Alberdi Goiuri, O'Sullivan Elizabeth J, Scully Helena, Kelly Niamh, Kincaid Regina, Murtagh Rosie, Murray Stephanie, McGuinness Denise, Clive Ashamole, Brosnan Mary, Sheehy Lucille, Dunn Elizabeth, McAuliffe Fionnuala M
UCD Perinatal Research Centre, School of Medicine, University College Dublin, Ireland.
The National Maternity Hospital, Dublin 2, Ireland.
Midwifery. 2018 Mar;58:86-92. doi: 10.1016/j.midw.2017.12.018. Epub 2017 Dec 24.
Breastfeeding is the optimum mode of infant feeding. Despite this, most global populations do not achieve the World Health Organisation's recommendation of exclusive breast milk for the first 6 months of life. Irish breastfeeding rates are among the lowest in Europe, necessitating a well-designed breastfeeding-support intervention.
To evaluate the feasibility and acceptability of a multidimensional breastfeeding intervention in a rural and an urban maternity setting in Ireland.
A feasibility study of a breastfeeding-support intervention.
Participants were recruited from The National Maternity Hospital (Dublin, urban) and Wexford General Hospital (Wexford, rural). Questionnaires were completed antenatally, at 6 weeks postpartum and at 3 months postpartum to assess acceptability of the intervention and determine breastfeeding status.
Pregnant women were recruited in the 3 trimester, alongside a support partner.
The intervention consisted of an antenatal class (including the physiology and practical approaches to breastfeeding), a one-to-one breastfeeding consultation with a lactation consultant after birth, access to a breastfeeding helpline, online resources, and a postnatal breastfeeding support group which included a one-to-one consultation with the lactation consultant.
One hundred women from The National Maternity Hospital, Dublin and 27 women from Wexford General Hospital were recruited. The antenatal class was attended by 77 women in Dublin and 23 in Wexford; thus, 100 women participated in the intervention. Seventy-six women had a one-to-one postnatal consultation with a lactation consultant in Dublin and 23 in Wexford. Fifty and 45 women in Dublin, and 15 and 15 in Wexford responded to the 6-week and 3-month questionnaires, respectively. At 3 months postpartum, 70% of respondents from Dublin and 60% from Wexford were breastfeeding. Mothers perceived the one-to-one consultation with the lactation consultant during postnatal hospitalization as the most helpful part of the intervention. Inclusion of a support partner was universally viewed positively as a means to support the mother's decision to initiate and continue breastfeeding.
This multidimensional intervention is well-accepted and feasible to carry out within an Irish cohort, in both urban and rural areas. Data from this feasibility study will be used to design a randomized controlled trial of a breastfeeding-support intervention.
母乳喂养是婴儿喂养的最佳方式。尽管如此，全球大多数人群并未达到世界卫生组织关于婴儿出生后头6个月纯母乳喂养的建议。爱尔兰的母乳喂养率在欧洲处于最低水平，因此需要精心设计一项母乳喂养支持干预措施。
评估在爱尔兰农村和城市的产科环境中进行多维度母乳喂养干预的可行性和可接受性。
一项母乳喂养支持干预的可行性研究。
参与者从国家妇产医院（都柏林，城市）和韦克斯福德综合医院（韦克斯福德，农村）招募。在产前、产后6周和产后3个月完成问卷调查，以评估干预措施的可接受性并确定母乳喂养状况。
孕妇在孕晚期被招募，同时还有一名支持伴侣。
干预措施包括一次产前课程（包括母乳喂养的生理学知识和实际方法）、产后与泌乳顾问进行一对一的母乳喂养咨询、可拨打母乳喂养求助热线、获取在线资源，以及一个产后母乳喂养支持小组，其中包括与泌乳顾问进行一对一咨询。
从都柏林的国家妇产医院招募了100名女性，从韦克斯福德综合医院招募了27名女性。都柏林有77名女性、韦克斯福德有23名女性参加了产前课程；因此，共有100名女性参与了干预。都柏林有76名女性、韦克斯福德有23名女性在产后与泌乳顾问进行了一对一咨询。都柏林分别有50名和45名女性、韦克斯福德分别有15名和15名女性回复了产后6周和3个月的问卷。在产后3个月时，都柏林70%的受访者和韦克斯福德60%的受访者正在进行母乳喂养。母亲们认为产后住院期间与泌乳顾问进行一对一咨询是干预措施中最有帮助的部分。普遍认为纳入支持伴侣是支持母亲开始并持续母乳喂养决定的一种积极方式。
这种多维度干预措施在爱尔兰城市和农村的人群中都很容易被接受且可行。这项可行性研究的数据将用于设计一项母乳喂养支持干预的随机对照试验。
