چکیده مقاله
Background: Preterm infants require specialized nutritional care, and breast milk plays a vital role in improving growth and reducing complications This study aimed to assess the nutritional outcomes and maternal sense of competence in two groups of preterm infants fed with mother's own milk versus donor human milk in a neonatal intensive care unit in Tehran, Iran Methods: A descriptive correlational, cross sectional design was employed The study sample included 180 preterm infants admitted to the neonatal intensive care unit of Shahid Akbar Abadi Hospital, between 2023 2024, with gestational ages between 28 34 weeks and birth weights 1000 1499 grams Participants were divided into two groups: exclusive mother's own milk feeding and feeding with more than 50% donor human milk Data were collected using three instruments: a demographic information form, a daily feeding record checklist, and the standardized Parenting Sense of Competence PSOC Questionnaire Statistical analysis was conducted using SPSS version 22 Descriptive statistics, independent t tests, chi square, and Fisher's exact tests A significance level of P value of less than 0 05 was considered Results: No statistically significant difference was found between the two groups regarding feeding tolerance p = 0 468 using Fisher's exact test The number of days to achieve full enteral feeding also did not differ significantly between mother's milk and donor milk groups p=0 744 However, the duration of total parenteral nutrition was significantly longer in the donor milk group compared to the mother's milk group p = 0 016 Maternal sense of competence scores showed no significant difference between the two groups p = 0 724 Conclusion: The findings indicate that preterm infants fed with mother's own milk required fewer days of parenteral nutrition Encouraging breastfeeding, especially among mothers of preterm infants, should be a priority for healthcare policymakers Additionally, maternal sense of competence was similar in both feeding groups, suggesting that this perception is influenced by feeding methods, the level of social support received, and maternal health conditions Personalized lactation support promotes maternal competence, well being, and improved infant outcomes
کلیدواژهها
نویسندگان
Jamalodin Begjani
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Nasim Bagheri Moheb
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Marieh Rasoulpour
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Kayvan Mirnia
Department of Pediatrics, School of Medicine, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Arash Bordbar
Department of Pediatrics, School of Medicine, Shahid Akbar Abadi Hospital, Iran University of Medical Sciences, Tehran, Iran
Shima Haghani
Department of Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
شیوه ارجاع
Begjani, Jamalodin and Bagheri Moheb, Nasim and Rasoulpour, Marieh and Mirnia, Kayvan and Bordbar, Arash and Haghani, Shima,1404,Assessment of Nutritional Outcomes and maternal sense of competence in Preterm Infants Fed with Mother's Own Milk versus Donor Human Milk in Neonatal Intensive Care Unit: a cross-sectional study in Iran,37th International Congress on Pediatrics,Tehran
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مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران