Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Effect of On-Site and On-Call Nurse on Exclusive Breastfeeding: Comparison of Two Different Hospital Settings

Version 1 : Received: 22 June 2023 / Approved: 23 June 2023 / Online: 23 June 2023 (10:43:48 CEST)

How to cite: Latorre, G.; Martinelli, D.; Capozza, M.; Grosso, F.M.; Baldassarre, M.E.; Laforgia, N. The Effect of On-Site and On-Call Nurse on Exclusive Breastfeeding: Comparison of Two Different Hospital Settings. Preprints 2023, 2023061655. https://doi.org/10.20944/preprints202306.1655.v1 Latorre, G.; Martinelli, D.; Capozza, M.; Grosso, F.M.; Baldassarre, M.E.; Laforgia, N. The Effect of On-Site and On-Call Nurse on Exclusive Breastfeeding: Comparison of Two Different Hospital Settings. Preprints 2023, 2023061655. https://doi.org/10.20944/preprints202306.1655.v1

Abstract

Background: Exclusively breastfeeding your newborn while in the hospital is imperative for suc-cessful breastfeeding at home. This study will investigate if having a nurse on-site during rooming-in can enhance the proportion of exclusive breastfeeding. Methods: We carried out a prospective cohort study to assess exclusive breastfeeding in the first three months of life among two Neona-tology Units in Southern Italy with different hospital settings. The Ente Ecclesiastico Miulli of Ac-quaviva delle Fonti had on-site nurses available 24/7 (on-site group), while the Policlinico of Bari had nurses available on call 24/7 from the Neonatology Unit (on-call group). Results: Between January 3rd and March 31st, 2018, a total of 564 sets of mothers and babies were admitted - 299 on-site and 265 on-call. The exclusive breastfeeding rate for the entire group was 76.4% at 90 days, demonstrating the positive impact of rooming-in and nursing, regardless of the setting. Infants delivered via ce-sarean section in the on-site group demonstrated higher rates of exclusive breastfeeding at both 30 and 90 days of life. Conclusions: Our research indicates that having a nurse available at all times is crucial for promptly identifying any problems with breastfeeding. We highly suggest having an on-site nurse present during rooming-in for mothers who have had a caesarean delivery. This nurse should continuously promote exclusive breastfeeding until the baby is three months old.

Keywords

breastfeeding; on-site nurse; on-call nurse; rooming in; mother-newborn dyad

Subject

Public Health and Healthcare, Public Health and Health Services

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