Support of natural nutrition of preterm infants considering multicultural specifics

Michaela Abrmanová, Martin Červený, Inka Kratochvílová, Iva Brabcová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic

Korespondenční autor: Michaela Abrmanová (abrmanova@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:

Submitted:29. 11. 2022
Accepted: 1. 3. 2023
Published online: 30. 6. 2023

Summary

Introduction: Breastfeeding is particularly important for preterm infants, and not only from a nutritional point of view. The nursing goal is to get babies to breastfeed as early as possible, to initiate and maintain lactation. Premature babies who are unable to suck directly from the breast can be fed with expressed breast milk. The professionalism of the paediatric nurse is also an important factor in all areas. In a rapidly changing health service, paediatric nurses with a high level of cultural understanding, who adhere to all ethical principles and keep abreast of current societal developments, are needed.

Aim: The aim of the present paper is to describe nursing interventions in breastfeeding premature babies with respect to multicultural specificities.

Methods: The review study has a literature review design. Databases such as EBSCOhost, SCOPUS, PubMed, and Web of Science were used to search for relevant sources.

Results: A total of 58 articles were identified, of which 11 peer-reviewed articles were included in the analysis. This study highlights the importance of full breastfeeding for preterm infants, both from a nutritional and general multicultural perspective.

Conclusions: All mothers and babies should be treated individually. It is important to fully support breastfeeding with respect to individual specific cultural differences. Breast milk should always be the first choice for preterm infants. Appropriate multicultural care can be used to support mothers in providing culturally safe care for preterm infants.

Keywords: Breastfeeding; Multicultural care; Nursing interventions; Preterm infant

Literatura

1. Abrmanová M, Hanzl M (2021). Význam bank mateřského mléka v současnosti [The importance of breast milk banks today]. Výživa a potraviny 1/2021 (Czech).

2. Adisasmita A, Izati Y, Choirunisa S, Pratomo H, Adriyanti L (2021). Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia. PloS One 16(6): e0252704. DOI: 10.1371/journal­.pone.0252704.

3. Andreas SF, Scotolline B, Good M (2022). Shaping infant development from the inside out: Bioactive factors in human milk. Semin Perinatol 47(1): 151690. DOI: 10.1016/j.sem­peri.2022.151690.

4. Arslanoglu S, Boquien C-Y, King C, Lamireau D, Tonetto P, Barnett D, et al. (2019). Fortification of Human Milk for Preterm Infants: Update and Recommmendations of the European Milk Bank Association (EMBA) Working Group on Human Milk Fortification. Front Pediatr 7: 76. DOI: 10.3389/fped.2019­.00076.

5. Austin S, De Castro CA, Sprenger N, Binja A, Affolter M, Garcia-Rodenas CL, et al. (2019). Human Milk Oligosaccharides in the Milk of Mothers Delivering Term versus Preterm Infants. Nutrients 11(6): 1282. DOI: 10.3390/nu11061282.

6. Balogun OO, O’Sullivan EJ, McFadenn A, Ota E, Gavine A, Garner CD, et al. (2016). Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev 11(11): CD001688. DOI: 10.1002/146518­58.CD001688.pub3.

7. Buser JM, Moyer CA, Boyd CJ, Zulu D, Ngoma-Hazemba A, Mtenie JT, et al. (2020). Cultural beliefs and health-seeking practices: Rural Zambians’ views on maternal-newborn care. Midwifery 85: 102686. DOI: 10.1016/j.mid­w.2020.102686.

8. Červený M, Kratochvílová I, Hellerová V, Tóthová V (2022). Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011–2021. Front Psychol 13: 936181. DOI: 10.3389/fpsyg­.2022.936181.

9. Choudhry UK (1997). Traditional practices of women from India: pregnancy, childbirth, and newborn care. J Obstet Gynecol Neonatal Nurs 26(5): 533–539. DOI: 10.1111/j.1552–6909.1997. tb02156­.x.

10. Christian P, Smith ER, Lee SE, Vargas AJ, Bremer AA, Raiten DJ (2021). The need to study human milk as a biological system. Am J Clin Nutr 113(5): 1063–1072. DOI: 10.1093/ajcn/nqab075.

11. Chvílová Weberová M (2017). Nedonošenost a orofaciální komplex ve vývojových souvislostech [Prematurity and the orofacial complex in developmental contexts]. Listy klinické logopedie 1(2): 31–39 (Czech).

12. Colombo L, Crippa BL, Consonni D, Bettinelli ME, Agosti V, Mangino G, et al. (2018). Breastfeeding Determinants in Healthy Term Newborns. Nutrients 10(1): 48. DOI: 10.3390/nu10010048.

13. ESPGHAN Statement on Promotion of Breastfeeding (2022). Interaction of Paediatric associations with Providers of Nutritional Products. [online] [cit. 2023–01–22]. Available from: https://www. espghan.org/our-organisation/Pu­blications/So­cietal-Statements

14. Flacking R, Tandberg BS, Niela-Vilén H, Jónsdóttir RB, Jonas W, Ewald U, Thomson G (2021). Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review. Int Breastfeed J 16(1): 88. DOI: 10.1186/s13006–021–00435–8.

15. Genna CW (2009). Selecting and Using Breastfeeding Tools: Improving care and Outcomes. Amarillo, Tex.: Hale Pub., 198 p.

16. Grassi A, Cecchi F, Sgherri G, Guzzetta A, Gagliardi L, Laschi FC (2016). Sensorized pacifier to evaluate non.nutritive sucking in newborns. Med Eng Phys 38(4): 398–402. DOI: 10.1016/j. medengphy.2015­.12.013.

17. Halperin O, Sarid O, Cwikel J (2014). A comparison of Israeli Jewish and Arab women’s birth perceptions. Midwifery 30(7): 853–861. DOI: 10.1016/j.mid­w.2013.11.003.

18. Hill C, Knafl KA, Santacroce SJ (2019). Family-Centered Care from the Perspective of Parents of Children cared for in a Pediatric Intensice Care Unit: An Integrative Review. J Pediatr Nurs 41: 22–33. DOI: 10.1016/j.ped­n.2017.11.007.

19. Holdren S, Fair C, Lehtonen L (2019). A qualitative cross-cultural analysis of NICU care culture and infant feeding in Finland and the U.S. BMC Pregnancy Childbirth 19(1): 345. DOI: 10.1186/s12884– 019–2505–2.

20. Jones KM, Power ML, Queenan JT, Schulkin J (2015). Racial and Ethnic Disparities in Breastfeeding. Breastfeed Med 10(4): 186–196. DOI: 10.1089/bfm.2014­.0152.

21. Kitano N, Nomura K, Kido M, Murakami K, Ohkubo T, Ueno M, Sugimoto M (2015). Combined effects of maternal age and parity on successful initiation of exclusice breastfeeding. Prev Med Rep 3: 121–126. DOI: 10.1016/j.pme­dr.2015.12.010.

22. Lau C (2018). Breastfeeding Challenges and the Preterm Mother-Infant Dyad: A Conceptual Model. Breastfeed Med 13(1): 8–17. DOI: 10.1089/bfm.2016­.0206.

23. Mangili G, Garzoli E (2017). Feeding of preterm infants and fortification of breast milk. Pediatr Med Chir 39(2): 158. DOI: 10.4081/pmc.2017­.158.

24. Marková D, Chvílová Weberová M, et al. (2021). Předčasně narozené dítě. Následná péče kdy začíná a kdy končí? [A premature baby. When does follow-up care start and end?]. Praha: Grada, 736 p. (Czech).

25. Melo KS (2020). New Research on Breastfeeding and Breast Milk. Nova Medicine Science Publishers, Inc., 215 p.

26. Moher D, Liberati A, Tetzlaff J, Altman DG (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(7): e1000097. DOI: 10.1371/ journal.pmed.1000097.

27. Mosca F, Gianni ML (2017). Human milk: composition and health benefits. Pediatr Med Chir 39(2): 155. DOI: 10.4081/pmc.2017­.155.

28. Neo – BFHI: The Baby – friendly Hospital Initiative for Neonatal Wards. Three guiding principles and ten steps to protect, promote and support breastfeeding. WHO and UNICEF, 2015 edition. http://epilegothilasmo.gr/…cument_2015_ Edition.pdf

29. Parat S, Raza P, Kamleh M, Super D, Groh-Wargo S (2020). Targeted Breast Milk Fortification for Very Low Birth Weight (VLBW) Infants: Nutritional Intake, Growth Outcome and Body Composition. Nutrients 12(4): 1156. DOI: 10.3390/nu12041156.

30. Provasi J, Blanc L, Carchon I (2021). The Importance of Rhythmic Stimulation for Preterm Infants in the NICU. Children (Basel) 8(8): 660. DOI: 10.3390/children8080660.

31. Puddister S, Ali-Saleh O, Cohen-Dar M, Baron-Epel O (2020). Health may be compromised by social interactions depending on culture among postpartum Arab and Jewish Israeli women. BMC Pregnancy Childbirth 20(1): 480. DOI: 10.1186/s12884–020–03168–4.

32. Rennie JM, Kendall GS (2013). A Manual of Neonatal Intensive Care. Taylor and Francis Group, 384 p.

33. Robinson K, Fial A, Hanson L (2019). Racism, Bias, and Discrimination as Modifiable Barriers to Breastfeeding for African American Woman: A scoping Review of the Literature. J Midwifery Womens Health 64(6): 734–742– DOI: 10.1111/jmwh.13058.

34. Schanler R, Atkinson S (2005). Human Milk. In: Nutrition of the Preterm Infant: Scientific Basis and Practical Guidelines. 2nd ed. Cincinnati: Digital Educational Publishing, Inc.

35. Tirone C, Pezza L, Paladini A, Tana M, Aurilia C, Lio A, et al. (2019). Gut and Lung Microbiota in Preterm Infants: Immunological Modulation and Implication in Neonatal Outcomes. Front Immunol 10: 2910. DOI: 10.3389/fimmu­.2019.02910.

36. Turale S, Kunaviktikul W, Mesukko J (2020). Giving undergraduate nursing students international experiences: Issues and strategies. Nurs Health Sci 22: 830–836. DOI: 10.1111/nhs.12722.

37. Walsh C, Lane JA, van Sinderen D, Hickey RM (2020). Human milk oligosaccharides: Shaping the infant gut microbiota and supporting health. J Funct Foods 72: 104074. DOI: 10.1016/j. jff.2020.104074.

38. WHO (2023). Breastfeeding. [online] [cit. 2023–01–22]. Available from: https://apps.who.int/ nutrition/topic­s/exclusive_bre­astfeeding/en/

39. WHO/UNICEF (2018). Implementation Guidance. Protecting, promoting and supporting Breastfeeding in facilities providing maternity and newborn services: the revised BABY-FRIENDLY HOSPITAL INITIATIVE. [online] [cit. 2023–01–22]. Available from: https://www.unicef.org/ media/95191/fi­le/Baby-friendly-hospital-initiative-implementation-guidance-2018.pdf