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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Nursing

Pamela J. Mulder

2011

Humans

Articles 1 - 4 of 4

Full-Text Articles in Medicine and Health Sciences

Mother-Infant Breastfeeding Progress Tool: A Guide For Education And Support Of The Breastfeeding Dyad, T. Johnson, Pamela Mulder, K. Strube Oct 2011

Mother-Infant Breastfeeding Progress Tool: A Guide For Education And Support Of The Breastfeeding Dyad, T. Johnson, Pamela Mulder, K. Strube

Pamela J. Mulder

OBJECTIVE: To describe the development of the Mother-Infant Breastfeeding Progress Tool to be used at the bedside by nurses to guide ongoing support and education for the mother-baby dyad. DESIGN: Cross-sectional study. SETTING: Community hospital in a Midwestern city. PARTICIPANTS: Sixty-two English-speaking mother-infant dyads. METHODS: Three nurse raters (two per session) independently scored the eight characteristics on the Mother-Infant Breastfeeding Progress Tool during 81 breastfeeding sessions. MAIN OUTCOME MEASURE: Percent agreement between raters and suggested modifications for the Mother-Infant Breastfeeding Progress Tool. RESULTS: The results support the use of the tool as a checklist for assessment of the breastfeeding mother-infant …


The Beginning Breastfeeding Survey: Measuring Mothers' Perceptions Of Breastfeeding Effectiveness During The Postpartum Hospitalization, Pamela Mulder, T. Johnson Oct 2011

The Beginning Breastfeeding Survey: Measuring Mothers' Perceptions Of Breastfeeding Effectiveness During The Postpartum Hospitalization, Pamela Mulder, T. Johnson

Pamela J. Mulder

No current breastfeeding assessment tool assesses the mother's perception of breastfeeding effectiveness during the early postpartum. Psychometric analysis of a new tool, the Beginning Breastfeeding Survey (BBS), in a multi-racial sample of 131 women revealed a coefficient alpha of .90. Factor analysis yielded three factors, (a) Maternal Breastfeeding Competence and Emotional Satisfaction, (b) Maternal Discomfort and Anxiety, and (c) Infant Breastfeeding Skill and Emotional Satisfaction. The BBS demonstrated discriminant validity in known group analyses and convergent validity with breastfeeding self-efficacy and postpartum fatigue. Future research will focus on improving the internal consistency reliability of the BBS and examining its ability …


A Concept Analysis Of Effective Breastfeeding, Pamela Mulder Oct 2011

A Concept Analysis Of Effective Breastfeeding, Pamela Mulder

Pamela J. Mulder

OBJECTIVE: To provide a concept analysis of effective breastfeeding. DATA SOURCES: Medline and CINAHL electronic databases, reference lists from selected articles, and 7 breastfeeding assessment tools. Search terms included the following: breastfeeding and effective, adequate, successful. STUDY SELECTION: Literature was selected according to whether the concept of effective breastfeeding was defined or described. DATA EXTRACTION: Literature was reviewed and data organized as definitions or descriptions, with descriptions grouped into categories sharing similar characteristics. DATA SYNTHESIS: Four characteristics were chosen as essential attributes of effective breastfeeding: positioning, latch, sucking, and milk transfer. CONCLUSIONS: The concept of effective breastfeeding requires further concept …


Excessive Weight Loss In Breastfed Infants During The Postpartum Hospitalization, Pamela Mulder, T. Johnson, L. Baker Oct 2011

Excessive Weight Loss In Breastfed Infants During The Postpartum Hospitalization, Pamela Mulder, T. Johnson, L. Baker

Pamela J. Mulder

OBJECTIVE: To examine differences in breastfeeding frequency, voids, and stools in infants with weight losses or =7% during the postpartum hospitalization. DESIGN: Secondary analysis of data from a primary psychometric study examining the Mother Infant Breastfeeding Progress Tool (MIBPT). Setting: A midwestern community hospital in a multicultural racially diverse community. PARTICIPANTS: Convenience sample of 53 breastfeeding women and infants hospitalized after birth. METHODS: Data were collected during a chart review; infants were divided into or =7% weight loss groups at 2 days postpartum, and breastfeeding frequency, voiding, and stooling were examined between groups and used to predict a > or =7% …