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Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges
Mälarhospital, Eskilstuna, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. (Kvinna, barn och familj)
University of Skövde, School of Health and Education. University of Skövde, Health and Education. (Kvinna, barn och familj)
2014 (English)In: International Breastfeeding Journal, ISSN 1746-4358, Vol. 9, no 15Article in journal (Refereed) Published
Abstract [en]

Background: The World Health Organization recommends promoting exclusive breastfeeding for six months. Women much too often end breastfeeding earlier than they planned, but women who continue to breastfeed despite problems more often experience good support and counselling from health professionals. The aim in this study was to evaluate the effects of a process-oriented training in breastfeeding support counselling for midwives and child health nurses, in relation to women’s satisfaction with breastfeeding counselling, problems with insufficient breast milk, pain or nipple sores in relation to exclusive breastfeeding shorter or longer than 3 months.

Methods: An intervention through process-oriented training for health professionals regarding support in childbearing and breastfeeding took part in the south west of Sweden. The present study was performed in Sweden, in 2000- 2003. Ten municipalities were paired, and within each pair, one was randomly assigned to the group of five intervention (IG) municipalities and one to the group of five control municipalities. Primiparas (n=540) were asked to participate in a longitudinal study to evaluate the care they received. A survey was distributed at 3 days, 3 months and 9 months postpartum. Data collection for control group A (n=162) started before the intervention was initiated. Data for control group B (n=172) were collected simultaneously with the intervention group (IG) (n=206).Women were also divided into two groups depending on whether they exclusive breastfed < 3 months or ≥ 3 months.

Results: Women in IG were more satisfied with the breastfeeding counselling (p=0.008) and felt the breastfeeding counselling was more coherent (p=0.002) compared with control groups, when the exclusively breastfeeding was < 3 months. In addition fewer women in the IG, among the group exclusively breastfeeding < 3 months, had problems with insufficient breast milk compared to the control groups (p=0.01).

Conclusion: A process-oriented training for health professionals in support influenced women's ability to solve breastfeeding problems such as the experience of insufficient breast milk production. Women with exclusive breastfeeding lasting ≥ 3 months more often had breastfeeding duration in conformity with their planned breastfeeding duration, compared with women who had breastfeeding duration < 3 months.

Trial registration: ACTRN12611000354987

Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 9, no 15
Keyword [en]
Process-oriented training, Support; Health professionals, Counselling, Breastfeeding-problems, Intervention study
National Category
Medical and Health Sciences
Research subject
Medical sciences
URN: urn:nbn:se:his:diva-9945DOI: 10.1186/1746-4358-9-15PubMedID: 25221613OAI: diva2:746729
Available from: 2014-09-15 Created: 2014-09-15 Last updated: 2015-08-18Bibliographically approved

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Mårtensson, LenaEkström, Anette
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