Dear Friends:


I'd love to know what the "knowledge sharing practice with empowerment
strategies" were.


J Med Assoc Thai. 2010 Sep;93(9):1009-18.
A randomized controlled trial of knowledge sharing practice with empowerment
strategies in pregnant women to improve exclusive breastfeeding during the
first six months postpartum.

Kupratakul J<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Kupratakul%20J%22%5BAuthor%5D>
, Taneepanichskul
S<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Taneepanichskul%20S%22%5BAuthor%5D>
, Voramongkol N<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Voramongkol%20N%22%5BAuthor%5D>
, Phupong V<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Phupong%20V%22%5BAuthor%5D>
.

Research for Health Development (Multidisciplinary and International
Programs), Graduate School, Chulalongkorn University, Bangkok, Thailand.
 Abstract

BACKGROUND: Although there are many benefits to breastfeeding, its
prevalence and duration in many countries is still lower than the
international recommendation for 6-month exclusive breastfeeding. The
objective of the present study was to investigate whether a knowledge
sharing practices with empowerment strategies (KSPES) program on antenatal
education and postnatal support strategies improves the rates of 6-month
exclusive breastfeeding during the first six months postpartum compared with
a standard knowledge of breastfeeding techniques.

MATERIAL AND METHOD: A randomized controlled trial was conducted. Pregnant
women of more than 32 weeks' gestation were randomly assigned to receive a
routine standard knowledge of breastfeeding techniques alone (control group)
or with KSPES on antenatal education and postnatal support strategies (study
group). The primary outcome was the rate of exclusive breastfeeding at
6-month postpartum. The secondary outcomes were rates at 7 days, 14 days, 1,
2, 3, 4, and 5 months postpartum.

RESULTS: Rates of exclusive breastfeeding in the study group were
significantly higher when compared with those in the control group at 14
days (82.5% vs. 52.6%, p = 0.005), 1 month (77.5% vs. 52.6%, p = 0.021), 2
months (62.5% vs. 368%, p = 0.023), 4 months (35.0% vs. 7.9%, p = 0.008), 5
months (25.0% vs. 2.6%, p = 0.012), and 6 months postpartum (20.0% vs. 0%, p
= 0.005).

CONCLUSION: KSPES on antenatal education and postnatal support strategies
significantly improve rates of exclusive breastfeeding at 6-month
postpartum. These strategies also significantly improve rates of exclusive
breastfeeding at 14 days, 1, 2, 4, 5, and 6 months postpartum.

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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