Breastfeeding booklet and proactive phone calls for increasing exclusive breastfeeding rates: RCT protocol

Abstract

Breastfeeding is associated with infant and maternal health benefits and considerable potential savings to health services. Despite this, only 37% of infants globally are exclusively breastfed for 6 months. Interventions are needed to improve breastfeeding rates. The aim of this study is to determine whether written breastfeeding information in pregnancy and proactive breastfeeding-focused support phone calls, provided by a health professional educated in breastfeeding management, increase exclusive breastfeeding rates at 3 months compared with general birth-related information with proactive support calls or standard care. This is a single-centre, randomised, controlled, three-arm, superiority study with blind outcome assessment. Eligible participants will include primigravidae with singleton pregnancies who speak Croatian, attending six primary care obstetric practices. We estimate a total sample size of 459, with computer generated stratified randomisation of 153 women per arm. Participants in the intervention and active control groups will receive booklets in pregnancy, phone calls 2 weeks later, and 2, 6 and 10 weeks after birth. The primary outcome will be the proportion of women exclusively breastfeeding at 3 months. Secondary outcomes will compare: infant feeding practices and attitudes, social support, breastfeeding difficulties, breastfeeding self efficacy and utilisation of breastfeeding support services. Follow-up at 6 months will compare exclusive and any breastfeeding and utilised support services. Analysis will be by intention to treat. This trial will contribute to future evidence syntheses identifying the most effective forms of breastfeeding support.

Nurses’ attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province

“…The majority of respondents in this study (PNs = 78%, ENs = 72%, ENAs = 51%) showed positive attitudes towards the MBFI strategy implementation, as they indicated that it increased breastfeeding rates. It is well documented within the available literature that adherence and implementation of the MBFI steps for successful breastfeeding has a positive impact on short-term, medium-term and longer-term breastfeeding outcomes across all topographies (Munn et al 2016:685; Zakarija Grković et al 2017:12249). Although the successful implementation of MBFI is associated with increased rates of breastfeeding, most ENs (80%), ENAs (87%) and more than a quarter of PNs (40%) in this study demonstrated negative attitudes towards MBFI, as they reported that it was time-consuming and different from their daily practice.…”

“…The renaming of BFHI to MBFI linked to Resolution 9 of the Tshwane Declaration (DoH 2014:33), which calls for community-based interventions to promote, protect and support breastfeeding (Du Plessis 2013:125). The implementation of this initiative in public and private health facilities has increased breastfeeding rates by more than 20% throughout the world (Munn et al 2016:685; Zakarija Grković et al 2017:e12249). The increase of breastfeeding rates is associated with an improved survival rate for infants and improved maternal outcomes such as the reduction of post-partum haemorrhage and ovarian cancers associated with the lack of breastfeeding (Nadeem et al 2017:89).…”

The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial

“…The full study protocol can be found online (Zakarija‐Grković, Puharić, Malički, & Hoddinott, ). A brief overview, in accordance with CONSORT (Moher et al, ) reporting guidelines, is shown here.…”

Media Edukasi Buklet dan Pendidikan Kesehatan Berpengaruh terhadap Pengetahuan dan Sikap Ibu Hamil Trimester III pada ASI Eksklusif: Penelitian Kuasi Eksperimen

“…Pengetahuan ibu berhubungan dengan pemberian ASI eksklusif, maka diperlukan kegiatan pendidikan kesehatan tentang ASI eksklusif untuk meningkatkan pengetahuan ibu hamil (Assriyah et al, 2020). Intervensi peningkatan pengetahuan selama masa antenatal care diperlukan untuk meningkatkan tingkat menyusui, baik melalui informasi tertulis pada saat kehamilan dengan media buklet atau panggilan telepon dukungan proaktif yang berfokus pada menyusui yang diberikan oleh tenaga kesehatan yang terlatih dalam manajemen menyusui ( Zakarija-Grković et al, 2017).…”