An evaluation of a telephone-based postnatal support intervention for infant feeding in a regional Australian city

Fallon, AB, Hegney, D, O'Brien, M, Brodribb, W, Crepinsek, M and Doolan, J (2005) An evaluation of a telephone-based postnatal support intervention for infant feeding in a regional Australian city. Birth-issues In Perinatal Care, 32 4: 291-298.


Author Fallon, AB
Hegney, D
O'Brien, M
Brodribb, W
Crepinsek, M
Doolan, J
Title An evaluation of a telephone-based postnatal support intervention for infant feeding in a regional Australian city
Journal name Birth-issues In Perinatal Care   Check publisher's open access policy
ISSN 0730-7659
Publication date 2005-12
Sub-type Article (original research)
DOI 10.1111/j.0730-7659.2005.00386.x
Volume 32
Issue 4
Start page 291
End page 298
Total pages 8
Place of publication United States
Publisher Blackwell Publishing Inc
Collection year 2005
Language eng
Subject C1
321100 Nursing
730209 Rural health
730204 Child health
730302 Nursing
Abstract Background: Postnatal breastfeeding support in the form of home visits is difficult to accommodate in regional Australia, where hospitals often deal with harsh economic constraints in a context where they are required to provide services to geographically, dispersed consumers. This study evaluated a predominately telephone-based support service called the Infant Feeding Support Service. Methods: A prospective cohort design was used to compare data for 696 women giving birth in two regional hospitals (one public, one private) and participating in the support service between January and July 2003 with data from a cohort of 625 women who gave birth in those hospitals before the introduction of the support service. Each mother participating in the support service was assigned a lactation consultant. First contact occurred 48 hours after discharge, and approximately it weekly thereafter for 4 it weeks. Breastfeeding duration was measured at 3 months postpartum. Results: For women from the private hospital, the support service improved exclusive breastfeeding duration to 4.5 weeks postpartum, but these improvements were not evident at 3 months postpartum. No effects were observed for mothers from the public hospital. Quantitative and qualitative data demonstrated high levels of client satisfaction with the support service. Conclusions: This small-scale, predominately telephone-based intervention provided significant, although apparently context-sensitive, improvements to exclusive breastfeeding duration.
Keyword Nursing
Obstetrics & Gynecology
Pediatrics
Randomized Controlled-trial
Discharge
Duration
Initiation
Women
Q-Index Code C1

 
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