Document Detail


CD-ROM-based program for breastfeeding mothers.
MedLine Citation:
PMID:  21689269     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The vast majority of breastfeeding mothers in Western countries have routine access to multimedia and Internet resources at home. The aim of this study was to assess the effectiveness of a CD-ROM-based intervention in increasing the rates of breastfeeding. We conducted a pre- and post-intervention study involving four control and four intervention maternity units in France. All breastfeeding mothers in intervention units were given a CD-ROM-based program addressing various breastfeeding topics. The primary outcome was any breastfeeding at 4 weeks assessed by follow-up telephone interview. The secondary outcomes included breastfeeding duration, breastfeeding difficulties after discharge and satisfaction with the breastfeeding experience. The rates of any breastfeeding at 4 weeks varied from 88.6% (209/236) to 87.9% (211/240) and from 86.0% (222/258) to 88.0% (228/259) for mothers enrolled in intervention and control maternity units, respectively (P for interaction = 0.54). The hazard of breastfeeding discontinuation for mothers enrolled in intervention units did not vary significantly across study periods after adjusting for education level, epidural anaesthesia, breastfeeding assessment score and return to work (P for interaction = 0.18). The rates of breastfeeding at 4 weeks remained unchanged when restricting the analysis to the mothers who actually received (87.8% [173/197]) or used [88.2% (105/119)] the CD-ROM during the post-intervention period. No significant differences were found in secondary outcomes between the two study groups. A CD-ROM-based intervention for breastfeeding mothers provides no additional benefit to usual post-natal care. Further study is needed to assess the effectiveness of multimedia packages as part of more intensive multifaceted interventions.
Authors:
José Labarère; Nathalie Gelbert-Baudino; Laurent Laborde; Domitille Arragain; Camille Schelstraete; Patrice François
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Publication Detail:
Type:  Journal Article     Date:  2010-02-03
Journal Detail:
Title:  Maternal & child nutrition     Volume:  7     ISSN:  1740-8709     ISO Abbreviation:  Matern Child Nutr     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101201025     Medline TA:  Matern Child Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  263-72     Citation Subset:  IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Affiliation:
Quality of Care Unit, Grenoble University Hospital, pavillon Taillefer, 38043 Grenoble Cedex 9, France, Association Française de Pédiatrie Ambulatoire, polygone alpha, 73000 Chambéry, France, Departement of Obstetrics, Grenoble University Hospital, 38043 Grenoble Cedex 9, France, 285, rue Nicolas Parent, 73000 Chambéry, France.
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