Schuur Hospital and explore potential maternal difficulties to provide MOM. Methods: In a prospective cross sectional study of 104 VLBW infant-mother dyads admitted between January and May 2015, an interviewer administered a structured questionnaire to the participating mothers before day 3 and on day 14. Infant folders were reviewed for gestational age, weight, and mode of delivery and the proportion of MOM received on days 1, 7 and 14 of life. Results: Ninety-one (88%) infants received <25% of enteral feeds as MOM on day 1. MOM made up >75% of enteral feeds in 60 infants (62%) on day 14 of life and 56(57.7%) received 100% as MOM. Infants with 2 or less siblings (22.2% vs 33.7% p=0.010) received a greater proportion MOM on day 14 as compared to those with larger families. 85.7% of the interviewed mothers would have preferred to stay in the hospital with their infants post discharge. Infant's weight, mode of delivery, maternal age, HIV status, hypertension, breastfeeding counselling, income, transport mode or distance from the hospital had no impact on MOM provision. Conclusion: Domestic responsibilities may affect mothers' breast milk provision to the newborn preterm. Breast-feeding counselling did not improve breast milk provision in this study. The effectiveness of current counselling methods may need to be examined and improved. Facilitating accommodation and rooming in of mother infant pairs from delivery to discharge may be useful in improving MOM provision to VLBW infants. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit TI - Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit UR - http://hdl.handle.net/11427/25390 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/25390
dc.identifier.vancouvercitationMutesu-Kapembwa K. Factors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal unit. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Neonatology, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/25390en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Neonatologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherNeonatologyen_ZA
dc.titleFactors associated with provision of mothers' own breast milk for Very Low Birth Weight (VLBW) infants on a South African tertiary care neonatal uniten_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhilen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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