Types and timing of breastfeeding support and its impact on mothers' behaviours.
OBJECTIVE
To determine the types and timing of breastfeeding support for mothers of newborn babies and the extent to which this affects breastfeeding intentions and behaviours in a region with low rates of breastfeeding initiation and duration.


METHODS
A cross-sectional study by interviewer-administrated questionnaire was undertaken of women birthing at a large teaching hospital in South Western Sydney, between August and October 2006 (n= 164), with a 2-week follow-up of breastfeeding or breastfeeding-intending women (n= 107). Types, timing and satisfaction with personal and professional sources of support (e.g. antenatal classes, help at birth, practical lessons on how to breastfeed, providing information, and attitude towards breastfeeding) and the impact of these on breastfeeding intention and behaviours were assessed.


RESULTS
Most women had intended to breastfeed (76.2%), and, within the first 24 hours, 77.4% of babies were breastfed to some extent (45.1% exclusively), and at 2 weeks 65.9% were breastfed (9.7% exclusively). Women felt most supported by their partners and least supported by their health-care team. Antenatal classes, breastfeeding help within half an hour of birth and positive health-care team attitudes were related to improved breastfeeding intentions and behaviours. However, these supports were infrequently reported. Personal support was commonly reported although support delivered by professionals was related to better breastfeeding behaviours.


CONCLUSIONS
Despite the effectiveness of professional support interventions, particularly those delivered in the antenatal and immediate post-natal period, access to these sources of support was very low. For breastfeeding outcomes to be improved, effective professional support strategies need to be much more widely available.
Kervin
Beth E
BE
Centre for Health Equity Training Research and Evaluation, part of the Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of NSW, Liverpool Hospital, Liverpool BC, New South Wales, Australia.
Kemp
Lynn
L
Pulver
Lisa Jackson
LJ
D000328:Adult; D001942:Breast Feeding / Q000523:psychology; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007231:Infant, Newborn; D033182:Intention; D015999:Multivariate Analysis; D009517:New South Wales; D012944:Social Support; D013997:Time Factors