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Antenatal training to improve breast feeding: a randomised trial
Hanne Kronborg1, Rikke Damkjær Maimburg, Michael Væth
1Department of Nursing Science, School of Public Health, Aarhus University, Denmark. hk@nursingscience.au.dk
Antenatal training increased confidence and knowledge for breastfeeding, but not duration. Sufficient knowledge was linked to longer breastfeeding duration in the intervention group, suggesting a need for postnatal support.
Area of Science:
- Maternal and Child Health
- Health Promotion
- Evidence-Based Practice
Background:
- Breastfeeding is crucial for infant health.
- Antenatal education aims to improve breastfeeding outcomes.
- Limited evidence exists on the long-term impact of structured antenatal programs.
Purpose of the Study:
- To evaluate an antenatal training program's effect on breastfeeding knowledge, self-efficacy, problems, and duration.
- To assess the impact of structured antenatal education versus usual care.
Main Methods:
- Randomized controlled trial with 1193 nulliparous women.
- Intervention: structured antenatal training program.
- Outcomes: breastfeeding duration, knowledge, self-efficacy, and problems via self-reported questionnaires.
Main Results:
- No significant group differences in breastfeeding duration, self-efficacy, or problems.
- Intervention group reported higher confidence during pregnancy (p=0.05) and sufficient knowledge post-birth (p=0.02).
- Sufficient knowledge correlated with longer breastfeeding duration in the intervention group (HR=0.74).
Conclusions:
- Antenatal training enhances confidence and knowledge but not breastfeeding duration or problems alone.
- It serves as a cost-effective health promotion tool.
- Postnatal support is essential to complement antenatal training for improved breastfeeding outcomes.
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