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Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial
Open accessAbstract
Aim: The aim was to evaluate the effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants after discharge from neonatal intensive care units (NICU). Methods: Between March 2013 and December 2015, a randomised controlled trial was conducted at six NICUs across Sweden. At each NICU, a breastfeeding support team recruited, randomised and delivered the support to participating mothers. The intervention group received a daily proactive telephone call up to 14 days after discharge from the support team. The control group could initiate telephone contact themselves. Primary outcome was exclusive breastfeeding eight weeks after discharge. Secondary outcomes were maternal satisfaction with breastfeeding, attachment, quality of life and parental stress. Results: In total, 493 mothers were randomised, 231 to intervention group and 262 to control group. There were no differences between the groups for exclusive breastfeeding, odds ratio 0.96, 95% CI 0.66–1.38, nor for maternal satisfaction with breastfeeding, attachment or quality of life. The intervention group reported significantly less parental stress than the controls, t = 2.44, 95% CI 0.03–0.23, effect size d = 0.26. Conclusion: In this trial, proactive telephone support was not associated with increased exclusive breastfeeding prevalence eight weeks following discharge. However, intervention group mothers showed significantly lower parental stress.
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Mothers who received daily phone call support reported lower parental stress compared to the control group.
“Mothers received daily phone call support reported lower parental stress (Ericson et al., 2018) compared to the control group”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Ericson et al., 2018
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COMMITTEE ON FETUS AND NEWBORN, Barfield, W. D., Papile, L.-A., Baley, J. E., Benitz, W., Cummings, J., Carlo, W. A., Kumar, P., Polin, R. A., Tan, R. C., et al. (2012) · Pediatrics · doi:10.1542/peds.2012-1999 · Cited by 959
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Telephone support for women during pregnancy and the first six weeks postpartum
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Scoping review of interventions to support families with preterm infants post-NICU discharge
Griffith, T., Singh, A., Naber, M., Hummel, P., Bartholomew, C., Amin, S., White-Traut, R., & Garfield, L. (2022) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2022.08.014 · Cited by 76
Schmöker, A., Flacking, R., Udo, C., Eriksson, M., Hellström‐Westas, L., & Ericson, J. (2020) · Acta Paediatrica · doi:10.1111/apa.15185 · Cited by 27
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Metadata
- Authors
- Ericson, J., Eriksson, M., Hellström‐Westas, L., Hoddinott, P., & Flacking, R.
- Affiliations
- Uppsala University (SE)
- Örebro University (SE)
- Department of Women's and Children's Health Uppsala University Uppsala Sweden
- University of Stirling (GB)
- Dalarna University (SE)
- Corresponding author
- Ericson, Jenny
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2018-02-22
- Volume
- 107
- Issue
- 5
- Pages
- 791-798
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- PMC
- PMC5947616
- OpenAlex
- W2787770879
- Cited by
- 44
- References
- 5
- Citations by year
- 2026: 11 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 4 · 2019: 1 · 2018: 1
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Acta Paediatrica (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Diva portal (Dalarna University Library) (submittedVersion, other-oa)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc-nd)
- Funders
- Centrum fÖr Klinisk Forskning Dalarna
- Gillbergska stiftelsen
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- breastfeeding support, preterm infants, telephone support, neonatal intensive care unit discharge, exclusive breastfeeding, parental stress, maternal satisfaction, maternal attachment, quality of life
- MeSH terms
- Psychosocial Support Systems, Adult, Breast Feeding, Female, Humans, Infant, Newborn, Infant, Premature, Male, Telephone
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