Wong Mei Sze, Chien Wai Tong
Faculty of Medicine, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong.
Scand J Caring Sci. 2025 Mar;39(1):e13320. doi: 10.1111/scs.13320.
To evaluate the effectiveness of a theory-based, Real-time-online Education and Support with Telephone follow-ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum.
Randomised controlled trial.
Convenience sampling was used to recruit 150 low-risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3-month real-time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self-efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate.
Then, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow-ups with prompt and practical advice.
The REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant-care needs.
The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks.
ClinicalTrials.gov identifier: NCT04741425.
评估一项基于理论的、实时在线教育与电话随访支持（REST）计划对初产妇产后6个月母乳喂养结局的有效性。
随机对照试验。
采用便利抽样法招募150名低风险初产妇，然后通过计算机化区组随机化将她们随机分为干预组和对照组。参与者在产前和产后接受为期3个月的实时在线教育和支持计划，或仅接受常规护理（每组75名母亲）。主要结局为纯母乳喂养（EBF）率和母乳喂养自我效能感（BSE）；次要结局为主要和部分母乳喂养率、配方奶喂养率、母亲产后抑郁评分、婴儿发病率、产后2个月和6个月时的EBF持续时间以及母乳喂养启动率。
75名母亲中有72名（96%）成功完成了REST计划。与对照组在两次后期测试中相比（产后6个月时的EBF率除外），她们的EBF率显著更高、EBF持续时间更长，且BSE的增幅更大。总体而言，REST计划因提供详细有用的信息以及定期产后随访并给予及时实用的建议而受到所有参与者的高度评价。
REST计划有效改善了初产妇产后6个月的BSE和EBF持续时间以及产后2个月时的EBF率。鉴于初产妇的强烈推荐，可向这些母亲提供产前和产后在线母乳喂养支持的REST计划，以满足母乳喂养和婴儿护理需求。
研究结果表明，在人员和资源有限的当前孕产妇护理环境中，从产前到产后2个月实施的REST计划对于提供充分的母乳喂养教育和支持是可行且有用的。在线平台可用于未来的产前母乳喂养讲座。
ClinicalTrials.gov标识符：NCT04741425。
