Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature

Abbass‐Dick, Jennifer; Brown, Hilary K.; Jackson, Kimberley T; Rempel, Lynn A.; Dennis, Cindy‐Lee

doi:10.1016/j.midw.2019.04.001

Cited by 77 publications

(54 citation statements)

References 64 publications

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“…Improving breastfeeding practices among new mothers would, therefore, require strengthening breastfeeding policies and formulating programmes that also involve household members, who play an important role in the early postpartum period. In recently published systematic reviews, Tadesse et al [29] and Abbass-Dick et al [30] found that breastfeeding education that targeted fathers significantly improved breastfeeding practices. In designing breastfeeding programmes, efforts must be made to simplify and provide comprehensive breastfeeding information to fathers, as well as training for those who will deliver the information.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Ogbo et al found that partner support was associated with appropriate EBF in the first 6 weeks of birth among Australian women [22] and those from culturally and linguistically diverse populations [23]. Similarly, two previous systematic reviews showed that breastfeeding interventions which considered increasing partners/fathers breastfeeding information resulted in improvements in breastfeeding outcomes [29,30]. However, despite increasing opportunities in the workplace for fathers worldwide to support new mothers (including prospects to improve breastfeeding) [31,32], there is often limited attention, if any, to the specific types of the supportive role of partners/fathers in mothers' decision to initiate, continue or cease breastfeeding in the postnatal period.…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Ogbo

Akombi

Ahmed

et al. 2020

IJERPH

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Support from partners/fathers and families can play a significant role in a mother’s decision to initiate, continue or cease breastfeeding postnatally. This study systematically reviewed published studies to determine the impact of specific types of partner support on breastfeeding initiation, duration and exclusivity. We used the 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines for the review. Seven computerized bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) were searched. Of a total of 695 articles retrieved from the databases, seven studies met the inclusion criteria and reported on breastfeeding initiation, duration and exclusivity. Four of the seven studies found that partner support in the form of verbal encouragement to new mothers increased breastfeeding duration and exclusivity. Other types of partner supportive actions that led to improved breastfeeding behavior included sensitivity of the partner to the nursing mother’s needs, assistance in preventing and managing breastfeeding difficulties, and helping with household and child care duties. This review showed that specific supportive actions of partners/fathers in the community positively improved breastfeeding practices. To maximise the impact of breastfeeding policies and interventions among new mothers, breastfeeding programmes should consider the involvement of partners/fathers and their specific roles.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Ogbo

Akombi

Ahmed

et al. 2020

IJERPH

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“…We can only define the outcome as any breastfeeding duration in our analysis. Third, prenatal data for maternal breastfeeding plans, detailed dietary behaviors, employment status before 6 months postpartum, treatment and diagnosis for dyad separation [6], paternal support [7], maternal perception of lacking sufficient milk supply, mastitis, infants' failure to thrive [8], predelivery breastfeeding education [9] and psychological factors may influence the initiation and duration of breastfeeding. These factors might contribute to the causality between pBMI and breastfeeding duration.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Factors associated with the low breastfeeding rate are multifaceted. Potential risk factors for breastfeeding cessation are maternal smoking behavior, delivery mode, parity, dyad separation, maternal educational status [6], paternal support [7], maternal perception of lacking sufficient milk supply, mastitis, infants' failure to thrive [8], predelivery breastfeeding education [9], and maternal obesity [10].…”

Section: Introductionmentioning

confidence: 99%

Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study

Chen

Chou

2020

Nutrients

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An association between high pre-pregnancy body mass index (BMI) and early breastfeeding cessation has been previously observed, but studies examining the effect of underweight are still scant and remain inconclusive. This study analyzed data from a nationally representative cohort of 18,312 women (mean age 28.3 years; underweight 20.1%; overweight 8.2%; obesity 1.9%) who delivered singleton live births in 2005 in Taiwan. Comprehensive face-to-face interviews and surveys were completed at 6 and 18 months postpartum. BMI status and breastfeeding duration were calculated from the self-reported data in the questionnaires. In the adjusted ordinal logistic regression model, maternal obesity and underweight had a higher odds of shorter breastfeeding duration compared with normal-weight women. The risk of breastfeeding cessation was significantly higher in underweight women than in normal-weight women after adjustments in the logistic regression model (2 m: aOR = 1.11, 95% CI = 1.03–1.2; 4 m: aOR = 1.32, 95% CI = 1.21–1.43; 6 m: aOR = 1.3, 95% CI = 1.18–1.42). Our findings indicated that maternal underweight and obesity are associated with earlier breastfeeding cessation in Taiwan. Optimizing maternal BMI during the pre-conception period is essential, and future interventions to promote and support breastfeeding in underweight mothers are necessary to improve maternal and child health.

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“…One of the most important roles of fathers is their support of breastfeeding mothers (17,18). Fathers' participations demonstrated to be related with success and continuity of breastfeeding (19,20). But it is documented that fathers have no adequate information about the importance of breastfeeding and how to support their nursing wife (21).…”

Section: Introductionmentioning

confidence: 99%

Men’s education on planning and encouraging breastfeeding improves the mothers’ performance and exclusive breastfeeding: a randomized controlled trial

Panahi¹,

Simbar²,

Fakari³

et al. 2020

Preprint

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Background: men’s participation is crucial for promoting of breastfeeding. There are a few studies on the effectiveness of father’s education on the nursery performance. Therefore, this study aims to assess the mothers’ performance following father’s education on breastfeeding. Method: This randomized clinical trial was performed on 76 fathers in two groups of control (38 men) and intervention (38 men) in a selected health center in Iran. They were spouses of primiparous women; fathers of a healthy, single neonates. Two groups of intervention and control were selected using randomized sampling method. The tools for data collection were: a “Demographic and Maternal-Infant Information Questionnaire”, and a “Fathers’ support for Breastfeeding Assessment Tool”, a “Checklist to Assess Mothers’ Breastfeeding Performance” and an “Exclusive Breastfeeding Questionnaire”. The intervention was: fathers’ education about “breastfeeding” and “the ways of support including encouragement and planning for breastfeeding”. The education was performed in the intervention group in two sessions with one-week interval. Fathers in the control group did not receive the education. Mothers’ breastfeeding performance, father’s support for breastfeeding and exclusive breastfeeding was compared before and after intervention, and between groups after four months’ intervention. Data was analyzed using SPSS 26. Results: Between groups comparison showed, before intervention, the mean scores for breastfeeding performance was not significantly different between two groups (P=0.7). However, after the intervention, it was higher in the interventional group comparing to the control group (T test; p<0.001). Intra-groups comparison demonstrated, after intervention, the improvement was not seen after 4 months in the control group (p=0.6), while there was a significant improvement in the intervention group comparing to before intervention (Paired test; p<0.001). Conclusion: The results showed that father’s education improves breastfeeding performance of nursery mothers. Since, breastfeeding is an important factor for maternal-infant health, providing fathers’ participation education to promote breastfeeding programs leads to long and effective exclusive breastfeeding.Trial Registration: IRCT201508248801N10. Registered 31 August 2016.

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Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature

Cited by 77 publications

References 64 publications

Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study

Men’s education on planning and encouraging breastfeeding improves the mothers’ performance and exclusive breastfeeding: a randomized controlled trial

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