Home Visiting Effects on Breastfeeding and Bedsharing in a Low-Income Sample

Mersky, Joshua P.; Janczewski, Colleen E.; Lee, ChienTi Plummer; Gilbert, Ross M.; McAtee, Cali; Yasin, Tajammal

doi:10.1177/1090198120964197

Cited by 8 publications

(4 citation statements)

References 27 publications

(47 reference statements)

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“…1). We screened 589 full-text articles and included 64 studies (80 articles, 17–96 ) in the current systematic review. Follow-up in the earliest study began in 1989 and in the last study ended in 2021.…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen studies (12 RCTs, six nonrandomized comparative studies) in 27 articles 20,23,24,26,32,33,37,40,43,53,54,[57][58][59][60][61][62]68,70,72,73,76,77,84,[88][89][90] addressed general postpartum care. Six studies addressed where care is provided, four addressed how, three addressed when, eight addressed who, and two addressed care coordination.…”

Section: Resultsmentioning

confidence: 99%

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Delivery Strategies for Postpartum Care

Saldanha,

Adam,

Kanaan

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To systematically review the effects of postpartum health care–delivery strategies on health care utilization and maternal outcomes. DATA SOURCES: We searched Medline, EMBASE, CENTRAL, CINAHL, and ClinicalTrials.gov for studies in the United States or Canada from inception to November 16, 2022. METHODS OF STUDY SELECTION: We used duplicate screening for studies comparing health care–delivery strategies for routine postpartum care on health care utilization and maternal outcomes. We selected health care utilization, clinical, and harm outcomes prioritized by stakeholder panels. TABULATION, INTEGRATION, AND RESULTS: We found 64 eligible studies (50 randomized controlled trials, 14 nonrandomized comparative studies; N=543,480). For general postpartum care, care location (clinic, at home, by telephone) did not affect depression or anxiety symptoms (low strength of evidence), and care integration (by multiple types of health care professionals) did not affect depression symptoms or substance use (low strength of evidence). Providing contraceptive care earlier (compared with later) was associated with greater implant use at 6 months (summary effect size 1.36, 95% CI 1.13–1.64) (moderate strength of evidence). Location of breastfeeding care did not affect hospitalization, other unplanned care utilization, or mental health symptoms (all low strength of evidence). Peer support was associated with higher rates of any or exclusive breastfeeding at 1 month and any breastfeeding at 3–6 months (summary effect size 1.10–1.22) but not other breastfeeding measures (all moderate strength of evidence). Care by a lactation consultant was associated with higher breastfeeding rates at 6 months (summary effect size 1.43, 95% CI 1.07–1.91) but not exclusive breastfeeding (all moderate strength of evidence). Use and nonuse of information technology for breastfeeding care were associated with comparable rates of breastfeeding (moderate strength of evidence). Testing reminders for screening or preventive care were associated with greater adherence to oral glucose tolerance testing but not random glucose or hemoglobin A1c testing (moderate strength of evidence). CONCLUSION: Various strategies have been shown to improve some aspects of postpartum care, but future research is needed on the most effective care delivery strategies to improve postpartum health. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022309756.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Delivery Strategies for Postpartum Care

Saldanha,

Adam,

Kanaan

et al. 2023

Obstetrics &Amp; Gynecology

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“…Another challenge related to education and dissemination was variation in community-level providers' education around ISS and breastfeeding and training on sensitive message delivery. While studies depict barriers for paraprofessional and community-focused education models on recommended ISS practices [44], efforts to train providers on education strategies improve client outcomes [45,54]. Providing ISS and breastfeeding training opportunities for paraprofessionals [45] as well as cultural sensitivity trainings targeted on message dissemination [54] enhance the quality of support clients receive and their ISS and breastfeeding outcomes [45,54].…”

Section: Challenges and Opportunities Related To Education And Dissem...mentioning

confidence: 99%

“…Moreover, community-led work to promote ISS and breastfeeding is not immune to barriers such as the influence of parents' social networks and cultural beliefs that can hinder uptake of recommended practices [16,35,[40][41][42][43]. In addition, community settings are often limited by resources, such as those to train and provide continuing support for educators [44,45].…”

mentioning

confidence: 99%

Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study

et al. 2023

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Background In the U.S., sudden unexpected infant deaths (SUID) due to accidental suffocation and strangulation in bed (ASSB) are increasing, with disparities by race/ethnicity. While breastfeeding is a protective factor against infant mortality, racial/ethnic disparities are present in its uptake, and motivations to breastfeed are also often coupled with non-recommended infant sleep practices that are associated with infant sleep deaths. Combining infant safe sleep (ISS) and breastfeeding promotion on the community level presents opportunities to address racial/ethnic disparities and associated socioeconomic, cultural, and psychosocial influences. Methods We completed a descriptive qualitative hermeneutical phenomenology using thematic analysis of focus group data. We examined the phenomenon of community-level providers promoting ISS and breastfeeding in communities vulnerable to ISS and breastfeeding disparities. We asked eighteen informants participating in a national quality improvement collaborative about i.) areas requiring additional support to meet community needs around ISS and breastfeeding, and ii.) recommendations on tools to improve their work promoting ISS and breastfeeding. Results We identified four themes: i.) education and dissemination, ii.) relationship building and social support, iii.) working with clients’ personal circumstances and considerations, and iv.) tools and systems. Conclusions Our findings support embedding risk-mitigation approaches in ISS education; relationship building between providers, clients, and peers; and the provision of ISS and breastfeeding supportive material resources with educational opportunities. These findings may be used to inform community-level provider approaches to ISS and breastfeeding promotion.

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