Antenatal breastfeeding education for increasing breastfeeding duration

Lumbiganon, Pisake; Martis, Ruth; Laopaiboon, Malinee; Festin, Mario; Ho, Jacqueline J; Hakimi, Mohammad

doi:10.1002/14651858.cd006425.pub3

Cited by 75 publications

(78 citation statements)

References 89 publications

(51 reference statements)

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“…Several sociodemographic characteristics were used to describe the sample, including mother's age (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), and >34 years old), mother's education (high school or less, some college, 4-year college or more) and marital status (married, widowed/divorced/ separated, never married). Prenatal smoking (non-smoker, smoker) and prepregnancy BMI (<19.8 underweight, 19.8 to ≤26 normal, >26 to ≤29 overweight, and >29 obese).…”

Section: Methodsmentioning

confidence: 99%

Mode of Delivery and Breastfeeding Practices

Palla¹,

Kitsantas²

2017

IPCB

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Background: We compared early breastfeeding practices, including initiation, exclusivity, and intensity among women who had an unplanned caesarean section (c-section), a planned c-section, vaginal induced delivery, and a vaginally but not induced delivery. Methods:This was a retrospective study involving secondary data analysis using the Infant Feeding Practices Study II, a longitudinal national survey, which followed women from pregnancy to 1 year postpartum. Data were obtained from the prenatal, neonatal and 2-month surveys for 2541 mothers and their infants. Descriptive statistics and chisquare analysis were conducted to identify any associations between mode of delivery and maternal characteristics, breastfeeding patterns in the first two months of infancy, prenatal breastfeeding attitudes, sources of breastfeeding information and reasons for not initiating breastfeeding. Results:Women with a planned c-section had a significantly lower breastfeeding initiation rate (80%). Further, they were least likely to report a clinician's support for breastfeeding (40.2%) and more likely to disagree with benefits of breastfeeding (26.3%). Those with vaginally non-induced deliveries were least likely to receive breastfeeding information during the postpartum period from lactation consultants (56.5%), while women who had a planned c-section were less likely to receive breastfeeding information from relatives/ friends (48.9%). Conclusion:Findings suggest that breastfeeding practices vary considerably by mode of delivery and this should be taken into consideration when offering lactation services and information to women. Women may need encouragement from family members and clinicians in initiating breastfeeding as well as adequate breastfeeding support through month 2 postpartum.

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Section: Methodsmentioning

confidence: 99%

Mode of Delivery and Breastfeeding Practices

Palla¹,

Kitsantas²

2017

IPCB

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“…To overcome these obstacles in establishing breastfeeding, the motivation and preparation of breastfeeding should start during antenatal period [3,5]. Early initiations of breastfeeding and refraining from prelacteal and prolacteal feeds are crucial to establish successful breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

Lamba

Chopra

Negi

2015

J Obstet Gynecol India

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Objectives To study the effect of antenatal breast milk expression at term pregnancy and subsequent effect on postnatal lactation performance. Methods A sample size of 200 pregnant women who had completed 37 weeks of gestational period was selected. The sample size was divided equally into study (group 1) and control (group 2). The pregnant women in study (group 1) were advised to gently manually express their breasts at least once daily at any time, preferably during bathing. The remaining women constituted the group 2. At the time of delivery, all the mothers were advised to initiate breastfeeding their baby within half an hour of delivery. The time from initiation of lactation to full lactation when no top feed is required was noted. Assessment of sufficient lactation was judged by the objective and subjective criteria. Result In the group 1, 89 % of the cases established full lactation within 6 h of delivery, whereas in the group 2 only 72 % of the cases had established full lactation within 6 h. The difference in the group 1 and the group 2 is statistically significant (P \ 0.05) with regard to time interval from initiation of lactation to full lactation. Maternal perception of satisfactory lactation was statistically significantly higher in group 1 compared with group 2. In the group 1, 100 % of vaginal delivery (FTND) cases had established full lactation within 6 h compared with 81 % in the group 2. The result is statistically significant (P \ 0.10). In the group 1, 80 % of the lower segment cesarean section deliveries established full lactation within 6 h, whereas in the group 2, it was 61 %. The result is statistically significant (P \ 0.10). In objective criteria, the post-feed weight gain was higher in the group 1. 123Conclusions Antenatal manual breast milk expression at term shortens the time taken to from initiation to full establishment of lactation, thus significantly improving postnatal lactational performance by early establishment of plentiful milk secretion.

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“…Short-and longer-term exclusive breastfeeding is more likely to improve if peer support relative to the standard of care is offered before and after birth, face-to-face compared with exclusively by telephone, and if baseline prevalence of breastfeeding initiation among the eligible population is high. [14][15][16] However, all reviews caution against definitive conclusions given the heterogeneity of the studies examined.…”

mentioning

confidence: 99%

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Reeder¹,

Joyce

Sibley³

et al. 2014

Pediatrics

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OBJECTIVE: The US Surgeon General has recommended that peer counseling to support breastfeeding become a core service of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). As of 2008, 50% of WIC clients received services from local WIC agencies that offered peer counseling. Little is known about the effectiveness of these peer counseling programs. Randomized controlled trials of peer counseling interventions among low-income women in the United States showed increases in breastfeeding initiation and duration, but it is doubtful that the level of support provided could be scaled up to service WIC participants nationally. We tested whether a telephone peer counseling program among WIC participants could increase breastfeeding initiation, duration, and exclusivity. METHODS: We randomly assigned 1948 WIC clients recruited during pregnancy who intended to breastfeed or were considering breastfeeding to 3 study arms: no peer counseling, 4 telephone contacts, or 8 telephone contacts. RESULTS: We combined 2 treatment arms because there was no difference in the distribution of peer contacts. Nonexclusive breastfeeding duration was greater at 3 months postpartum for all women in the treatment group (adjusted relative risk: 1.22; 95% confidence interval [CI]: 1.10–1.34) but greater at 6 months for Spanish-speaking clients only (adjusted relative risk: 1.29; 95% CI: 1.10–1.51). The likelihood of exclusive breastfeeding cessation was less among Spanish-speaking clients (adjusted odds ratio: 0.78; 95% CI: 0.68–0.89). CONCLUSIONS: A telephone peer counseling program achieved gains in nonexclusive breastfeeding but modest improvements in exclusive breastfeeding were limited to Spanish- speaking women.

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Antenatal breastfeeding education for increasing breastfeeding duration

Abstract: Because there were significant methodological limitations and the observed effect sizes were small, it is not appropriate to recommend any specific antenatal BF education.There is an urgent need to conduct RCTs with adequate power to evaluate the effectiveness of antenatal BF education.

Cited by 75 publications

References 89 publications

Mode of Delivery and Breastfeeding Practices

Mode of Delivery and Breastfeeding Practices

Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

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