Article Review

Topics: Breastfeeding, Breast milk, Prolactin Pages: 9 (1934 words) Published: March 21, 2015

Article Review of Prenatal Breastfeeding Education and Breastfeeding Outcomes
Rosen, I., Krueger, M., Carney, L., & Graham, J. (2008). Prenatal breastfeeding education and breastfeeding outcomes. MCN The American Journal of Maternal/Child Nursing 33(5), 315-319.

The article was retrieved from the PsycINFO database.
The article compares the impact of prenatal breastfeeding education on breastfeeding initiation and continuation at six months on three different populations receiving varying degrees of prenatal breastfeeding education.

June 8, 2011
Abstract
The purpose of the study was to determine the effects of different methods of prenatal breastfeeding education on breastfeeding initiation and continuation at six months. The study was done using a retrospective cohort design with one hundred and ninety four patients from an Army medical center who had expressed a desire to breastfeed. The subjects were placed in three different groups according to the types of breastfeeding interventions as follows: a) received information at prenatal visits, b) received education in a one- time class using a video plus group teaching by a lactation consultant, or c) received education in a new mother’s support group which had one-on-one teaching prenatally and weekly postpartum meetings which included instruction with a lactation consultant and a pediatrician. The group which received information at prenatal visits was deemed the control group. The data was analyzed using descriptive statistics, chi-square, ANOVA, unpaired t-test and logistic regression. The results indicated that women who attended either of the classes had significantly increased breastfeeding continuation at six months compared to the control group (p=.01) and there was not a significant difference in breastfeeding rates at six months between the two classes (p=.45). The clinical implications of the findings indicate the importance of breastfeeding education to the continuation of breastfeeding and healthcare providers should offer breastfeeding classes to improve breastfeeding rates. Introduction

Rosen et al. (2008) provided a comprehensive literature review in the introduction section. There were several citations from health and professional websites which provided factual information about the benefits of breastfeeding to both mother and baby. A review of ten different articles presented results for both prenatal and postpartum education and interventions for successful breastfeeding. The sequence of the review was easy to follow with the authors first listing facts about the benefits of breastfeeding, followed by research results of prenatal education and interventions and lastly, research results of postpartum education and interventions. Rosen et al. (2008) acknowledged there were mixed results in the literature associating breastfeeding success with prenatal education and interventions. This was due to lack of follow-up, different educational designs or lack of using trained lactation experts. However, the results in the literature were very positive for postpartum education and interventions, especially with peer counseling interventions, citing a significant increase in long term breastfeeding rates. Much of the literature was over ten years old but the information provided by the professional and health organizations show that breast feeding rates are still below the national goals, indicating a need for further research into breastfeeding interventions to promote prolonged rates of breastfeeding. By furnishing the literature review of both prenatal and postpartum results, I was able to understand the author’s purpose for this study: to explore two different methods of breastfeeding education on initiation and continuation rates of breastfeeding and compare these results with a control group. The hypothesis for this study examines the question: Do professional lactation services with peer support...

References: Rosen, I., Krueger, M., Carney, L., & Graham, J. (2008). Prenatal breastfeeding education and
breastfeeding outcomes. MCN The American Journal of Maternal/Child Nursing 33(5), 315-319.
doi: 10.1097/01.NMC.0000334900.22215.ec.
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