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Yang Y, Liu H, Cui X, Meng J. Mothers' experiences and perceptions of breastfeeding peer support: a qualitative systematic review. Int Breastfeed J 2024; 19:7. [PMID: 38243287 PMCID: PMC10797811 DOI: 10.1186/s13006-024-00614-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 01/11/2024] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND The global issue of low breastfeeding rates has been widely reported. Quantitative studies have shown the positive effects of peer support on breastfeeding. However, the experiences of mothers who receive breastfeeding peer support have been found to vary. To date, no systematic qualitative summary has been conducted to document the impact of peer support, nor to provide advice for its implementation from the perspective of breastfeeding mothers. This review aims to systematically synthesize qualitative findings on mothers' experiences of breastfeeding peer support to provide evidence for optimizing peer support services and ultimately enhancing their role in promoting breastfeeding. METHODS PubMed, Embase, Cochrane Library, Ovid, Web of Science, CINAHL, China National Knowledge Infrastructure (CNKI), WanFang Datebase, VIP Database and Chinese Biomedical Database (CBM) were searched from the inception of each database until January 2023, to collect qualitative studies and mixed methods studies that included qualitative findings on mothers' experiences with breastfeeding peer support. The Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI) was used to extract data and evaluate the quality of the included articles. The meta-integration method was used to explain and integrate the research findings. The review process was carried out by two authors independently, and the disagreements were resolved through consensus. RESULTS A total of 15 articles were included in the study, consisting of 13 qualitative studies and 2 mixed methods studies. The analysis identified four integrated themes: (1) obtaining psycho-emotional support; (2) acquiring knowledge and skills; (3) expectations for breastfeeding peer support; and (4) feeding perceptions and behavior change. It should be noted that the articles reviewed are in English and mostly originate from developed countries or regions. Therefore, the generalizability of the integrated findings to underdeveloped regions or non-English speaking countries may be limited. CONCLUSION Mothers perceived that peer support had a positive impact on breastfeeding. To improve the effectiveness of peer support in promoting breastfeeding, it is important to consider the individual needs of each mother. It is recommended that peer support services should be standardized in the future, including the accreditation, training, supervision, and management of peer supporters.
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Affiliation(s)
- Yuanyuan Yang
- Peking University School of Nursing, Beijing, China.
- Peking University Health Science Centre for Evidence-Based Nursing, Beijing, China.
| | - Huijuan Liu
- Neonatal Disease Diagnosis and Treatment Center, Fifth Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China
| | - Xiaoyi Cui
- Peking University School of Nursing, Beijing, China
| | - Jingwen Meng
- Peking University First Hospital, Beijing, China
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McLardie-Hore FE, Forster DA, McLachlan HL, Shafiei T, Amir LH, Davey MA, Grimes H, Gold L. Is proactive telephone-based breastfeeding peer support a cost-effective intervention? A within-trial cost-effectiveness analysis of the 'Ringing Up about Breastfeeding earlY' (RUBY) randomised controlled trial. BMJ Open 2023; 13:e067049. [PMID: 37290948 PMCID: PMC10254963 DOI: 10.1136/bmjopen-2022-067049] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 05/21/2023] [Indexed: 06/10/2023] Open
Abstract
OBJECTIVE The 'Ringing Up about Breastfeeding earlY' (RUBY) randomised controlled trial showed increased breastfeeding at 6 months in participants who received the proactive telephone-based peer support breastfeeding intervention compared with participants allocated to receive standard care and supports. The present study aimed to evaluate if the intervention was cost-effective. DESIGN A within-trial cost-effectiveness analysis. SETTING Three metropolitan maternity services in Melbourne, Victoria, Australia. PARTICIPANTS First time mothers intending to breastfeed their infant (1152) and peer volunteers (246). INTERVENTION The intervention comprised proactive telephone-based support from a peer volunteer from early postpartum up to 6 months. Participants were allocated to usual care (n=578) or the intervention (n=574). MAIN OUTCOME MEASURES Costs during a 6-month follow-up period including individual healthcare, breastfeeding support and intervention costs in all participants, and an incremental cost-effectiveness ratio. RESULTS Costs per mother supported were valued at $263.75 (or $90.33 excluding costs of donated volunteer time). There was no difference between the two arms in costs for infant and mothers in healthcare and breastfeeding support costs. These figures result in an incremental cost-effectiveness ratio of $4146 ($1393 if volunteer time excluded) per additional mother breast feeding at 6 months. CONCLUSION Considering the significant improvement in breastfeeding outcomes, this intervention is potentially cost-effective. These findings, along with the high value placed on the intervention by women and peer volunteers provides robust evidence to upscale the implementation of this intervention. TRIAL REGISTRATION NUMBER ACTRN12612001024831.
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Affiliation(s)
- Fiona E McLardie-Hore
- Midwifery and Maternity Services Research, Royal Women's Hospital, Parkville, Victoria, Australia
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Della A Forster
- Midwifery and Maternity Services Research, Royal Women's Hospital, Parkville, Victoria, Australia
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - H L McLachlan
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
- School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia
| | - Touran Shafiei
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Lisa H Amir
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Mary-Ann Davey
- Obstetrics & Gynaecology, Monash Health, Monash University Central Clinical School, Melbourne, Victoria, Australia
| | - Heather Grimes
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
- La Trobe University Rural Health School, Bendigo, Victoria, Australia
| | - Lisa Gold
- Deakin Health Economics, Deakin University, Burwood, Victoria, Australia
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Law KH, Jackson B, Tan XH, Teague S, Krause A, Putter K, Du’cane M, Gibson L, Bulles KF, Barkin J, Dimmock JA. Strengthening Peer Mentoring Relationships for New Mothers: A Qualitative Analysis. J Clin Med 2022; 11:jcm11206009. [PMID: 36294330 PMCID: PMC9605247 DOI: 10.3390/jcm11206009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 10/08/2022] [Accepted: 10/10/2022] [Indexed: 11/25/2022] Open
Abstract
(1) Background: The transition to motherhood can be challenging, especially for first-time mothers, and can accompany maternal distress. Social support—such as that offered by peers—can be important in assisting mothers to manage such distress. Although primiparous mothers often seek out and value peer support programs, few researchers have investigated factors that may influence the strength of relationships in non-professional maternal peer support programs. Insight into these factors can be key to enhancing the success of future peer support interventions. (2) Methods: Reflexive thematic analysis was applied to data gathered from 36 semi-structured interviews conducted with 14 primiparous mothers and 17 peer mentors in a peer support program. (3) Results: Four themes related to successful mentorship were identified: expectations of peer relationship, independence of peer mentor, contact, and similarities. (4) Conclusions: For primiparous mothers who are developing their support network, these factors appear important for promoting close and effective peer support relationships. Interventions that harness the dynamics between these factors may contribute to more successful peer support relationships and mental health outcomes for participants.
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Affiliation(s)
- Kwok Hong Law
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
- Telethon Kids Institute, Perth, WA 6009, Australia
- Correspondence:
| | - Ben Jackson
- Telethon Kids Institute, Perth, WA 6009, Australia
- School of Human Sciences (Exercise and Sports Science), University of Western Australia, Perth, WA 6009, Australia
| | - Xuan Hui Tan
- Cairnmillar Institute, Hawthorn East, VIC 3123, Australia
| | - Samantha Teague
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
| | - Amanda Krause
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
- Telethon Kids Institute, Perth, WA 6009, Australia
| | - Kaila Putter
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
| | - Monique Du’cane
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
| | - Lisa Gibson
- Telethon Kids Institute, Perth, WA 6009, Australia
- School of Human Sciences (Exercise and Sports Science), University of Western Australia, Perth, WA 6009, Australia
| | | | | | - James A. Dimmock
- College of Healthcare Sciences, James Cook University, Townsville, QLD 4811, Australia
- Telethon Kids Institute, Perth, WA 6009, Australia
- School of Human Sciences (Exercise and Sports Science), University of Western Australia, Perth, WA 6009, Australia
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