Antenatal breastfeeding education for increasing breastfeeding duration
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Review Quality Rating: 10 (strong) - View Quality Assessment
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| Author(s) | Publication Date | Journal | Volume | Issue | Start Page |
|---|---|---|---|---|---|
| Lumbiganon,P., Martis,R., Laopaiboon,M., Festin,M.R., Ho,J.J., Hakimi,M. | 2011 | Cochrane Database of Systematic Reviews | 2011 | 11 | Art. No.: CD006425 |
Abstract:
BACKGROUND: Breastfeeding (BF) is well recognised as the best food for infants. The impact of antenatal BF education on the duration of BF has not been evaluated.
OBJECTIVES: To evaluate the effectiveness of antenatal BF education for increasing BF initiation and duration.
SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (21 April 2010), CENTRAL (The Cochrane Library 2010, Issue 2), MEDLINE (1966 to April 2010) and SCOPUS (January 1985 to April 2010). We contacted experts and searched reference lists of retrieved articles. We updated the search of the Pregnancy and Childbirth Group’s Trials Register on 28 September 2011 and added the results to the awaiting classification section of the review.
SELECTION CRITERIA: All identified published, unpublished and ongoing randomised controlled trials (RCTs) assessing the effect of formal antenatal BF education or comparing two different methods of formal antenatal BF education, on duration of BF. We excluded RCTs that also included intrapartum or postpartum BF education.
DATA COLLECTION AND ANALYSIS: We assessed all potential studies identified as a result of the search strategy. Two review authors extracted data from each included study using the agreed form and assessed risk of bias. We resolved discrepancies through discussion.
MAIN RESULTS: We included 17 studies with 7131 women in the review and 14 studies involving 6932 women contributed data to the analyses. We did not do any meta-analysis because there was only one study for each comparison.Five studies compared a single method of BF education with routine care. Peer counselling significantly increased BF initiation.Three studies compared one form of BF education versus another. No intervention was significantly more effective than another intervention in increasing initiation or duration of BF.Seven studies compared multiple methods versus a single method of BF education. Combined BF educational interventions were not significantly better than a single intervention in initiating or increasing BF duration. However, in one trial a combined BF education significantly reduced nipple pain and trauma.One study compared different combinations of interventions. There was a marginally significant increase in exclusive BF at six months in women receiving a booklet plus video plus lactation consultation (LC) compared with the booklet plus video only.Two studies compared multiple methods of BF education versus routine care. The combination of BF booklet plus video plus LC was significantly better than routine care for exclusive BF at three months.
AUTHORS’ CONCLUSIONS: Because there were significant methodological limitations and the observed effect sizes were small, it is not appropriate to recommend any antenatal BF education.There is an urgent need to conduct RCTs study with adequate power to evaluate the effectiveness of antenatal BF education.
Address: Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mitraparb Road, Amphur Muang, Khon Kaen, Thailand, 40002
Related Links
- http://summaries.cochrane.org/CD006425/antenatal-breastfeeding-education-for-increasing-breastfeeding-duration
- http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD006425/frame.htmlWhy doesn't this link work for me? Free access to full-text Cochrane reviews is currently unavailable in Canada. You may still have access to full-text Cochrane reviews if your institution holds a subscription to Cochrane. Please contact your librarian or IT department to inquire about your institution's current holdings.
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Topic Areas
Possible Reviews of Interest
Focus of Review
- Reproductive Health
- breastfeeding
Intervention Strategies
- Creating supportive physical, social, and policy environments
- social support
- counselling, case management, home visiting, referral, or support group
- encouragement (provision of)
- social support
- Education/awareness & Skill development/training
- classes
- pamphlets
Intervention Location
- Home
- Primary health care provider
Review Type
- systematic
Population Characteristics
- Age Groups
- adults (20-64)
- Gender
- female
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