The effect of postnatal breastfeeding education/support offered at home 3 days after delivery on breastfeeding duration and knowledge: a randomized trial
Abstract
Objective The aim of this study was to determine the effects of breastfeeding education/support offered at home on day 3 postpartum on breastfeeding duration and knowledge. Methods The study included a total of 60 women who gave birth at Zübeyde Hanım Maternity Hospital located in Aydın, Turkey. In addition to a standard breastfeeding education in the first few hours after delivery, which was provided to all women in this "baby-friendly initiative" (BFI) hospital, the mothers in the intervention group received breastfeeding education at home on day 3 postpartum from supporters. Results Both groups were comparable in terms of maternal and neonatal characteristics. The breastfeeding education/support offered during a home visit on day 3 postpartum was associated with a significant increase in the percentage of exclusively breastfed infants both at 2 weeks and 6 weeks, and at 6 months, and was also associated with a significant increase in exclusive breastfeeding and in total breastfeeding duration. In addition, increased breastfeeding knowledge scores were observed in the intervention group at 2 weeks and at 6 weeks after delivery, when compared with the respective scores in the control group. Conclusion Breastfeeding education offered at home on day 3 postpartum was effective in increasing the breastfeeding duration and breastfeeding knowledge.
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For the Aksu 2011 trial, incomplete outcome data was at high risk of bias because it was not an intention-to-treat analysis and there was loss to follow-up (intervention group: 3+3/33, control group: 3+3/33; 54/66 followed up at 18 months, 82%).
“Not ITT analysis. There was some loss to follow-up (Intervention group: 3+3 /33, Control group: 3+3 /33). 54/66 were followed up at 18 months (82%).”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, other bias was at low risk because groups appeared comparable at baseline and no other bias was apparent.
“Groups appeared comparable at baseline. No other bias apparent.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, random sequence generation was at low risk of bias because computer-generated random numbers were used.
“Use of computer-generated random numbers.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, blinding of participants and personnel was at high risk of bias because blinding was not feasible, though outcome assessors could have been blinded.
“Not feasible, but the authors state,”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, selective reporting was at high risk of bias because the primary outcome was not pre-defined in the methods.
“The primary outcome was not pre-defined in the methods.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, allocation concealment was at unclear risk of bias because the method used at the point of randomisation was not described.
“After the baseline interview, participants were randomly allocated to 1 of the 2 groups; the method used at the point of randomisation was not described.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
For the Aksu 2011 trial, blinding of outcome assessment was at high risk of bias because the intervention could not be blinded, though outcome assessors could have been blinded.
“The authors state,”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Aksu 2011
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References 30 · Cited by 98
- Authors
- Aksu, H., Küçük, M., & Düzgün, G.
- Affiliations
- Adnan Menderes University (TR)
- Corresponding author
- Aksu, Hilmiye
- Venue
- The Journal of Maternal-Fetal & Neonatal Medicine
- Publisher
- Informa UK Limited
- Published
- 2010-07-07
- Volume
- 24
- Issue
- 2
- Pages
- 354-361
- ISSN
- 1476-4954 (ISSN-L)
- 1476-7058
- OpenAlex
- W2168038314
- Cited by
- 98
- References
- 30
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 10 · 2019: 12 · 2018: 3 · 2017: 10 · 2016: 4 · 2015: 4 · 2014: 9 · 2013: 8 · 2012: 2
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Maternal-Fetal & Neonatal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- breastfeeding education, home visits, breastfeeding duration, exclusive breastfeeding, breastfeeding knowledge, Baby-Friendly Hospital Initiative, postpartum support
- MeSH terms
- Adult, Algorithms, Breast Feeding, Female, Follow-Up Studies, Home Care Services, Humans, Infant, Newborn, Health Knowledge, Attitudes, Practice, Patient Education as Topic, Surveys and Questionnaires, Social Support, Time Factors, Delivery, Obstetric, Postpartum Period, Young Adult
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