Support for breastfeeding mothers

Sikorski, Jim; Renfrew, Mary J; Pindoria, Sima; Wade, Angela

doi:10.1002/14651858.cd001141

Cited by 72 publications

(97 citation statements)

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“…Support with breastfeeding problems and promotion of exclusive breastfeeding through existing primary health care services seems to be feasible and effective in increasing the length of time that women exclusively breastfeed. 15,31 These studies also demonstrate the importance of lay support and community-based efforts in promoting exclusive breastfeeding.…”

Section: Comparison With Other Studiesmentioning

confidence: 78%

“…[15][16][17][18] Most randomized trials of such interventions, however, have had time-intensive interventions that occurred as adjuncts to routine preventive visits rather than within them. Little information is available on whether pediatricians or other clinicians can affect breastfeeding rates via specific advice or practices during routine preventive visits.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

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Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

et al. 2004

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ABSTRACT. Background. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of life. Recent statistics indicate that initiation and maintenance of exclusive breastfeeding are low in the United States. Unfortunately, little information is available on how clinicians and health care organizations can best promote continuation of exclusive breastfeeding.Objective. To identify clinicians' opinions and management practices that are associated with continuation of exclusive breastfeeding.Methods. We conducted a prospective cohort study of low-risk mother-newborn pairs in a large, multispecialty group practice in which the mother was breastfeeding at 4 weeks. Mothers completed telephone interviews at 4 and 12 weeks postpartum, and their data were linked with their obstetric and pediatric clinicians' responses to a cross-sectional mailed survey conducted during the same time period. Obstetric and pediatric clinicians included medical doctors, nurse practitioners, and nurse midwives. Overall response rates were 63% for mothers and 82% for clinicians (54 obstetric and 67 pediatric clinicians). Bivariate and multivariate analyses were conducted to identify the characteristics of clinicians and mothers that predicted exclusive breastfeeding at 12 weeks.Results. Of the 288 mothers who were breastfeeding at 4 weeks and had a complete 12-week interview, 152 (53%) were exclusively breastfeeding their infants at 12 weeks. Mothers who discontinued exclusive breastfeeding were more likely to have experienced problems with their infant latching on or sucking (odds ratio [OR]: 3.8; 95% confidence interval [CI]: 1.5-9.7) or report that a health care provider recommended formula supplementation (OR: 2.3; 95% CI: 1.1-5.0).Clinicians reported limited time during preventive visits to address breastfeeding problems as a very important barrier to promoting breastfeeding. Obstetric providers were least confident in resolving problems with mothers not producing enough breast milk. Pediatric providers were least confident in resolving problems with breast pain or tenderness or cracked or painful nipples.In the final multivariate model, mothers whose pediatric providers recommended formula supplementation if an infant was not gaining enough weight (OR: 3.2; 95% CI: 1.04, 9.7) or who considered their advice to mothers on breastfeeding duration to be not very important (OR: 2.2; 95% CI: 1.2-3.9) were more likely to have discontinued exclusive breastfeeding by 12 weeks postpartum. Black mothers were significantly more likely to discontinue exclusive breastfeeding by 12 weeks.Conclusions. Clinicians' practices regarding formula supplementation of healthy infants and their opinions about the importance of their breastfeeding advice are associated with the likelihood that mothers will continue exclusive breastfeeding. Policies to enhance clinicians' abilities to address breastfeeding problems within the constraints of busy practices could improve their ability to support exclusive breastfeeding. Pediatrics 2004...

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Section: Comparison With Other Studiesmentioning

confidence: 78%

Section: Comparison With Other Studiesmentioning

confidence: 99%

Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

et al. 2004

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“…In Mangochi, Malawi, Vaahtera et al (2001) reported a positive association between maternal education and prolonged breastfeeding. In a Bolivian study, education was the only significant factor associated with knowledge about the advantages of breastfeeding , and efforts to promote breastfeeding have been found to be effective in increasing short-term exclusive breastfeeding (Sikorski et al, 2002). The economic circumstances of many of these young mothers was poor, with some experiencing extreme poverty.…”

Section: Mean W/a Z-scorementioning

confidence: 99%

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

2005

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Objectives: The objective of this study was to compare growth, morbidity incidence and risk factors for undernutrition between infants receiving complementary feeding early, before 3 months of age, with those receiving complementary foods after 3 months in a poor rural Malawian community. Methods: A cohort of babies was enrolled at birth for follow-up to 12 months of age. Weight, length, morbidity and feeding patterns were recorded at 4 weekly intervals from birth to 52 weeks. Results: Mean age at introduction of water was 2.5 months (range 0-11.8), complementary foods 3.4 months (range, 1.0-10.7) and solids 4.5 months (range 1.2-13.8). Over 40% of infants had received complementary foods by 2 months and 65% by 3 months. The proportion of exclusively breast-fed infants, which included those receiving supplemental water, was 13% at 4 months, 6.3% at 5 months and 1.5% at 6 months. Infants with early complementary feeding had lower weight for age at 3 and 6 months (Po0.05), and at 9 months (P ¼ 0.07) and at 2 months they were approximately 200 g lighter. Early complementary feeding was significantly associated with increased risk for respiratory infection (Po0.05), and marginally increased risk for eye infection and episodes of malaria. Maternal illiteracy was associated with early complementary feeding (OR ¼ 2.1, 95% CI 1.3, 3.2), while later complementary feeding was associated with reduced infant morbidity and improved growth. Conclusion: Breast-feeding promotion programmes should target illiterate women. Greater emphasis is required to improve complementary feeding practices.

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“…The effect of ante/postpartum breastfeeding education on increasing exclusive breastfeeding rates has been shown by several studies in literature (12,19,20,21). In the common report prepared by the WHO and UNICEF on "Protecting, Promoting and Supporting Breastfeeding", attention is drawn to the importance of healthcare education and practices in adopting and lengthening breastfeeding, and the midwives who carry out mother-child healthcare services are assigned the duty of furnishing mothers with appropriate information on, and supporting them in, breastfeeding (22).…”

Section: Discussionmentioning

confidence: 99%

Who Should Provide Breastfeeding Education to Improve Success: A midwife or a Physician?

Yılmaz¹,

Yılmaz²,

Karslı³

et al. 2017

Gynecol Obstet Reprod Med

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OBJECTIVE:The purpose of this study was to explore whether there was any difference in the breastfeeding success of mothers prior to hospital discharge who were given breastfeeding education by a physician (obstetrician-gynecologist) and a midwife with respect to the person giving the training. STUDY DESIGN:The study was conducted between May-June 2015 on 200 mothers who gave their first full-term birth at the obstetrics and gynecology clinic of a tertiary hospital. The mothers were divided into two groups and each mother was explained the benefits of breastfeeding and given breastfeeding education when they became stabile in their beds after birth. One hundred of the mothers were trained by a midwife who received lactation consultancy training and the other hundred mothers by an obstetrician who also had the same training. After the education, each mother was observed while breastfeeding her baby by an investigator who also received lactation consultancy training, other than the ones who gave the training and the LATCH breastfeeding assessment tool was filled out. After calculating the LATCH score of each mother, the two groups were compared for their success in breastfeeding during discharge from the hospital with respect to the person giving the training. RESULTS:There were no differences between the two mother groups in terms of demographic characteristics (age, education, occupation etc.) and newborn characteristics (weight, gender) (p>0.05). The total LACTH score was found higher in the group that was trained by a midwife than in the group that was trained by a physician (p<0.05). An assessment of the LATCH sub-scores showed that the "holding the baby" score was similar in both groups (p=0.502), but the other subgroup scores were higher again in the group that was trained by a midwife (p<0.05). CONCLUSION:The mothers who were trained in lactation by midwives were observed to be more successful in breastfeeding their babies than the mothers who were trained by a physician. Our opinion in this respect is that obstetricians should integrate trained midwives in breastfeeding education and in this way try to correct their deficiencies in this area.

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Support for breastfeeding mothers

Abstract: The provision of extra support by professionals with special skills in breastfeeding appears to result in more mothers breastfeeding their babies until two months of age, and more mothers breastfeeding their babies exclusively to two months of age.

Cited by 72 publications

References 0 publications

Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

Who Should Provide Breastfeeding Education to Improve Success: A midwife or a Physician?

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