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Assessment of a structured in-hospital educational intervention addressing breastfeeding: a prospective randomised
Jose Labarere1, Valerie Bellin, Magali Fourny
1Quality of Care Unit, Grenoble University Hospital, Pavillon D Villars, CHU-BP 217, 38 043 Grenoble cedex 9, France.
Objective:
To determine whether a single one-to-one in-hospital education session could increase the rate of breastfeeding at 17 weeks.
Design:
A prospective, randomised, parallel group, open trial.
Setting:
A level two maternity hospital in France.
Sample:
Breastfeeding mothers who were employed outside the home prenatally and were delivered of a healthy singleton.
Intervention:
A structured one-to-one in-hospital education session.
Methods:
One hundred and six mother-infant pairs were allocated to the intervention group and 104 to the control group (receiving usual verbal encouragement). A total of 93 mother-infant pairs in the intervention group and 97 in the control group provided complete data for final evaluation of efficacy.
Main Outcome Measure:
Rate of breastfeeding at infant age of 17 weeks.
Results:
There was no significant difference between the two groups in the rate of any breastfeeding (34.4% in the intervention group vs 40.2% in the control group, relative risk = 0.86 [0.52-1.40]), and in the rate of exclusive breastfeeding (14.0% in the intervention group vs 14.4% in the control group, relative risk = 0.97 [0.42-2.22]).
Conclusion:
Our findings suggest that a single in-hospital educational intervention has no effect on the breastfeeding rate at four months. Guidance provided by maternity staff should be reinforced by a long term multifaceted support programme in countries with a low to intermediate rate of breastfeeding.
