Organizzazione sanitaria
Allattamento al seno e personale sanitario: la formazione è efficace?
BREASTFEEDING TRAINING: IS IT EFFECTIVE?
RICCARDO DAVANZO
UO di Neonatologia e Terapia Intensiva Neonatale e Gruppo di Lavoro sull’Allattamento al Seno, IRCCS “Burlo Garofolo”, Trieste
Settembre 2002 - pagg. 443 -447
Abstract
The Author reviews the existing studies assessing the effectiveness of breastfeeding training programmes
for health professionals. Two studies are more thoroughly examined, both assessing
training programmes based on the 18-hour course proposed by UNICEF. The first programme
has been carried out in Bielorussia, the second in Italy. Both were controlled studies. Results
were positive in both cases. An evaluation component should be included in all the ongoing
training programmes on breastfeeding.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Devoto-Oli. Dizionario della Lingua Italiana.
Le Monnier, 1990.
2. De Mauro-Moroni. Dizionario di Base. Paravia, 1996.
3. Davanzo R. L’allattamento al seno e la formazione del personale sanitario. PRAE, Quaderni del Centro Scientifico Regionale di Prevenzione Sanitaria 1998:193-203.
4. Freed JL. National Assessment of Physicians’ Breast-feeding Knowledge, Attitudes, Training and Experience. JAMA 1995;273:472- 6.
5. Del Santo M, et al. La conoscenza dei pediatri sull’allattamento al seno. Quaderni ACP 1998;5 (4):10-2.
6. Davanzo R. Pediatric Education Research on Breastfeeding. A report from Italy. Rapporto alla Comunità Economica Europea. Rapporto interno, non pubblicato, 1996.
7. American Academy of Paediatrics. Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 1997; 100:1035-9.
8. Fairbank L, O’Meara S, Renfrew MJ, et al. A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technology Assessment 2000;4(25).
9. Concato J, et al. Randomized, controlled trials, observational studies and the hierarchy of reasearch designs. N Eng J Med 2000; 342:1887-92.
10. US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd Ed 1996. WA, DC Dpt. of Health & Human Services.
11. Brimblecombe FSW, Cullen D. Influences on a mother’s choice of method of infant feeding. Public Health 1977;91:117-26.
12. Blearkney GM, McErlain S. Infant feeding guidelines: an evaluation of their effect on healh professionals’ knowledge and attitudes. J Human Nutr Diet 1996;9:437-50.
13. Ellis DJ, Hewat RJ. Do nurses help or hinder mothers who brestfeed? J Adv Nurs 1983;8:281-8.
14. McIntyre E, Lawlor-Smith C. Improving the breastfeeding knowledge of health professionals. Aust Fam Physician 1996;25:S68-79.
15. Stokoe B, Clarey M. Failure breeds success. Health visitors 1994;67:179.
16. Breastfeeding management and promotion in a BFH: UNICEF 1993.
17. Breastfeeding counselling: a training course. Geneva, WHO/UNICEF 1993.
18. Evidence for the ten steps to successful breastfeeding. Division of Child Health and Development, WHO 1998.
19. Westphal MF, et al. Breastfeeding training for healths professionals and resultant institutional changes. Bulletin of the WHO 1995;73 (4):461-8.
20. Rea MF, et al. Counselling on breastfeeding: assessing knowledge and skills. Bulletin of the WHO 1999;77(6):492-8.
21. Kramer MS, et al. Promotion of Breastfeeding Intervention Trial (PROBIT). A Randomized Trial in the Republic of Belarus. JAMA 2001;285:413-20.
22. Cattaneo A, Buzzetti R. On behalf of the Breastfeeding Research and Training Working Group. The effect of training for the Baby Friendly Hospital Initiative. BMJ 2001; 323: 1358-62.
23. Armstrong HC. Breastfeeding promotion: training of mid-level and outreach health workers. Int J Gynecol Obstet 1990;31(Suppl 1):91-3.
24. Prasad B, Costello AM. Impact and sustainability of a “baby friendly” health education intervention at a district hospital in Bihar, India. BMJ 1995;310(6980):621-3.
25. The Baby Friendly Hospital Initiative. Monitoring and Reassessment. Tools to sustain progress. Document WHO/NHD/99.2 WHO Geneva.
26. Dennis CL, et al. The effect of peer support on breast-feeding duration among primiparous women: a RCT. CMAI 2001;166(1):21-8.
27. Schader E, et al. Volunteer peer counsellors increase breastfeeding duration among rural low-income women. Birth 1998;25(2): 101-6,.
28. Morrow AL, et al. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a RCT. Lancet 1999;353:1226-31.
29. Haider R, et al. Effect of community-based peer consellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a RCT. Lancet 2000;356:1643-7.
30. Napier D. Hands off technique (HOT) has many benefits for breastfeeding mothers. BMJ 2001;1:322:9.
2. De Mauro-Moroni. Dizionario di Base. Paravia, 1996.
3. Davanzo R. L’allattamento al seno e la formazione del personale sanitario. PRAE, Quaderni del Centro Scientifico Regionale di Prevenzione Sanitaria 1998:193-203.
4. Freed JL. National Assessment of Physicians’ Breast-feeding Knowledge, Attitudes, Training and Experience. JAMA 1995;273:472- 6.
5. Del Santo M, et al. La conoscenza dei pediatri sull’allattamento al seno. Quaderni ACP 1998;5 (4):10-2.
6. Davanzo R. Pediatric Education Research on Breastfeeding. A report from Italy. Rapporto alla Comunità Economica Europea. Rapporto interno, non pubblicato, 1996.
7. American Academy of Paediatrics. Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 1997; 100:1035-9.
8. Fairbank L, O’Meara S, Renfrew MJ, et al. A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technology Assessment 2000;4(25).
9. Concato J, et al. Randomized, controlled trials, observational studies and the hierarchy of reasearch designs. N Eng J Med 2000; 342:1887-92.
10. US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd Ed 1996. WA, DC Dpt. of Health & Human Services.
11. Brimblecombe FSW, Cullen D. Influences on a mother’s choice of method of infant feeding. Public Health 1977;91:117-26.
12. Blearkney GM, McErlain S. Infant feeding guidelines: an evaluation of their effect on healh professionals’ knowledge and attitudes. J Human Nutr Diet 1996;9:437-50.
13. Ellis DJ, Hewat RJ. Do nurses help or hinder mothers who brestfeed? J Adv Nurs 1983;8:281-8.
14. McIntyre E, Lawlor-Smith C. Improving the breastfeeding knowledge of health professionals. Aust Fam Physician 1996;25:S68-79.
15. Stokoe B, Clarey M. Failure breeds success. Health visitors 1994;67:179.
16. Breastfeeding management and promotion in a BFH: UNICEF 1993.
17. Breastfeeding counselling: a training course. Geneva, WHO/UNICEF 1993.
18. Evidence for the ten steps to successful breastfeeding. Division of Child Health and Development, WHO 1998.
19. Westphal MF, et al. Breastfeeding training for healths professionals and resultant institutional changes. Bulletin of the WHO 1995;73 (4):461-8.
20. Rea MF, et al. Counselling on breastfeeding: assessing knowledge and skills. Bulletin of the WHO 1999;77(6):492-8.
21. Kramer MS, et al. Promotion of Breastfeeding Intervention Trial (PROBIT). A Randomized Trial in the Republic of Belarus. JAMA 2001;285:413-20.
22. Cattaneo A, Buzzetti R. On behalf of the Breastfeeding Research and Training Working Group. The effect of training for the Baby Friendly Hospital Initiative. BMJ 2001; 323: 1358-62.
23. Armstrong HC. Breastfeeding promotion: training of mid-level and outreach health workers. Int J Gynecol Obstet 1990;31(Suppl 1):91-3.
24. Prasad B, Costello AM. Impact and sustainability of a “baby friendly” health education intervention at a district hospital in Bihar, India. BMJ 1995;310(6980):621-3.
25. The Baby Friendly Hospital Initiative. Monitoring and Reassessment. Tools to sustain progress. Document WHO/NHD/99.2 WHO Geneva.
26. Dennis CL, et al. The effect of peer support on breast-feeding duration among primiparous women: a RCT. CMAI 2001;166(1):21-8.
27. Schader E, et al. Volunteer peer counsellors increase breastfeeding duration among rural low-income women. Birth 1998;25(2): 101-6,.
28. Morrow AL, et al. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a RCT. Lancet 1999;353:1226-31.
29. Haider R, et al. Effect of community-based peer consellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a RCT. Lancet 2000;356:1643-7.
30. Napier D. Hands off technique (HOT) has many benefits for breastfeeding mothers. BMJ 2001;1:322:9.