Impact of Community Breastfeeding Support Group on Duration Rates at 3 months
Repository Posting Date2017-12-14T19:55:01Z
Author DetailsOlivine Singh, DNP, RN, NE-BC, CLC; Cheryl B. Robinson, DNS, MS, NNP-BC; Aimee Chism Holland, DNP, WHNP-BC, FNP-C,RD
Lead Author Sigma AffliationNon-member
Level of EvidenceN/A
Problem: In Florida, 77% of mothers initiate breastfeeding; however, exclusive breastfeeding (EBF) rates at three months fall to 38.9% below the Healthy People 2020 goal of 46.2%.
Purpose/Aim: To examine the impact of community breastfeeding mothers support group on duration rates at three months among women discharged from the postpartum unit at University of Florida Health Shands Hospital.
Background/Significance: Successful breastfeeding is dependent upon several factors related to the mother, the infant, and a supportive environment. Breastfeeding women participating in a community support group align with the goal of Step 10 of the Baby Friendly Hospital Initiative; “to foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or birth center”.
Population/System: Sixty-five postpartum women discharged from the Mother/Baby unit at the hospital answered a discharge follow-up phone call at 90-days.
Framework: Throughout the literature in support of breastfeeding, the theoretical framework of self-efficacy is foundational to maternal confidence or a mother’s perception of her ability to breastfeed her newborn. Support groups promote maternal breastfeeding confidence and self-efficacy. Higher levels of self-efficacy correlate to longer durations of exclusive breastfeeding.
Project Design: A quality improvement project was conducted to examine the impact of community breastfeeding mothers support group on duration rates at three months.
Evaluation Methods: A new hospital standard of care to include a follow-up phone call at 90 days +/- 7 days to determine whether the infant is EBF at 3 months and mother’s participation in breastfeeding support group was monitored.
Analysis of Evaluation Data: Descriptive analysis and t-test were used to analyze the data.
Results/Outcomes: Of the 65 participants, 46% of them continued EBF, 26% were exclusively formula feeding and 15% a combination of both. Among participants, only 10 mothers were still participating in the breastfeeding support group and four of them continued to exclusively breastfeed.
Conclusions: There was no significant impact of breastfeeding support group on duration at 90 days (t= -0.42487). In addition, among the 30 women still breastfeeding at three months; a high proportion of them experienced evidenced-based infant feeding practices during hospitalization.