Maria DeYoreo, Kandice Kapinos, Molly Waymouth, Kortney Floyd James, Jill Demirci, Lori Uscher-Pines
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引用次数: 0
Abstract
Objective: This study evaluates the impact of telelactation (video breastfeeding support visits) on breastfeeding satisfaction and the likelihood of breastfeeding another child. Breastfeeding satisfaction is a key person-centered outcome and indicator of breastfeeding success and is associated with longer duration of breastfeeding.
Methods: This randomized controlled trial randomized pregnant individuals to receive a telelactation app (intervention group) or an infant care e-book (control group). The main outcome measured was self-reported breastfeeding satisfaction at 24 weeks postpartum, while a secondary outcome assessed the likelihood of breastfeeding another child. We estimated unadjusted and adjusted linear regression models for the effect of telelactation on breastfeeding satisfaction and logistic regression models for the effect of telelactation on likelihood of breastfeeding another child. We also examined whether the effects of telelactation differed by breastfeeding problems experienced.
Results: Results indicated that telelactation significantly improved breastfeeding satisfaction scores by 0.53 points (CI:[0.04,1.04],p=0.04) and increased the likelihood of participants being very likely to breastfeed another child by 7% (RR= 1.07 (CI: [1.01, 1.14], p=0.02; ARR = 1.07 (CI: [1.01, 1.14], p=0.03). We found no significant differences in outcomes based on race or ethnicity. Further analysis highlighted that telelactation was particularly beneficial for participants experiencing common newborn/premature feeding issues.
Conclusions: Telelactation can enhance breastfeeding experiences and satisfaction, with implications for public health strategies targeting new parents.
期刊介绍：
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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