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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial
Author(s): Ericson, Jenny
Eriksson, Mats
Hellstrom-Westas, Lena
Hoddinott, Pat
Flacking, Renee
Flacking, Renee
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Keywords: Breast milk
preterm births
Issue Date: May-2018
Citation: Ericson J, Eriksson M, Hellstrom-Westas L, Hoddinott P, Flacking R & Flacking R (2018) Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial, Acta Paediatrica, 107 (5), pp. 791-798.
Abstract: Aim  The aim was to evaluate the effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants after discharge from neonatal intensive care units (NICU).  Methods  Between March 2013 and December 2015, a randomised controlled trial was conducted at six NICUs across Sweden. At each NICU, a breastfeeding support team recruited, randomised and delivered the support to participating mothers. The intervention group received a daily proactive telephone call up to 14 days after discharge from the support team. The control group could initiate telephone contact themselves. Primary outcome was exclusive breastfeeding eight weeks after discharge. Secondary outcomes were maternal satisfaction with breastfeeding, attachment, quality of life and parental stress.  Results  In total, 493 mothers were randomised, 231 to intervention group and 262 to control group. There were no differences between the groups for exclusive breastfeeding, odds ratio 0.96, 95% CI 0.66-1.38, nor for maternal satisfaction with breastfeeding, attachment or quality of life. The intervention group reported significantly less parental stress than the controls, t=2.44, 95% CI 0.03-0.23, effect size d=0.26.  Conclusion  In this trial, proactive telephone support was not associated with increased exclusive breastfeeding prevalence eight weeks following discharge. However, intervention group mothers showed significantly lower parental stress.
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Rights: ©2018 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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