TY - JOUR
T1 - Multicomponent perinatal breastfeeding support in women with BMI >25
T2 - The Latch On multi-centre randomised trial
AU - O'Reilly, Sharleen L.
AU - McNestry, Catherine
AU - McGuinness, Denise
AU - Killeen, Sarah Louise
AU - Mehegan, John
AU - Coughlan, Barbara
AU - O'Brien, Eileen C.
AU - O'Brien, Denise
AU - Szafranska, Marcelina
AU - Brosnan, Mary
AU - Sheehy, Lucille
AU - Murtagh, Rosie
AU - O'Hagan, Lorraine
AU - Corbett, Marie
AU - Walsh, Michelle
AU - Keogh, Regina
AU - Power, Paula
AU - Woodcock, Marie
AU - Phelan, Mary
AU - Carroll, Amy
AU - Murray, Stephanie
AU - Scallan, Charmaine
AU - Dunn, Elizabeth
AU - McAuliffe, Fionnuala M.
N1 - Publisher Copyright:
© 2024 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
PY - 2024/8
Y1 - 2024/8
N2 - Objective: To investigate the effectiveness of a multicomponent breastfeeding support intervention on breastfeeding prevalence at 3 months among women with a body mass index (BMI) >25 kg/m2. Design: Multicentre multicomponent randomised controlled trial. Setting: Four maternity centres in Ireland. Population: A total of 225 primiparous women and their nominated support partners. Participants were aged 18 years and over, with BMI ≥25 kg/m2, carrying a singleton pregnancy and without contraindication for breastfeeding. Methods: The intervention included an antenatal group breastfeeding education session for participants and their support partners, followed by a planned postnatal breastfeeding assessment and telephone support for up to 6 weeks by a lactation consultant. Main outcome measures: Any breastfeeding at 3 months postpartum. Results: Any breastfeeding prevalence was 68.7% (n = 68) in the intervention group and 62.1% (n = 59) in the control group at 3 months postpartum (odds ratio 1.33, 95% confidence interval 0.72–2.46, p = 0.36). Any and exclusive breastfeeding rates did not significantly differ at any other time point. More women in the control group accessed support from private lactation consultants (intervention 23.5% [n = 12], control 45.3% [n = 24], p = 0.02). Conclusions: The control group had higher than expected breastfeeding rates, and the study found no evidence of effect on the primary outcome. Providing comprehensive education and support for women intending to breastfeed remains of paramount importance.
AB - Objective: To investigate the effectiveness of a multicomponent breastfeeding support intervention on breastfeeding prevalence at 3 months among women with a body mass index (BMI) >25 kg/m2. Design: Multicentre multicomponent randomised controlled trial. Setting: Four maternity centres in Ireland. Population: A total of 225 primiparous women and their nominated support partners. Participants were aged 18 years and over, with BMI ≥25 kg/m2, carrying a singleton pregnancy and without contraindication for breastfeeding. Methods: The intervention included an antenatal group breastfeeding education session for participants and their support partners, followed by a planned postnatal breastfeeding assessment and telephone support for up to 6 weeks by a lactation consultant. Main outcome measures: Any breastfeeding at 3 months postpartum. Results: Any breastfeeding prevalence was 68.7% (n = 68) in the intervention group and 62.1% (n = 59) in the control group at 3 months postpartum (odds ratio 1.33, 95% confidence interval 0.72–2.46, p = 0.36). Any and exclusive breastfeeding rates did not significantly differ at any other time point. More women in the control group accessed support from private lactation consultants (intervention 23.5% [n = 12], control 45.3% [n = 24], p = 0.02). Conclusions: The control group had higher than expected breastfeeding rates, and the study found no evidence of effect on the primary outcome. Providing comprehensive education and support for women intending to breastfeed remains of paramount importance.
KW - antenatal breastfeeding support
KW - breastfeeding education
KW - breastfeeding intervention
KW - lactation consultant
KW - maternal obesity
KW - postnatal breastfeeding support
UR - http://www.scopus.com/inward/record.url?scp=85185113901&partnerID=8YFLogxK
U2 - 10.1111/1471-0528.17782
DO - 10.1111/1471-0528.17782
M3 - Article
C2 - 38344894
AN - SCOPUS:85185113901
SN - 1470-0328
VL - 131
SP - 1197
EP - 1206
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
IS - 9
ER -
