Effect of a breastfeeding educational intervention: a randomized controlled trial.
Erdnaxela Fernandes do Carmo Souza, Alfredo Almeida Pina-Oliveira, Antonieta Keiko Kakuda Shimo
PMID 33027400WHAT IT FOUND
Postpartum women who received interactive breastfeeding education using a kit and practical simulations had higher exclusive breastfeeding percentages at 10, 30, and 60 days than women receiving routine nursing guidance.
Key findings
01Exclusive breastfeeding was more common in the intervention group than in the control group at all time points, with statistical significance.
02At day 10, 48 of the 52 intervention women and 37 of the 52 control women were exclusively breastfeeding.
03The intervention group maintained breastfeeding for a longer time and had a lower percentage of breastfeeding difficulties than the control group, with statistical significance.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at one private hospital in São Paulo, Brazil, so it may not apply to other settings. Medium- and high-risk mothers or infants, pre-term infants unable to breastfeed, and women with communication difficulties were excluded. The authors reported a low number of childbirths at the institution and said data collection and follow-up would need to be expanded to reach the proposed sample size. The intervention combined the KEAM kit with dialogue-based, visual, interactive guidance and practical simulations, so the contribution of any single component cannot be separated. Follow-up reached only day 60, not the six-month exclusive breastfeeding recommendation. Women knew their group because allocation envelopes were opened by the women or a companion.
Declared interests
No funding source or conflict-of-interest declaration is provided in the supplied text.
The easy way to misread this
Do not conclude that the KEAM kit alone improves exclusive breastfeeding. The intervention also included dialogue-based, visual, interactive guidance, practical simulations, feedback, and clarification of doubts, and the study did not test those components separately.