Comparing the effect of breastfeeding promotion interventions on exclusive breastfeeding: an experimental study

Abstract

Introduction: Despite the proven risks associated with not breastfeeding, few mothers exclusively breastfeed their babies for six months as recommended by the World Health Organization. This study was conducted to compare the effect of breastfeeding promotion interventions on exclusive BMF among primiparous women. Methods: This quasi-experimental study was conducted on a sample of 93 primiparous women who were referred to health care centres, Mashhad, Iran, in 2010. Health care centres were selected by multistage sampling method, and then randomly allocated into two intervention groups (peer support group and health care provider's education group) and one control group. Primigravidae aged 18-35 years old, with singleton pregnancy, with gestational age of 35-36 weeks, and intending to breastfeed their children were randomly selected out of health care centres. The peer support group participants received supports from their peers four times and education group's participants received 4 training sessions by health care providers. The control group received only routine cares. Exclusive BMF duration and rate assessed at 4 and 8 weeks postpartum and collected data were analysed using SPSS (ver.11.5) software.

Impact and Effectiveness of Group Strategies for Supporting Breastfeeding after Birth: A Systematic Review

“…Figure 2 and Figure 3 show the risk of bias graph of the total of experimental studies included, as well as the summary of the bias risk of each article by items, respectively. Regarding selection bias, four studies provided adequate information on the generation of random sequences [ 28 , 29 , 30 , 31 ]. With regard to performance bias, only one study provided information on the blinding of the participants and of the personnel [ 31 ].…”

“…With regard to performance bias, only one study provided information on the blinding of the participants and of the personnel [ 31 ]. In relation to detection bias, only two studies provided unclear information [ 30 , 32 ], and the others omitted that information [ 28 , 29 , 31 , 33 , 34 , 35 ]. A total of six articles [ 28 , 29 , 30 , 31 , 33 , 35 ] provided unclear information on allocation concealment.…”

“…In relation to detection bias, only two studies provided unclear information [ 30 , 32 ], and the others omitted that information [ 28 , 29 , 31 , 33 , 34 , 35 ]. A total of six articles [ 28 , 29 , 30 , 31 , 33 , 35 ] provided unclear information on allocation concealment. In relation to withdrawal bias, the risk was considered uncertain or unclear in four of the studies [ 28 , 31 , 33 , 35 ], as they did not detail how the losses of participants in follow-up were treated.…”

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

“…Although the interventions were grouped into categories (as defined by the authors) as counselling, education, training, promotion and peer support, there were many similarities and overlaps between them. For instance, interventions with a training programme for counsellors (training–counselling) [ 56 ], educational sessions by trained staff (education–training) [ 45 ], breastfeeding promotion using peer support (promotion–peer support) [ 49 ] and educating fathers as supporters (education–peer support) [ 52 , 53 , 54 ]. Because of these, it was important to look into details of what exactly each intervention involves.…”

“…Generally, interventions with positive effect were those which: (1) were well structured (BASNEF model and PRECEDE model) [ 26 , 37 ], (2) delivered more frequently (reinforcing) [ 47 , 49 , 56 ], and (3) involved fathers into care as peer supporters [ 52 , 53 , 54 ]. Interventions with telephone lactation counselling and education sessions followed by follow-up with phone calls did not show the aimed-for effect.…”