Effect of an educational intervention on the breastfeeding technique on the prevalence of exclusive breastfeeding

Abstract Objectives: to evaluate the effect of an intervention directed to the breastfeeding technique in the prevalence of exclusive breastfeeding in the first month of life. Methods: this is a quasi-randomized intervention study conducted in a public maternity ward accredited in the Baby-Friendly Hospital Initiative. The intervention consisted of individual orientations on the breastfeeding technique in the first 48 hours after delivery, with the help of a breast model, doll, and movie. The control group was oriented by researchers about the importance of breastfeeding, and received hospital orientations. Data were collected in the maternity ward, and at the end of the first month in the hospital’s outpatient service by implementing a questionnaire, observing the baby’s breastfeeding technique and examining breasts. Results: the prevalence of exclusive breastfeeding in the first month of life of the infant was 76.6% in the experimental group, and 52.2% in the control group. RR=1.46 (CI95%=1.16-1.84); NNT=4.09; p=0.001. The trained women presented a correct breast-feeding technique in 64.04%, much higher when compared to those who did not receive training (15.11%;RR=4.87[CI95%=2.93-8.34]; NNT=1.96;p<0.001). Conclusions: the use of audiovisual resources, use of instruments (model breast and doll), and type of individualized approach contributed to an increased prevalence of exclusive breastfeeding up to 30 days after delivery.

Download Full-text

Breastfeeding technique and the incidence of nipple traumas in puerperal women attended in a city hospital: intervention study

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042020000300003 ◽

2020 ◽

Vol 20 (3) ◽

pp. 695-703

Author(s):

Thaize Carvalho Estrela do Vale Morais ◽

Tâmara Oliveira de Souza ◽

Graciete Oliveira Vieira ◽

José de Bessa Júnior ◽

Gilmar Mercês de Jesus

Keyword(s):

Intervention Study ◽

Control Group ◽

City Hospital ◽

Control Groups ◽

Chi Square ◽

Randomized Intervention ◽

Chi Square Test ◽

Randomized Intervention Study ◽

And Control ◽

Experimental Group

Abstract Objectives: to evaluate the effect of an intervention on the incidence of nipple trauma and the quality of breastfeeding technique in the first month of postpartum. Methods: this is a quasi-randomized intervention study with 180 puerperal women equally distributed between experimental and control groups. The intervention was performed at a maternity and consisted of an educational session on breastfeeding technique. A descrip-tive analysis of the groups’ characteristics was performed, comparing the frequencies of unfa-vorable parameters related to breastfeeding technique between groups. Pearson’s chi-square test and Fisher’s test were used, and p≤0.05 was adopted as the critical level of significance. Results: at 30 days, 64% and 15% of the mothers used the technique correctly, respec-tively, in the experimental and control groups with RR=4.87 (CI95%=2.93-8.34); NNT=1.96 (CI95% =1.61-2.72); p<0.001. In the experimental group, a decrease was observed in the unfavorable parameters of the breastfeeding technique (p≤0.05). The incidence of nipple trauma was 30% in the experimental group and 38.9% in the control group (p=0.21). Conclusions: the intervention was insufficient to prevent nipple trauma in the experi-mental group, but significantly improved the quality in the breastfeeding technique.

Download Full-text

Evaluating Pictures of Nature and Soft Music on Anxiety and Well-Being During Elective Surgery

The Open Nursing Journal ◽

10.2174/1874434601812010058 ◽

2018 ◽

Vol 12 (1) ◽

pp. 58-66 ◽

Cited By ~ 2

Author(s):

Elinor Nielsen ◽

Ingrid Wåhlin ◽

Gunilla Hollman Frisman

Keyword(s):

Instrumental Music ◽

Intervention Study ◽

Elective Surgery ◽

Short Form ◽

Well Being ◽

Lower Degree ◽

Control Group ◽

Need Support ◽

Randomized Intervention ◽

Randomized Intervention Study

Background:Patients going through surgery being awake often have a sense of anxiety and need support to relax.Objective:The aim of this study was to investigate whether looking at pictures of natural scenery could reduce anxiety and pain and increase relaxation and well-being being awake during the elective surgery.Methods:This three-arm, randomized intervention study consisted of one group viewing pictures of natural scenery, one group listening to soft instrumental music, and one control group without distraction, all adult patients (n=174). The State Trait Anxiety Inventory short form and a visual analogue scale on well-being were used as well as sedation treatment if necessary.Results:No differences related to anxiety after surgery were found among the three groups. When controlling for the effect of sedative treatment, however, patients without sedation had a lower degree of anxiety postoperatively (p=0.014). Younger patients had a higher degree of anxiety and lower degree of postoperative relaxation and well-being.Conclusion:Viewing pictures of natural scenery while being awake during elective surgery is as relaxing as listening to soft instrumental music. Offering nature scenery pictures for patients to view could be relaxing during the elective surgery.

Download Full-text

Promotion of exclusive breastfeeding is not likely to be cost effective in West Africa. A randomized intervention study from Guinea-Bissau

Acta Paediatrica ◽

10.1111/j.1651-2227.2007.00532.x ◽

2007 ◽

Vol 97 (1) ◽

pp. 68-75 ◽

Cited By ~ 14

Author(s):

Marianne S. Jakobsen ◽

Morten Sodemann ◽

Sidu Biai ◽

Jens Nielsen ◽

Peter Aaby

Keyword(s):

West Africa ◽

Exclusive Breastfeeding ◽

Intervention Study ◽

Cost Effective ◽

Guinea Bissau ◽

Randomized Intervention ◽

Randomized Intervention Study

Download Full-text

FMS Effects of a Motor Program for Children With Autism Spectrum Disorders

Perceptual and Motor Skills ◽

10.1177/00315125211010053 ◽

2021 ◽

pp. 003151252110100

Author(s):

Liangshan Dong ◽

Bo Shen ◽

YanLi Pang ◽

Mingting Zhang ◽

Yuan Xiang ◽

...

Keyword(s):

Motor Development ◽

Group Versus ◽

Motor Program ◽

Autism Spectrum ◽

Control Group ◽

Gross Motor Development ◽

Children With Asd ◽

Individualized Approach ◽

Experimental Group ◽

Ball Skills

The current study evaluated the effectiveness of a motor program that specifically targeted fundamental motor skills (FMS) in children with ASD. The experimental group (n=21) participated in a 9-week program with motor instructions for 80 minutes/day, three days/week, while the control group (n=29) did not participate in the program. We measured FMS (using the Test of Gross Motor Development-3) one-week before, one-week after, and two-months after the program. Children in the experimental group had significantly larger FMS improvements than the controls on both locomotor and ball skills immediately following the program, and these participants showed continuous improvement on locomotor, but not ball skills, at 2-months follow-up. In individual analyses, 80% of children in the experimental group versus 29% of children in the control group showed continuous locomotor skills improvement beyond their pre-test levels. These findings highlight the importance of both a long-term motor development intervention and an individualized approach for evaluating improved FMS among children with ASD.

Download Full-text

Long-term adherence to topical psoriasis treatment can be abysmal: a 1-year randomized intervention study using objective electronic adherence monitoring

British Journal of Dermatology ◽

10.1111/bjd.15085 ◽

2016 ◽

Vol 176 (3) ◽

pp. 759-764 ◽

Cited By ~ 28

Author(s):

H. Alinia ◽

S. Moradi Tuchayi ◽

J.A. Smith ◽

I.M. Richardson ◽

N. Bahrami ◽

...

Keyword(s):

Intervention Study ◽

Psoriasis Treatment ◽

Randomized Intervention ◽

Randomized Intervention Study ◽

Adherence Monitoring

Download Full-text

Knowledge translation tool to improve pregnant women’s awareness of gestational weight gain goals and risks of gaining outside recommendations: a non-randomized intervention study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0534-z ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 8

Author(s):

Sarah D McDonald ◽

Christina K Park ◽

Eleanor Pullenayegum ◽

Keyna Bracken ◽

Wendy Sword ◽

...

Keyword(s):

Weight Gain ◽

Knowledge Translation ◽

Gestational Weight Gain ◽

Intervention Study ◽

Gestational Weight ◽

Randomized Intervention ◽

Randomized Intervention Study

Download Full-text

Effect of peer counselling on exclusive breastfeeding among mothers attending child welfare clinic in two selected general hospitals in Lagos state, Nigeria

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20203682 ◽

2020 ◽

Vol 8 (9) ◽

pp. 3298

Author(s):

Owolabi Omolara Arike ◽

Sotunsa John

Keyword(s):

Child Welfare ◽

Exclusive Breastfeeding ◽

Mean Difference ◽

Control Group ◽

General Hospitals ◽

Breastfeeding Rate ◽

Lagos State ◽

Child Welfare Clinic ◽

Peer Counselling ◽

Experimental Group

Background: Inadequate nutrition and poor feeding practices of newborn and infants has turn out to be a major public health concern that has negatively affected the lives of many children and as led to the cause of various forms of deficiencies, also the leading cause of death of most children between 1-5years of age. This study determined the effect of peer counselling on exclusive breastfeeding among mothers attending child welfare clinic in two selected general hospitals in Lagos State, Nigeria.Methods: This study adopted a two group pre-test post-test quasi experimental design. Total enumeration was used to select one hundred and seventy-four (174) participants that participated in the study. Data was collected using a self-developed questionnaire while four research questions were tested using descriptive statistics.Results: Findings indicated that the pre-intervention knowledge mean score of participants on the knowledge of exclusive breastfeeding in the control group was 15.43±4.98 (48.2%) and 14.69±5.16 (45.9%) in the experimental group with a mean difference of 0.74. The post-intervention knowledge mean score of participants on the exclusive breastfeeding in the control group was 15.58±4.83 (48.7%) and 28.97±8.31 (90.5%) in the experimental group with a mean difference of 13.39. Conclusions: The present study demonstrated a significant improvement in the exclusive breastfeeding rate among mothers due to peer counselling exposure, and the interventions have been effective in increasing knowledge and practice of breastfeeding among mothers. It was recommended that knowledge of peer counselling will influence knowledge, practice and behaviours on exclusive breastfeeding rate among mothers.

Download Full-text