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Eat, Sleep, Repeat: Longitudinal Analyses of Early Postpartum Factors, Infant Sleep, Human Milk Feeding Mode, and Exclusive Expression in the Infant Feeding Practices Study (IFPS-II)
Eat, Sleep, Repeat: Longitudinal Analyses of Early Postpartum Factors, Infant Sleep, Human...
Eat, Sleep, Repeat: Longitudinal Analyses of Early Postpartum Factors, Infant Sleep, Human Milk Feeding Mode, and Exclusive Expression in the Infant Feeding Practices Study (IFPS-II)

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202104710
ISBN  
9798290909882
DDC  
614.4
저자명  
Kunitz, Christine Gille.
서명/저자  
Eat, Sleep, Repeat: Longitudinal Analyses of Early Postpartum Factors, Infant Sleep, Human Milk Feeding Mode, and Exclusive Expression in the Infant Feeding Practices Study (IFPS-II)
발행사항  
[Sl] : University of Minnesota, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
129 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-01, Section: A.
주기사항  
Advisor: Demerath, Ellen W.
학위논문주기  
Thesis (Ph.D.)--University of Minnesota, 2025.
초록/해제  
요약Human milk (HM) is widely accepted as the ideal nutrition for newborns and infants, and professional organizations worldwide recommend exclusive HM feeding for the first 6 months postpartum followed by predominant HM feeding through the 1st year and complementary HM for the 2nd year and beyond. Only a small proportion receive human milk to meet these guidelines, with meaningful health consequences.While lactation is a physiological process, human milk feeding is a complex socio-cultural behavior that impacts, and is impacted by, many factors. The aims of this thesis were to identify supports of and barriers to sustained human milk feeding in the first year postpartum using data from the Infant Feeding Practices Study II (IFPS-II). The IFPS-II is the largest longitudinal dataset with detailed information on postpartum behaviors and experiences related to infant feeding in the United States. Leveraging this comprehensive dataset, this dissertation investigated the impact of the timing of infant sleep consolidation, colloquially referred to as when an infant 'sleeps through the night', on subsequent cessation of HM feeding. Additional analyses utilized the same dataset to examine factors related to infant feeding mode, defined based on the proportion of milk feeds that infants receive as expressed (pumped) HM and as HM transferred directly from parent to infant at the breast.The primary findings are (1) earlier infant sleep consolidation is associated with a lower hazard of cessation of any human milk feeding, (2) exclusive HM expression is associated with a shorter duration of human milk feeding and is associated with peripartum in-patient hospital experiences, and (3) among exclusive expressors there are key differences in the feeding experiences and outcomes for parent-infant dyads based on their duration of milk expression over the first six months postpartum. Taken together, these results point to particular early infant feeding and sleep patterns, and early postpartum in-patient hospital practices, that support or hinder sustained human milk feeding in the United States population.In summary, my findings contribute to the understanding of supports and barriers to human milk feeding by examining infant sleep, modes of human milk feeding, and duration of human milk feeding. Two of my manuscripts have a particular focus on those who are expressing all or most of the human milk their infant consumes. Almost all parents who are feeding their infants human milk now pump at least some of the time, and international trends suggest the practice of exclusive expression is increasingly common. Therefore, these findings can inform public health interventions, clinical practice, and health policy to support this group of parents.
일반주제명  
Epidemiology
일반주제명  
Nursing
일반주제명  
Womens studies
일반주제명  
Pediatrics
일반주제명  
Obstetrics
키워드  
Breastfeed
키워드  
Breastmilk
키워드  
Expressing
키워드  
Human milk
키워드  
Pumping
기타저자  
University of Minnesota Epidemiology
기본자료저록  
Dissertations Abstracts International. 87-01A.
전자적 위치 및 접속  
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MARC

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■1001  ▼aKunitz,  Christine  Gille.
■24510▼aEat,  Sleep,  Repeat:  Longitudinal  Analyses  of  Early  Postpartum  Factors,  Infant  Sleep,  Human  Milk  Feeding  Mode,  and  Exclusive  Expression  in  the  Infant  Feeding  Practices  Study  (IFPS-II)
■260    ▼a[Sl]▼bUniversity  of  Minnesota▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a129  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-01,  Section:  A.
■500    ▼aAdvisor:  Demerath,  Ellen  W.
■5021  ▼aThesis  (Ph.D.)--University  of  Minnesota,  2025.
■520    ▼aHuman  milk  (HM)  is  widely  accepted  as  the  ideal  nutrition  for  newborns  and  infants,  and  professional  organizations  worldwide  recommend  exclusive  HM  feeding  for  the  first  6  months  postpartum  followed  by  predominant  HM  feeding  through  the  1st  year  and  complementary  HM  for  the  2nd  year  and  beyond.  Only  a  small  proportion  receive  human  milk  to  meet  these  guidelines,  with  meaningful  health  consequences.While  lactation  is  a  physiological  process,  human  milk  feeding  is  a  complex  socio-cultural  behavior  that  impacts,  and  is  impacted  by,  many  factors.  The  aims  of  this  thesis  were  to  identify  supports  of  and  barriers  to  sustained  human  milk  feeding  in  the  first  year  postpartum  using  data  from  the  Infant  Feeding  Practices  Study  II  (IFPS-II).  The  IFPS-II  is  the  largest  longitudinal  dataset  with  detailed  information  on  postpartum  behaviors  and  experiences  related  to  infant  feeding  in  the  United  States.  Leveraging  this  comprehensive  dataset,  this  dissertation  investigated  the  impact  of  the  timing  of  infant  sleep  consolidation,  colloquially  referred  to  as  when  an  infant  'sleeps  through  the  night',  on  subsequent  cessation  of  HM  feeding.  Additional  analyses  utilized  the  same  dataset  to  examine  factors  related  to  infant  feeding  mode,  defined  based  on  the  proportion  of  milk  feeds  that  infants  receive  as  expressed  (pumped)  HM  and  as  HM  transferred  directly  from  parent  to  infant  at  the  breast.The  primary  findings  are  (1)  earlier  infant  sleep  consolidation  is  associated  with  a  lower  hazard  of  cessation  of  any  human  milk  feeding,  (2)  exclusive  HM  expression  is  associated  with  a  shorter  duration  of  human  milk  feeding  and  is  associated  with  peripartum  in-patient  hospital  experiences,  and  (3)  among  exclusive  expressors  there  are  key  differences  in  the  feeding  experiences  and  outcomes  for  parent-infant  dyads  based  on  their  duration  of  milk  expression  over  the  first  six  months  postpartum.  Taken  together,  these  results  point  to  particular  early  infant  feeding  and  sleep  patterns,  and  early  postpartum  in-patient  hospital  practices,  that  support  or  hinder  sustained  human  milk  feeding  in  the  United  States  population.In  summary,  my  findings  contribute  to  the  understanding  of  supports  and  barriers  to  human  milk  feeding  by  examining  infant  sleep,  modes  of  human  milk  feeding,  and  duration  of  human  milk  feeding.  Two  of  my  manuscripts  have  a  particular  focus  on  those  who  are  expressing  all  or  most  of  the  human  milk  their  infant  consumes.  Almost  all  parents  who  are  feeding  their  infants  human  milk  now  pump  at  least  some  of  the  time,  and  international  trends  suggest  the  practice  of  exclusive  expression  is  increasingly  common.  Therefore,  these  findings  can  inform  public  health  interventions,  clinical  practice,  and  health  policy  to  support  this  group  of  parents.
■590    ▼aSchool  code:  0130.
■650  4▼aEpidemiology
■650  4▼aNursing
■650  4▼aWomens  studies
■650  4▼aPediatrics
■650  4▼aObstetrics
■653    ▼aBreastfeed
■653    ▼aBreastmilk
■653    ▼aExpressing
■653    ▼aHuman  milk
■653    ▼aPumping
■690    ▼a0766
■690    ▼a0453
■690    ▼a0569
■690    ▼a0767
■690    ▼a0380
■71020▼aUniversity  of  Minnesota▼bEpidemiology.
■7730  ▼tDissertations  Abstracts  International▼g87-01A.
■790    ▼a0130
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358496▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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