CD‐ROM‐based program for breastfeeding mothers

Abstract

The vast majority of breastfeeding mothers in Western countries have routine access to multimedia and Internet resources at home. The aim of this study was to assess the effectiveness of a CD-ROM-based intervention in increasing the rates of breastfeeding. We conducted a pre- and post-intervention study involving four control and four intervention maternity units in France. All breastfeeding mothers in intervention units were given a CD-ROM-based program addressing various breastfeeding topics. The primary outcome was any breastfeeding at 4 weeks assessed by follow-up telephone interview. The secondary outcomes included breastfeeding duration, breastfeeding difficulties after discharge and satisfaction with the breastfeeding experience. The rates of any breastfeeding at 4 weeks varied from 88.6% (209/236) to 87.9% (211/240) and from 86.0% (222/258) to 88.0% (228/259) for mothers enrolled in intervention and control maternity units, respectively (P for interaction=0.54). The hazard of breastfeeding discontinuation for mothers enrolled in intervention units did not vary significantly across study periods after adjusting for education level, epidural anaesthesia, breastfeeding assessment score and return to work (P for interaction=0.18). The rates of breastfeeding at 4 weeks remained unchanged when restricting the analysis to the mothers who actually received (87.8% [173/197]) or used [88.2% (105/119)] the CD-ROM during the post-intervention period. No significant differences were found in secondary outcomes between the two study groups. A CD-ROM-based intervention for breastfeeding mothers provides no additional benefit to usual post-natal care. Further study is needed to assess the effectiveness of multimedia packages as part of more intensive multifaceted interventions.

Breastfeeding Assessment Score: Systematic Review and Meta-analysis

“…12 To prevent duplicate publication of data from the same study, 14 we analyzed the data for mothers enrolled during the postintervention study period in the present article. All enrolled mothers provided informed consent for participation and follow-up.…”

“…As part of the original study, 12 2 trained research assistants blinded to the BAS results conducted structured follow-up telephone interviews with mothers to obtain data on breastfeeding continuation at 1 and 6 months postpartum. They asked whether the mother was still breastfeeding on the day of the interview or within the previous 24 hours.…”

“…In the original derivation cohort, 9 the breastfeeding cessation rate by 10 days of age was 21% for mother-infant pairs with a BAS value lower than 8 compared with 5% for those with a BAS value equal to or higher than 8. Although the BAS has been adopted in various settings, [11][12][13] previous accuracy studies have revealed conflicting results, [14][15][16] and summary accuracy estimates are still lacking for this clinical prediction model.…”

Mikroschulungsprogramm für stillende Wöchnerinnen: Pilotstudie zur Auswirkung der Schulungen auf schmerzende und wunde Mamillen

“…Bereits eine einmalig falsche Stilltechnik kann zu schmerzenden und wunden Mamillen führen (Briggs, 2009). Forschungsergebnisse zu postpartaler Schulung der Stilltechnik zeigen, dass zwar Schulungskonzepte entwickelt und erprobt wurden (Henderson, 2001;Rosen, Krueger, Carney & Graham 2008;Labarère, Gelbert-Baudino, Laborde, Arragain, Schelstraete & François, 2011), aber nicht die gewünschte Wirkung zeigen. Die Wöchnerinnen erhielten praktische und theoretische Informationen in Form von Gruppenschulungen und unter Zuhilfenahme von Bild-und Instruktionsmaterial (Henderson, 2001;De Oliveira, 2006;Kervin et al, 2009).…”

Maintaining Continuity in Longitudinal, Multi-method Health Interventions Using Virtual Agents: The Case of Breastfeeding Promotion

“…A few automated systems have been developed to promote breastfeeding among mothers. Most of the interventions developed to date have been educational materials deployed on static web pages or multimedia CD-ROMs ( [10,11]). Joshi, et al, describe a bilingual touch-screen tabletbased intervention to promote breastfeeding.…”