LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Publisher: Wiley
Languages: English
Types: Article
Subjects:
Breastfeeding is known to have positive health benefits for babies and mothers, yet the UK has one of the lowest breastfeeding initiation rates in Europe. Despite national guidance that recommends provision of breastfeeding peer support, there is conflicting evidence regarding its effectiveness, especially in high income countries, and a lack of evidence amongst young mothers. This study evaluates the effectiveness of a breastfeeding peer support service (BPSS) in one UK city in increasing breastfeeding initiation and duration in young mothers. Routinely-collected data were obtained on feeding method at birth, two and six weeks for all 5,790 women aged <25 registered with a local general practitioner and who gave birth from April 2009 to September 2013. Segmented regression was used to quantify the impact of the introduction of the BPSS in September 2012 on the prevalence of breastfeeding at birth, two and six weeks, accounting for underlying trends. Results showed that breastfeeding prevalence at birth and two weeks began to increase month-on-month after the introduction of the BPSS, where previously figures had been static; prevalence at birth increased by 0.55 percentage points per month (95%CI 0.10-1.00, p=0.018) and at two weeks by 0.50 percentage points (95%CI 0.15-0.86, p=0.007). There was no change from an underlying marginally increasing trend in prevalence at six weeks. In conclusion, our findings suggest that a one-to-one breastfeeding peer support service provided by paid peer supporters and targeted at young mothers in the antenatal and postnatal periods may be beneficial in increasing breastfeeding initiation and prevalence at two weeks.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Be A Star, 2015. Breastfeed: Be A Star. Available at: http://www.beastar.org.uk/ [Accessed March 19, 2015].
    • Britton, C. et al., 2007. Support for breastfeeding mothers. The Cochrane Database of Systematic Reviews, (1), p.CD001141.
    • Cochrane Effective Practice and Organisation of Care Group, 2013. Interrupted time series (ITS) analyses, Available at: http://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/21%20Interrupted%20t ime%20series%20analyses%202013%2008%2012.pdf [Accessed March 19, 2015].
    • Department of Health, 2013. Breastfeeding Statistics: Q4, 2012 - 2013. Available at: https://www.gov.uk/government/statistical-data-sets/breastfeeding-statistics-q4-2012- to-2013 [Accessed March 19, 2015].
    • Department of Health, 2012. Public Health Outcomes Framework 2013 to 2016, London: Department of Health. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAn dGuidance/DH_132358 [Accessed March 19, 2015].
    • Dyson, L. et al., 2010. Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: the moral dimension. Birth, 37(2), pp.141-149.
    • Dyson, L. et al., 2005. Promotion of breastfeeding initiation and duration: Evidence into practice briefing, London: National Institute for Health and Clinical Excellence. Available at: http://www.nice.org.uk/proxy/?sourceUrl=http%3a%2f%2fwww.nice.org.uk%2fnice media%2fpdf%2fEAB_Breastfeeding_final_version.pdf [Accessed March 19, 2015].
    • Health and Social Care Information Centre, 2012a. Infant Feeding Survey 2010. Available at: http://www.hscic.gov.uk/catalogue/PUB08694 [Accessed March 15, 2015].
    • Health and Social Care Information Centre, 2012b. Infant Feeding Survey, 2010. Appendix C: Logistic Regression Analysis, Available at: http://www.hscic.gov.uk/catalogue/PUB08694/ifs-uk-2010-apxc-log-reg-analy.pdf [Accessed March 19, 2015].
    • Horta, B. et al., 2007. Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analyses, Geneva: World Health Organisation. Available at: http://whqlibdoc.who.int/publications/2007/9789241595230_eng.pdf [Accessed March 19, 2015].
    • Ingram, J., 2013. A mixed methods evaluation of peer support in Bristol, UK: mothers', midwives' and peer supporters' views and the effects on breastfeeding. BMC pregnancy and childbirth, 13, p.192.
    • Ingram, J. et al., 2008. Exploring the barriers to exclusive breastfeeding in black and minority ethnic groups and young mothers in the UK. Maternal & Child Nutrition, 4(3), pp.171-180.
    • Ingram, J., Rosser, J. & Jackson, D., 2005. Breastfeeding peer supporters and a community support group: evaluating their effectiveness. Maternal & Child Nutrition, 1(2), pp.111-118.
    • Ip, S. et al., 2007. Breastfeeding and maternal and infant health outcomes in developed countries, Rockville, MD: Agency for Healthcare Research and Quality. Available at: http://archive.ahrq.gov/downloads/pub/evidence/pdf/brfout/brfout.pdf [Accessed March 19, 2015].
    • McInnes, R.J., Love, J.G. & Stone, D.H., 2000. Evaluation of a community-based intervention to increase breastfeeding prevalence. Journal of Public Health Medicine, 22(2), pp.138-145.
    • National Health Service, 2015. Family Nurse Partnership. Available at: http://fnp.nhs.uk/ [Accessed March 19, 2015].
    • National Institute for Health and Care Excellence, 2008. NICE Guidelines [PH11] Maternal and Child Nutrition, National Institute for Health and Care Excellence. Available at: http://www.nice.org.uk/guidance/ph11/chapter/key-priorities [Accessed March 19, 2015].
    • Nottingham Insight, 2012. Breastfeeding Strategies for Nottingham City and Nottinghamshire County. Available at: http://www.nottinghaminsight.org.uk/d/74554 [Accessed March 19, 2015].
    • Nottingham Insight, 2014. Nottingham City Joint Strategic Needs Assessment February 2014: Demographic Context. Available at: http://www.nottinghaminsight.org.uk/insight/handler/downloadHandler.ashx?node=9 1518 [Accessed March 19, 2015].
    • Organisation for Economic Co-Operation and Development, 2009. Breastfeeding rates, 2009. Available at: http://www.oecd.org/els/family/43136964.pdf [Accessed March 19, 2015].
    • Renfrew, M., Pokhrel, S., et al., 2012. Preventing disease and saving resources: the potential contribution of increasing breastfeeding rates in the UK, UNICEF, UK. Available at: www.unicef.org.uk/.../Baby.../Preventing_disease_saving_resources.pdf [Accessed March 19, 2015].
    • Renfrew, M., McCormick, F., et al., 2012. Support for healthy breastfeeding mothers with healthy term babies. The Cochrane Database of Systematic Reviews, 5, p.CD001141.
    • UNICEF UK, 2015. Welcome to the Baby Friendly Initiative. Available at: http://www.unicef.org.uk/babyfriendly/ [Accessed March 15, 2015].
    • Wagner, A.K. et al., 2002. Segmented regression analysis of interrupted time series studies in medication use research. Journal of Clinical Pharmacy and Therapeutics, 27(4), pp.299-309.
    • p=0.018
  • No related research data.
  • Discovered through pilot similarity algorithms. Send us your feedback.

Share - Bookmark

Cite this article