Interventions for promoting the initiation of breastfeeding

Balogun, Olukunmi Omobolanle; O’Sullivan, Elizabeth; McFadden, Alison; Ota, Erika; Gavine, Anna; Garner, Christine D; Renfrew, Mary J; MacGillivray, Stephen

doi:10.1002/14651858.cd001688.pub3

Cited by 233 publications

(156 citation statements)

References 176 publications

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“…Breastfeeding support from health professionals has been shown to be effective in encouraging initiation of breastfeeding and breastfeeding through 6 months of age (Balogun et al, ; Jarlenski et al, ). Among mothers in this study, concerns about insufficient or delayed milk supply were commonly cited reasons for introducing BMS.…”

Section: Discussionmentioning

confidence: 99%

Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Champeny

Pries

Kroeun

et al. 2019

Maternal & Child Nutrition

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Introducing breast milk substitutes (BMS) in the first days after birth can increase infant morbidity and reduce duration and exclusivity of breastfeeding. This study assessed determinants of BMS feeding among newborns in delivery facilities in Phnom Penh, Cambodia, and Kathmandu Valley, Nepal. Cross‐sectional surveys were conducted among mothers upon discharge from health facilities after delivery: 304 mothers in Kathmandu Valley and 306 mothers in Phnom Penh participated. On the basis of a conceptual framework for prelacteal feeding, multivariable logistic regression was used to identify factors associated with BMS feeding prior to facility discharge. In both Phnom Penh and Kathmandu Valley, feeds of BMS were reported by over half of mothers (56.9% and 55.9%, respectively). Receiving a health professional's recommendation to use BMS increased the odds of BMS feeding in both Kathmandu Valley and Phnom Penh (odds ratio: 24.87; confidence interval [6.05, 102.29]; odds ratio: 2.42; CI [1.20, 4.91], respectively). In Kathmandu Valley, recommendations from friends/family and caesarean delivery were also associated with BMS use among mothers. Early initiation of breastfeeding and higher parity were protective against the use of BMS in Kathmandu Valley. Breastfeeding support from a health professional lowered the odds of BMS feeding among newborns. Exposure to BMS promotions outside the health system was prevalent in Phnom Penh (84.6%) and Kathmandu Valley (27.0%) but was not associated with BMS feeds among newborns. Establishment of successful breastfeeding should be prioritized before discharging mothers from delivery facilities, and health professionals should be equipped to support and encourage breastfeeding among all new mothers.

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Section: Discussionmentioning

confidence: 99%

Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Champeny

Pries

Kroeun

et al. 2019

Maternal & Child Nutrition

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“…Mothers who agreed to participate in the study and signed the informed consent form were randomized after their baseline data were collected. Computer randomization by minimization was performed to balance the baseline variables associated with breastfeeding success (Balogun et al., ; Díaz‐Gómez et al., ; Oliver Roig, ): age, partnership status, academic degree, socioeconomic status, employment situation, previous breastfeeding, and specific training in breastfeeding.…”

Section: The Studymentioning

confidence: 99%

“…Sociodemographic variables and clinical data were collected from the clinical histories and self‐reports of the women. The factors associated with breastfeeding success (Balogun et al., ; Díaz‐Gómez et al., ; Oliver Roig, ) and the degree of information, training, and previous experience in breastfeeding were also self‐reported by the mothers.…”

Section: The Studymentioning

confidence: 99%

Effectiveness of a brief motivational intervention to increase the breastfeeding duration in the first 6 months postpartum: Randomized controlled trial

Franco‐Antonio

Calderón‐García

Santano‐Mogena

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate the effectiveness of a brief motivational intervention to increase the breastfeeding duration in the first 6 months postpartum in mothers who began breastfeeding in the first hour after birth and to explore the role of general and breastfeeding self‐efficacy in this relationship. Design A multi‐centre randomized controlled clinical trial. Methods Data were collected from February 2018 ‐ March 2019. Women were randomly assigned to an intervention group that received a brief motivational intervention (N = 44) or a control group that was offered standard education on breastfeeding (N = 44). Survival analysis techniques were carried out with a follow‐up of 6 months. In addition, the roles of breastfeeding and general self‐efficacy in the association between BMI and breastfeeding duration were explored through mediation/moderation analysis. Results Among 88 randomized patients (mean age, 32.82 years), 81 (92.04%) completed the trial. The survival analyses of exclusive breastfeeding and breastfeeding (exclusive and non‐exclusive) showed reductions in the risk of abandonment in the intervention group of 63% (aHR: 0.37 [0.22–0.60] p < .001) and 61% (aHR: 0.39 [0.20–0.78] p = .008), respectively. We found that self‐efficacy acted as a moderator of the effect of brief motivational intervention on breastfeeding self‐efficacy. A discrete indirect effect of brief motivational intervention through increased breastfeeding self‐efficacy was found on breastfeeding duration, with an index of moderated mediation of 0.08 (95% CI: 0.02–0.19). Greater positive variations in the breastfeeding self‐efficacy scores during follow‐up predicted exclusive and non‐exclusive breastfeeding duration. Conclusion A brief motivational intervention conducted in the immediate postpartum period increases breastfeeding and exclusive breastfeeding duration in the first 6 months. Although breastfeeding self‐efficacy seems to moderate the effect of brief motivational intervention on the increase in breastfeeding duration, other factors may influence its effectiveness. Further studies could focus on exploring how brief motivational intervention works and whether it also works for pregnant mothers who have not yet decided whether to breastfeed. Impact Brief motivational intervention could be introduced as part of routine care of women who begin breastfeeding to improve the low rates of exclusive breastfeeding at 6 months postpartum. Trial registration Unique Protocol ID: Moti003; https://ClinicalTrials.gov ID: NCT03357549.

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“…Interventions to improve breastfeeding rates have been well studied for term infants. A 2016 Cochrane review concluded that there is low‐quality evidence that health‐care professional‐led and non‐health‐care professional‐led education and peer support result in some improvement in the number of women who initiate breastfeeding . There appears to be a paucity of literature examining the factors affecting breastfeeding practices of late preterm infants .…”

Section: Introductionmentioning

confidence: 99%

Are there interventions that improve breastfeeding and the use of breast milk in late preterm infants?

Evans

Hilditch

Keir

2019

J Paediatrics Child Health

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To answer the clinical question ‘Among late preterm infants are there any interventions that improve the rates of breastfeeding and the use of breast milk compared with current practice?’. MEDLINE via Ovid, Embase via Ovid, the Maternity and Infant Care Database and the Cochrane Library were searched for relevant articles. Articles were excluded if they did not discuss specific interventions to improve breastfeeding, for example, if they only commented on factors such as age, race and education. Articles were also excluded if they were not specific to the late preterm infant population. A total of 516 articles were found and screened by title and abstract independently by two reviewers. The full text of 17 articles was independently reviewed. The reference lists of these full‐text articles were screened, and 14 abstracts were subsequently reviewed. The final analysis included three studies. There is limited high‐quality research evidence for interventions to improve breastfeeding in late preterm infants. In the absence of robust academic research, clinical practice should be guided by clinical expertise and involve a multidisciplinary team, including qualified lactation consultants. While it seems reasonable for hospitals to support interventions that improve breastfeeding in term infants, managing late preterm infants as healthy term infants without additional specialist support may result in high breastfeeding failure rates among late preterm infants.

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Interventions for promoting the initiation of breastfeeding

Cited by 233 publications

References 176 publications

Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Effectiveness of a brief motivational intervention to increase the breastfeeding duration in the first 6 months postpartum: Randomized controlled trial

Are there interventions that improve breastfeeding and the use of breast milk in late preterm infants?

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