Evaluating effects of a prenatal breastfeeding education programme on women with caesarean delivery in Taiwan.

Abstract:

AIMS:The aims of this study were: (1) to evaluate the effectiveness of a prenatal breastfeeding education programme for primigravida women who have elected caesarean section as a model of delivery and (2) to evaluate its effectiveness for encouraging a positive attitude to breastfeeding and rooming-in and to increase exclusive breastfeeding rates within hospital and at one month postpartum. BACKGROUND:Prenatal preparation for pregnant women about breastfeeding enhances their practical knowledge and skills about breastfeeding techniques, which prepares them when encountering possible difficulties. DESIGN:A quasi-experimental design was used. METHODS:The targeted population was primigravidas at 36-39 weeks and who had chosen to deliver by caesarean section. The study consisted of approximately 100 individuals; the control group consisted of 46 subjects and the following 54 made up the experimental group. The study was conducted at a hospital in Taiwan. RESULTS:The results of the study show that the subjects of the experimental group exhibited a more positive breastfeeding attitude (88.9 vs. 79.8, t = 7.40, p < 0.001), a higher 24 hours rooming-in rate (87% vs. 63%, chi(2) = 16.06, p < 0.001) and a higher exclusive breastfeeding rate (79.6% vs. 52.2%, chi(2) = 8.38, p = 0.004) during hospital stays and a higher exclusive breastfeeding rate (75.9% vs. 34.7%, chi(2) = 16.98, p < 0.001) for the one month postpartum period. CONCLUSION:Results suggest that providing education booklets, videos and telephone interview on breastfeeding prior to a caesarean delivery may contribute to breastfeeding attitude and improved rooming-in and exclusive breastfeeding rates. RELEVANCE TO CLINICAL PRACTICE:This breastfeeding education programme has proven to be successful in aiding women breastfeeding after a caesarean delivery and provides health care professionals with an evidence-based intervention.

journal_name

J Clin Nurs

authors

Lin CH,Kuo SC,Lin KC,Chang TY

doi

10.1111/j.1365-2702.2008.02289.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

2838-45

issue

21

eissn

0962-1067

issn

1365-2702

pii

JCN2289

journal_volume

17

pub_type

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