Online Video Instruction on Hand Expression of Colostrum in Pregnancy is an Effective Educational Tool

Therese A O'Sullivan, Joy Cooke, Chris McCafferty, Roslyn Giglia, Therese A O'Sullivan, Joy Cooke, Chris McCafferty, Roslyn Giglia

Abstract

The use of antenatal colostrum expression in the weeks prior to birth may help improve long-term breastfeeding, but few large-scale studies exist. Typically, antenatal colostrum expression instruction relies on face-to-face education, making large interventions costly. We aimed to determine whether an expert online instructional video can improve knowledge and confidence around antenatal colostrum expressing. Pregnant women were asked to complete a questionnaire pre- and post-watching the instructional video online. Ninety five pregnant women completed both pre- and post-questionnaires. Total antenatal colostrum expression knowledge scores improved after watching the video, from a mean of 3.05 ± 1.70 correct out of a maximum of 7, to 6.32 ± 0.76 (p < 0.001). Self-reported confidence around hand expressing in pregnancy also improved from an average ranking of not confident (2.56 ± 1.17, out of a possible 5) to confident (4.32 ± 0.80, p < 0.001). Almost all women (98%) reported that they would recommend the video to a friend or family member if antenatal colostrum expression was suggested by their healthcare provider. Findings suggest that the use of an online expert video is an acceptable and effective way to educate pregnant women in antenatal colostrum expression.

Keywords: antenatal; breastfeeding; colostrum; expressing; online; pregnancy; video instruction.

Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure A1
Figure A1
The lactation consultant discusses syringes and storage.
Figure A2
Figure A2
Close up of the colostrum collection during one of the demonstrations.
Figure A3
Figure A3
Close up of collected colostrum.
Figure 1
Figure 1
Chart of antenatal expressing of colostrum total knowledge scores scale pre- and post-video (minimum possible score = 0; maximum possible score = 7, n = 95).
Figure 2
Figure 2
Chart of confidence scale pre- and post-video: How confident do you feel at the moment about hand expressing in pregnancy? (Minimum possible score = 1, representing very unconfident; maximum possible score = 5, representing very confident, n = 93).

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