A strategy to improve exclusive breastfeeding through prenatal and postnatal information and communication, Cali (Colombia): 2014-2017
DOI:
https://doi.org/10.22267/rus.242601.315Keywords:
Lactation, Information and communication technologies, Infant nutrition, Prenatal care, TelemedicineAbstract
Introduction: Accomplishing exclusive breastfeeding goals has been a challenge. Objective: To assess the effectiveness of a strategy to promote and achieve exclusive breastfeeding during the first months of life. Materials and methods: A quasi-experimental randomized non-masked study was carried out during the 2014-2017 period. Adult first-time pregnant women at gestational age between 12-27 weeks from Cali, Colombia were included. While the control group received standard care only, the intervention group was also subjected to a prenatal and postnatal strategy that included information and communication technologies. Follow-up was carried out until 6 months postpartum. Results: The 141 participants were distributed in two groups: control (73) and intervention (68). The mean adherence to exclusive breastfeeding was greater in the intervention group (1.1 ± 0.65, p<0.001), reaching an average of 4.8 months (IC95%=[4.4; 5.3]). The control group was 11.68 times more likely to end exclusive breastfeeding during the first six months postpartum as compared to the intervention group. Conclusion: The incorporation of prenatal and postnatal counseling through information and communication technologies promoted a sustained exclusive breastfeeding.
Downloads
Metrics
References
Ferrer L de A. Lactancia materna: ventajas, técnica y problemas. Pediatr Integral [Internet]. 2015;XIX(4):243-250. Disponible en: https://www.pediatriaintegral.es/publicacion-2015-05/lactancia-materna-ventajas-tecnica-y-problemas
Feldman-Winter L, Kellams A, Peter-Wohl S, Taylor JS, Lee KG, Terrell MJ, et al. Evidence-based updates on the first week of exclusive breastfeeding among infants ≥35 weeks. Pediatrics [Internet]. 2020;145(4):e20183696. DOI: 10.1542/peds.2018-3696
Bellù R, Condò M. Breastfeeding promotion: evidence and problems. Pediatr Med Chir [Internet]. 2017;39(2):156. DOI: 10.4081/pmc.2017.156
Altobelli E, Angeletti PM, Verrotti A, Petrocelli R. The impact of human milk on necrotizing enterocolitis: A systematic review and meta-analysis. Nutrients [Internet]. 2020;12(5):1322. DOI: 10.3390/nu12051322
Ho NT, Li F, Lee-Sarwar KA, Tun HM, Brown BP, Pannaraj PS, et al. Meta-analysis of effects of exclusive breastfeeding on infant gut microbiota across populations. Nat Commun [Internet]. 2018;9(1):4169. DOI: 10.1038/s41467-018-06473-x
Lee MK, Binns C. Breastfeeding and the risk of infant illness in Asia: A review. Int J Environ Res Public Health [Internet]. 2019;17(1):186. DOI: 10.3390/ijerph17010186
Duijts L, Jaddoe VWV, Hofman A, Moll HA. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics [Internet]. 2010;126(1):e18-e25. DOI: 10.1542/peds.2008-3256
Qiao J, Dai L-J, Zhang Q, Ouyang Y-Q. A meta-analysis of the association between breastfeeding and early childhood obesity. J Pediatr Nurs [Internet]. 2020;53:57–66. DOI: 10.1016/j.pedn.2020.04.024
Pretorius CE, Asare H, Genuneit J, Kruger HS, Ricci C. Impact of breastfeeding on mortality in sub-Saharan Africa: a systematic review, meta-analysis, and cost-evaluation. Eur J Pediatr [Internet]. 2020;179(8):1213–1225. DOI: 10.1007/s00431-020-03721-5
Babic A, Sasamoto N, Rosner BA, Tworoger SS, Jordan SJ, Risch HA, et al. Association between breastfeeding and ovarian cancer risk. JAMA Oncol [Internet]. 2020;6(6):e200421. DOI: 10.1001/jamaoncol.2020.0421
Huang P, Yao J, Liu X, Luo B. Individualized intervention to improve rates of exclusive breastfeeding: A randomised controlled trial. Medicine [Internet]. 2019;98(47):e17822. DOI: 10.1097/MD.0000000000017822
Pretorius CE, Asare H, Kruger HS, Genuneit J, Siziba LP, Ricci C. Exclusive breastfeeding, child mortality, and economic cost in sub-Saharan Africa. Pediatrics [Internet]. 2021;147(3):e2020030643. DOI: 10.1542/peds.2020-030643
Hernández Escolar J, Díaz Montes CE, Polo Payares E. Lactancia materna en perspectiva: Contexto, investigación y acción [Internet]. Cartagena de Indias: Universidad de San Buenaventura, Grupo de Investigación en Salud y Prácticas Sociales —SYPRES, Grupo de Investigación Salud, Mujer e Infancia, Universidad de Cartagena; 2019 [citado 2023 Feb 9]. Disponible en: http://hdl.handle.net/10819/7602
Fonseca Centetno ZY, Heredia Vargas AP, Ocampo Tellez PR, Forero Torres AY, Sarmiento Duenas OL, Álvarez Uribe MC, et al. Encuesta Nacional de la situación nutricional en Colombia 2010 [Internet]. Instituto Colombiano de Bienestar Familiar (ICBF); 2011 [citado 2022 Oct 29]. Disponible en: https://bibliotecadigital.udea.edu.co/handle/10495/25325
Resumen ejecutivo. Encuesta Nacional de la Situación Nutricional en Colombia 2015. Instituto Colombiano de Bienestar Familiar (ICBF). Ministerio de Salud y Protección Social, Instituto Nacional de Salud (INS), Departamento Administrativo para la Prosperidad Social, y la Universidad Nacional de Colombia. [citado 2022 Oct 26]. Disponible en: https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion-nutricional
Wu Q, Huang Y, Liao Z, van Velthoven MH, Wang W, Zhang Y. Effectiveness of WeChat for improving exclusive breastfeeding in Huzhu County China: Randomized controlled trial. J Med Internet Res. 2020;22(12):e23273. DOI: 10.2196/23273
Unicef.org. Lactancia materna, clave para el desarrollo [Internet]. 2019 [citado 2022 Oct 26]. Disponible en: https://www.unicef.org/colombia/comunicados-prensa/lactancia-materna-la-clave-para-el-desarrollo-optimo-durante-la-primera-infancia
Odeniyi AO, Embleton N, Ngongalah L, Akor W, Rankin J. Breastfeeding beliefs and experiences of African immigrant mothers in high-income countries: A systematic review. Matern Child Nutr [Internet]. 2020;16(3):e12970. DOI: 10.1111/mcn.12970
Grant A, Pell B, Copeland L, Brown A, Ellis R, Morris D, et al. Views and experience of breastfeeding in public: A qualitative systematic review. Matern Child Nutr [Internet]. 2022;18(4):e13407. DOI: 10.1111/mcn.13407
Méndez Jacobo N, García Rojas Vazquez LE, Reyes Barretero DY, Trujano Ramos LA. Factores que influyen en el abandono de la lactancia materna en un programa de apoyo para la misma en el Hospital de la Mujer en Morelia, Michoacán, en el periodo de septiembre a noviembre del 2014. Nutr Hosp [Internet]. 2015;32(6):2618–2621. DOI: 10.3305/nh.2015.32.6.9524
Vila-Candel R, Soriano-Vidal FJ, Murillo-Llorente M, Pérez-Bermejo M, Castro-Sánchez E. Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana. Aten Primaria [Internet]. 2019;51(2):91–98. DOI: 10.1016/j.aprim.2017.09.002
Baptista GH, de Andrade AH, Giolo S. Fatores associados à duração do aleitamento materno em crianças de famílias de baixa renda da região sul da cidade de Curitiba, Paraná, Brasil. Cad Saude Publica [Internet]. 2009;25(3):596–604. Disponible en: https://www.scielo.br/j/csp/a/XCBBXtHLLgXDcP6qyMGtpnt
Habtewold TD, Mohammed SH, Endalamaw A, Mulugeta H, Dessie G, Berhe DF, et al. Higher educational and economic status are key factors for the timely initiation of breastfeeding in Ethiopia: A review and meta-analysis. Acta Paediatr [Internet]. 2020;109(11):2208–2218. DOI: 10.1111/apa.15278
Souza EF do C, Pina-Oliveira AA, Shimo AK. Efecto de una intervención educativa sobre lactancia materna: un ensayo clínico aleatorizado. Rev Latino-Am Enfermagem [Internet]. 2020;28:e3335. DOI: 10.1590/1518-8345.3081.3335
Chipojola R, Chiu H-Y, Huda MH, Lin Y-M, Kuo S-Y. Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis. Int J Nurs Stud [Internet]. 2020;109:103675. DOI: 10.1016/j.ijnurstu.2020.103675
Wu Q, Huang Y, van Velthoven MH, Wang W, Chang S, Zhang Y. Feasibility of using WeChat to improve infant and young child feeding in rural areas in China: A mixed quantitative and qualitative study. PLoS One [Internet]. 2021;16(2):e0246942. DOI: 10.1371/journal.pone.0246942
Yu X-R, Xie W-P, Liu J-F, Dai W-S, Cao H, Chen Q. Effect of WeChat follow-up education on breastfeeding efficiency of infants after congenital cardiac surgery and parents’ satisfaction: A short-term follow-up study. J Paediatr Child Health [Internet]. 2021;57(12):1899–1904. DOI: 10.1111/jpc.15605
Lewkowitz AK, Cahill AG. Mobile health approaches to breastfeeding. Clin Obstet Gynecol [Internet]. 2021;64(2):384–391. DOI: 10.1097/GRF.0000000000000606
Rodríguez-Gallego I, Strivens-Vilchez H, Agea-Cano I, Marín-Sánchez C, Sevillano-Giraldo MD, Gamundi-Fernández C, et al. Breastfeeding experiences during the COVID-19 pandemic in Spain:a qualitative study. Int Breastfeed J [Internet]. 2022;17(1):11. DOI: 10.1186/s13006-022-00453-0
Robinson A, Lauckner C, Davis M, Hall J, Anderson AK. Facebook support for breastfeeding mothers: A comparison to offline support and associations with breastfeeding outcomes. Digit Health [Internet]. 2019;5:2055207619853397. DOI: 10.1177/2055207619853397
Balaguer Martínez JV, Valcarce Pérez I, Esquivel Ojeda JN, Hernández Gil A, Martín Jiménez M del P, Bernad Albareda M. Apoyo telefónico de la lactancia materna desde Atención Primaria: ensayo clínico aleatorizado y multicéntrico. An Pediatr [Internet]. 2018;89(6):344–351. DOI: 10.1016/j.anpedi.2018.02.007
Alahmed S, Meedya S, Mutair AA, Fernandez R. Saudi women’s breastfeeding knowledge, attitude, and practices: A systematic review and meta-analysis. J Transcult Nurs [Internet]. 2023;34(1):68-82. DOI: 10.1177/10436596221129228
Rodríguez-Gallego I, Leon-Larios F, Corrales-Gutierrez I, González-Sanz JD. Impact and effectiveness of group strategies for supporting breastfeeding after birth: A systematic review. Int J Environ Res Public Health [Internet]. 2021;18(5):2550. DOI: 10.3390/ijerph18052550
Behzadifar M, Saki M, Behzadifar M, Mardani M, Yari F, Ebrahimzadeh F, et al. Prevalence of exclusive breastfeeding practice in the first six months of life and its determinants in Iran: a systematic review and meta-analysis. BMC Pediatr [Internet]. 2019;19(1):384. DOI: 10.1186/s12887-019-1776-0
Tiruneh GT, Shiferaw CB, Worku A. Effectiveness and cost-effectiveness of home-based postpartum care on neonatal mortality and exclusive breastfeeding practice in low-and-middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth [Internet]. 2019;19(1):507. DOI: 10.1186/s12884-019-2651-6
Fewtrell MS, Mohd Shukri NH, Wells JC. ‘Optimising’ breastfeeding: what can we learn from evolutionary, comparative and anthropological aspects of lactation? BMC Med. 2020;18(1):4. DOI: 10.1186/s12916-019-1473-8
Navabi A, Shamsi M, Khorsandi M, Zamanian M. Effectiveness of theory of planned behavior-based educational intervention on newborn care in pregnant mothers: A quasi-experimental study. JJHS [Internet]. 2021;13(4):e117452. DOI: 10.5812/jjhs.117452
Ortiz-Félix RE, Cárdenas-Villarreal VM, Miranda-Félix PE, Guevara-Valtier MC. Impacto de una intervención de educación prenatal en mujeres embarazadas para prevenir el sobrepeso en lactantes. Gac Med Mex [Internet]. 2021;157(1). DOI: 10.24875/gmm.19005610
Seyyedi N, Rahmatnezhad L, Mesgarzadeh M, Khalkhali H, Seyyedi N, Rahimi B. Effectiveness of a smartphone-based educational intervention to improve breastfeeding. Int Breastfeed J [Internet]. 2021;16(1):70. DOI: 10.1186/s13006-021-00417-w
Da Silva NV, Pontes CM, de Sousa NF, de Vasconcelos MG. Tecnologias em saúde e suas contribuições para a promoção do aleitamento materno: revisão integrativa da literatura. Cien Saude Colet [Internet]. 2019;24(2):589–602. DOI: 10.1590/1413-81232018242.03022017
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Universidad y Salud
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
