Department of Nursing Science, School of Public Health, Aarhus University, Denmark.
Midwifery. 2012 Dec;28(6):784-90. doi: 10.1016/j.midw.2011.08.016. Epub 2011 Oct 20.
to assess the effect of an antenatal training programme on knowledge, self-efficacy and problems related to breast feeding and on breast-feeding duration.
a randomised controlled trial.
the Aarhus Midwifery Clinic, a large clinic connected to a Danish university hospital in an urban area of Denmark.
a total of 1193 nulliparous women were recruited before week 21+6 days of gestation, 603 were randomised to the intervention group, and 590 to the reference group.
we compared a structured antenatal training programme attended in mid-pregnancy with usual practice.
data were collected through self-reported questionnaires sent to the women's e-mail addresses and analysed according to the intention to treat principle. The primary outcomes were duration of full and any breast feeding collected 6 weeks post partum (any) and 1 year post partum (full and any).
no differences were found between groups according to duration of breast feeding, self-efficacy score, or breast-feeding problems, but after participation in the course in week 36 of gestation women in the intervention group reported a higher level of confidence (p=0.05), and 6 weeks after birth they reported to have obtained sufficient knowledge about breast feeding (p=0.02). Supplemental analysis in the intervention group revealed that women with sufficient knowledge breast fed significantly longer than women without sufficient knowledge (HR=0.74 CI: 0.58-0.97). This association was not found in the reference group (HR=1.12 CI: 0.89-1.41).
antenatal training can increase confidence of breast feeding in pregnancy and provide women with sufficient knowledge about breast feeding after birth. Antenatal training may therefore be an important low-technology health promotion tool that can be provided at low costs in most settings. The antenatal training programme needs to be followed by postnatal breast-feeding support as it is not sufficient in itself to increase the duration of breast feeding or reduce breast-feeding problems.
评估产前培训计划对母乳喂养相关知识、自我效能和问题，以及母乳喂养持续时间的影响。
随机对照试验。
丹麦一所城市地区大学附属医院下属的奥胡斯助产士诊所。
共有 1193 名初产妇在 21 周+6 天妊娠前被招募，其中 603 名被随机分配到干预组，590 名被分配到对照组。
我们比较了妊娠中期参加的结构化产前培训计划与常规实践。
通过发送给女性电子邮件地址的自我报告问卷收集数据，并根据意向治疗原则进行分析。主要结局是产后 6 周（任何）和产后 1 年（全和任何）的纯母乳喂养和任何母乳喂养持续时间。
两组在母乳喂养持续时间、自我效能评分或母乳喂养问题方面无差异，但在妊娠第 36 周参加课程后，干预组的女性报告了更高的信心水平（p=0.05），产后 6 周时报告获得了足够的母乳喂养知识（p=0.02）。干预组的补充分析显示，知识充足的女性母乳喂养时间显著长于知识不足的女性（HR=0.74 CI：0.58-0.97）。在对照组中未发现这种关联（HR=1.12 CI：0.89-1.41）。
产前培训可以增加孕妇对母乳喂养的信心，并在产后为女性提供足够的母乳喂养知识。因此，产前培训可能是一种重要的低成本低技术健康促进工具，可以在大多数环境中提供。产前培训计划需要由产后母乳喂养支持来跟进，因为它本身不足以增加母乳喂养持续时间或减少母乳喂养问题。
