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Experience of the first breastfeeding session in association with the use of the hands-on approach by healthcare professionals : A population-based swedish study

Cato, Karin; Sylvén, Sara M.; Skalkidou, Alkistis and Rubertsson, Christine LU (2014) In Breastfeeding Medicine 9(6). p.294-300
Abstract

Objective: The aim of this study was to investigate the prevalence of healthcare professionals' use of the hands-on approach during the first breastfeeding session postpartum and its possible association with the mothers' experience of their first breastfeeding session. Materials and Methods: This was a population-based longitudinal study conducted at Uppsala University Hospital, Uppsala, Sweden, of all women giving birth at the hospital from May 2006 to June 2007. Six months postpartum, a questionnaire including questions regarding breastfeeding support, caregiving routines, depressive symptoms, and the woman's experience of the first breastfeeding session was sent to the mothers. The main outcome measures were use of the hands-on... (More)

Objective: The aim of this study was to investigate the prevalence of healthcare professionals' use of the hands-on approach during the first breastfeeding session postpartum and its possible association with the mothers' experience of their first breastfeeding session. Materials and Methods: This was a population-based longitudinal study conducted at Uppsala University Hospital, Uppsala, Sweden, of all women giving birth at the hospital from May 2006 to June 2007. Six months postpartum, a questionnaire including questions regarding breastfeeding support, caregiving routines, depressive symptoms, and the woman's experience of the first breastfeeding session was sent to the mothers. The main outcome measures were use of the hands-on approach during the first breastfeeding session and the mother's experience of the breastfeeding session. Results: In total, 879 women participated in the study. Thirty-eight percent of the women received the hands-on approach during the first breastfeeding session. High body mass index, primiparity, and having the first breastfeeding session postponed were all independently associated with the hands-on approach. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (odds ratio=4.48; 95% confidence interval, 2.57-7.82), even after adjustment for possible confounders (odds ratio=2.37; 95% confidence interval, 1.02-5.50). Conclusions: This study indicates that the hands-on approach is commonly used during the first breastfeeding session and is associated with a more negative experience of the first breastfeeding session. Consequently, caregivers need to question the use of this method, and further research about breastfeeding support is required.

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author
publishing date
type
Contribution to journal
publication status
published
in
Breastfeeding Medicine
volume
9
issue
6
pages
7 pages
publisher
Mary Ann Liebert Inc.
external identifiers
  • scopus:84903559987
ISSN
1556-8253
DOI
10.1089/bfm.2014.0005
language
English
LU publication?
no
id
d3a78c59-3a85-48a0-b7bd-26084044cc13
date added to LUP
2017-10-27 13:49:10
date last changed
2017-10-30 10:48:19
@article{d3a78c59-3a85-48a0-b7bd-26084044cc13,
  abstract     = {<p>Objective: The aim of this study was to investigate the prevalence of healthcare professionals' use of the hands-on approach during the first breastfeeding session postpartum and its possible association with the mothers' experience of their first breastfeeding session. Materials and Methods: This was a population-based longitudinal study conducted at Uppsala University Hospital, Uppsala, Sweden, of all women giving birth at the hospital from May 2006 to June 2007. Six months postpartum, a questionnaire including questions regarding breastfeeding support, caregiving routines, depressive symptoms, and the woman's experience of the first breastfeeding session was sent to the mothers. The main outcome measures were use of the hands-on approach during the first breastfeeding session and the mother's experience of the breastfeeding session. Results: In total, 879 women participated in the study. Thirty-eight percent of the women received the hands-on approach during the first breastfeeding session. High body mass index, primiparity, and having the first breastfeeding session postponed were all independently associated with the hands-on approach. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (odds ratio=4.48; 95% confidence interval, 2.57-7.82), even after adjustment for possible confounders (odds ratio=2.37; 95% confidence interval, 1.02-5.50). Conclusions: This study indicates that the hands-on approach is commonly used during the first breastfeeding session and is associated with a more negative experience of the first breastfeeding session. Consequently, caregivers need to question the use of this method, and further research about breastfeeding support is required.</p>},
  author       = {Cato, Karin and Sylvén, Sara M. and Skalkidou, Alkistis and Rubertsson, Christine},
  issn         = {1556-8253},
  language     = {eng},
  month        = {07},
  number       = {6},
  pages        = {294--300},
  publisher    = {Mary Ann Liebert Inc.},
  series       = {Breastfeeding Medicine},
  title        = {Experience of the first breastfeeding session in association with the use of the hands-on approach by healthcare professionals : A population-based swedish study},
  url          = {http://dx.doi.org/10.1089/bfm.2014.0005},
  volume       = {9},
  year         = {2014},
}