Mothers' Breastfeeding-Related Durations and Nursing Management During the Early Postpartum Period in a Mixed Hospital Ward with an Obstetrics Department: A Prospective Observational Study

摘要

Purpose: This study aimed to quantify duration of inhospital breastfeeding (BF) related activities inmothers after childbirth in a mixed ward type hospital with an obstetrics department in Japan (hereafter,mixed ward). Methods: Twenty two postpartum mothers (primiparous and multiparous) who hadvaginal delivery in a mixed ward were instructed to wear radio beacons. A smartphone was placed in theBF room and detected the presence of a nearby beacon, 24 hours daily, measuring the number of hours amoth er spent in the nursing room (defined as BF time [hereafter, BF related duration]). BF relatedduration included time spent for BF, diaper changes before and after BF, bottle feeding, and support fromnurses. BF related total hours during postpartum hospit alization were calculated. The effects of parityand each postpartum day number (postpartum days 1 4) on Daily BF related duration were determined.Results: Percentage oftotal postpartum hospitalization time spent for BF related duration was 21.6% and19 for primiparous and multiparous mothers , respectively, with no significant difference betweengroups. BF related duration was significant ly differen t between parity group and postpartum day, withpeaks on postpartum day 4 (387.7 minutes) and day 2 (318 .0 minutes) for primiparous and multiparousgroups, respectively. (F 2.813, p 0.048). Conclusion: Mothers spent 20% of their postpartumhospitalization period for BF related activities. Individual support is necessary, especially for primiparousmothers, who spent more time than multiparous mothers for BF related activities on postpartum day 4 . Ina mixed ward, postpartum mothers need a comfortable hospital environment in which midwives candedicate themselves to mother child dyad care.