Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months
Many mothers, especially those with co-morbidities, do not achieve exclusive breastfeeding (EBF) for the first 6 months, with the loss of multiple health benefits including enhanced infant nutrition. We wished to evaluate whether proactive lactation consultant telephone advice in the first month pos...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/9/2075 |
| _version_ | 1797601999079866368 |
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| author | Wei Qi Fan Christopher Chan Susan Paterson Kathryn Foster Michelle Morrow Debra Bourne Jodie Ashworth |
| author_facet | Wei Qi Fan Christopher Chan Susan Paterson Kathryn Foster Michelle Morrow Debra Bourne Jodie Ashworth |
| author_sort | Wei Qi Fan |
| collection | DOAJ |
| description | Many mothers, especially those with co-morbidities, do not achieve exclusive breastfeeding (EBF) for the first 6 months, with the loss of multiple health benefits including enhanced infant nutrition. We wished to evaluate whether proactive lactation consultant telephone advice in the first month postpartum improved breastfeeding rates for up to 6 months. A prospective cohort observational study was performed. Mother groupings included the following: Control (CG, <i>n</i> = 379)—standard postnatal care; Exposure (EG, <i>n</i> = 386)—standard postnatal care delivered by lactation consultant telephone contact for the first 3 weeks postpartum and then follow-up calls at 1, 3 and 6 months postpartum to ascertain breastfeeding status. Sore nipples (24%) and fussy/unsettled behaviour (14–19%) were common EG concerns. EG EBF rates were higher at 1 month (65% vs. 53%; <i>p</i> < 0.001), 3 months (57% vs. 49%; <i>p</i> = 0.041) and 6 months (45 vs. 33%; <i>p</i> < 0.001). EG EBF rates across the 6 months were higher for infants admitted to the NNU (52.9% vs. 37.5%, <i>p</i> = 0.003), obese mothers (58.3% vs. 37.2%, <i>p</i> < 0.001), mothers with depression (60.8% vs. 43.4%, <i>p</i> = 0.036) and all birth modes. Proactive early lactation advice significantly prolongs EBF and consequently enhances infant nutrition overall, including for mothers at risk of early breastfeeding cessation. |
| first_indexed | 2024-03-11T04:11:02Z |
| format | Article |
| id | doaj.art-6668dc45fffe4023a880632189274592 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T04:11:02Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-6668dc45fffe4023a8806321892745922023-11-17T23:28:47ZengMDPI AGNutrients2072-66432023-04-01159207510.3390/nu15092075Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 MonthsWei Qi Fan0Christopher Chan1Susan Paterson2Kathryn Foster3Michelle Morrow4Debra Bourne5Jodie Ashworth6Northern Health, Melbourne, VIC 3076, AustraliaNorthern Health, Melbourne, VIC 3076, AustraliaNorthern Health, Melbourne, VIC 3076, AustraliaNorthern Health, Melbourne, VIC 3076, AustraliaNorthern Health, Melbourne, VIC 3076, AustraliaNorthern Health, Melbourne, VIC 3076, AustraliaButterfly Foundation, Palmwoods, QLD 4555, AustraliaMany mothers, especially those with co-morbidities, do not achieve exclusive breastfeeding (EBF) for the first 6 months, with the loss of multiple health benefits including enhanced infant nutrition. We wished to evaluate whether proactive lactation consultant telephone advice in the first month postpartum improved breastfeeding rates for up to 6 months. A prospective cohort observational study was performed. Mother groupings included the following: Control (CG, <i>n</i> = 379)—standard postnatal care; Exposure (EG, <i>n</i> = 386)—standard postnatal care delivered by lactation consultant telephone contact for the first 3 weeks postpartum and then follow-up calls at 1, 3 and 6 months postpartum to ascertain breastfeeding status. Sore nipples (24%) and fussy/unsettled behaviour (14–19%) were common EG concerns. EG EBF rates were higher at 1 month (65% vs. 53%; <i>p</i> < 0.001), 3 months (57% vs. 49%; <i>p</i> = 0.041) and 6 months (45 vs. 33%; <i>p</i> < 0.001). EG EBF rates across the 6 months were higher for infants admitted to the NNU (52.9% vs. 37.5%, <i>p</i> = 0.003), obese mothers (58.3% vs. 37.2%, <i>p</i> < 0.001), mothers with depression (60.8% vs. 43.4%, <i>p</i> = 0.036) and all birth modes. Proactive early lactation advice significantly prolongs EBF and consequently enhances infant nutrition overall, including for mothers at risk of early breastfeeding cessation.https://www.mdpi.com/2072-6643/15/9/2075exclusive breastfeedinglactation consultanttelephone support |
| spellingShingle | Wei Qi Fan Christopher Chan Susan Paterson Kathryn Foster Michelle Morrow Debra Bourne Jodie Ashworth Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months Nutrients exclusive breastfeeding lactation consultant telephone support |
| title | Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months |
| title_full | Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months |
| title_fullStr | Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months |
| title_full_unstemmed | Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months |
| title_short | Weekly Proactive Telephone Breastfeeding Standard Care by Lactation Consultants in the First Month Postpartum Prolongs Breastfeeding for Up to 6 Months |
| title_sort | weekly proactive telephone breastfeeding standard care by lactation consultants in the first month postpartum prolongs breastfeeding for up to 6 months |
| topic | exclusive breastfeeding lactation consultant telephone support |
| url | https://www.mdpi.com/2072-6643/15/9/2075 |
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