Breastfeeding initiation and support: A literature review of what women value and the impact of early discharge

Early discharge following birth has become an emerging phenomenon in many countries. It is likely early discharge has an impact on the establishment of breastfeeding. To critically appraise the evidence on what women value in relation to breastfeeding initiation and support, and investigate the impa...

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Bibliographic Details
Published in:Women and birth : journal of the Australian College of Midwives 2017-04, Vol.30 (2), p.87-99
Main Authors: James, Lucy, Sweet, Linda, Donnellan-Fernandez, Roslyn
Format: Article
Language:English
Subjects:
Adult
Breast Feeding - psychology
Breastfeeding
Early discharge
Female
Humans
Infant
Infant, Newborn
Initiation or establish
Length of Stay
Mothers - psychology
Nursing
Patient Discharge
Postnatal care
Postnatal Care - psychology
Postpartum Period - psychology
Pregnancy
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Summary:Early discharge following birth has become an emerging phenomenon in many countries. It is likely early discharge has an impact on the establishment of breastfeeding. To critically appraise the evidence on what women value in relation to breastfeeding initiation and support, and investigate the impact early discharge can have on these values. A literature search was conducted for publications since 2005 using the following databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, Scopus and PsycINFO; 21 primary articles were selected and included in the review. There is no standard definition for ‘early discharge’ worldwide. Due to inconsistent definitions worldwide and minimal literature using a 24h definition, research defining early discharge as up to 72h postpartum is included. Seven key factors in relation to breastfeeding initiation and support following early discharge were identified, namely trust and security, consistent advice, practical breastfeeding support, breastfeeding education, comfortable environment, positive attitudes and emotional support, and individualised care. The findings suggest individualised postnatal lengths of stay may be beneficial for the initiation of breastfeeding. Five values were not impacted by early discharge, but rather individual midwives’ practice. There is consensus in the literature that early discharge promoted a comfortable environment to support breastfeeding initiation. Wide variations in the definition of early postnatal discharge made it difficult to draw influential conclusions. Therefore, further research is required.
ISSN:1871-5192
1878-1799
DOI:10.1016/j.wombi.2016.09.013