The impact of breastfeeding peer support for mothers aged under 25: a time series analysis

Breastfeeding has known positive health benefits for babies and mothers, yet the UK has one of the lowest breastfeeding initiation rates in Europe. Despite national guidance that recommends provision of breastfeeding peer support, there is conflicting evidence regarding its effectiveness, especially...

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Main Authors: Scott, Sarah, Pritchard, Catherine, Szatkowski, Lisa
Format: Article
Published: Wiley 2016
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Online Access:https://eprints.nottingham.ac.uk/31538/
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author Scott, Sarah
Pritchard, Catherine
Szatkowski, Lisa
author_facet Scott, Sarah
Pritchard, Catherine
Szatkowski, Lisa
author_sort Scott, Sarah
building Nottingham Research Data Repository
collection Online Access
description Breastfeeding has known positive health benefits for babies and mothers, yet the UK has one of the lowest breastfeeding initiation rates in Europe. Despite national guidance that recommends provision of breastfeeding peer support, there is conflicting evidence regarding its effectiveness, especially in high-income countries, and a lack of evidence among young mothers. This study evaluates the effectiveness of a breastfeeding peer support service (BPSS) in one UK city in increasing breastfeeding initiation and duration in young mothers. Routinely collected data were obtained on feeding method at birth, 2 and 6 weeks for all 5790 women aged <25 registered with a local general practitioner and who gave birth from April 2009 to September 2013. Segmented regression was used to quantify the impact of the introduction of the BPSS in September 2012 on the prevalence of breastfeeding at birth, 2 and 6 weeks, accounting for underlying trends. Results showed that breastfeeding prevalence at birth and 2 weeks began to increase month-on-month after the introduction of the BPSS, where previous figures had been static; prevalence at birth increased by 0.55 percentage points per month (95% CI 0.10–1.00, P = 0.018) and at 2 weeks by 0.50 percentage points (95% CI 0.15–0.86, P = 0.007). There was no change from an underlying marginally increasing trend in prevalence at 6 weeks. In conclusion, our findings suggest that a one-to-one BPSS provided by paid peer supporters and targeted at young mothers in the antenatal and post-natal periods may be beneficial in increasing breastfeeding initiation and prevalence at 2 weeks.
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spelling nottingham-315382024-08-15T15:17:54Z https://eprints.nottingham.ac.uk/31538/ The impact of breastfeeding peer support for mothers aged under 25: a time series analysis Scott, Sarah Pritchard, Catherine Szatkowski, Lisa Breastfeeding has known positive health benefits for babies and mothers, yet the UK has one of the lowest breastfeeding initiation rates in Europe. Despite national guidance that recommends provision of breastfeeding peer support, there is conflicting evidence regarding its effectiveness, especially in high-income countries, and a lack of evidence among young mothers. This study evaluates the effectiveness of a breastfeeding peer support service (BPSS) in one UK city in increasing breastfeeding initiation and duration in young mothers. Routinely collected data were obtained on feeding method at birth, 2 and 6 weeks for all 5790 women aged <25 registered with a local general practitioner and who gave birth from April 2009 to September 2013. Segmented regression was used to quantify the impact of the introduction of the BPSS in September 2012 on the prevalence of breastfeeding at birth, 2 and 6 weeks, accounting for underlying trends. Results showed that breastfeeding prevalence at birth and 2 weeks began to increase month-on-month after the introduction of the BPSS, where previous figures had been static; prevalence at birth increased by 0.55 percentage points per month (95% CI 0.10–1.00, P = 0.018) and at 2 weeks by 0.50 percentage points (95% CI 0.15–0.86, P = 0.007). There was no change from an underlying marginally increasing trend in prevalence at 6 weeks. In conclusion, our findings suggest that a one-to-one BPSS provided by paid peer supporters and targeted at young mothers in the antenatal and post-natal periods may be beneficial in increasing breastfeeding initiation and prevalence at 2 weeks. Wiley 2016-01-26 Article PeerReviewed Scott, Sarah, Pritchard, Catherine and Szatkowski, Lisa (2016) The impact of breastfeeding peer support for mothers aged under 25: a time series analysis. Maternal and Child Nutrition . ISSN 1740-8709 breastfeeding; peer support; health promotion; time series http://onlinelibrary.wiley.com/doi/10.1111/mcn.12241/abstract doi:10.1111/mcn.12241 doi:10.1111/mcn.12241
spellingShingle breastfeeding; peer support; health promotion; time series
Scott, Sarah
Pritchard, Catherine
Szatkowski, Lisa
The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title_full The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title_fullStr The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title_full_unstemmed The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title_short The impact of breastfeeding peer support for mothers aged under 25: a time series analysis
title_sort impact of breastfeeding peer support for mothers aged under 25: a time series analysis
topic breastfeeding; peer support; health promotion; time series
url https://eprints.nottingham.ac.uk/31538/
https://eprints.nottingham.ac.uk/31538/
https://eprints.nottingham.ac.uk/31538/