Impact of support networks for breastfeeding: A multicentre study.

BACKGROUND: The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life. OBJECTIVES: The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain). METHODS: After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted. RESULTS: The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p=0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p<0.0005). CONCLUSION: Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women's decision to breastfeed.

El concepto del Baby Café como red internacional de apoyo a la lactancia materna / O conceito do Baby Café como rede internacional de apoio à amamentação materna / The Baby Café concept as an international network of support to breastfeeding

El objetivo general de este trabajo consiste, en reflexionar sobre el fenómeno del Baby Café como recurso novedoso y conveniente dentro del mundo de la promoción, protección y apoyo a la lactancia materna a nivel internacional. El Baby Café es una iniciativa de apoyo a la lactancia materna, que coordina una red internacional de centros en los que se combina el apoyo formal proveniente de los profesionales sanitarios especializados en lactancia y el apoyo informal propio de los grupos o redes de apoyo a la lactancia. Con el fin último de promover proteger y apoyar a la lactancia materna, adentrándonos en la iniciativa del Baby Café y animando a que se realicen más estudios que avalen el verdadero impacto que éste tipo de iniciativas tienen sobre la sociedad; hemos desarrollado, mediante el estado de la cuestión y un diario de campo, un estudio cualitativo, que nos ha permitido explorar el fenómeno del Baby Café en el distrito 10 de Singapur, durante el mes de marzo de 2015 (AU)

O objetivo geral deste trabalho consiste em refletir sobre o fenômeno do bebe café como novo e conveniente recurso dentro do mundo da promoção, proteção e apoio a amamentação materna a nível internacional. O bebe café é uma iniciativa de apoio a amamentação materna que coordena uma rede internacional de centros nos quais se combina o apoio formal proveniente dos profissionais sanitários especializados em amamentação, e no apoio informal próprio dos grupos o redes de apoio a amamentação. Com o fim de promover, proteger e apoiar a amamentação materna aprofundando a iniciativa do bebe café e incentivando a que se realizem mais estudos que avaliem o verdadeiro impacto que este tipo de iniciativa tem sobre a sociedade; temos desenvolvido, mediante o estado da questão e um diário de campo, um estudo qualitativo, que nos permitiu explorar o fenômeno do bebe café no distrito de Singapura durante o mês de Março 2015 (AU)

The general objective of this work is to reflect on the phenomenon of The Baby Café as a novel and convenient concept in a world of promotion, protection and support of breastfeeding worldwide. The Baby Café is an initiative to support breastfeeding that coordinates an international network of centers that combines formal support from health professionals who specialize in lactation with informal support groups or networks of breastfeeding. With the ultimate goal of the promotion, protection and support of breastfeeding, the introduction of The Baby Café initiative encourages more studies of such nature to be conducted, eventually demonstrating the true impact of such initiatives on society; we have developed, through the theoretical framework and a field diary, a qualitative study, which has allowed us to explore the phenomenon of the Baby Cafe in the 10th district of Singapore, during the month of March 2015 (AU)

Desarrollo y validación de un instrumento diseñado para medir el impacto de las redes de apoyo a la lactancia materna / Development and validation of an instrument designed to measure the impact of networks of support for breastfeeding

Antecedentes: partimos de la hipótesis de que no existen suficientes cuestionarios validados que midan el impacto de las redes de apoyo a la lactancia materna para población hispano hablante. Objetivo: Por ese motivo, nos planteamos como objetivo general de este trabajo, elaborar y validar (a nivel de contenido y constructo) un instrumento de medida cuantitativa. Método: Se evaluó la validez de contenido sometiendo el cuestionario a un juicio de expertos en lactancia materna de la Región de Murcia. La prueba piloto se llevó a cabo entre los meses de marzo y abril de 2014. Las encuestas fueron realizadas directamente por las usuarias que acudían al grupo de apoyo a la lactancia «Lactando». Para la validez de constructo se realizó un análisis factorial con el que se determinaron las distintas dimensiones que el cuestionario podría medir. Se realizó una estadística descriptiva de cada uno de los ítems. A través del análisis de componentes principales, se obtuvo la varianza total explicada, determinando así, los factores con los elementos que los definían. Resultados: A través del análisis factorial, el cuestionario obtuvo una alta consistencia interna para sus cinco componentes (satisfacción, consultas, experiencia, problemas y apoyo), consiguiendo valores de 0,942 a 0,632. Y un porcentaje de varianza total explicada elevado (11,157%-5,093%). Conclusión: Este estudio ha servido para crear un instrumento pertinente y válido a nivel de contenido y de constructo, capaz de medir el impacto de las redes de apoyo a la lactancia a través de 5 dimensiones (AU)

Background: the hypothesis of this study is that there are not enough validated questionnaires that measure the impact of networks to support breastfeeding for the Spanish speaking population. Objective: For this reason, we ask as a general objective of this study, to develop and validate (in terms of content and construct) a quantitative instrument of measure. Method: We evaluated the content validity, subjecting the survey to a breastfeeding expert's opinion in the Region of Murcia. The pilot test was conducted between the months of March and April 2014. Surveys were carried out directly by users who attended the breast-feeding support group «Lactando». For construction validity, a factor analysis was conducted, which determined the different dimensions that the survey could measure. A description of each of the items on the statistics was conducted. Through principal component analysis, the total variance explained was obtained, determining the factors that define the elements. Results: Through factor analysis, the questionnaire has a high internal consistency for its five components (satisfaction, consultations, experience, problems and support), obtaining values from 0.942 to 0.632. And a high percentage of total variance explained (11,157%-5,093%). Conclusion: This study has served to create a relevant and valid in terms of content and construction, instrument, capable of measuring the impact of networks of support for breastfeeding through 5 dimensions (AU)

[Development and validation of an instrument designed to measure the impact of networks of support for breastfeeding]. / Desarrollo y validación de un instrumento diseñado para medir el impacto de las redes de apoyo a la lactancia materna.

BACKGROUND: the hypothesis of this study is that there are not enough validated questionnaires that measure the impact of networks to support breastfeeding for the Spanish speaking population. OBJECTIVE: For this reason, we ask as a general objective of this study, to develop and validate (in terms of content and construct) a quantitative instrument of measure. METHOD: We evaluated the content validity, subjecting the survey to a breastfeeding expert's opinion in the Region of Murcia. The pilot test was conducted between the months of March and April 2014. Surveys were carried out directly by users who attended the breast-feeding support group "Lactando". For construction validity, a factor analysis was conducted, which determined the different dimensions that the survey could measure. A description of each of the items on the statistics was conducted. Through principal component analysis, the total variance explained was obtained, determining the factors that define the elements. RESULTS: Through factor analysis, the questionnaire has a high internal consistency for its five components (satisfaction, consultations, experience, problems and support), obtaining values from 0.942 to 0.632. And a high percentage of total variance explained (11,157% - 5,093%). CONCLUSION: This study has served to create a relevant and valid in terms of content and construction, instrument, capable of measuring the impact of networks of support for breastfeeding through 5 dimensions.

Antecedentes: partimos de la hipótesis de que no existen suficientes cuestionarios validados que midan el impacto de las redes de apoyo a la lactancia materna para población hispano hablante. Objetivo: Por ese motivo, nos planteamos como objetivo general de este trabajo, elaborar y validar (a nivel de contenido y constructo) un instrumento de medida cuantitativa. Método: Se evaluó la validez de contenido sometiendo el cuestionario a un juicio de expertos en lactancia materna de la Región de Murcia. La prueba piloto se llevó a cabo entre los meses de marzo y abril de 2014. Las encuestas fueron realizadas directamente por las usuarias que acudían al grupo de apoyo a la lactancia "Lactando". Para la validez de constructo se realizó un análisis factorial con el que se determinaron las distintas dimensiones que el cuestionario podría medir. Se realizó una estadística descriptiva de cada uno de los ítems. A través del análisis de componentes principales, se obtuvo la varianza total explicada, determinando así, los factores con los elementos que los definían. Resultados: A través del análisis factorial, el cuestionario obtuvo una alta consistencia interna para sus cinco componentes (satisfacción, consultas, experiencia, problemas y apoyo), consiguiendo valores de 0,942 a 0,632. Y un porcentaje de varianza total explicada elevado (11,157% - 5,093%). Conclusión: Este estudio ha servido para crear un instrumento pertinente y válido a nivel de contenido y de constructo, capaz de medir el impacto de las redes de apoyo a la lactancia a través de 5 dimensiones.