Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study
Abstract Background Rapid increases in hospital and cesarean deliveries threaten an already falling exclusive breastfeeding rate (EBR) in Bangladesh. There is neither a sustained Baby-Friendly Hospital Initiative (BFHI) nor any community support for breastfeeding mothers. Our aim was to find out whe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00258-z |
| _version_ | 1818190378424074240 |
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| author | Iftia Jerin Monira Akter Khurshid Talukder Muhammad Qudrat e Khuda Talukder Mohammad Abdur Rahman |
| author_facet | Iftia Jerin Monira Akter Khurshid Talukder Muhammad Qudrat e Khuda Talukder Mohammad Abdur Rahman |
| author_sort | Iftia Jerin |
| collection | DOAJ |
| description | Abstract Background Rapid increases in hospital and cesarean deliveries threaten an already falling exclusive breastfeeding rate (EBR) in Bangladesh. There is neither a sustained Baby-Friendly Hospital Initiative (BFHI) nor any community support for breastfeeding mothers. Our aim was to find out whether breastfeeding support after hospital delivery and subsequently by mobile phone at home is effective in improving EBR in infants under six-months of age. Methods A quasi-experimental study was carried out in 2010 at the Centre for Woman and Child Health (CWCH), Savar, Bangladesh. A total of 129 mothers delivered at CWCH were recruited in pre-intervention phase and their infants followed up between 0 and 5 months of age in the community for exclusive breastfeeding (EBF), anthropometry and illness. An intervention package was then implemented with postpartum support for first hour breastfeeding initiation, correction of position and attachment and face-to-face counseling in hospital followed by mobile phone support by two trained Research Assistants once every 15 days after discharge up to six months of age. During the intervention phase, 164 pregnant women delivered at CWCH were recruited and followed up as in the pre-intervention phase. Results In the pre-intervention phase among 114 infants, 66 (58%) were found to be exclusively breastfed. In the intervention phase among 151 infants, 118 (78%) were exclusively breastfed (p = 0.000). In the pre-intervention phase EBR at less than one month and five months were 85 and 42% as in the intervention phase these EBR were 89 and 71% respectively. Wasting (weight-for-height Z-score < − 2.00), stunting (height-for-age Z-score < − 2.00), and underweight (weight-for-age Z-score < − 2.00) was 17 (15%), 7 (6%), and 14 (13%) respectively in the pre-intervention phase. In the intervention phase wasting, stunting, and underweight was 16 (11%), 16 (11%), and 15 (10%) respectively. Therefore, there was no statistically significant differences in nutritional status of the infants in the two phases. There was also no significant differences in child morbidity (pneumonia and diarrhea) between the two phases. Conclusion A combination of hospital support and mobile phone counseling in the community sustained higher rates of EBF in the community after hospital delivery. |
| first_indexed | 2024-12-11T23:57:46Z |
| format | Article |
| id | doaj.art-1a15387162dc40108380fa79ba6815a5 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-11T23:57:46Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-1a15387162dc40108380fa79ba6815a52022-12-22T00:45:19ZengBMCInternational Breastfeeding Journal1746-43582020-03-0115111110.1186/s13006-020-00258-zMobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental studyIftia Jerin0Monira Akter1Khurshid Talukder2Muhammad Qudrat e Khuda Talukder3Mohammad Abdur Rahman4Centre for Woman and Child Health (CWCH)Centre for Woman and Child Health (CWCH)Centre for Woman and Child Health (CWCH)Centre for Woman and Child Health (CWCH)Department of Public Health and Informatics, Jahangirnagar UniversityAbstract Background Rapid increases in hospital and cesarean deliveries threaten an already falling exclusive breastfeeding rate (EBR) in Bangladesh. There is neither a sustained Baby-Friendly Hospital Initiative (BFHI) nor any community support for breastfeeding mothers. Our aim was to find out whether breastfeeding support after hospital delivery and subsequently by mobile phone at home is effective in improving EBR in infants under six-months of age. Methods A quasi-experimental study was carried out in 2010 at the Centre for Woman and Child Health (CWCH), Savar, Bangladesh. A total of 129 mothers delivered at CWCH were recruited in pre-intervention phase and their infants followed up between 0 and 5 months of age in the community for exclusive breastfeeding (EBF), anthropometry and illness. An intervention package was then implemented with postpartum support for first hour breastfeeding initiation, correction of position and attachment and face-to-face counseling in hospital followed by mobile phone support by two trained Research Assistants once every 15 days after discharge up to six months of age. During the intervention phase, 164 pregnant women delivered at CWCH were recruited and followed up as in the pre-intervention phase. Results In the pre-intervention phase among 114 infants, 66 (58%) were found to be exclusively breastfed. In the intervention phase among 151 infants, 118 (78%) were exclusively breastfed (p = 0.000). In the pre-intervention phase EBR at less than one month and five months were 85 and 42% as in the intervention phase these EBR were 89 and 71% respectively. Wasting (weight-for-height Z-score < − 2.00), stunting (height-for-age Z-score < − 2.00), and underweight (weight-for-age Z-score < − 2.00) was 17 (15%), 7 (6%), and 14 (13%) respectively in the pre-intervention phase. In the intervention phase wasting, stunting, and underweight was 16 (11%), 16 (11%), and 15 (10%) respectively. Therefore, there was no statistically significant differences in nutritional status of the infants in the two phases. There was also no significant differences in child morbidity (pneumonia and diarrhea) between the two phases. Conclusion A combination of hospital support and mobile phone counseling in the community sustained higher rates of EBF in the community after hospital delivery.http://link.springer.com/article/10.1186/s13006-020-00258-zExclusive breastfeedingBangladeshBreastfeeding initiationCounselingMobile phone |
| spellingShingle | Iftia Jerin Monira Akter Khurshid Talukder Muhammad Qudrat e Khuda Talukder Mohammad Abdur Rahman Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study International Breastfeeding Journal Exclusive breastfeeding Bangladesh Breastfeeding initiation Counseling Mobile phone |
| title | Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study |
| title_full | Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study |
| title_fullStr | Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study |
| title_full_unstemmed | Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study |
| title_short | Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study |
| title_sort | mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling a quasi experimental study |
| topic | Exclusive breastfeeding Bangladesh Breastfeeding initiation Counseling Mobile phone |
| url | http://link.springer.com/article/10.1186/s13006-020-00258-z |
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