K.P. Tully
Postnatal Unit Bassinet Types When Rooming-In After Cesarean Section Birth: Implications for Breastfeeding and Infant Safety
Tully, K.P.; Ball, H.L.
Abstract
Background: Postnatal unit rooming-in promotes breastfeeding. Previous research indicates that side-cars (3-sided bassinets that lock onto the maternal bed frame) facilitate breastfeeding after vaginal birth more than stand-alone bassinets (standard rooming-in). No study has previously investigated side-car bassinet use after cesarean, despite the constraints on maternal-infant interactions that are inherent in recovery from this birth mode. Objective: To test the effect of the side-car bassinet on postnatal unit breastfeeding frequency and other maternal-infant behaviors compared to a stand-alone bassinet following cesarean birth. Methods: Participants were recruited and prenatally randomized to receive the side-car or stand-alone bassinet for their postnatal unit stay between January 2007 and March 2009 in northeastern England. Mother-infant interactions were filmed over the second postpartum night. Participants completed face-to-face interviews before and after filming. The main outcome measures were infant location, bassinet acceptability, and breastfeeding frequency. Other outcomes assessed were breastfeeding effort, maternal-infant contact, sleep states, midwife presence, and infant risk. Results: Differences in breastfeeding frequency, maternal-infant sleep overlap, and midwife presence were not statistically significant. The 20 dyads allocated to side-car bassinets breastfed a median of 0.6 bouts/ hour compared to 0.4 bouts/hour for the 15 stand-alone bassinet dyads. Participants expressed overwhelming preference for the side-car bassinets. Bed sharing was equivalent between the groups, although the motivation for this practice may have differed. Infant handling was compromised with stand-alone bassinet use, including infants positioned on pillows while bed sharing with their sleeping mothers. Conclusions: Women preferred the side-car, but differences in breastfeeding frequency were not statistically significant. More infant risks were observed with stand-alone bassinet use.
Citation
Tully, K., & Ball, H. (2012). Postnatal Unit Bassinet Types When Rooming-In After Cesarean Section Birth: Implications for Breastfeeding and Infant Safety. Journal of Human Lactation, 28(4), 495-505. https://doi.org/10.1177/0890334412452932
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 5, 2012 |
Online Publication Date | Aug 22, 2012 |
Publication Date | Nov 1, 2012 |
Deposit Date | Aug 29, 2012 |
Publicly Available Date | Mar 29, 2024 |
Journal | Journal of Human Lactation |
Print ISSN | 0890-3344 |
Electronic ISSN | 1552-5732 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 28 |
Issue | 4 |
Pages | 495-505 |
DOI | https://doi.org/10.1177/0890334412452932 |
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Copyright Statement
Tully, K.P. & Ball, H.L. (2012). Postnatal Unit Bassinet Types When Rooming-In After Cesarean Section Birth: Implications for Breastfeeding and Infant Safety. Journal of Human Lactation 28(4): 495-505. Copyright © 2012 The Author(s). Reprinted by permission of SAGE Publications.
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