An IBCLC in the Maternity Ward of a Mother and Child Hospital: A Pre- and Post-Intervention Study

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2015 Aug 27

PMID 26308018

Authors

Antonella Chiurco

Marcella Montico

Pierpaolo Brovedani

Lorenzo Monasta

Riccardo Davanzo

Affiliations

Soon will be listed here.

Abstract

Published evidence on the impact of the integration of International Board Certified Lactation Consultants (IBCLCs) for breastfeeding promotion is growing, but still relatively limited. Our study aims at evaluating the effects of adding an IBCLC for breastfeeding support in a mother and child hospital environment. We conducted a prospective study in the maternity ward of our maternal and child health Institute, recruiting 402 mothers of healthy term newborns soon after birth. The 18-month intervention of the IBCLC (Phase II) was preceded (Phase I) by data collection on breastfeeding rates and factors related to breastfeeding, both at hospital discharge and two weeks later. Data collection was replicated just before the end of the intervention (Phase III). In Phase III, a significantly higher percentage of mothers: (a) received help to breastfeed, and also received correct information on breastfeeding and community support, (b) started breastfeeding within two hours from delivery, (c) reported a good experience with the hospital staff. Moreover, the frequency of sore and/or cracked nipples was significantly lower in Phase III. However, no difference was found in exclusive breastfeeding rates at hospital discharge or at two weeks after birth.

References

Oakley L, Renfrew M, Kurinczuk J, Quigley M . Factors associated with breastfeeding in England: an analysis by primary care trust. BMJ Open. 2013; 3(6). PMC: 3693424. DOI: 10.1136/bmjopen-2013-002765. View

Cleminson J, Oddie S, Renfrew M, McGuire W . Being baby friendly: evidence-based breastfeeding support. Arch Dis Child Fetal Neonatal Ed. 2014; 100(2):F173-8. DOI: 10.1136/archdischild-2013-304873. View

Britton C, McCormick F, Renfrew M, Wade A, King S . Support for breastfeeding mothers. Cochrane Database Syst Rev. 2007; (1):CD001141. DOI: 10.1002/14651858.CD001141.pub3. View

Dyson L, McCormick F, Renfrew M . Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2005; (2):CD001688. DOI: 10.1002/14651858.CD001688.pub2. View

Castrucci B, Hoover K, Lim S, Maus K . A comparison of breastfeeding rates in an urban birth cohort among women delivering infants at hospitals that employ and do not employ lactation consultants. J Public Health Manag Pract. 2006; 12(6):578-85. DOI: 10.1097/00124784-200611000-00012. View

Jonsdottir O, Fewtrell M, Gunnlaugsson G, Kleinman R, Hibberd P, Jonsdottir J . Initiation of complementary feeding and duration of total breastfeeding: unlimited access to lactation consultants versus routine care at the well-baby clinics. Breastfeed Med. 2014; 9(4):196-202. PMC: 4066226. DOI: 10.1089/bfm.2013.0094. View

Lukac M, Riley J, Humphrey A . How to integrate a lactation consultant in an outpatient clinic environment. J Hum Lact. 2006; 22(1):99-103. DOI: 10.1177/0890334405283622. View

Mannel R, Mannel R . Staffing for hospital lactation programs: recommendations from a tertiary care teaching hospital. J Hum Lact. 2006; 22(4):409-17. DOI: 10.1177/0890334406294166. View

Wight N, Marinelli K . ABM clinical protocol #1: guidelines for glucose monitoring and treatment of hypoglycemia in breastfed neonates. Breastfeed Med. 2007; 1(3):178-84. DOI: 10.1089/bfm.2006.1.178. View

10.

Carletti C, Pani P, Knowles A, Monasta L, Montico M, Cattaneo A . Breastfeeding to 24 months of age in the northeast of Italy: a cohort study. Breastfeed Med. 2011; 6(4):177-82. DOI: 10.1089/bfm.2011.0019. View

11.

Philipp B, Merewood A . The Baby-Friendly way: the best breastfeeding start. Pediatr Clin North Am. 2004; 51(3):761-83, xi. DOI: 10.1016/j.pcl.2004.01.007. View

12.

Rishel P, Sweeney P . Comparison of breastfeeding rates among women delivering infants in military treatment facilities with and without lactation consultants. Mil Med. 2005; 170(5):435-8. DOI: 10.7205/milmed.170.5.435. View

13.

Hoddinott P, Craig L, MacLennan G, Boyers D, Vale L . The FEeding Support Team (FEST) randomised, controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areas. BMJ Open. 2012; 2(2):e000652. PMC: 3341594. DOI: 10.1136/bmjopen-2011-000652. View

14.

Castrucci B, Hoover K, Lim S, Maus K . Availability of lactation counseling services influences breastfeeding among infants admitted to to neonatal intensive care units. Am J Health Promot. 2007; 21(5):410-5. DOI: 10.4278/0890-1171-21.5.410. View

15.

Bonuck K, Trombley M, Freeman K, McKee D . Randomized, controlled trial of a prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 months. Pediatrics. 2005; 116(6):1413-26. DOI: 10.1542/peds.2005-0435. View

16.

Gonzalez K, Meinzen-Derr J, Burke B, Hibler A, Kavinsky B, Hess S . Evaluation of a lactation support service in a children's hospital neonatal intensive care unit. J Hum Lact. 2003; 19(3):286-92. DOI: 10.1177/0890334403255344. View

17.

Thurman S, Allen P . Integrating lactation consultants into primary health care services: are lactation consultants affecting breastfeeding success?. Pediatr Nurs. 2008; 34(5):419-25. View

18.

Davanzo R, Cannioto Z, Ronfani L, Monasta L, Demarini S . Breastfeeding and neonatal weight loss in healthy term infants. J Hum Lact. 2012; 29(1):45-53. DOI: 10.1177/0890334412444005. View

19.

Ip S, Chung M, Raman G, Chew P, Magula N, Devine D . Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007; (153):1-186. PMC: 4781366. View

20.

Wambach K, Campbell S, Gill S, Dodgson J, Abiona T, Heinig M . Clinical lactation practice: 20 years of evidence. J Hum Lact. 2005; 21(3):245-58. DOI: 10.1177/0890334405279001. View