The Relevant of During Pregnancy of Postnatal Nursing Interventions and Rooming-In Implementation

Tuesday, 13 July 2010

Mei-Hua Kao, MSN, RN
Department of Nursing/Graduate Institute of Clinical Medical Sciences, Mackay Memorial Hospital/Chang Gung University, Tamshui, Taipei Country, Taiwan
Chia Ling Yang, MSN, RN
NURSING Department, Mackay Memorial Hospital, Taipei, Taiwan

Learning Objective 1: The learner will be able to determine the impact of hospital practices and maternity-care practices on rooming-in implementation.

Learning Objective 2: According to research results,promoting the rate of breastfeeding and the benefits of prolonged breastfeeding for mother and infant health.

Purpose: Rooming-in with the postnatal breast-feeding are relevant, during the pregnancy and postnatal care measures will affect the rooming-in implementation. The aim of this study was to explored the pregnancy and post-natal nursing interventions on the impact of rooming-in and related factors.

Methods: Used a descriptive correlation design to healthy women, who delivered healthy infants was conducted from regional teaching hospitals in the Northern Taiwan of the maternity ward. Tools include Prenatal Breastfeeding Educational Record, Postnatal Breastfeeding Assessment Record, Obstetrical Inventory, and Demographic Inventory. Data were collected from Sep. 2007 to Jun. 2008, of the 529 eligible postpartum women, 500 participated in the study. Logistic regression analysis was used to study determinants of rooming-in implementation.

Results:  The findings revealed that education in high school level of the women (OR = 2.10; 95% CI=1.18-3.72, p < .05), vaginal delivery (OR = 2.28; 95% CI=1.40-3.71, p < .01), had breastfeeding experience (OR = 1.65; 95% CI=1.08-2.51, p < .05), postpartum accepts” the benefits of breast-feeding”, “the implementation of nursing instruction of women (OR = 2.90; 95% CI=1.77-4.76, p < .001) increased the rates of  implement rooming-in. In addition, prenatal to accept the "the importance of rooming-in nursing instruction " to guide and postpartum accepted the "rooming-in nursing instruction" to decreased the execute rates of rooming-in, respectively (OR = 0.46; 95% CI=0.29-0.73, p < .01, OR =0.13; 95% CI=1.77-4.76, p < .001).

Conclusion: Low educational level, vaginal delivery, had breast-feeding experience, post-natal accept the benefits of breast-feeding care were determinant of implement rooming-in. Based on research findings, amendments to pregnancy and postnatal breast-related care content, to enhance the implementation of rooming-in.