I do not think I have seen anything on lactnet abou tthis study:
Henderson A, Stamp G, Pincombe J, (2001) Postpartum positioning and
attachment education for increasing breastfeeding : a rct, Birth 28(4):
236-42.
In this, a 30 minute intervention in a group of women randomised to receive
it did NOT increase breastfeedign duration at 6 weeks, 3 months, or 6
months. Indeed, there was a trend toward less bf in the intervention group
and they also had lower rates of satisfaction with bf.
Has anyone read this study??? What do you think? I thought the discussion
was very interesting and that this is a very important study to note,
because it tells us something we don't want to hear, but might need to hear.
Of course, the major question I have is -- what the heck was the 30 minute
intervention? The paper says a 'visual, written and verbal info covered
simple breast anatomy, various positions of the infant at the breast,
principles of correct attachemtn, and the three stages of suckling', using
hands off technique, and that 'self-attachment by the woman and the cues she
could use to determine that her technique was correct were the foci of the
intervention'. Now, this sounds like it could describe something lovely, or
it could be way too much inof in 30 min in the first 24 hours after birth --
and therein may lie the lesson of the rct. This was done in Australia --
would any Australian lactnetters like to comment / speculate on what type of
technique might have been used? Would it be like Sue Cox, in her video --
in which case, no offense, that is not what most of us in the UK would do,
and I would not wonder at the outcome -- or??????
Potentially this has the power to undermine everything we have been basing
our teaching on for quite some time.
Has there a been a discussion of this that I somehow compeltely missed???
Although the paper discusses how to do a better study, this intervention is
essentially one that many 'specialist' breastfeeding advisor type midwives
do in hospitals in the UK. Alarming that it may have the potential for
harm.
Magda Sachs
Breastfeeding Supporter, BfN, UK
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