Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis
Abstract Background Appropriate breastfeeding training for midwives is necessary to enhance their knowledge, attitude, and practice (KAP). However, evidence surrounding the effects of midwife breastfeeding training programmes is insufficient to draw a conclusion of its effectiveness on breastfeeding...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05540-6 |
| _version_ | 1797840797742137344 |
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| author | Tianci Wang Meimei Shang Ka Ming Chow |
| author_facet | Tianci Wang Meimei Shang Ka Ming Chow |
| author_sort | Tianci Wang |
| collection | DOAJ |
| description | Abstract Background Appropriate breastfeeding training for midwives is necessary to enhance their knowledge, attitude, and practice (KAP). However, evidence surrounding the effects of midwife breastfeeding training programmes is insufficient to draw a conclusion of its effectiveness on breastfeeding initiation, duration, and rates. Objective The aim of this systematic review was to identify, summarise, and critically analyse the available literature to evaluate the effects of midwife breastfeeding training programmes on the midwives’ KAP towards breastfeeding and breastfeeding initiation, duration and rates among postnatal mothers. Methods Nine English and six Chinese databases were searched with relevant key words. The methodological quality of the included studies were assessed by two reviewers independently using the Joanna Briggs Institute critical appraisal checklists. Results Nine English and one Chinese articles were included in this review. Five articles investigating midwives’ KAP towards breastfeeding reported positive results (p < 0.05). The meta-analysis revealed that breastfeeding training programmes significantly improved midwives’ breastfeeding-related knowledge and skills (standardised mean difference = 1.33; 95% confidence interval, 0.98 to 1.68; p < 0.01; I2 = 36%), as well as their attitude towards breastfeeding (p < 0.05). An additional five articles measured the effects of breastfeeding training programmes on the initiation, duration, and rates of breastfeeding among postnatal mothers. Following the implementation of a breastfeeding training programme for midwives, mothers had significantly longer durations of exclusive breastfeeding (p < 0.05), fewer breastfeeding challenges (p < 0.05) (e.g. breast milk insufficiency), and higher satisfaction with breastfeeding counselling (p < 0.01), and fewer infants received breast milk substitutes in their first week of life without medical reasons (p < 0.05) in the intervention group compared with the control group. However, no significant effects were seen on the initiation and rates of breastfeeding after implementation of the programmes. Conclusions This systematic review has demonstrated that midwife breastfeeding training programmes could improve midwives’ KAP towards breastfeeding. However, the breastfeeding training programmes had limited effects on breastfeeding initiation and rates. We suggest that future breastfeeding training programme should incorporate counselling skills alongside breastfeeding knowledge and skills training. Review registration This systematic review has been registered in the International prospective register of systematic reviews (PROSPERO) (ID: CRD42022260216). |
| first_indexed | 2024-04-09T16:20:32Z |
| format | Article |
| id | doaj.art-877f2f5e4a7a4c13b3ae0fea2573ffaf |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-09T16:20:32Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-877f2f5e4a7a4c13b3ae0fea2573ffaf2023-04-23T11:30:59ZengBMCBMC Pregnancy and Childbirth1471-23932023-04-0123111810.1186/s12884-023-05540-6Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysisTianci Wang0Meimei Shang1Ka Ming Chow2The First Affiliated Hospital, Sun Yat-Sen UniversityThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongAbstract Background Appropriate breastfeeding training for midwives is necessary to enhance their knowledge, attitude, and practice (KAP). However, evidence surrounding the effects of midwife breastfeeding training programmes is insufficient to draw a conclusion of its effectiveness on breastfeeding initiation, duration, and rates. Objective The aim of this systematic review was to identify, summarise, and critically analyse the available literature to evaluate the effects of midwife breastfeeding training programmes on the midwives’ KAP towards breastfeeding and breastfeeding initiation, duration and rates among postnatal mothers. Methods Nine English and six Chinese databases were searched with relevant key words. The methodological quality of the included studies were assessed by two reviewers independently using the Joanna Briggs Institute critical appraisal checklists. Results Nine English and one Chinese articles were included in this review. Five articles investigating midwives’ KAP towards breastfeeding reported positive results (p < 0.05). The meta-analysis revealed that breastfeeding training programmes significantly improved midwives’ breastfeeding-related knowledge and skills (standardised mean difference = 1.33; 95% confidence interval, 0.98 to 1.68; p < 0.01; I2 = 36%), as well as their attitude towards breastfeeding (p < 0.05). An additional five articles measured the effects of breastfeeding training programmes on the initiation, duration, and rates of breastfeeding among postnatal mothers. Following the implementation of a breastfeeding training programme for midwives, mothers had significantly longer durations of exclusive breastfeeding (p < 0.05), fewer breastfeeding challenges (p < 0.05) (e.g. breast milk insufficiency), and higher satisfaction with breastfeeding counselling (p < 0.01), and fewer infants received breast milk substitutes in their first week of life without medical reasons (p < 0.05) in the intervention group compared with the control group. However, no significant effects were seen on the initiation and rates of breastfeeding after implementation of the programmes. Conclusions This systematic review has demonstrated that midwife breastfeeding training programmes could improve midwives’ KAP towards breastfeeding. However, the breastfeeding training programmes had limited effects on breastfeeding initiation and rates. We suggest that future breastfeeding training programme should incorporate counselling skills alongside breastfeeding knowledge and skills training. Review registration This systematic review has been registered in the International prospective register of systematic reviews (PROSPERO) (ID: CRD42022260216).https://doi.org/10.1186/s12884-023-05540-6BreastfeedingMidwivesSystematic reviewMeta-analysis |
| spellingShingle | Tianci Wang Meimei Shang Ka Ming Chow Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis BMC Pregnancy and Childbirth Breastfeeding Midwives Systematic review Meta-analysis |
| title | Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis |
| title_full | Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis |
| title_fullStr | Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis |
| title_full_unstemmed | Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis |
| title_short | Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis |
| title_sort | effects of breastfeeding training programmes for midwives on breastfeeding outcomes a systematic review and meta analysis |
| topic | Breastfeeding Midwives Systematic review Meta-analysis |
| url | https://doi.org/10.1186/s12884-023-05540-6 |
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