Literature Review Breastfeeding Education

Topics: Childbirth, Statistical significance, Pregnancy Pages: 10 (2402 words) Published: February 10, 2014


Wendy Smith
Literature Review and Appraisal of Evidence
Weber State University

Literature Review and Appraisal of Evidence
PICO Question: For pregnant women considering breastfeeding (P), does a prenatal breastfeeding course (I), as compared to not attending a prenatal breastfeeding course (C) affect the length of exclusive and successful breastfeeding (O)? Part I: Identification of Research Evidence

Article #1:
Shu-Shan, L., Li-Yin, C., Chen-Jei, T., & Ching-Fang, L. (2008). Effectiveness of a prenatal education programme on breastfeeding outcomes in Taiwan. Journal Of Clinical Nursing, 17(3), 296-303. Article #2:

Keresztes, C., & Schmidt, M. (2012). Prenatal breastfeeding class evaluation. Kingston, Ontario: Kingston, Frontenac, and Lennox & Addington Public Health. Article #3
Rosen, I., Krueger, M., Carney, L., & Graham, J. (2008). Prenatal breastfeeding education and breastfeeding outcomes. MCN: The American Journal Of Maternal Child Nursing, 33(5), 315-319. Article #4

Mei Zen, H., Su-Chen, K., Avery, M. D., Wei, C., Kuan-Chia, L., & Meei-Ling, G. (2007). Evaluating effects of a prenatal web-based breastfeeding education programme in Taiwan. Journal Of Clinical Nursing, 16(8), 1571-1579.

Part II: Appraisal of Evidence
Article #1
Component
Appraisal Comments
Author & Publication Year
Shu-Shan, L., Li-Yin, C., Chen-Jei, T., & Ching-Fang, L. (2008) Purpose and Research Question
Design a prenatal education program on breastfeeding and to evaluate the effectiveness of the program based on satisfaction with the program, breastfeeding knowledge, breastfeeding attitude, breastfeeding satisfaction, breastfeeding problems, and rate of exclusive breastfeeding. Research Design

Quasi-experimental design, nonequivalent control group pretest-posttest design Sample (describe)
92 pregnant women with the intention to breastfeed.
Setting (describe
Educational classroom, surveys taken at home
Human Rights Protection
IRB standards were met - Written consent was obtained from all participants and they were assured of confidentiality of their answers to questionnaires Results
Women in the experimental group had significantly higher posttest scores for breastfeeding knowledge compared to the control group. At 3 days post partum and one month postpartum, the experimental group had significantly better attitudes about breastfeeding and satisfaction with breastfeeding. The rate of exclusive breastfeeding was higher in the experimental group, though this difference decreased by one month postpartum. There were no significant differences in breastfeeding problems between the two groups at 3 days postpartum or one month postpartum. Implications to Nursing

This study emphasizes the importance of prenatal breastfeeding education for expectant mothers. Education is a major responsibility of nursing and prenatal breastfeeding teachers will often be nurses. The study also presents an outline for a prenatal course, which can be utilized in practice and studied further in patient care settings. General Strengths of article

Research purpose significant to nursing practice. Matching was applied to ensure comparability of control and experimental groups. Low attrition rate. Research purpose and question, design, and sample conceptually linked. General Weaknesses of article

Lack of randomization of experimental and control group status, no placebo-like intervention, possible Hawthorne effect, small sample size, and limited generalizability Summary Statement for Practice

Due to the limited sample size and lack of significant increase in exclusive breastfeeding, the findings in this research study do not support implementation of this prenatal breastfeeding education course for expectant mothers. Quantitative Research Design Appraisal Questions (only)

Independent Variable(s)
Prenatal Breastfeeding Course (experimental group)
Lack of breastfeeding course (control group)...
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