title: Breastfeeding information in midwifery textbooks in Japan: content analysis with evaluation standards based on Delphi method.
abstract: The purpose of this study was to evaluate breastfeeding information in midwifery textbooks. Evaluation standards were developed in order to perform content analysis. A 3-round Delphi method using a panel of 32 midwives resulted in 36 evaluation items from the original 38 draft items based on 4 major international guidelines and statements on breastfeeding. Subsequently, breastfeeding descriptions in 4 midwifery textbooks most frequently used in Japan were examined using a 4-point scale (A, accurate and sufficient description; B, accurate but insufficient description; C, no description; and D, inaccurate or inconsistent description). Among the evaluation items, 40% were rated as A, 25% as C, 21% as B, and 15% as D across the 4 textbooks. In conclusion, a substantial proportion of breastfeeding information in these textbooks was found to be inaccurate, inconsistent, or insufficient in content.
authors.affiliation: 1Department of Health Informatics, School of Public Health, Kyoto University, Kyoto, Japan.
authors.forename: Misato
authors.initials: M
authors.lastname: Kaso
authors.forename: Keiko
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Emi
authors.initials: E
authors.lastname: Koyama
authors.forename: Takeo
authors.initials: T
authors.lastname: Nakayama
mesh_terms: D001942:Breast Feeding; D003697:Delphi Technique; D005260:Female; D006801:Humans; D007564:Japan; D008880:Midwifery / Q000193:education*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D013782:Textbooks as Topic / Q000592:standards*