Effect of a One-to-One Breastfeeding Education Session for Perinatal Nurses on Exclusive Breastfeeding Rates in a Hospital Setting

Breastfeeding is known to have many protective effects on childhood health. Breastfeeding without supplementation or complementary foods until 6 months of age is inversely related to several health problems, including childhood obesity. Because of the known beneficial effects on infant health of breastfeeding, education on breastfeeding may impact exclusive breastfeeding rates, resulting in improved infant health status. This retrospective study, using Pender’s health promotion model and the theory of planned behavior (Pender, Murdaugh, & Parsons, 2011), explored the effect of a breastfeeding education intervention for quality improvement in an ambulatory care clinic on the rate of exclusive breastfeeding during the first 4 months of infancy, or short-term exclusive breastfeeding. Exclusive breastfeeding rates were measured after the 4-month well exam, which represents the time of the existence of the quality improvement intervention for 4–5 months. The expected outcome was a minimum 15% increase in exclusive breastfeeding rates in the participants who received the educational program as compared to the individuals who did not receive the breastfeeding education intervention. Contrary to expectations, the group receiving standard care had significantly higher rates of exclusive breastfeeding than those receiving the intervention.

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Increasing the exclusive breastfeeding rate in a private hospital in UAE through quality improvement initiatives

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-210703 ◽

2021 ◽

pp. 1-7

Author(s):

M. Kaushal ◽

K. Sasidharan ◽

A. Kaushal ◽

P. Augustine ◽

M. Alex

Keyword(s):

Exclusive Breastfeeding ◽

Care Staff ◽

Direct Observations ◽

Skin Contact ◽

Breastfeeding Education ◽

Breastfeeding Rate ◽

Postnatal Mothers ◽

Breastfeeding Rates ◽

Skin To Skin ◽

Antenatal Classes

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in breastfeeding.

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Intent to Breastfeed and Evaluation of Culturally Sensitive Education in a Migrant Pacific Islander Population

Clinical Lactation ◽

10.1891/2158-0782.10.1.22 ◽

2019 ◽

Vol 10 (1) ◽

pp. 22-28

Author(s):

Allison Scott ◽

Kelly Vowell-Johnson ◽

Cari Addington ◽

Bentley Snider Adams ◽

Olivia Pennington

Keyword(s):

Exclusive Breastfeeding ◽

Pacific Islander ◽

Hospital Setting ◽

The United States ◽

Culturally Sensitive ◽

Education Intervention ◽

Improvement Project ◽

Breastfeeding Rates ◽

The Impact ◽

Pacific Islander Population

BackgroundThe Marshallese, a Pacific Islander population, are a growing migrant population in the United States. Breastfeeding is the preferred method of infant feeding, but many cultural barriers deter exclusive breastfeeding. A culturally sensitive education intervention was implemented to meet the needs of the Marshallese population in a postpartum setting.ObjectiveThis study aimed to evaluate the impact of an education intervention, in native language, on breastfeeding rates among Marshallese mothers during hospitalization.MethodsThis quasi-experimental study was a retrospective data analysis of a quality improvement project in a hospital seeking Baby-Friendly status. Randomized record reviews of Marshallese mothers receiving the culturally targeted education (N = 40) between the ages of 18 and 45, delivering between 37 and 42 weeks gestation, were compared with mothers prior to implementation of the education (N = 40).ResultsBirthweight, discharge weight, and delivery method were not statistically different. No statistical difference existed between feeding intent and discharge feeding behavior.ConclusionExclusive breastfeeding rates among Marshallese mothers are lower than desired. Culturally appropriate breastfeeding education in a hospital setting may not affect feeding patterns, but clarification is needed on cultural definitions of exclusive breastfeeding. Further studies are needed.

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The Influence of Breastfeeding Educational Interventions on Breast Engorgement and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis

Journal of Human Lactation ◽

10.1177/08903344211029279 ◽

2021 ◽

pp. 089033442110292

Author(s):

Mega Hasanul Huda ◽

Roselyn Chipojola ◽

Yen Miao Lin ◽

Gabrielle T. Lee ◽

Meei-Ling Shyu ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Meta Analysis ◽

Educational Interventions ◽

Random Effects Model ◽

Breast Pain ◽

Randomized Controlled ◽

Effective Components ◽

Breastfeeding Education ◽

Meta Regression ◽

Meta Regression Analysis

Background Breast engorgement and breast pain are the most common reasons for the early cessation of exclusive breastfeeding by mothers. Research Aims (1) To examine the influence of breastfeeding educational interventions on breast engorgement, breast pain, and exclusive breastfeeding; and (2) to identify effective components for implementing breastfeeding programs. Methods Randomized controlled trials of breastfeeding educational interventions were searched using five English and five Chinese databases. Eligible studies were independently evaluated for methodological quality, and data were extracted by two investigators. In total, 22 trials were identified, and 3,681 participants were included. A random-effects model was used to pool the results, and a subgroup analysis and meta-regression analysis were conducted. Results Breastfeeding education had a significant influence on reducing breast engorgement at postpartum 3 days (odds ratio [OR]: 0.27, 95% CI [0.15, 0.48] p < .001), 4 days (OR: 0.16, 95% CI [0.11, 0.22], p < .001), and 5–7 days (OR: 0.24, 95% CI [0.08, 0.74], p = .013) and breast pain (standardized mean difference: −1.33, 95% CI [−2.26, −0.40]) at postpartum 4–14 days. Participants who received interventions had higher odds of exclusive breastfeeding. Breastfeeding educational interventions provided through lecture combined with skills practical effectively reduced breast engorgement (OR: 0.21; 95% CI [0.15, 0.28]; p = .001) and improved exclusive breastfeeding at postpartum 1–6 weeks (OR: 2.16; 95% CI [1.65, 2.83]; p = .001). Conclusions Breastfeeding educational interventions have been effective in reducing breast engorgement, breast pain, and improved exclusive breastfeeding. A combination of knowledge and skill-based education has been beneficial for sustaining exclusive breastfeeding by mothers.

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Lactation Consultation by an International Board Certified Lactation Consultant Improves Breastfeeding Rates for Mothers With Gestational Diabetes Mellitus

Journal of Human Lactation ◽

10.1177/08903344211018622 ◽

2021 ◽

pp. 089033442110186

Author(s):

Laurie Beth Griffin ◽

Jia Jennifer Ding ◽

Phinnara Has ◽

Nina Ayala ◽

Martha B. Kole-White

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Gestational Diabetes ◽

Hospital Discharge ◽

Exclusive Breastfeeding ◽

Secondary Analysis ◽

Feeding Preference ◽

Lactation Consultant ◽

Breastfeeding Rates

Background In patients with gestational diabetes, breastfeeding decreases the lifetime risk of Type 2 diabetes by half. Lactation consultation has been shown to increase breastfeeding rates in the general population but has not been assessed in a gestational diabetes population. Research Aims To determine if (1) a postpartum International Board Certified Lactation Consultant (IBCLC) consultation during delivery hospitalization improved inclusive (any) or exclusive breastfeeding rates at hospital discharge and 3 months postpartum in participants with GDM; and if (2) obstetrical providers’ acknowledgement of maternal feeding preference affected the rates of IBCLC consultation for patients. Methods This was a retrospective, comparative, secondary analysis of a prospective cohort ( N = 517) study of women gestational diabetes. Participants who received a IBCLC consultation ( n = 386; 74.5%) were compared to those who did not ( n = 131; 25.5%). Baseline demographics, antepartum characteristics, neonatal information, mode of infant feeding at hospital discharge and 3 months postpartum, and IBCLC consultation during postpartum hospitalization were measured. Results After adjusting for baseline differences, participants who received an IBCLC consultation were more likely to report any breastfeeding at postpartum discharge (aOR 4.87; 95% CI [2.67, 8.86]) and at 3 months postpartum (aOR 5.39; 95% CI [2.61, 11.16]) compared to participants who did not. However, there was no difference in exclusive breastfeeding rates between those who did and did not receive IBCLC consultation. Conclusion Inpatient IBCLC consultation during the immediate postpartum period was associated with improved rates of any breastfeeding in participants with GDM.

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Perceived enablers of exclusive breastfeeding by teenage mothers in Ghana

South African Family Practice ◽

10.4102/safp.v62i1.5108 ◽

2020 ◽

Vol 62 (1) ◽

Author(s):

Angela K. Acheampong ◽

Makombo Ganga-Limando ◽

Lydia Aziato

Keyword(s):

Exclusive Breastfeeding ◽

Age Groups ◽

Teenage Mothers ◽

Care Staff ◽

Policy Makers ◽

Expert Opinions ◽

Contextual Design ◽

Breastfeeding Education ◽

History Of

Background: Exclusive breastfeeding for the first 6 months can prevent diseases, boost immunity and improve quality of lives of infants. Ghana implemented programmes aimed at reaching the global target of increasing exclusive breastfeeding for the first 6 months to at least 50% by the year 2025. The country witnessed a decline in the overall rate of exclusive breastfeeding and an increase in the number of teenage mothers. Globally, teenage mothers are less likely to breastfeed than mothers of other age groups. Understanding enablers of exclusive breastfeeding by teenage mothers is important for any intervention aimed at improving exclusive breastfeeding rates and the quality of lives of infants.Method: The study used a qualitative, exploratory, descriptive and contextual design, with focus groups. A total of six group discussions were conducted with 30 pregnant teenagers recruited from six public hospitals.Results: Seven enablers emerged from the analysis of data. These included positive beliefs about the benefits of breast milk, family history of positive exclusive breastfeeding outcomes, support of the intimate partner, approval of closed-family members, expert opinions of antenatal care staff, teenage-oriented breastfeeding education and community-based breastfeeding education.Conclusion: Health professionals and policy makers could learn from these enablers and use them to promote exclusive breastfeeding practices amongst teenage mothers in Ghana.

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Pediatric Nurse Practitioner Barriers to Supporting Breastfeeding by Mothers and Infants

The Journal of Perinatal Education ◽

10.1891/1058-1243.27.4.207 ◽

2018 ◽

Vol 27 (4) ◽

pp. 207-219

Author(s):

Lisa Brzezinski ◽

Nancy Mimm ◽

Sallie Porter

Keyword(s):

Nurse Practitioners ◽

Exclusive Breastfeeding ◽

Infant Health ◽

Professional Associations ◽

Pediatric Nurse ◽

Positive Attitudes ◽

Breastfeeding Education ◽

Development Outcomes ◽

Pediatric Nurse Practitioner ◽

Pediatric Nurse Practitioners

Infant health and development outcomes are positively affected by breastfeeding. Despite the multitude of breastfeeding benefits to mothers and infants along with strong recommendations for exclusive breastfeeding from government agencies and professional associations, the rate of exclusive breastfeeding during the first six months of life remains low. Strongly positive attitudes make pediatric nurse practitioners, especially those in primary care settings, ideally positioned to encourage, support, and provide breastfeeding management to mothers and infants. However, pediatric nurse practitioners may report breastfeeding education and breastfeeding skills deficits along with other barriers to optimal breastfeeding care.

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Kelas Edukasi Menyusui Sebagai Penunjang Keberhasilan Memberikan ASI Eksklusif

Berita Kedokteran Masyarakat ◽

10.22146/bkm.24547 ◽

2017 ◽

Vol 33 (6) ◽

pp. 299

Author(s):

Shelly Puspa Anggraini ◽

Retna Siwi Padmawati ◽

Madarina Julia

Keyword(s):

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Education Class ◽

Breastfeeding Education ◽

The Difference ◽

Depth Interviews

Breastfeeding education classes as a support for exclusive breastfeeding successPurposeThe purpose of this paper was to examine the difference of maternal participation in breastfeeding education class AIMI (Indonesian Breastfeeding Association) and the success of exclusive breastfeeding.MethodA cross-sectional study was conducted involving 186 mothers. We used in-depth interviews of mothers who had attended AIMI Yogyakarta's breastfeeding education class.ResultsAs many as 88.6% of respondents gave exclusive breastfeeding. Of those who attended only one class, 88.9% gave exclusive breastfeeding, while 88.6% in the group who attended the two educational classes gave exclusive breastfeeding. There was no difference between mothers who attended one class or two classes of education on exclusive breastfeeding success.ConclusionThis study contributes to the knowledge that there is no difference between mothers attending one class or two classes of education on exclusive breastfeeding success.

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