Application and evaluation of mobile device-based continuous breastfeeding intervention program

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-07-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.07.008

Hui Yu, Nafei Guo

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引用次数: 0

Abstract

Objective To investigate the effects of a mobile application-based continuous breastfeeding intervention program for gravidas. Methods Pregnant women who received prenatal care and delivered at First Maternity and Infant Hospital Affiliated to Tongji University were enrolled in this quasi-experiment from April 1 to May 31, 2017. Those women who met the inclusion criteria in the Eastern and Southern campuses of the hospital were recruited as intervention group (n=100) and control (n=100) group, respectively. In addition to the routine breastfeeding support which the control group was offered only, the intervention group also received mobile application-based continuous breastfeeding intervention, namely a questionnaire was sent through WeChat official account where the pregnant women had free access to continuous breastfeeding support based on their survey results, such as understanding the benefits of breastfeeding at the first trimester, relationships between breastfeeding and immunity at the second trimester, breast care at the third trimester, treatment of milk spillage/spit during labor, and iron and vitamin supplementation at puerperium. Basic information about the participants, results of Breastfeeding Knowledge Questionnaires administered at the first, second and third trimesters and during labor and the puerperium, responses to Self-efficacy of Breastfeeding Questionnaires during labor and the puerperium, and exclusive breastfeeding rates at discharge and 42 d postpartum were compared between the two groups using two independent sample t-test and Chi-square test. Results There were 83 and 80 pregnant women in the intervention group and control group finally analyzed, respectively. No statistical difference in the scores of the Breastfeeding Knowledge Questionnaire at the first trimester was observed between the intervention group and control group (13.4±1.9 vs 13.3±1.9, t=0.133, P=0.895). However, the scores at the second and third trimesters and during labor and the puerperium in the intervention group were higher than those in the control group (14.1±1.3 vs 13.5±2.0, 14.7±1.1 vs 14.2±1.3, 15.3±1.7 vs 14.4±1.2 and 15.7±1.5 vs 14.9±1.0; t=2.160, 2.435, 4.104 and 3.946; all P<0.05), respectively. The scores of Self-efficacy of Breastfeeding Questionnaires during labor and the puerperium were also higher in the intervention group (123.5±4.7 vs 118.5±5.7 and 128.4±4.2 vs 119.0±6.5, t=6.170 and 10.959, both P<0.01). Compared to the control group, the intervention group had higher exclusive breastfeeding rate at discharge and on 42 d after delivery [78.3% (65/83) vs 61.2% (49/80), χ2=5.641; 57.8% (48/83) vs 38.8% (31/80), χ2=5.938; both P<0.05]. Conclusions The mobile application-based continuous breastfeeding intervention program may effectively improve breastfeeding outcomes. Key words: Breast feeding; Telemedicine; Clinical protocols; Validation studies

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基于移动设备的连续母乳喂养干预方案的应用与评价

目的探讨基于移动应用程序的孕妇持续母乳喂养干预方案的效果。方法选择2017年4月1日至5月31日在同济大学附属第一妇婴医院接受产前护理分娩的孕妇进行准实验。在医院东部和南部校区符合纳入标准的女性分别被招募为干预组（n=100）和对照组（n=100）。除了对照组仅提供常规母乳喂养支持外，干预组还接受了基于移动应用程序的持续母乳喂养干预，即通过微信公众号发送问卷，根据调查结果，孕妇可以免费获得持续母乳喂养支持，如了解妊娠早期母乳喂养的好处、妊娠中期母乳喂养与免疫力之间的关系、妊娠晚期的乳房护理、分娩期间溢奶/吐奶的处理以及产褥期补充铁和维生素。参与者的基本信息，在第一、第二和第三个月以及分娩和产褥期进行的母乳喂养知识问卷的结果，对分娩和产产褥期母乳喂养问卷自我效能的回答，采用两个独立样本t检验和卡方检验比较两组出院时和产后42天的纯母乳喂养率。结果干预组和对照组分别为83例和80例孕妇。干预组与对照组妊娠早期母乳喂养知识问卷得分无统计学差异（13.4±1.9 vs 13.3±1.9，t=0.133，P=0.895），干预组中晚期、分娩期和产褥期的评分高于对照组（分别为14.1±1.3 vs 13.5±2.0、14.7±1.1 vs 14.2±1.3、15.3±1.7 vs 14.4±1.2和15.7±1.5 vs 14.9±1.0；t=2.160、2.435、4.104和3.946；均P<0.05）。干预组分娩期和产褥期母乳喂养问卷的自我效能感得分也较高（123.5±4.7 vs 118.5±5.7和128.4±4.2 vs 119.0±6.5，t=6.170和10.959，均P<0.01），干预组出院时和产后42d纯母乳喂养率较高[78.3%（65/83）vs 61.2%（49/80），χ2=5.641；57.8%（48/83）vs 38.8%（31/80），两者均P<0.05。关键词：母乳喂养；远程医疗；临床方案；验证研究

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.