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      Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial

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          Abstract

          Aim

          The aim was to evaluate the effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants after discharge from neonatal intensive care units (NICU).

          Methods

          Between March 2013 and December 2015, a randomised controlled trial was conducted at six NICUs across Sweden. At each NICU, a breastfeeding support team recruited, randomised and delivered the support to participating mothers. The intervention group received a daily proactive telephone call up to 14 days after discharge from the support team. The control group could initiate telephone contact themselves. Primary outcome was exclusive breastfeeding eight weeks after discharge. Secondary outcomes were maternal satisfaction with breastfeeding, attachment, quality of life and parental stress.

          Results

          In total, 493 mothers were randomised, 231 to intervention group and 262 to control group. There were no differences between the groups for exclusive breastfeeding, odds ratio 0.96, 95% CI 0.66–1.38, nor for maternal satisfaction with breastfeeding, attachment or quality of life. The intervention group reported significantly less parental stress than the controls, t = 2.44, 95% CI 0.03–0.23, effect size d = 0.26.

          Conclusion

          In this trial, proactive telephone support was not associated with increased exclusive breastfeeding prevalence eight weeks following discharge. However, intervention group mothers showed significantly lower parental stress.

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          Most cited references19

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          The Swedish SF-36 Health Survey--I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden.

          Matthew Ware, Timothy J. Sullivan, Fridrik J. Karlsson (1995)
          We document the applicability of the SF-36 Health Survey, which was translated into Swedish using methods later adopted by the International Quality of Life Assessment (IQOLA) Project procedures. To test its appropriateness for use in Sweden, it was administered through mail-out/mail-back questionnaires in seven general population studies with an average response rate of 68%. The 8930 respondents varied by gender (48.2% men), age (range 15-93 years, mean age 42.7), marital status, education, socio-economic status, and geographical area. Psychometric methods used in the evaluation of the SF-36 in the U.S. were replicated. Over 90% of respondents had complete items for each of the eight SF-36 scales, although more missing data were observed for subjects 75 years and over. Scale scores could be computed for the vast majority of respondents (95% and over); slightly fewer in the oldest subgroup. Item-internal consistency was consistently high across socio-demographic subgroups and the eight scales. Most reliability estimates exceeded the 0.80 level. The highest reliability was observed for the Bodily Pain Scale where all subgroups met the 0.90 level recommended for individual comparisons; coefficients at or above 0.90 were also observed in most subgroups for the Physical Functioning Scale. Tests of scaling assumptions including hypothesized item groupings, which reflect the construct validity of scales, were consistently favorable across subgroups, although lower rates were noted in the oldest age group. In conclusion, these studies have yielded empirical evidence supporting the feasibility of a non-English language reproduction of the SF-36 Health Survey. The Swedish SF-36 is ready for further evaluation.
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            Women's perceptions and experiences of breastfeeding support: a metasynthesis.

            Virginia Schmied, Sarah Beake, Athena Sheehan … (2011)
            Both peer and professional support have been identified as important to the success of breastfeeding. The aim of this metasynthesis was to examine women's perceptions and experiences of breastfeeding support, either professional or peer, to illuminate the components of support that they deemed "supportive." The metasynthesis included studies of both formal or "created" peer and professional support for breastfeeding women but excluded studies of family or informal support. Qualitative studies were included as well as large-scale surveys if they reported the analysis of qualitative data gathered through open-ended responses. Primiparas and multiparas who initiated breastfeeding were included. Studies published in English, in peer-reviewed journals, and undertaken between January 1990 and December 2007 were included. After assessment for relevance and quality, 31 studies were included. Meta-ethnographic methods were used to identify categories and themes. The metasynthesis resulted in four categories comprising 20 themes. The synthesis indicated that support for breastfeeding occurred along a continuum from authentic presence at one end, perceived as effective support, to disconnected encounters at the other, perceived as ineffective or even discouraging and counterproductive. A facilitative approach versus a reductionist approach was identified as contrasting styles of support that women experienced as helpful or unhelpful. The findings emphasize the importance of person-centered communication skills and of relationships in supporting a woman to breastfeed. Organizational systems and services that facilitate continuity of caregiver, for example continuity of midwifery care or peer support models, are more likely to facilitate an authentic presence, involving supportive care and a trusting relationship with professionals. © 2010, Copyright the Authors. Journal compilation © 2010, Wiley Periodicals, Inc.
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              Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit

              Dua'a Al Maghaireh, Mariam Al Kawafha, Chua Piaw … (2016)
              Article 0 comments Cited 70 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jenny Ericson:
                ORCID: http://orcid.org/0000-0002-3460-7500
                jenny.ericson@ltdalarna.se
                Journal
                Journal ID (nlm-ta): Acta Paediatr
                Journal ID (iso-abbrev): Acta Paediatr
                Journal ID (doi): 10.1111/(ISSN)1651-2227
                Journal ID (publisher-id): APA
                Title: Acta Paediatrica (Oslo, Norway : 1992)
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0803-5253
                ISSN (Electronic): 1651-2227
                Publication date (Electronic): 22 February 2018
                Publication date (Print): May 2018
                Volume: 107
                Issue: 5 ( doiID: 10.1111/apa.2018.107.issue-5 )
                Pages: 791-798
                Affiliations
                [ 1 ] Department of Women's and Children's Health Uppsala University Uppsala Sweden
                [ 2 ] Centre for Clinical Research Dalarna Falun Sweden
                [ 3 ] Department of Paediatrics Falu Hospital Falun Sweden
                [ 4 ] Faculty of Medicine and Health School of Health Sciences Örebro University Örebro Sweden
                [ 5 ] Nursing, Midwifery and Allied Health Professionals Research Unit University of Stirling Stirling UK
                [ 6 ] School of Education, Health and Social Studies Dalarna University Falun Sweden
                Author notes
                [*] [* ] Correspondence

                Jenny Ericson, RN, PhD, Centre for Clinical Research Dalarna, Nissersväg 3, Falun S‐79182, Sweden.

                Tel: +462318316 ¦

                Fax: +462318375 ¦

                Email: jenny.ericson@ 123456ltdalarna.se

                Author information
                http://orcid.org/0000-0002-3460-7500
                Article
                Publisher ID: APA14257
                DOI: 10.1111/apa.14257
                PMC ID: 5947616
                PubMed ID: 29405368
                SO-VID: 879d5943-9326-4c3f-833c-f54c878d44f9
                Copyright © ©2018 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date received : 17 August 2017
                Date revision received : 04 December 2017
                Date accepted : 29 January 2018
                Page count
                Figures: 2, Tables: 2, Pages: 8, Words: 6591
                Funding
                Funded by: Centre for Clinical Research Dalarna
                Funded by: Uppsala‐Örebro Regional Research Council
                Funded by: Gillbergska Foundation
                Funded by: Birth Foundation
                Funded by: The Samariten Foundation for Paediatric Research
                Funded by: The Swedish Nursing Association
                Categories
                Subject: Regular Article
                Subject: Regular Articles
                Subject: Feeding
                Custom metadata
                source-schema-version-number 2.0
                component-id apa14257
                cover-date May 2018
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.3.8.2 mode:remove_FC converted:11.05.2018

                ScienceOpen disciplines: Pediatrics
                Keywords: breast milk,discharge,neonatal,person‐centred,preterm births
                Data availability:
                ScienceOpen disciplines: Pediatrics
                Keywords: breast milk, discharge, neonatal, person‐centred, preterm births

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