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Article: Professional breastfeeding support for first-time mothers: a multicentre cluster randomised controlled trial

TitleProfessional breastfeeding support for first-time mothers: a multicentre cluster randomised controlled trial
Authors
Issue Date2014
PublisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.bjog.org/
Citation
BJOG: an international journal of obstetrics and gynaecology, 2014, v. 121 n. 13, p. 1673-1684 How to Cite?
AbstractObjective To evaluate the effect of two postnatal professional support interventions on the duration of any and exclusive breastfeeding. Design Multicentre, three-arm, cluster randomised controlled trial. Population A cohort of 722 primiparous breastfeeding mothers with uncomplicated, full-term pregnancies. Methods The three study interventions were: (1) standard postnatal maternity care; (2) standard care plus three in-hospital professional breastfeeding support sessions, of 30–45 minutes in duration; or (2) standard care plus weekly post-discharge breastfeeding telephone support, of 20–30 minutes in duration, for 4 weeks. The interventions were delivered by four trained research nurses, who were either highly experienced registered midwives or certified lactation consultants. Main outcome measures Prevalence of any and exclusive breastfeeding at 1, 2, and 3 months postpartum. Results Rates of any and exclusive breastfeeding were higher among participants in the two intervention groups at all follow-up points, when compared with those who received standard care. Participants receiving telephone support were significantly more likely to continue any breastfeeding at 1 month (76.2 versus 67.3%; odds ratio, OR 1.63, 95% confidence interval, 95% CI 1.10–2.41) and at 2 months (58.6 versus 48.9%; OR 1.48, 95% CI 1.04–2.10), and to be exclusively breastfeeding at 1 month (28.4 versus 16.9%; OR 1.89, 95% CI 1.24–2.90). Participants in the in-hospital support group were also more likely to be breastfeeding at all time points, but the effect was not statistically significant. Conclusions Professional breastfeeding telephone support provided early in the postnatal period, and continued for the first month postpartum, improves breastfeeding duration among first-time mothers. It is also possible that it was the continuing nature of the support that increased the effectiveness of the intervention, rather than the delivery of the support by telephone specifically.
Persistent Identifierhttp://hdl.handle.net/10722/197868
ISSN
2015 Impact Factor: 4.039
2015 SCImago Journal Rankings: 2.083

 

DC FieldValueLanguage
dc.contributor.authorFu, CYI-
dc.contributor.authorFong, DYT-
dc.contributor.authorHeys, M-
dc.contributor.authorLee, ILY-
dc.contributor.authorSham, A-
dc.contributor.authorTarrant, AM-
dc.date.accessioned2014-06-02T15:20:08Z-
dc.date.available2014-06-02T15:20:08Z-
dc.date.issued2014-
dc.identifier.citationBJOG: an international journal of obstetrics and gynaecology, 2014, v. 121 n. 13, p. 1673-1684-
dc.identifier.issn1470-0328-
dc.identifier.urihttp://hdl.handle.net/10722/197868-
dc.description.abstractObjective To evaluate the effect of two postnatal professional support interventions on the duration of any and exclusive breastfeeding. Design Multicentre, three-arm, cluster randomised controlled trial. Population A cohort of 722 primiparous breastfeeding mothers with uncomplicated, full-term pregnancies. Methods The three study interventions were: (1) standard postnatal maternity care; (2) standard care plus three in-hospital professional breastfeeding support sessions, of 30–45 minutes in duration; or (2) standard care plus weekly post-discharge breastfeeding telephone support, of 20–30 minutes in duration, for 4 weeks. The interventions were delivered by four trained research nurses, who were either highly experienced registered midwives or certified lactation consultants. Main outcome measures Prevalence of any and exclusive breastfeeding at 1, 2, and 3 months postpartum. Results Rates of any and exclusive breastfeeding were higher among participants in the two intervention groups at all follow-up points, when compared with those who received standard care. Participants receiving telephone support were significantly more likely to continue any breastfeeding at 1 month (76.2 versus 67.3%; odds ratio, OR 1.63, 95% confidence interval, 95% CI 1.10–2.41) and at 2 months (58.6 versus 48.9%; OR 1.48, 95% CI 1.04–2.10), and to be exclusively breastfeeding at 1 month (28.4 versus 16.9%; OR 1.89, 95% CI 1.24–2.90). Participants in the in-hospital support group were also more likely to be breastfeeding at all time points, but the effect was not statistically significant. Conclusions Professional breastfeeding telephone support provided early in the postnatal period, and continued for the first month postpartum, improves breastfeeding duration among first-time mothers. It is also possible that it was the continuing nature of the support that increased the effectiveness of the intervention, rather than the delivery of the support by telephone specifically.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.bjog.org/-
dc.relation.ispartofBJOG: an international journal of obstetrics and gynaecology-
dc.rightsThis is the accepted version of the following article: BJOG: an international journal of obstetrics and gynaecology, 2014, v. 121 n. 13, p. 1673-1684, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12884/abstract;jsessionid=794519CBD2CD00B5AB023E24A3A4CF3D.f01t03-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleProfessional breastfeeding support for first-time mothers: a multicentre cluster randomised controlled trial-
dc.typeArticle-
dc.identifier.emailFu, CYI: cyfu@hku.hk-
dc.identifier.emailFong, DYT: dytfong@hku.hk-
dc.identifier.emailTarrant, AM: tarrantm@hkucc.hku.hk-
dc.identifier.authorityFu, CYI=rp00254-
dc.identifier.authorityFong, DYT=rp00253-
dc.identifier.authorityTarrant, AM=rp00461-
dc.description.naturepostprint-
dc.identifier.doi10.1111/1471-0528.12884-
dc.identifier.pmid24861802-
dc.identifier.hkuros229113-
dc.identifier.hkuros235662-
dc.identifier.volume121-
dc.identifier.issue13-
dc.identifier.spage1673-
dc.identifier.epage1684-
dc.publisher.placeUnited Kingdom-

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