To assess the impact of various modes of postnatal breastfeeding education in promoting breastfeeding practices

Venkatesh Periasami, Vinodh Muthu, Ezhil Vaanija Sakkarai, Aravind Malayappan Ayyavoo, Ganesh Jayachandan


Background: Breast milk is the best nutrient a mother can provide her baby. WHO recommends exclusively breastfeeding up to 6 months of life.The objective of the study was to study the impact of postnatal breastfeeding education in promoting breastfeeding practices and to identify the effective mode of education.

Methods: This is a RCT study conducted in Government RSRM lying-in hospital between Dec 2015 and May 2016.300 women who delivered live, term, healthy, AGA babies were divided randomly in to 3 study groups. Participants in group A were counselled about breastfeeding orally. Those in group B received written information and oral counselling. Group C members were shown an educational video apart from oral and written information. They were assessed on 15th day, 45th day, 3.5 months and 6 months using a simple questionnaire.

Results: Analysis showed that during the 1st visit, there was no statistical difference between groups. However, during the last visit there was significant statistical difference between groups with a p value of 0.004.

Conclusions: Audio-visual aid helps in better breastfeeding practices. Literacy status has no role in promoting breastfeeding practices. 


Breastfeeding, Education, Neonate, Postnatal counselling

Full Text:



Hamosh M. Bioactive factors in human milk. Pediatr Clin North Am. 2001;48(1):69-86.

Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: a systematic review. BMC Public Health. 2013;13(3):20.

Su LL, Chong YC. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. BMJ. 2007;335(7620):596.

Pereira N, Verma RJ. Postnatal Lactational Counseling and Neonatal Weight Pattern. Indian Pediatr. 2015;52(7):579-82.

Tahir NM, Al-Sadat N. Does telephone lactation counselling improve breastfeeding practices A randomised controlled trial. Int J Nurs Stud. 2013;50(1).

Demirci JR, Bogen DL, Holland C, Tarr JA, Rubio D, Li J, et al. Characteristics of breastfeeding discussions at the initial prenatal visit. Obstet Gynecol. 2013;122(6).

Kaufman H, Skipper B, Small L, Terry T, McGrew M: Effect of literacy on breast-feeding outcomes: South Med J. 2001;94(3):293-6.

Mattar CN, Chong YS, Chan YS, Chew A, Tan P, Chan YH, et al. Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial. Obstet Gynecol. 2007;109(1):73-80.

Kellams AL, Gurka KK, Hornsby PP, Drake E, Riffon M, Gellerson D, et al. The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population. J Hum Lact. 2016;32(1):152-9.

Rahman A, Haq Z, Sikander S, Ahmad I, Ahmad M, Hafeez A. Using cognitive-behavioural techniques to improve exclusive breastfeeding in a low-literacy disadvantaged population. Matern Child Nutr. 2012;8(1):57-71.