Pitts Adrienne, Faucher Mary Ann, Spencer Rebecca
Baylor University Louise Herrington School of Nursing , Dallas, Texas.
Breastfeed Med. 2015 Mar;10(2):118-23. doi: 10.1089/bfm.2014.0034. Epub 2015 Jan 7.
Prenatal breastfeeding education increases breastfeeding initiation, exclusivity, and duration. Current research regarding antenatal breastfeeding education suggests that recurrent, individual, and technology-based education programs are effective in providing women with evidence-based breastfeeding information and guidance.
This project was implemented at an obstetrical practice in the northeast United States. Pregnant women between 32 weeks of gestation and birth, receiving care from certified nurse-midwives, were the targeted population. Three breastfeeding modules were created and offered to women at the 32-, 34-, and 36-week prenatal visit via computer tablets. Women answered questionnaires at the end of each module, serving as a measure for participation and content learning. Women also completed a questionnaire at the 6-week postpartum visit to assess summative perceptions.
Twenty-three women participated, and 21 women completed questionnaires at 6 weeks postpartum. All women answered the content questions at the end of the modules correctly. Sixty-seven percent reported prior breastfeeding experience, 95% initiated breastfeeding, 86% were exclusively breastfeeding at 6 weeks postpartum, and 71% of the women planned to exclusively breastfeed for 6 months. Sixty-seven percent reported the modules promoted or affirmed their decision to breastfeed, whereas 5% would have preferred group-based education. Providers documented breastfeeding education 52% of the time.
The results of this project indicate that women successfully learned breastfeeding content via the tablet methodology. The results confirm that prenatal breastfeeding education, in the office setting, is well accepted by women. In order to assess the impact of the program on breastfeeding success, further study is needed.
产前母乳喂养教育可提高母乳喂养的开始率、纯母乳喂养率和持续时间。目前有关产前母乳喂养教育的研究表明，反复进行的、个性化的以及基于技术的教育项目能有效地为女性提供循证母乳喂养信息和指导。
本项目在美国东北部的一家产科诊所实施。目标人群为孕周在32周及以上直至分娩、接受认证助产士护理的孕妇。创建了三个母乳喂养模块，并在孕妇32周、34周和36周产前检查时通过平板电脑提供给她们。女性在每个模块结束时回答问卷，以此作为参与度和内容学习情况的衡量指标。女性在产后6周时还需完成一份问卷，以评估总体认知。
23名女性参与了研究，21名女性在产后6周完成了问卷。所有女性在模块结束时都正确回答了内容问题。67%的女性报告有过母乳喂养经历，95%开始进行母乳喂养，86%在产后6周时进行纯母乳喂养；71%的女性计划纯母乳喂养6个月。67%的女性报告这些模块促进或坚定了她们母乳喂养的决定，而5%的女性更倾向于小组式教育。医护人员记录了52%的母乳喂养教育情况。
本项目结果表明，女性通过平板电脑教学法成功学习了母乳喂养相关内容。结果证实，在诊所环境下的产前母乳喂养教育很受女性欢迎。为评估该项目对母乳喂养成功的影响，还需要进一步研究。
