A randomised controlled trial of the effectiveness of a breastfeeding training DVD on improving breastfeeding knowledge and confidence among healthcare professionals in China

Yuan, Ying; Wallace, Louise; Li, Qiu; Kosmala-Anderson, Joanna; Bartle, Naomi

doi:10.1186/s12884-018-1709-1

Cited by 11 publications

(13 citation statements)

References 32 publications

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“…This promising positive effect of intervention is the only key for successful breastfeeding. Ma YY et al 16 and Wallace LM et al 17 both in their study found that video training for mother was effective methods of successful breast feeding.…”

Section: Discussionmentioning

confidence: 95%

Effects of Intervention on Maternal Skill in Positioning and Attachment for Successful Breastfeeding

Ferdousi

Ahmad²,

Samad³

2020

Bangladesh J Child Health

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Background: Correct positioning and attachment play a crucial role in the successful establishment and maintenance of breast feeding. Objective of this study was to determine the effectiveness of immediate postnatal training of the mothers on their practice of proper positioning and attachment during breast feeding. Material and Methods: This one group pretest-posttest quasi-experimental study was conducted at the Department of Pediatrics and Department of Obstetrics and Gynecology of Chittagong Medical College Hospital from January 2006 to June 2006. Three hundred mothers were evaluated for breast feeding position and attachment within 6 hours following normal delivery with a questionnaire and observational checklist. Then they received training on correct positioning and attachment for successful breastfeeding. Post training effect was evaluated by assessing mothers’ practice on 7th postnatal day among 256 mothers. Pre training and post training data were analyzed with SPSS-16 and McNemar test was done to see the difference. Results: Out of 256 mothers only 22.3% were first time mother and about 40% of them had 1-2 children. Majority (84.4%) of them knew about the benefits of breast feeding though one third (36.3%) of them favored pre-lacteal feeding. Statistically significant improvement in all components of position and attachment for breast feeding was found after intervention. Conclusion: The study results showed that immediate postnatal intervention towards correct positioning and attachment were highly effective for successful breast feeding. Bangladesh J Child Health 2020; VOL 44 (1) :13-17

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Section: Discussionmentioning

confidence: 95%

Effects of Intervention on Maternal Skill in Positioning and Attachment for Successful Breastfeeding

Ferdousi

Ahmad²,

Samad³

2020

Bangladesh J Child Health

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“…Many studies have previously found that breastfeeding training improves clinical skills and knowledge of healthcare professionals 5,9,22,47–49 . One randomised controlled trial found that a 14‐min educational DVD significantly increased professionals' skills in positioning and attachment and hand expressing 50 . To try to reduce the levels of breastfeeding modification after hospitalisation for bronchiolitis, a programme of training, as well as investment in more breast pumps and better signage and health promotion posters, was implemented.…”

Section: Discussionmentioning

confidence: 99%

“…5,9,22,[47][48][49] One randomised controlled trial found that a 14-min educational DVD significantly increased professionals' skills in positioning and attachment and hand expressing. 50 To try to reduce the levels of breastfeeding modification after hospitalisation for bronchiolitis, a programme of training, as well as investment in more breast pumps and better signage and health promotion posters, was implemented. The researchers in the study found that following this programme, only 20% of mothers had unwanted breastfeeding modification after discharge from hospital, compared with 50% before the training programme.…”

Section: Breastfeeding Clinical Skillsmentioning

confidence: 99%

The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

Hookway

Brown

2023

J Human Nutrition Diet

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Background Breastfeeding is an important public health priority and may be particularly beneficial for medically complex infants and children. However, childhood illness and disability are associated with increased challenges and lower breastfeeding rates. The Baby Friendly Initiative has been shown to increase initiation of breastfeeding and improve health professional skills although as yet the standards have not been adopted in paediatrics. Previous studies have found breastfeeding knowledge gaps among paediatric nurses, and a recent systematic review highlighted insufficient lactation support, discouragement by healthcare professionals and lack of resources. The aim of this survey of UK paediatric professionals was to establish their self‐defined confidence and skills supporting breastfeeding. Methods An online survey was developed to explore associations between level of training and staff confidence and perceived skill, to establish whether there is evidence that more training and/or higher breastfeeding training credentials improve skill. In total, 409 professionals, including paediatric doctors at all grades, paediatric nurses and allied health professionals, were included in the analysis. Results This study identified specific skill gaps among professionals. Many healthcare professionals felt that different skills and specific training are required to support medically complex children. Several professionals noted that existing breastfeeding training focuses on establishing breastfeeding in healthy newborns rather than sick children in paediatrics. Participants were asked about 13 clinical competencies, and an aggregate skill score was calculated. Multiple univariate analysis of variance found that more extensive training and higher credentials are correlated with higher skill scores (p ≤ 0.001), whereas type of professional was not. Conclusions Despite this being a relatively motivated sample of healthcare professionals, the findings of this study suggest that breastfeeding skills are patchy and inconsistent, and particularly lacking when it comes to more complex clinical scenarios. This is significant, because it may mean that children who have more significant illness or medical complexity are disproportionately affected by gaps in knowledge and skill. Medically complex children encounter many barriers to optimal feeding − including absence of designated paediatric lactation staff, resources and support − and may have challenges such as low tone, higher calorie need and transitioning to the breast after ventilation or enteral feeding. Current skill gaps indicate that existing training would be insufficient, and bespoke paediatric breastfeeding training based on identified clinical challenges is thus justified.

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“…Interventions with telephone lactation counselling and education sessions followed by follow-up with phone calls did not show the aimed-for effect. Interventions with mixed effect were those that used—(1) short training movies [ 59 , 60 ], (2) WHO/UNICEF training material [ 28 , 38 ], and (3) existing community health workers (CHWs) [ 32 , 62 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review

Rana

McGrath²,

Sharma

et al. 2021

Nutrients

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Small and nutritionally at-risk infants under six months, defined as those with wasting, underweight, or other forms of growth failure, are at high-risk of mortality and morbidity. The World Health Organisation 2013 guidelines on severe acute malnutrition highlight the need to effectively manage this vulnerable group, but programmatic challenges are widely reported. This review aims to inform future management strategies for small and nutritionally at-risk infants under six months in low- and middle-income countries (LMICs) by synthesising evidence on existing breastfeeding support packages for all infants under six months. We searched PubMed, CINAHL, Cochrane Library, EMBASE, and Global Health databases from inception to 18 July 2018. Intervention of interest were breastfeeding support packages. Studies reporting breastfeeding practices and/or caregivers’/healthcare staffs’ knowledge/skills/practices for infants under six months from LMICs were included. Study quality was assessed using NICE quality appraisal checklist for intervention studies. A narrative data synthesis using the Synthesis Without Meta-analysis (SWiM) reporting guideline was conducted and key features of successful programmes identified. Of 15,256 studies initially identified, 41 were eligible for inclusion. They were geographically diverse, representing 22 LMICs. Interventions were mainly targeted at mother–infant pairs and only 7% (n = 3) studies included at-risk infants. Studies were rated to be of good or adequate quality. Twenty studies focused on hospital-based interventions, another 20 on community-based and one study compared both. Among all interventions, breastfeeding counselling (n = 6) and education (n = 6) support packages showed the most positive effect on breastfeeding practices followed by breastfeeding training (n = 4), promotion (n = 4) and peer support (n = 3). Breastfeeding education support (n = 3) also improved caregivers’ knowledge/skills/practices. Identified breastfeeding support packages can serve as "primary prevention" interventions for all infants under six months in LMICs. For at-risk infants, these packages need to be adapted and formally tested in future studies. Future work should also examine impacts of breastfeeding support on anthropometry and morbidity outcomes. The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO 2018 CRD42018102795)

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A randomised controlled trial of the effectiveness of a breastfeeding training DVD on improving breastfeeding knowledge and confidence among healthcare professionals in China

Cited by 11 publications

References 32 publications

Effects of Intervention on Maternal Skill in Positioning and Attachment for Successful Breastfeeding

Effects of Intervention on Maternal Skill in Positioning and Attachment for Successful Breastfeeding

The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom

Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review

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