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Obstet Gynecol. 2007 Jan;109(1):73-80.

Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial.

Author information

1
Department of Obstetrics and Gynaecology, National University Hospital, Singapore.

Abstract

OBJECTIVE:

To address the impact of simple antenatal educational interventions on breastfeeding practice.

METHODS:

A randomized controlled trial was carried out in a tertiary referral center from May 2002 to December 2004. A random sample of eligible low-risk antenatal patients was recruited from clinics in the National University Hospital, Singapore. Group A received breastfeeding educational material and individual coaching from a lactation counselor. Group B received breastfeeding educational material with no counseling. Group C received routine antenatal care only.

RESULTS:

A total of 401 women were recruited. Mothers receiving individual counseling and educational material practiced exclusive and predominant breastfeeding more often than mothers receiving routine care alone at 3 months (odds ratio [OR] 2.6, 95% confidence interval [CI] 1.2-5.4) and 6 months (OR 2.4, 95% CI 1.0-5.7) postpartum. More mothers practiced exclusive and predominant breastfeeding at 6 months among women receiving individual counseling compared with women exposed to educational material alone (OR 2.5, 95% CI 1.0-6.3).

CONCLUSION:

Where breastfeeding practices are suboptimal, simple one-encounter antenatal education and counseling significantly improve breastfeeding practice up to 3 months after delivery. Provision of printed or audiovisual educational material is not enough. Health care workers should make every effort to have one face-to-face encounter to discuss breastfeeding with expectant mothers before they deliver.

CLINICAL TRIAL REGISTRATION:

(www.ClinicalTrials.gov), NCT002770192

LEVEL OF EVIDENCE:

I.

[Indexed for MEDLINE]
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