Publications by authors named "Samantha Sullivan"

2 Publications

  • Page 1 of 1

Proactive Lactation Care is Associated With Improved Outcomes in a Referral NICU.

J Hum Lact 2021 Feb 13:890334421993467. Epub 2021 Feb 13.

10051 Princess Margaret Hospital, Toronto, Canada.

Background: Mother's milk improves outcomes. Referral neonatal intensive care units face unique lactation challenges with maternal-infant separation and maternal pump dependency. Little is known about lactation resource allocation in this high-risk population.

Research Aims: To determine differences in human milk outcomes, (1) the proportion of infants fed exclusive or any mother's milk and (2) recorded number and volume of pumped mothers' milk bottles, between two models of lactation care in a referral neonatal intensive care unit.

Methods: This retrospective, longitudinal, two-group comparison study utilized medical record individual feeding data for infants admitted at ≤ Day 7 of age and milk room storage records from reactive and proactive care model time periods (April, 2017-March, 2018; May, 2018-April, 2019). The reactive care model ( = 509 infants, 58% male, median birth weight and gestational age of 37 weeks,) involved International Board Certified Lactation Consultant referral for identified lactation problems; whereas, the proactive model ( = 472 infants, 56% male, median birth weight and gestational age 37 weeks) increased International Board Certified Lactation Consultant staffing, who then saw all admissions. Comparisons were performed using chi square, Mann Whitney, and tests.

Results: A proactive lactation approach was associated with an increase in the receipt of any mother's milk from 74.3% to 80.2% ( = .03) among participants in the proactive model group. Additionally, their milk room mean monthly bottle storage increased from 5153 ( 788) to 6620 ( 1314) bottles ( < .01).

Conclusions: In this retrospective study at a tertiary referral neonatal intensive care unit, significant improvement inhuman milk outcomes suggests that increased resources for proactive lactation care may improve mother's milk provision for a high-risk population.
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February 2021

Relational Aggression Victimization as a Predictor of Middle-School Girls' Self-Disclosure to Peers.

Violence Vict 2020 02;35(1):54-67

Department of Psychology, Illinois State University, Normal, Illinois.

Being a victim of relational aggression is associated with many negative outcomes among adolescent girls, and diminished self-disclosure to peers may be one of them. Given this possibility, it is important to examine potential mediators of this relation. Middle-school girls ( = 180) completed paper-and-pencil measures of relational aggression victimization, self-disclosure to their peer group, and four potential mediators-outcome expectations about self-disclosure, loneliness, social anxiety, and self-esteem. Negative outcome expectations about disclosure and loneliness were significant mediators of the relation between being a victim of relational aggression and self-disclosing to the peer group. Despite the limitations of these cross-sectional data, the present findings suggest that relational aggression is associated with diminished disclosure to others because victimized girls experience heightened loneliness and because they believe that self-disclosure will lead to negative outcomes.
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February 2020