Telephone Support for First-Time Breastfeeding Mothers: Building a Foundation for Healthier Tomorrows

Tuesday, 13 July 2010: 8:30 AM

Margaret-Rose Agostino, MSN, MSW, BA, RN-BC, IBCLC
School of Health & Public Policy, Department of Nursing, Delaware State University, Dover, DE

Learning Objective 1: Discuss how the implementation of an evidence-based intervention ie.telephone support decreases the risk of early weaning for first-time breastfeeding mothers.

Learning Objective 2: Describe how telephone support is an effective intervention for a mixed rural/urban population of breastfeeding women.

Objective: To assess the effect of post-discharge telephone breastfeeding support on reducing the risk of early weaning from mother’s stated goal.
Literature Review- Data Sources: Cochrane Pregnancy and Childbirth Group trials register; PubMed; Med Line; CINAHL; Proquest; Ovid; Academic Search Premier: Health Source: Nursing/Academic Edition; Library, Information Science & Technology Abstracts; PsychARTICLES; PsychINFO. Search terms: breastfeeding, lactation, support, duration, cessation, weaning, and telephone support. Restricted to English, full text, published January 1997 - December 2008. Study Selection: 78 articles met the inclusion criteria: peer review, journal articles, human subject, clinical trial, meta-analysis, practice guideline, and review. Data extraction:  Quality review conducted utilizing the Johns Hopkins Nursing Evidence-Based Practice Research and Non-Research Appraisal methodology (Newhouse, et al 2007).  Data Synthesis: The positive effect of post-discharge breastfeeding support on increasing the duration of breastfeeding is well documented in the literature. 
Methods: Pre-intervention base-line data obtained via:   brief telephone survey conducted with breastfeeding mothers 6 months prior to intervention and data obtained regarding breastfeeding duration and perception of breastfeeding support;  telephone survey of local pediatric practices was conducted and breastfeeding initiation and 6 month duration data obtained for babies born in January 2009; WIC breastfeeding data for January – July 2009 obtained. Intervention: first-time breastfeeding mothers meeting the eligibility criteria, self-selected by completing the enrollment form [N= 34];  telephone support  included weekly calls for three months, then monthly calls for three  months, or until the mother weaned. Data obtained from the mothers were analyzed utilizing Ethnonursing methodology and descriptive statistics.
Results: The provisions of a structured telephone support decreased the relative risk of early weaning, empowered participants to meet/ overcome challenges, and meet their stated goal.
Reference: Newhouse, R., Dearholt, S., Poe, S., Pugh, L., & White, K. (2007) Johns Hopkins Evidence-Based Practice Model and Guidelines. Indianapolis:  Sigma Theta Tau International.