Breastfeeding training for health professionals and resultant changes in breastfeeding duration

Taddei, José Augusto de Aguiar Carrazedo; Westphal, Márcia Faria; Venâncio, Sônia Y.; Bógus, Cláudia Maria; Souza, Sônia Buongermino de

doi:10.1590/s1516-31802000000600007

Cited by 34 publications

(40 citation statements)

References 8 publications

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“…Estudo realizado recentemente com mulheres trabalhadoras norte-americanas revelou que estratégias de ampliação de espaços para a prática da amamentação no ambiente de trabalho contribuíram significantemente para a maior duração do aleitamento materno 39 . Assim, tem sido fortalecida a estratégia da rede social de apoio ao aleitamento materno, em especial entre as mães trabalhadoras, por constituírem grupo de maior risco de oferecer precocemente alimentos diferentes do leite materno à criança 30,37,38,39,40 .…”

Section: Resultsunclassified

Fatores associados à interrupção precoce do aleitamento materno: um estudo de coorte de nascimento em dois municípios do Recôncavo da Bahia, Brasil

2012

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Este estudo objetivou identificar a duração mediana e os fatores associados à interrupção precoce do aleitamento materno. Envolveu uma coorte de nascimento de 531 crianças acompanhadas até os dois anos de idade em dois municípios do Recôncavo da Bahia, Brasil. Utilizaram-se a análise de sobrevivência e o modelo multivariado de Cox. A duração mediana foi de 74,73, 211,25 e 432,63 dias, respectivamente, para o aleitamento materno exclusivo, misto complementado e total. A ausência materna ao pré-natal elevou em 173% (HR = 2,73; IC95%: 1,89-3,93) o risco de diminuir a duração do aleitamento materno exclusivo, em 83% (HR = 1,83; IC95%: 1,06-3,16) o risco da adoção do aleitamento misto complementado e em 38% (HR = 1,38; IC95%: 1,06-1,81) o risco da descontinuidade do aleitamento materno. O trabalho materno fora do domicílio e a área de residência urbana aumentaram o risco para interrupção precoce do aleitamento materno. A ampliação do acesso ao pré-natal e da rede de proteção às mães que trabalham fora do domicilio e àquelas que residem na área urbana poderia aumentar a duração da amamentação no Recôncavo da Bahia.

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Section: Resultsunclassified

Fatores associados à interrupção precoce do aleitamento materno: um estudo de coorte de nascimento em dois municípios do Recôncavo da Bahia, Brasil

2012

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“…In the context of implementing the BFHI in Italy, an educational program that increased the knowledge of hospital workers on breastfeeding practices improved the breastfeeding outcome of exclusive breastfeeding in the early postpartum period as well as full breastfeeding at 3 and 6 months (Cattaneo & Buzzetti, 2001). Also in Italy, Taddei, Westphal, Venancio, Bogus, and Souza (2000) reported that training improved exclusive breastfeeding by 29%, whereas full breastfeeding increased by 20%. In a French university hospital, the effectiveness of a 3-day training program for maternity ward professionals who worked with healthy term babies was studied in a before-and-after design with the finding that the mechanism of education increased the duration of any breastfeeding from 13-16 weeks (Vittoz, Labarere, Castell, Durand, & Pons, 2004).…”

Section: Short-term Objectivesmentioning

confidence: 98%

A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care

Brimdyr¹,

Widström²,

Cadwell³

et al. 2012

J Perinat Educ

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The authors used realistic evaluation to examine the real-world effectiveness of two 5-day training techniques on sustained optimal skin-to-skin practices that support Step 4 of the revised Baby-Friendly Hospital Initiative (BFHI). The authors found that education alone was insufficient to effect sustainable practice change. Exposure to the 5-day immersion model (Practice, Reflection, Education and training, Combined with Ethnography for Sustainable Success, or PRECESS) alone or combined with education was an effective strategy to change and sustain the standard of care for skin-to-skin practice (p , 0.00001). The intended outcome of sustained practice change toward implementation of skin-to-skin care through immersion or a combined approach shows promise and should be repeated in other localities.

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“…Counselling as a single intervention in the community or by health staff demonstrated lower effects on EBF, suggesting the importance of linking communities with health facilities to support EBF (76,78) . Strong implementation of the tenth step of the WHO/ UNICEF 10 Steps of Successful Breast-feeding is a key aspect of sustaining gains in breast-feeding achieved in maternity wards beyond the day of birth, evidenced by the lack of strong breast-feeding outcomes/benefits, often due to weak implementation and support at the community level (79,(86)(87)(88) . Targeted breast-feeding promotion and support by trained clinic personnel in tandem with peer-based counselling for addressing breast-feeding problems is needed.…”

Section: Promising Interventions and Programmatic Implications Of Thementioning

confidence: 99%

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Kavle¹,

LaCroix²,

Dau³

et al. 2017

Public Health Nutr.

147

141

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Objective: Despite numerous global initiatives on breast-feeding, trend data show exclusive breast-feeding (EBF) rates have stagnated over the last two decades. The purpose of the present systematic review was to determine barriers to exclusive breast-feeding in twenty-five low-and middle-income countries and discuss implications for programmes. Design: A search of Scopus, MEDLINE, CINAHL and PsychINFO was conducted to retrieve studies from January 2000 to October 2015. Using inclusion criteria, we selected both qualitative and quantitative studies that described barriers to EBF. Setting: Low-and middle-income countries. Subjects: Following application of systematic review criteria, forty-eight articles from fourteen countries were included in the review. Results: Sixteen barriers to EBF were identified in the review. There is moderate evidence of a negative association between maternal employment and EBF practices. Studies that examined EBF barriers at childbirth and the initial 24 h postdelivery found strong evidence that caesarean section can impede EBF. There is moderate evidence for early initiation of breast-feeding and likelihood of practising EBF. Breast-feeding problems were commonly reported from crosssectional or observational studies. Counselling on EBF and the presence of family and/or community support have demonstrated improvements in EBF. Conclusions: Improving the counselling skills of health workers to address breastfeeding problems and increasing community support for breast-feeding are critical components of infant and young child feeding programming, which will aid in attaining the 2025 World Health Assembly EBF targets. Legislation and regulations on marketing of breast-milk substitutes, paid maternity leave and breast-feeding breaks for working mothers require attention in low-and middle-income countries.

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Breastfeeding training for health professionals and resultant changes in breastfeeding duration

Abstract: This randomized trial supports a growing body of evidence that training hospital health professionals in breastfeeding promotion and protection results in an increase in breastfeeding duration.

Cited by 34 publications

References 8 publications

Fatores associados à interrupção precoce do aleitamento materno: um estudo de coorte de nascimento em dois municípios do Recôncavo da Bahia, Brasil

Fatores associados à interrupção precoce do aleitamento materno: um estudo de coorte de nascimento em dois municípios do Recôncavo da Bahia, Brasil

A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

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