School of Health and Wellfare, Dalarna University, Högskolegatan 2, 791 31, Falun, Sweden.
Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
BMC Pregnancy Childbirth. 2022 Feb 23;22(1):150. doi: 10.1186/s12884-022-04469-6.
Early parenthood is a sensitive period for parents. Parents may feel uncertain about their new roles and unsure about where to find trusted information and support. The aim of this study was to explore the association between breastfeeding and early home visits and a proactive telephone support intervention and to describe parental experiences.
This study was conducted as a mixed method study with a convergent design using qualitative data from the written comments of parents, and the quantitative data consisted of demographics, breastfeeding, and Likert questions about parents' satisfaction with the early home visit and telephone support. Historic control (2017-2018) and intervention (2019-2020) data were collected from one family health care centre, and control (2019-2020) data were collected from another family health care centre.
In total, 838 infants, 42 mothers and 38 fathers contributed to the data in the study. The intervention group had a statistically significantly earlier home visit than the control groups. Early home visits and proactive telephone support to parents with newborn infants were not associated with breastfeeding outcomes up to six months after birth, but we could not exclude the possibility that this was a consequence of our observational study design. However, the early home visit was appreciated by the parents where they received both practical and emotional support.
Although the intervention was not associated with breastfeeding, the parents appreciated the service. This shows the importance of continuing to investigate how and which support parents of newborn infants need and the effects of such support, including interventions to provide optimal support to facilitate continued breastfeeding.
早期育儿是父母的一个敏感时期。父母可能对自己的新角色感到不确定,也不确定在哪里可以找到可信的信息和支持。本研究旨在探讨母乳喂养和早期家访以及主动电话支持干预之间的关联,并描述父母的体验。
本研究采用混合方法研究,设计为收敛设计,使用来自父母书面评论的定性数据,以及人口统计学、母乳喂养和父母对早期家访和电话支持满意度的李克特问题的定量数据。历史对照(2017-2018 年)和干预(2019-2020 年)数据来自一个家庭保健中心,对照(2019-2020 年)数据来自另一个家庭保健中心。
共有 838 名婴儿、42 名母亲和 38 名父亲参与了本研究的数据收集。干预组的家访时间明显早于对照组。在出生后六个月内,新生儿父母的早期家访和主动电话支持与母乳喂养结果之间没有关联,但我们不能排除这是我们观察性研究设计的结果。然而,早期家访受到了父母的赞赏,他们在那里得到了实际和情感上的支持。
尽管干预措施与母乳喂养无关,但父母对这项服务表示赞赏。这表明继续调查新生儿父母需要何种支持以及此类支持的效果的重要性,包括提供最佳支持以促进母乳喂养的干预措施。