J Korean Acad Nurs. 2010 Apr;40(2):277-286. Korean.
Published online Apr 30, 2010.
Copyright © 2010 Korean Society of Nursing Science
Original Article

Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth

Gun-Ja Jang,1 and Sun-Hee Kim2
    • 1Full-time Lecturer, Department of Nursing, Daegu Haany University, Daegu, Korea.
    • 2Head Nurse, Kyungpook National University Hospital, Daegu, Korea.
Received December 22, 2009; Revised December 30, 2009; Accepted April 01, 2010.

Abstract

Purpose

This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant's growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education.

Methods

This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child's weight and height were also measured during the visit.

Results

The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth.

Conclusion

The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.

Keywords
Breast feeding; Education; Social support; Body weight; Body mass index

Tables

Table 1
Homogeneity test for General Characteristics of Participants (N=39)

Table 2
Homogeneity test for Characteristics of Breast-feeding (N=39)

Table 3
Comparison of Breast feeding Prevalence between the two groups (N=39)

Table 4
Comparison of Infant Growth and BMI over time between the two groups (N=39)

Table 5
Comparison of overweight infants between the two groups

Notes

This research was supported by a grant from Daegu Haany University Kylin Foundation (2008-901-4).

References

    1. Baker JL, Michaelsen KF, Rasmussen KM, Sorensen TI. Maternal prepregnant body mass index, duration of breast feeding, and timing of complementary food introduction are associated with infant weight gain. American Journal of Clinical Nutrition 2004;80:1579–1588.
    1. Chin LY, Amir LH. Survey of patient satisfaction with the breast feeding education and support services of the Royal Women's Hospital, Melbourne. BMC Health Services Research 2008;14(8):1–11.
    1. Cho HC. In: The Effect of breast-feeding promotion program on the primipara's breastfeeding. Suwon: Ajou University; 2007.
      Unpublished master's thesis.
    1. Grummer-Strawn LM, Mei Z. Does breast-feeding protect against pediatric overweight? Analysis of longitudinal data from the centers for disease control and prevention pediatric nutrition surveillance system. Pediatrics 2004;113:e81–e86.
    1. Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: A meta-analysis. American Journal of Epidemiology 2005;162:397–403.
    1. Hediger ML, Overpeck MD, Kuczmarski RI, Ruan WJ. Association between infant breastfeeding and overweight in young children. The Journal of the American Medical Association 2001;285:2453–2460.
    1. Hwang WJ. In: The study on the factors determining breastfeeding rate and duration. Seoul: Yonsei University; 2004.
      Unpublished master's thesis.
    1. Im YS. In: A study on the factors influencing infant's obesity based on infant feeding and weaning practice. Seoul: Yonsei University; 2000.
      Unpublished master's thesis.
    1. Jacknowitz A. Increasing breastfeeding rates: Do changing demographics explain them? Womens Health Issues 2007;17:84–92.
    1. Jang GJ, Kim SH, Jeong KS. Effect of postpartum breast-feeding support by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing 2008;38:172–179.
    1. Jeong GH. In: Effect of the nursing intervention program on promotion the breast-feeding practice in primipara. Seoul: Ewha Womans University; 1997.
      Unpublished doctoral dissertation.
    1. Kim KA, Shin SM, Lee K. Evaluation of the effect of BFHI (Baby-Friendly Hospital Initiative) developed by WHO/UNICEF. Korean Journal of Perinatology 2005;16:37–48.
    1. Kim SH. In: The relationship between breast-feeding and childhood obesity. Seoul: Yonsei University; 2004.
      Unpublished master's thesis.
    1. Kim SH. Development of a breast feeding adaptation scale (BFAS). Journal of Korean Academy of Nursing 2009;39:259–269.
    1. Korean Committee for UNICEF2004 Korean committee for UNICEF: Annual report. 2005 [Retrieved February 20, 2008].
    1. Kramer MS, Matush L, Vanilovich I, Platt RW, Bogdanovich N, Sevkovskaya Z. Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity, and blood pressure at age 6.5 y: Evidence from a large randomized trial. American Journal of Clinical Nutrition 2007;86:1717–1721.
    1. Kwak JY, Park JY, Lee HJ, Jung HJ, Son SH, Jung SJ. Growth patterns of breast fed and formula fed infants. Korean Journal of Pediatrics 2005;48:1055–1060.
    1. Moon JS, Lee SY, Nam CM, Choi JM, Choe NK, Seo JW, et al. 2007 Korean national growth charts: Review of developmental process and an outlook. Korean Journal of Pediatrics 2008;51:1–25.
    1. Oh KW, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, et al. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean Journal of Pediatrics 2008;51:950–955.
    1. Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Effect of infant feeding on the risk of obesity across the life course: A quantitative review of published evidence. Pediatrics 2005;115:1367–1377.
    1. Park EY, Cho SJ, Lee K. Current understanding and practices of breast feeding by mothers. Korean Journal of Pediatrics 2005;48:1162–1165.
    1. Park SH. In: The effect of breast-feeding education and follow-up care on the breast-feeding rate and the breast-feeding method: Focused on home visit and phone counseling. Daegu: Keimyung University; 2001.
      Unpublished master's thesis.
    1. Park YR. In: The Effect of the integrated breast-feeding education on the knowledge, the adhesiveness and the attitude on breastfeeding. Incheon: Inha University; 2005.
      Unpublished master's thesis.
    1. Salsberry PJ, Reagan PB. Dynamics of early childhood overweight. Pediatrics 2005;116:1329–1338.
    1. Seo IS, Jung MS, Suh YS. Effect of education for encouraging breast feeding on practice of breastfeeding. Korean Journal of Women Health Nursing 2000;6:632–642.
    1. Sohn IA. In: A study on the factors affecting knowledge about, attitudes towards and practice of breast-feeding. Seoul: Hanyang University; 2007.
      Unpublished master's thesis.
    1. World Health Organization. The Optimal Duration of Exclusive Breast-Feeding: A systemic review. Geneva: Author; 2002.
    1. World Health OrganizationWHO Child Growth Standards. 2006 [Retrieved February 2, 2008].
    1. Yeo JH. Influencing factors in breast feeding duration. Korean Journal of Women Health Nursing 2005;11:142–147.
    1. Yoo EK, Kim MH, Seo WS. A study on the role of breast-feeding practice by education and continuous telephone follow-up. Korean Journal of Women Health Nursing 2002;8:424–434.

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