Jennifer Abbass-Dick1, Susan B Stern2, LaRon E Nelson3, William Watson4, Cindy-Lee Dennis5. 1. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Ontario, Canada; jennifer.abbassdick@uoit.ca. 2. Factor-Inwentash Faculty of Social Work. 3. School of Nursing, University of Rochester, Rochester, New York. 4. Department of Family and Community Medicine. 5. Perinatal Community Health, Women's College Research Institute, University of Toronto, Toronto, Ontario, Canada; and.
Abstract
OBJECTIVE: To evaluate the effectiveness of a coparenting intervention on exclusive breastfeeding among primiparous mothers and fathers. METHODS: A randomized controlled trial was conducted in a large teaching hospital in Toronto, Canada. Couples were randomized to receive either usual care (n = 107) or a coparenting breastfeeding support intervention (n = 107). Follow-up of exclusive breastfeeding and diverse secondary outcomes was conducted at 6 and 12 weeks postpartum. RESULTS: Significantly more mothers in the intervention group than in the control group continued to breastfeed at 12 weeks postpartum (96.2% vs 87.6%, P = .02). Although proportionately more mothers in the intervention group were exclusively breastfeeding at 6 and 12 weeks, these differences were not significant. Fathers in the intervention group had a significantly greater increase in breastfeeding self-efficacy scores from baseline to 6 weeks postpartum compared with fathers in the control group (P = .03). In addition, significantly more mothers in the intervention group than in the control group reported that their partners provided them with breastfeeding help in the first 6 weeks (71% vs 52%, P = .02) and that they were satisfied with their partners' involvement with breastfeeding (89% vs 78.1%, P = .04). Mothers in the intervention group were also more satisfied with the breastfeeding information they received (81% vs 62.5%, P < .001). CONCLUSIONS: The significant improvements in breastfeeding duration, paternal breastfeeding self-efficacy, and maternal perceptions of paternal involvement and assistance with breastfeeding suggest that a coparenting intervention involving fathers warrants additional investigation.
RCT Entities:
OBJECTIVE: To evaluate the effectiveness of a coparenting intervention on exclusive breastfeeding among primiparous mothers and fathers. METHODS: A randomized controlled trial was conducted in a large teaching hospital in Toronto, Canada. Couples were randomized to receive either usual care (n = 107) or a coparenting breastfeeding support intervention (n = 107). Follow-up of exclusive breastfeeding and diverse secondary outcomes was conducted at 6 and 12 weeks postpartum. RESULTS: Significantly more mothers in the intervention group than in the control group continued to breastfeed at 12 weeks postpartum (96.2% vs 87.6%, P = .02). Although proportionately more mothers in the intervention group were exclusively breastfeeding at 6 and 12 weeks, these differences were not significant. Fathers in the intervention group had a significantly greater increase in breastfeeding self-efficacy scores from baseline to 6 weeks postpartum compared with fathers in the control group (P = .03). In addition, significantly more mothers in the intervention group than in the control group reported that their partners provided them with breastfeeding help in the first 6 weeks (71% vs 52%, P = .02) and that they were satisfied with their partners' involvement with breastfeeding (89% vs 78.1%, P = .04). Mothers in the intervention group were also more satisfied with the breastfeeding information they received (81% vs 62.5%, P < .001). CONCLUSIONS: The significant improvements in breastfeeding duration, paternal breastfeeding self-efficacy, and maternal perceptions of paternal involvement and assistance with breastfeeding suggest that a coparenting intervention involving fathers warrants additional investigation.
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28
Authors: Bruce R Maycock; Jane A Scott; Yvonne L Hauck; Sharyn K Burns; Suzanne Robinson; Roslyn Giglia; Anita Jorgensen; Becky White; Annegrete Harries; Satvinder Dhaliwal; Peter A Howat; Colin W Binns Journal: BMC Pregnancy Childbirth Date: 2015-08-01 Impact factor: 3.007
Authors: Ary I Savitri; Nikmah S Idris; Wahyuni Indawati; Siti Rizny F Saldi; Dwirani Amelia; Mohammad Baharuddin; Sudigdo Sastroasmoro; Diederick E Grobbee; Cuno S P M Uiterwaal Journal: Trials Date: 2016-06-02 Impact factor: 2.279