Poster Title: Advanced Practice Nursing im frühen Wochenbett: Exemplarische professionelle Praxis in der klinische Steuerung stillbezogener Versorgungsprozesse
Organization or Hospital: Universitätsklinikum Tübingen
Unit: Universitätsfrauenklinik
Authors: Sarah Schäffler
Conference Name: SANA 2026
Presentation Date: May 12, 2026
Project Summary:
The early postpartum period is characterized by short lengths of stay, high complexity, and heterogeneous care structures. Despite high rates of breastfeeding initiation, uncertainties and inconsistencies in counselling persist. This poster presents the structured implementation of an Advanced Practice Nurse (APN) role to consolidate evidence-based counselling and improve consistency in care processes, along with initial signals from clinical application. The implementation, processes, and potential effects of this role in the early postpartum period require systematic investigation.
Methods:
Counselling processes in the postpartum period
Parental support needs
Breastfeeding indicators
Results:
Earlier identification of complex situations
Improved clinical orientation and increased perceived confidence
More consistent counselling in clinical practice
Conclusion:
Research Desiderata
Systematic investigation of APN-supported care under controlled conditions
Differentiated analysis of underlying mechanisms and their impact on clinical decision-making processes
Clarification of effects on informational consistency, decision quality, and patient experience
References:
(5) Brettschneider, A.-K., Von Der Lippe, E., & Lange, C. (2018). Stillverhalten in Deutschland – Neues aus KiGGS Welle 2. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz, 61(8), 920–925.
(6) McClellan, H. L., Hepworth, A. R., Garbin, C. P., et al. (2012). Nipple pain during breastfeeding with or without visible trauma. Journal of Human Lactation, 28(4), 511–521.
(7) Beake, S., Rose, V., Bick, D., Weavers, A., & Wray, J. (2010). A mixed-methods study of the quality of postnatal care.
Midwifery, 26(4), e1–e8.
(8) Statista. (2026, 3. März). Verweildauer in deutschen Krankenhäusern nach medizinischer Fachabteilung 2023.
(9) Statistisches Bundesamt (Destatis). (2023). Geburtenentwicklung in Deutschland.
(10) World Health Organization (WHO). (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience.
Literatur:
(1) Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). (2024). S3-Leitlinie Stillförderung (Leitlinien-Nr. 027-072)
(2) World Health Organization (WHO), & United Nations Children’s Fund (UNICEF). (2018). Implementation guidance: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn
(3) Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). (2024).
S2k-Leitlinie Einsatz und Behandlung von humaner Milch in Einrichtungen des Gesundheitswesens (Leitlinien-Nr. 024-026).
(4) Gavine, A., McFadden, A., Renfrew, M. J., et al. (2022). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2022(10).
Contact Person(s):
Sarah Schäffler
Sarah.Schaeffler@med.uni-tuebingen.de