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Evidence for community-based breastfeeding support

Evidence for community-based breastfeeding support

Dr Tegan Grace with young baby
  • Continuity of Care Model: The Equip study tested a breastfeeding support model where a lactation consultant provided consistent care from the last trimester to six months postpartum, addressing issues with fragmented care.
  • Supportive Experience: Participants, like first-time mum Stephanie Merritt, found ongoing support from a lactation consultant crucial for managing breastfeeding challenges.
  • Value of Expert Guidance: The study highlights the importance of expert breastfeeding support, even when difficulties lead to using alternative feeding methods.

HMRI and University of Newcastle Mothers and Babies researchers have just completed a breastfeeding study to determine the impact of lactation support.

Lead researcher Dr Tegan Grace says, “The Equip study looked at a new model of breastfeeding care based on the Continuity of Care (CoC) model which is very successful in midwifery.

“Most women have fragmented care for breastfeeding which can result in confusion and conflicting advice. There’s a large gap between leaving the hospital and engaging with community child health care services and up to 20 per cent of mothers cease breastfeeding in the first month during this time.

“We trialled a CoC model of support where a lactation consultant met women in the last trimester, then in the postnatal ward, then at least weekly for the first month, then fortnightly, then monthly for up to 6-months postpartum,” says Dr Grace.

Stephanie Merritt participated in the Equip study and says, “It was a really helpful study to be involved in. After I had Isla, the lactation consultant would come and see me and then we set up a little mums’ group and had meet-ups where she would answer questions for us.”

First-time mum Stephanie says that her breastfeeding journey was harder than expected.

“It just wasn’t working for me. It helped so much to have someone come and watch what I was doing. I had a heavy letdown and my baby would get very uncomfortable. I tried different things to slow down the feeds because Isla kept getting colic. I tried nipple shields and also pumping so that my husband could help with the feeds,” says Stephanie.

“I changed my diet. I tried everything. I breastfed for four months and then I moved to breastfeeding and pumping. I switched to formula at six months because she was uncomfortable and I was uncomfortable,” says Stephanie.

Stephanie said that even though her breastfeeding experience was challenging, it was enormously helpful to have support.

“The lactation consultant would give me things to try, come over and watch me feed and give me pointers. The main thing was the clarification that I wasn’t doing anything wrong. It was really helpful,” says Stephanie.

While the data on the study is still being analysed, Stephanie’s experience highlights the importance of expert breastfeeding support.

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