Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial

Ericson, Jenny; Eriksson, Mats; Hellström‐Westas, Lena; Hoddinott, Pat; Flacking, Renée

doi:10.1111/apa.14257

Cited by 26 publications

(51 citation statements)

References 29 publications

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“…Previous findings from this randomised controlled trial of proactive breastfeeding telephone support showed no short‐term increase of exclusive breastfeeding at 8 weeks after discharge compared with reactive telephone support (Ericson et al, ). There were no differences in the secondary outcomes of exclusive breastfeeding or method of feeding comparing proactive and reactive support at 6 or 12 months postnatal age.…”

Section: Discussionmentioning

confidence: 70%

“…We undertook a randomised controlled trial offering proactive telephone breastfeeding support after NICU discharge to mothers of preterm infants compared with offering reactive mother initiated telephone support . The primary outcome, exclusive breastfeeding at 8 weeks after discharge and secondary outcomes of mothers' satisfaction with breastfeeding, attachment, parental stress, and quality of life, has previously been reported (Ericson, Eriksson, Hellstrom-Westas, Hoddinott, & Flacking, 2018). The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers of preterm infants who were breastfeeding at NICU discharge.…”

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confidence: 99%

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Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Ericson

Eriksson

Hoddinott

et al. 2018

Maternal & Child Nutrition

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Breastfeeding is challenging for mothers of preterm infants. The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers who breastfed their preterm infants at discharge from neonatal intensive care units (NICUs). The data come from a randomised controlled trial, which evaluated the effectiveness on exclusive breastfeeding at 8 weeks of proactive telephone support compared with reactive support offered to mothers of preterm infants following discharge from NICU. Six NICUs across Sweden randomised a total of 493 mothers. We used regression and survival analyses to assess the risk factors for ceasing breastfeeding and the long‐term outcomes of the intervention. The results showed that 305 (64%) of the infants were breastfed at 6 months and 49 (21%) at 12 months. Partial breastfeeding at discharge, low maternal educational level, and longer length of stay in the NICU increased the risk for ceasing breastfeeding during the first 12 months. Furthermore, the Kaplan–Meier analysis showed that the proportion of mothers who ceased breastfeeding did not differ between the intervention (n = 231) and controls (n = 262) during the first 12 months (log‐rank test p = .68). No difference was found between groups on method of feeding. More than 85% of the infants were fed directly at the breast. These findings provide important insights for health professionals who are supporting mothers of preterm infants to breastfeed long term. Registered in http://www.clinicaltrials.gov (NCT01806480).

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Section: Discussionmentioning

confidence: 70%

mentioning

confidence: 99%

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Ericson

Eriksson

Hoddinott

et al. 2018

Maternal & Child Nutrition

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“…The study was conducted after discharge from six neonatal units in Sweden. The results from this RCT are presented elsewhere [7, 10–12].…”

Section: Methodsmentioning

confidence: 99%

A qualitative study on the breastfeeding experience of mothers of preterm infants in the first 12 months after birth

Palmér

Ericson

2019

Int Breastfeed J

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Background Being a mother of a preterm infant (< 37 gestational weeks) puts the mother in a vulnerable and fragile situation wherein breastfeeding is an important part of becoming a mother and bonding with the infant. Nevertheless, the breastfeeding experience of mothers during the first year after a preterm birth has not been well studied. To develop professional caring and supporting relationships, it is important to address this knowledge gap. The aim of this study was to describe the breastfeeding experience of mothers of preterm infants from birth up until 12 months after birth. Methods The data in this qualitative study are derived from a multicentre randomized controlled trial where 270 mothers of preterm infants provided 496 written comments through questionnaires containing open-ended questions. The questionnaires were sent to the mother three times during the first 12 months after birth. A thematic network analysis based on hermeneutical philosophy was used to analyse and interpret the resulting data to describe the mothers’ experiences of breastfeeding. Results Three organizing themes, namely, “navigating smoothly,” “navigating with a struggle” and “navigating in ambiguity” were revealed in the mothers’ narratives regarding their breastfeeding experiences during the first 12 months after birth. These organizing themes were further interpreted as one global theme that was deemed “ A journey to finding one’s unique way in breastfeeding .” Conclusion Mothers of preterm infants are in an exposed and vulnerable situation when initiating breastfeeding during the first year. This situation leads to a unique journey wherein each mother navigates through breastfeeding depending on her individual situation. An awareness of the diversity of breastfeeding experiences may contribute to the provision of professional caring and supportive relationships. Trial registration www.clinicaltrial.gov NCT01806480 registered 7 March 2013.

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“…It does not appear that the intervention in the RCT study affected the results of this study. The intervention lasted until 14 days after discharge and did not affect breastfeeding [18]. It seems unlikely that the intervention would have affected the cessation of breastfeeding, which usually happened much later, as supported by the analysis.…”

Section: Limitationsmentioning

confidence: 52%

“…During a randomized controlled trial (RCT) conducted after discharge from six neonatal units in Sweden, breastfeeding mothers of preterm infants (gestational age <37 weeks) provided data about breastfeeding cessation during the first 12 months after birth. The results from the RCT are presented elsewhere [17,18]. The inclusion criteria in the RCT were mothers of preterm infants who breastfed (any breastfeeding) at discharge and had been hospitalized for at least 48 hours in the neonatal unit.…”

Section: Inclusion and Exclusion Criteria And Settingmentioning

confidence: 99%

Cessation of breastfeeding in mothers of preterm infants—A mixed method study

Ericson¹,

Palmér²

2020

PLoS ONE

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Introduction Many women cease breastfeeding earlier than desired. This study examined the cessation of breastfeeding among mothers of preterm infants. Thus, the aim was to describe the cessation of breastfeeding in mothers of preterm infants up to 12 months after birth. Method This mixed methods study used a convergent design with both qualitative data, consisting of written comments, and quantitative data, on breastfeeding status and breastfeeding satisfaction. The data were collected from questionnaires sent to the mothers at three points during the first year after birth. In total, 270 mothers of preterm infants who breastfed at the time of discharge from the neonatal unit provided data for the study. The quantitative and qualitative data were analysed separately with statistical tests and hermeneutical analysis, respectively and then together according to the convergent mixed methods design. Results Four themes of the meanings of the cessation of breastfeeding were identified in the qualitative analysis: "Desire to regain the mother's and the infant's well-being", "The mothers interpretation that the infants actively ceased breastfeeding", "The mother's body and/or the infants' signals showing the way" and "The mother's own will and perceived external obstacles". Mothers who did not breastfeed as long as they wanted were more likely to report less satisfaction with breastfeeding, a shorter breastfeeding period, and less activity when ceasing breastfeeding. In comparison, mothers who breastfed as long as they wanted were more satisfied with breastfeeding, breastfed for a longer period of time and were more active in decision making in breastfeeding cessation. Conclusion Maternal passivity or activity influenced the cessation of breastfeeding in mothers of preterm infants who breastfed at the time of discharge from the neonatal unit. Passive behaviour

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Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial

Cited by 26 publications

References 29 publications

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up

A qualitative study on the breastfeeding experience of mothers of preterm infants in the first 12 months after birth

Cessation of breastfeeding in mothers of preterm infants—A mixed method study

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