{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:37:55Z","timestamp":1780378675970,"version":"3.54.1"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The immediate post-partum period offers a valuable opportunity for parental education on various health topics. The aim of this study was to pilot test the feasibility in a tertiary referral center for neonatal care of a post-natal educational intervention (the Diary) designed to provide mothers with basic information concerning newborn care and breastfeeding. Furthermore, we aimed to evaluate its effect on exclusive breastfeeding rates at discharge and at 48 h post-discharge, and on maternal perceived support during hospital stay, compared to standard care. A single-center two-phase interventional study was carried out from 1 December 2018 to 2 June 2019. The Diary was given to mothers enrolled in Phase 2, together with the Nurse\u2013Parent Support Tool (NPST). The Diary\u2013NPST couples analyzed were 269. The Diaries filled out and returned were 62.2%. Overall, mothers rated the information received through the Diary as \u201cclear and comprehensive\u201d. Exclusive breastfeeding rates at discharge resulted in being higher in Phase 1 than in Phase 2 (80.6% vs. 72.5%, p = 0.04), whereas no difference emerged in terms of exclusive breastfeeding rates at 48 h. In both phases, the median NPST total score (4.05) was high. In conclusion, we propose a new instrument of in-hospital post-natal maternal education and, in line with the current literature, we support well-designed written educational materials to promote mothers\u2019 knowledge and satisfaction with post-partum hospital assistance. Further studies that are multicentric and with a longer follow-up period are needed to evaluate the potential impact of the Diary on exclusive breastfeeding duration.<\/jats:p>","DOI":"10.3390\/ijerph19042020","type":"journal-article","created":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T21:08:43Z","timestamp":1644786523000},"page":"2020","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pilot Feasibility Study of a Hospital-Based Post-Natal Educational Intervention on New Mothers in a BFHI-Compliant Tertiary Referral Center for Neonatal Care"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7761-1131","authenticated-orcid":false,"given":"Alessandra","family":"Consales","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Colombo","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Zanotta","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4616-5081","authenticated-orcid":false,"given":"Daniela","family":"Morniroli","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"},{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizio","family":"Sannino","sequence":"additional","affiliation":[{"name":"Direzione Professioni Sanitarie, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 28, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Rampini","sequence":"additional","affiliation":[{"name":"Direzione Professioni Sanitarie, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 28, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Piccoli","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Donghi","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5691-3920","authenticated-orcid":false,"given":"Paola","family":"Marchisio","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, Pediatric Unit, 20122 Milan, Italy"},{"name":"Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Mosca","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"},{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Plevani","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3901-9131","authenticated-orcid":false,"given":"Maria Lorella","family":"Giann\u00ec","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, 20122 Milan, Italy"},{"name":"Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, NICU, Via della Commenda 12, 20122 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1542\/peds.2015-0699","article-title":"Hospital Stay for Healthy Term Newborn Infants","volume":"135","author":"Benitz","year":"2015","journal-title":"Pediatrics"},{"key":"ref_2","unstructured":"World Health Organization (WHO) (2019, May 25). Exclusive Breastfeeding for Optimal Growth, Development and Health of Infants. Available online: http:\/\/www.who.int\/elena\/titles\/exclusive_breastfeeding\/en\/."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Fewtrell, M.S., Mohd Shukri, N.H., and Wells, J.C.K. (2020). \u201cOptimising\u201d Breastfeeding: What Can We Learn from Evolutionary, Comparative and Anthropological Aspects of Lactation?. BMC Med., 18.","DOI":"10.1186\/s12916-019-1473-8"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.midw.2016.03.003","article-title":"The Effect of a Self-Efficacy-Based Educational Programme on Maternal Breast Feeding Self-Efficacy, Breast Feeding Duration and Exclusive Breast Feeding Rates: A Longitudinal Study","volume":"36","author":"Chan","year":"2016","journal-title":"Midwifery"},{"key":"ref_5","first-page":"3","article-title":"Impact of a Prenatal Education Intervention in Pregnant Women to Prevent Overweight in Infants","volume":"157","year":"2021","journal-title":"Gac. Med. Mex."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1891\/1058-1243.21.4.238","article-title":"Improving Quality and Efficiency of Postpartum Hospital Education","volume":"21","author":"Buchko","year":"2012","journal-title":"J. Perinat. Educ."},{"key":"ref_7","unstructured":"Aksu, H., K\u00fc\u00e7\u00fck, M., and D\u00fczg\u00fcn, G. (2021, February 08). The Effect of Postnatal Breastfeeding Education\/Support Offered at Home 3 Days after Delivery on Breastfeeding Duration and Knowledge: A Randomized Trial, Available online: https:\/\/pubmed.ncbi.nlm.nih.gov\/20608806\/."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s13006-021-00417-w","article-title":"Effectiveness of a Smartphone-Based Educational Intervention to Improve Breastfeeding","volume":"16","author":"Seyyedi","year":"2021","journal-title":"Int. Breastfeed. J."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Cauble, J.S., Herman, A., Wick, J., Goetz, J., Daley, C.M., Sullivan, D.K., and Hull, H.R. (2021). A Prenatal Group Based Phone Counseling Intervention to Improve Breastfeeding Rates and Complementary Feeding: A Randomized, Controlled Pilot and Feasibility Trial. BMC Pregnancy Childbirth, 21.","DOI":"10.1186\/s12884-021-03976-2"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103874","DOI":"10.1016\/j.ijnurstu.2021.103874","article-title":"Effectiveness of Educational and Supportive Intervention for Primiparous Women on Breastfeeding Related Outcomes and Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis","volume":"117","author":"Wong","year":"2021","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_11","unstructured":"United Nations Children\u2019s Fund (UNICEF), and World Health Organization (WHO) (2018). Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services: The Revised Baby-Friendly Hospital Initiative, World Health Organization (WHO)."},{"key":"ref_12","unstructured":"World Health Organization (WHO) (2019, May 25). Ten Steps to Successful Breastfeeding (Revised 2018). Available online: http:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/."},{"key":"ref_13","unstructured":"World Health Organization (WHO), and Department of Maternal, Newborn, Child and Adolescent Health (2013). WHO Recommendations on Postnatal Care of the Mother and Newborn, World Health Organization (WHO)."},{"key":"ref_14","unstructured":"World Health Organization (WHO) (2017). WHO Recommendations on Newborn Health, World Health Organization (WHO)."},{"key":"ref_15","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2016). Guida all\u2019Applicazione dei Passi, United Nations Children\u2019s Fund (UNICEF)."},{"key":"ref_16","unstructured":"(2016). Pregnancy, Childbirth, Postpartum and Newborn Care A Guide for Essential Practice, World Health Organization (WHO)."},{"key":"ref_17","unstructured":"United Nations Children\u2019s Fund (UNICEF), and World Health Organization (WHO) (2009). Manuale del Partecipante del Corso di 20 Ore per il Personale della Maternit\u00e0, World Health Organization (WHO)."},{"key":"ref_18","unstructured":"Ministero della Salute (2018). Allattare al Seno: Un Investimento per La Vita."},{"key":"ref_19","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2017). UK Assessment of Breastmilk Expression, United Nations Children\u2019s Fund (UNICEF)."},{"key":"ref_20","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2016). UK Baby Friendly Initiative Breastfeeding Checklist for Mothers, United Nations Children\u2019s Fund (UNICEF)."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/S0882-5963(99)80059-1","article-title":"The nurse parent support tool","volume":"14","author":"Miles","year":"1999","journal-title":"J. Pediatr. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1111\/j.1651-2227.2011.02440.x","article-title":"Measuring Maternal Stress and Perceived Support in 25 Italian NICUs","volume":"101","author":"Montirosso","year":"2012","journal-title":"Acta Paediatr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Colombo, L., Crippa, B.L., Consonni, D., Bettinelli, M.E., Agosti, V., Mangino, G., Bezze, E.N., Mauri, P.A., Zanotta, L., and Roggero, P. (2018). Breastfeeding Determinants in Healthy Term Newborns. Nutrients, 10.","DOI":"10.3390\/nu10010048"},{"key":"ref_24","first-page":"623","article-title":"The Baby Friendly Hospital Initiative and the Ten Steps for Successful Breastfeeding. A Critical Review of the Literature","volume":"38","author":"Blubaugh","year":"2018","journal-title":"J. Perinatol. Off. J. Calif. Perinat. Assoc."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijnurstu.2014.06.006","article-title":"Effects of an Interpersonal-Psychotherapy-Oriented Postnatal Programme for Chinese First-Time Mothers: A Randomized Controlled Trial","volume":"52","author":"Gao","year":"2015","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_26","first-page":"CD004068","article-title":"Postnatal Parental Education for Optimizing Infant General Health and Parent-Infant Relationships","volume":"28","author":"Bryanton","year":"2013","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3389\/fpubh.2021.625779","article-title":"Post-Partum Hospital Stay and Mothers\u2019 Choices on Breastfeeding and Vaccines: A Chance We Should Not Miss","volume":"9","author":"Morniroli","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1067\/mob.2003.308","article-title":"Patient Satisfaction and the Impact of Written Material about Postpartum Contraceptive Decisions","volume":"188","author":"Johnson","year":"2003","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"160","DOI":"10.12968\/bjom.2009.17.3.40078","article-title":"\u2018Coming Ready or Not!\u2019 Preparing Parents for Parenthood","volume":"17","author":"McKellar","year":"2009","journal-title":"Br. J. Midwifery"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Curr\u00f2, V., Lanni, R., Scipione, F., Grimaldi, V., and Mastroiacovo, P. (1997). Randomised Controlled Trial Assessing the Effectiveness of a Booklet on the Duration of Breast Feeding. Arch. Dis. Child., 76.","DOI":"10.1136\/adc.76.6.500"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1111\/j.1651-2227.2007.00341.x","article-title":"Effect of Early Postnatal Breastfeeding Support: A Cluster-Randomized Community Based Trial","volume":"96","author":"Kronborg","year":"2007","journal-title":"Acta Paediatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2307","DOI":"10.11124\/JBISRIR-2016-002955","article-title":"Effect of Educational and Support Interventions on Long-Term Breastfeeding Rates in Primiparous Women: A Systematic Review and Meta-Analysis","volume":"15","author":"Meedya","year":"2017","journal-title":"JBI Database Syst. Rev. Implement. Rep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jogn.2018.01.005","article-title":"Randomized Controlled Trial of a Prenatal Breastfeeding Self-Efficacy Intervention in Primiparous Women in Iran","volume":"47","author":"Araban","year":"2018","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1093\/pubmed\/fdx175","article-title":"Maternal and Child Health Handbook Use for Maternal and Child Care: A Cluster Randomized Controlled Study in Rural Java, Indonesia","volume":"41","author":"Osaki","year":"2019","journal-title":"J. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1111\/j.1552-6909.2006.00086.x","article-title":"Nursing Support of the Process of Becoming a Mother","volume":"35","author":"Mercer","year":"2006","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.cpr.2004.12.004","article-title":"Potential Roles of Parental Self-Efficacy in Parent and Child Adjustment: A Review","volume":"25","author":"Jones","year":"2005","journal-title":"Clin. Psychol. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1111\/j.1467-8624.2009.01397.x","article-title":"From External Regulation to Self-Regulation: Early Parenting Precursors of Young Children\u2019s Executive Functioning","volume":"81","author":"Bernier","year":"2010","journal-title":"Child Dev."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.3945\/ajcn.111.030254","article-title":"Breastfeeding after Cesarean Delivery: A Systematic Review and Meta-Analysis of World Literature","volume":"95","author":"Prior","year":"2012","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.pmedr.2015.12.010","article-title":"Combined Effects of Maternal Age and Parity on Successful Initiation of Exclusive Breastfeeding","volume":"3","author":"Kitano","year":"2015","journal-title":"Prev. Med. Rep."},{"key":"ref_40","unstructured":"Istituto Nazionale di Statistica Gravidanza (2014). Parto e Allattamento al Seno, Istituto Nazionale di Statistica Gravidanza."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/j.jmwh.2007.07.019","article-title":"Impact of Birthing Practices on the Breastfeeding Dyad","volume":"52","author":"Smith","year":"2007","journal-title":"J. Midwifery Womens Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s13006-021-00447-4","article-title":"A Prospective Cohort Study on Lactation Status and Breastfeeding Challenges in Mothers Giving Birth to Preterm Infants","volume":"17","author":"Dong","year":"2022","journal-title":"Int. Breastfeed. J."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.midw.2012.04.009","article-title":"Psychosocial Correlates of Exclusive Breastfeeding: A Systematic Review","volume":"29","author":"Skouteris","year":"2013","journal-title":"Midwifery"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Piro, S.S., and Ahmed, H.M. (2020). Impacts of Antenatal Nursing Interventions on Mothers\u2019 Breastfeeding Self-Efficacy: An Experimental Study. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-019-2701-0"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/4\/2020\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:17:33Z","timestamp":1760134653000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/4\/2020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,11]]},"references-count":44,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["ijerph19042020"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19042020","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,11]]}}}