Breastfeeding promotion Pregnancy and Childbirth Breastfeeding
Conditions
Interventions
Control group:
The control group received breastfeeding instruction in step with the Baby Friendly Initiative and according to National Institute for Clinical Excellence (NICE) guidelines.
Intervent
Sponsors
University of Ulster (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. All consenting primgravida women (20 weeks gestation) who attended at the time of recruitment 2. Inclusion criteria included their intention to have their baby at the research hospital 3. No age limit was applied
Exclusion criteria
Exclusion criteria: 1. Incidents where a mother and baby were separated, for example when a baby was admitted to the neo-natal unit and did not receive routine instruction 2. Women who had already commenced the 'young mums' parentcraft program prior to 20 weeks gestation (19 years old or less) 3. Women who for ethical reasons were considered vulnerable, for example, women who neither spoke or understood English 4. Women who declined to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Using seven point Likert scales women's motivational profile was measured in relation to three motivational factors: 1. Total value placed on breastfeeding 2. Total perceived midwife support 3. Total expectancy for successful breastfeeding The Breastfeeding Instructional Motivation Measurement Tool was developed specifically for this study. Using factor analysis (n = 199) the reliability coefficients for the three motivational factors were satisfactory (Cronbach Alpha .8622, .8751, .8549). Data were collected on discharge from hospital by structured interview. Primary outcomes were measured on discharge from hospital. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Breastfeeding behaviour was measured as a secondary outcome on discharge from hospital and at 3 weeks postnatal 2. Breastfeeding initiation was defined according to the Department of Health as giving one breastfeed or one episode of expressed breastmilk 3. Duration of breastfeeding was categorised in accordance with the Index of Breastfeeding Status (cited by Harmon-Jones, 2006), which classified breastfeeding on a scale in accordance with the amount of breastmilk the infant is receiving (1 = 100% breastmilk, 2 = more than 80% breastmilk and less than 20% other, 3 = 50 - 80% breastmilk, 4 = 50% breastmilk, 5 = 20 - 50% breastmilk, 6 = less than 20% breastmilk, 7 = 100% artificial milk). Secondary outcomes were measured on discharge from hospital, and were repeated at 3 weeks postnatal (in the community and just prior to transfer of care to the health visiting services). | — |
Countries
United Kingdom
Outcome results
None listed