Breastfeeding Support

Comparing peers to professionals

By Diana Swift

Peers are preferable to professionals for supporting new moms in breastfeeding. Although the proportion of new mothers breastfeeding their babies grew from 25% in the 1960s to at least 83% today, most mothers stop before the recommended six-month period—even with follow-up help from healthcare professionals. Now a University of Toronto study has found that having the benefit of mother-to-mother support is better than professional care alone for extending the time a mother nurses and her satisfaction with the infant-feeding experience.

Led by Dr. Cindy-Lee Dennis of the nursing faculty, researchers recruited 256 first-time nursing mothers from two community hospitals near Toronto. Half were assigned to conventional care (in-hospital breastfeeding support and post-discharge public-health nursing services) and half to conventional care, plus telephone support from a female volunteer experienced in breastfeeding. This backup began within 48 hours of the mom’s discharge from hospital. At three months’ follow-up, 81% of moms receiving peer support were still nursing, versus 67% of their standard-care counterparts—and more were doing so exclusively (57% versus 40%). And when asked to rate the overall quality of their experience in feeding their babies, less than 2% of moms in the experimental arm were dissatisfied, versus more than 10% of those in the conventional arm. The mother-to-mother telephone support also appeared to combat postpartum depression, a relationship that Dennis will soon examine in a new study.

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