Language：English   Publisher：Children  

Aim: This study aimed to determine whether the Kumagai method could be followed by watching an instructional video and to compare the feeding actions of specialists and the general population. Materials and Methods: Eleven adults from diverse backgrounds were recruited and asked to feed a baby doll using a bottle feeder with a long nipple, and their actions were recorded. Then, they watched a 2.5-min instructional video of the Kumagai method and were asked to bottle-feed again. Video recordings of the participants were used to evaluate whether their actions followed the Kumagai method. Differences in the feeding actions of the specialists and participants were determined from still images in the videos. The McNemar test was used to analyze the differences between the participants’ actions before and after. The Kruskal–Wallis test was also used to determine differences between the actions of participants and specialists. Results: Feeding movements significantly improved after watching the video. Participants’ actions, which differed significantly from those of the specialists, were evident in “the angle of the nipple at the moment the nipple was brought close to the lips” and “the angle change of the nipple from the lip to the mouth”. Conclusions: Watching our short instructional video was effective in improving the technique of the Kumagai method; however, it is insufficient for feeding a real child with cleft lip and palate. Including the rationale of each action in the video and adding direct instruction as a supplement is required.

DOI： 10.3390/children11111358

Web of Science

Scopus

PubMed

Language：English   Publisher：Nutrients  

Background/Objectives: This study identified bottle-feeding techniques for infants with feeding difficulties. Methods: Between December 2021 and April 2022, a survey was distributed to nurses with at least 5 years of experience in caring for infants at 1109 hospitals in Japan. The questionnaire included open-ended questions regarding preparation before bottle-feeding, methods of nipple insertion, methods of assisting with sucking, and criteria for continuing bottle-feeding. The responses were classified according to semantic similarity. Results: In total, 514 valid responses were received. The respondents had an average of 19.16 years of experience as a nurse or midwife. The most frequently used nipples for infants with feeding difficulties were the Combi Breastfeeding Model, Pigeon Weak Sucking Nipple, and Bean Stalk Nipple. Preparation before bottle-feeding consisted of six categories, including determining the timing of feeding and stimulation to promote wakeup. Nipple insertion methods consisted of four categories, such as assisted opening of the mouth, nipple insertion, and nipple insertion depth. Methods of assisting with sucking were divided into four categories, including encouraging sucking ability from around the mouth and matching the infant’s sucking pace. The criteria for continuing bottle-feeding spanned three categories, including willingness to suck and ensuring necessary nutrition. Conclusions: The variety of survey responses describes the current state of bottle-feeding technologies. A combination of several techniques indicated that feeding strategies may lead to effective and appropriate feeding. The nurses continued feeding based on an assessment of the infant’s acceptance. Future studies regarding bottle-feeding techniques must consider the individuality of each infant.

DOI： 10.3390/nu16213612

Web of Science

Scopus

PubMed

Language：English  

DOI： 10.3390/nursrep14040199

PubMed

Language：Japanese   Publishing type：Research paper (scientific journal)  

【目　的】本研究の目的は，新生児医療施設で子どもを亡くした母親の悲嘆に関する体験を明らかにすることである。【方　法】対象者は，新生児医療施設で子どもを亡くした母親とし，半構成的面接を実施した。分析は，修正版グラウンデッド・セオリー・アプローチを用いて質的帰納的に行った。【結　果】対象者は母親8名であった。子どもの疾患は先天異常や染色体異常，超低出生体重児などであり，子どもを亡くしてからの年数は1年11か月～10年4か月であった。母親の体験として，子どもの亡くなる前は【わが子の状態に困惑しながら死を覚悟する】【制限のある中で親としてできることを探す】，子どもの亡くなった後は【わが子亡き後も親としてできることを模索し続ける】【悲しみに暮れて何もできない】【なんとか暮らしを取り戻す】【悲しみを助長しないように人付き合いする】【亡きわが子と共に暮らしていく】，出生から現在までは【わが子も一緒に家族をつくる】で構成された。
【考　察】新生児医療施設で子どもを亡くした母親は，入院中に子どもにできることを探し，親子関係を築き始めていた。そして，親子になり始めたときに亡くなった子どもにできることを模索し続けながら，現在も親子関係を築いていると考えられた。また，母親は子どもと親子関係を築き始めるのと同時に家族を一緒につくり始め，現在でも家族の中に亡き子が存在しており，このことが母親の支えになっていると考えられた。

Event date： 2024.7

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：大阪   Country：Japan  

Event date： 2020.9 - 2024.9

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：広島県   Country：Japan  

Event date： 2017.8

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：京都市   Country：Japan  

Event date： 2016.7

Language：Japanese   Presentation type：Symposium, workshop panel (public)  

Venue：別府市   Country：Japan  

Event date： 2013.1 - 2023.1

Language：Japanese   Presentation type：Symposium, workshop panel (public)  

Venue：福岡県   Country：Japan  

Type：Competition, symposium, etc.