Development and Testing of a Prenatal Breastfeeding Education Intervention for Hispanic Women

Schlickau, Jane; Wilson, Margaret E.

doi:10.1624/105812405x72302

Cited by 23 publications

(62 citation statements)

References 48 publications

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“…50 Although we did not limit our search to developed countries, all studies were conducted in countries that were listed by the World Bank as high-income economies. 51 Fourteen studies were individually randomized controlled trials, [32][33][34][35][36][37][39][40][41]43,44,[46][47][48] whereas 1 was a cluster randomized controlled trial. 50 Four used a quasiexperimental design.…”

Section: Resultsmentioning

confidence: 99%

“…One study included participants who received obstetric care at the study sites and did not specify other recruitment criteria. 38 Eight studies included nulliparous women only, 33,34,39,40,[42][43][44]48 whereas the remaining studies included both nulliparous and multiparous women. Six studies restricted recruitment to participants intending to breastfeed, 39,43,44,46,49,50 whereas the others did not specify the prenatal infant feeding intention of participants.…”

Section: Participantsmentioning

confidence: 99%

“…35,41,43,44,48,50 One study compared standard care with antenatal group education, educational materials, and marketing incentives in the form of food packages. 36 Four studies compared standard care with individual antenatal education alone, [32][33][34]37 whereas 2 other studies compared standard care with antenatal individual education plus educational materials. 46,47 …”

Section: Mode Of Interventionsmentioning

confidence: 99%

“…42,45 Educational materials were given to control-group participants in 3 studies. 34,36,41 One study provided telephone counseling and a postnatal home visit, 40 another included a postnatal pediatric visit, 33 and another provided communitywide interventions unrelated to breastfeeding. 49 …”

Section: Standard Carementioning

confidence: 99%

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Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

2015

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Although breastfeeding initiation rates have increased substantially in many developed countries over the past several decades, breastfeeding duration and exclusivity remain suboptimal. In the antenatal period, both group and individual education interventions have been implemented to improve breastfeeding. The purpose of this review was to compare the effectiveness of group and individual antenatal professional education on breastfeeding exclusivity and duration. A systematic search of the literature was conducted using Medline (1946-June 2014), PubMed (1883-June 2014), the Cumulative Index to Nursing and Allied Health Literature (1947-June 2014), EMBASE (1947-June 2014), British Nursing Index (1994-June 2014), Google Scholar, and the Cochrane Library. Included studies were limited to health care professional-conducted education delivered to pregnant women only. Only studies reporting breastfeeding duration or exclusivity were included. Nineteen studies were included, of which 13 evaluated antenatal group education, 5 evaluated individual antenatal education, and 1 evaluated both a group and an individual antenatal education. When compared with standard care, 4 out of 12 studies supported the effectiveness of antenatal group education on breastfeeding duration or exclusivity, whereas 4 out of 6 studies supported the effectiveness of antenatal individual education. Two studies compared antenatal group education with peer-led education and neither study showed a significant difference in breastfeeding outcomes. The methodological heterogeneity and the small number of high quality studies limited our ability to draw firm conclusions about the effectiveness of either mode of antenatal education.

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Section: Resultsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Mode Of Interventionsmentioning

confidence: 99%

Section: Standard Carementioning

confidence: 99%

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Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

2015

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“…There were four studies comparing one form of BF education versus other forms of BF education (Forster 2004;Kistin 1990;MacArthur 2009;Schlickau 2005a). One study (Kistin 1990) compared group education versus individual education, and Schlickau 2005a compared BF education discussion versus BF handouts.…”

Section: Description Of Studiesmentioning

confidence: 99%

Antenatal breastfeeding education for increasing breastfeeding duration

Lumbiganon¹,

Martis²,

Laopaiboon³

et al. 2007

Cochrane Database of Systematic Reviews

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Interventions for promoting the initiation of breastfeeding

Dyson

McCormick

Renfrew

2005

Cochrane Database of Systematic Reviews

183

132

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BACKGROUND: Despite the widely documented health advantages of breastfeeding over formula feeding, initiation rates remain relatively low in many high-income countries, particularly among women in lower income groups. OBJECTIVE: To evaluate the effectiveness of interventions which aim to encourage women to breastfeed in terms of changes in the number of women who start to breastfeed. METHODS: Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (July 2007), handsearched the Journal of Human Lactation, Health Promotion International and Health Education Quarterly from inception to 15 August 2007, and scanned reference lists of all articles obtained. Selection criteria: Randomized controlled trials, with or without blinding, of any breastfeeding promotion intervention in any population group except women and infants with a specific health problem. Data collection and analysis: One review author independently extracted data and assessed trial quality, checked by a second author. We contacted investigators to obtain missing information. MAIN RESULTS: Main results: Eleven trials were included. Statistical analyses were conducted on data from eight trials (1553 women). Five studies (582 women) on low incomes in the USA with typically low breastfeeding rates showed breastfeeding education had a significant effect on increasing initiation rates compared to standard care (risk ratio (RR) 1.57, 95% confidence interval (CI) 1.15 to 2.15, P = 0.005). Subgroup analyses showed that one-to-one, needs-based, informal repeat education sessions and generic, formal antenatal education sessions are effective in terms of an increase in breastfeeding rates among women on low incomes regardless of ethnicity and feeding intention. Needsbased, informal peer support in the antenatal and postnatal periods was also shown to be effective in one study conducted among Latina women who were considering breastfeeding in the USA (RR 4.02, 95% CI 2.63 to 6.14, P < 0.00001). AUTHORS' CONCLUSIONS: This review showed that health education and peer support interventions can result in some improvements in the number of women beginning to breastfeed. Findings from these studies suggest that larger increases are likely to result from needs-based, informal repeat education sessions than more generic, formal antenatal sessions. These findings are based only on studies conducted in the USA, among women on low incomes with varied ethnicity and feeding intention, and this raises some questions regarding generalisability to other settings.

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Development and Testing of a Prenatal Breastfeeding Education Intervention for Hispanic Women

Cited by 23 publications

References 48 publications

Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

Antenatal breastfeeding education for increasing breastfeeding duration

Interventions for promoting the initiation of breastfeeding

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