Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial.

Abstract:

OBJECTIVE:To address the impact of simple antenatal educational interventions on breastfeeding practice. METHODS:A randomized controlled trial was carried out in a tertiary referral center from May 2002 to December 2004. A random sample of eligible low-risk antenatal patients was recruited from clinics in the National University Hospital, Singapore. Group A received breastfeeding educational material and individual coaching from a lactation counselor. Group B received breastfeeding educational material with no counseling. Group C received routine antenatal care only. RESULTS:A total of 401 women were recruited. Mothers receiving individual counseling and educational material practiced exclusive and predominant breastfeeding more often than mothers receiving routine care alone at 3 months (odds ratio [OR] 2.6, 95% confidence interval [CI] 1.2-5.4) and 6 months (OR 2.4, 95% CI 1.0-5.7) postpartum. More mothers practiced exclusive and predominant breastfeeding at 6 months among women receiving individual counseling compared with women exposed to educational material alone (OR 2.5, 95% CI 1.0-6.3). CONCLUSION:Where breastfeeding practices are suboptimal, simple one-encounter antenatal education and counseling significantly improve breastfeeding practice up to 3 months after delivery. Provision of printed or audiovisual educational material is not enough. Health care workers should make every effort to have one face-to-face encounter to discuss breastfeeding with expectant mothers before they deliver. CLINICAL TRIAL REGISTRATION:(www.ClinicalTrials.gov), NCT002770192 LEVEL OF EVIDENCE:I.

journal_name

Obstet Gynecol

authors

Mattar CN,Chong YS,Chan YS,Chew A,Tan P,Chan YH,Rauff MH

doi

10.1097/01.AOG.0000249613.15466.26

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

73-80

issue

1

eissn

0029-7844

issn

1873-233X

pii

109/1/73

journal_volume

109

pub_type

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