Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey
Abstract Background Antenatal breastfeeding education (ANBE) is provided to all pregnant women attending Ministry of Health (MOH) clinics and some private health facilities in Malaysia, in line with the WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI). However, the 6 month exclusive breastfeeding...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00328-2 |
| _version_ | 1818541593748045824 |
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| author | May Loong Tan Siew Cheng Foong Jacqueline J. Ho Wai Cheng Foong Rokiah Mohd Zuhaida Harun |
| author_facet | May Loong Tan Siew Cheng Foong Jacqueline J. Ho Wai Cheng Foong Rokiah Mohd Zuhaida Harun |
| author_sort | May Loong Tan |
| collection | DOAJ |
| description | Abstract Background Antenatal breastfeeding education (ANBE) is provided to all pregnant women attending Ministry of Health (MOH) clinics and some private health facilities in Malaysia, in line with the WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI). However, the 6 month exclusive breastfeeding prevalence remains relatively low in Malaysia, suggesting that there may be a gap between what is currently taught and what is received by the women. Objectives To determine how women perceived their ANBE experience in the first 8 weeks postpartum including what was useful and what they would like to have been included, sources of ANBE and infant feeding practices at the time of survey. Methods Women during their first 8 weeks postpartum who attended MOH clinics in Penang State, Malaysia were surveyed using a self-administered questionnaire in April and May 2015. Categorical responses were presented as numbers and proportions while free text responses were compiled verbatim and categorised into themes. The perceptions of primiparous and multiparous women were compared. Multivariate logistic regression adjusted to known confounders was used to determine if ANBE was associated with exclusive breastfeeding at the time of survey. Results A total of 421 women completed the 15-item questionnaire (84% response rate) of which 282 were complete and available for analysis. Of these, 95% had received ANBE, majority (88%) from MOH clinics. Almost all women found it useful. However, there were areas both in the delivery (e.g. too short) and the content (e.g. nothing new) that were described as not useful; and areas they would like more coverage (e.g. milk expression, storage and overcoming low milk supply). The exclusive breastfeeding prevalence at the time of survey was 61%. ANBE was significantly associated with exclusive breastfeeding even after adjusting for confounders (adjusted odds ratio [aOR] 8.1, 95% confidence interval 1.7, 38.3). Conclusions ANBE is widely implemented and perceived as useful and may be associated with exclusive breastfeeding. Our findings give insight into content that women would like more of and how delivery of ANBE could be improved, including individualized sessions and communicating at a suitable level and language. Future studies could focus on the quality of ANBE delivery. |
| first_indexed | 2024-12-11T22:11:19Z |
| format | Article |
| id | doaj.art-a9754288444b43208e0ba76686bc6f99 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-11T22:11:19Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-a9754288444b43208e0ba76686bc6f992022-12-22T00:48:47ZengBMCInternational Breastfeeding Journal1746-43582020-10-011511810.1186/s13006-020-00328-2Postpartum women’s perception of antenatal breastfeeding education: a descriptive surveyMay Loong Tan0Siew Cheng Foong1Jacqueline J. Ho2Wai Cheng Foong3Rokiah Mohd4Zuhaida Harun5Department of Paediatrics, RCSI & UCD Malaysia Campus (formerly Penang Medical College)Department of Paediatrics, RCSI & UCD Malaysia Campus (formerly Penang Medical College)Department of Paediatrics, RCSI & UCD Malaysia Campus (formerly Penang Medical College)Department of Paediatrics, RCSI & UCD Malaysia Campus (formerly Penang Medical College)Department of Public Health, Penang State Health DepartmentNutrition & Community Health, Penang State Health DepartmentAbstract Background Antenatal breastfeeding education (ANBE) is provided to all pregnant women attending Ministry of Health (MOH) clinics and some private health facilities in Malaysia, in line with the WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI). However, the 6 month exclusive breastfeeding prevalence remains relatively low in Malaysia, suggesting that there may be a gap between what is currently taught and what is received by the women. Objectives To determine how women perceived their ANBE experience in the first 8 weeks postpartum including what was useful and what they would like to have been included, sources of ANBE and infant feeding practices at the time of survey. Methods Women during their first 8 weeks postpartum who attended MOH clinics in Penang State, Malaysia were surveyed using a self-administered questionnaire in April and May 2015. Categorical responses were presented as numbers and proportions while free text responses were compiled verbatim and categorised into themes. The perceptions of primiparous and multiparous women were compared. Multivariate logistic regression adjusted to known confounders was used to determine if ANBE was associated with exclusive breastfeeding at the time of survey. Results A total of 421 women completed the 15-item questionnaire (84% response rate) of which 282 were complete and available for analysis. Of these, 95% had received ANBE, majority (88%) from MOH clinics. Almost all women found it useful. However, there were areas both in the delivery (e.g. too short) and the content (e.g. nothing new) that were described as not useful; and areas they would like more coverage (e.g. milk expression, storage and overcoming low milk supply). The exclusive breastfeeding prevalence at the time of survey was 61%. ANBE was significantly associated with exclusive breastfeeding even after adjusting for confounders (adjusted odds ratio [aOR] 8.1, 95% confidence interval 1.7, 38.3). Conclusions ANBE is widely implemented and perceived as useful and may be associated with exclusive breastfeeding. Our findings give insight into content that women would like more of and how delivery of ANBE could be improved, including individualized sessions and communicating at a suitable level and language. Future studies could focus on the quality of ANBE delivery.http://link.springer.com/article/10.1186/s13006-020-00328-2Antenatal educationBreastfeedingBaby friendly hospital initiative |
| spellingShingle | May Loong Tan Siew Cheng Foong Jacqueline J. Ho Wai Cheng Foong Rokiah Mohd Zuhaida Harun Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey International Breastfeeding Journal Antenatal education Breastfeeding Baby friendly hospital initiative |
| title | Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey |
| title_full | Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey |
| title_fullStr | Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey |
| title_full_unstemmed | Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey |
| title_short | Postpartum women’s perception of antenatal breastfeeding education: a descriptive survey |
| title_sort | postpartum women s perception of antenatal breastfeeding education a descriptive survey |
| topic | Antenatal education Breastfeeding Baby friendly hospital initiative |
| url | http://link.springer.com/article/10.1186/s13006-020-00328-2 |
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