Comparing the effect of breastfeeding promotion interventions on exclusive breastfeeding: an experimental study
DOI:
https://doi.org/10.15419/bmrat.v3i11.132Keywords:
Peer Support, Education, Health Care Providers, Exclusive Breast FeedingAbstract
Introduction: Despite the proven risks associated with not breastfeeding, few mothers exclusively breastfeed their babies for six months as recommended by the World Health Organization. This study was conducted to compare the effect of breastfeeding promotion interventions on exclusive BMF among primiparous women.
Methods: This quasi-experimental study was conducted on a sample of 93 primiparous women who were referred to health care centres, Mashhad, Iran, in 2010. Health care centres were selected by multistage sampling method, and then randomly allocated into two intervention groups (peer support group and health care provider’s education group) and one control group. Primigravidae aged 18-35 years old, with singleton pregnancy, with gestational age of 35-36 weeks, and intending to breastfeed their children were randomly selected out of health care centres. The peer support group participants received supports from their peers four times and education group’s participants received 4 training sessions by health care providers. The control group received only routine cares. Exclusive BMF duration and rate assessed at 4 and 8 weeks postpartum and collected data were analysed using SPSS (ver.11.5) software.
Results: There were no significant differences in exclusive BMF duration at 4 and 8 weeks among the 3 groups (P=0.993, P=0.904). Exclusive BMF rate at 4 and 8 weeks after birth was significantly different among the 3 groups (P=0.043, P=0.023). No significant difference was found between peer support and healthcare provider’s education groups with respect to BMF rate at 4 weeks (P=0.111), but the difference was significant at 8 weeks (P=0.027).
Conclusion: All women should be offered education and peer support to breastfeed their babies to increase the exclusive breastfeeding rate. But to continue exclusive breastfeeding, and increase its duration, help of family is more important than education and peer support. Support that is only offered reactively, in which women are expected to initiate the contact, is unlikely to be effective; women should be offered ongoing support so they can predict that support will be available. Support should be tailored to the needs of the setting and the population group.
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