Effect of Group Antenatal Care on Breastfeeding Knowledge and Practices Among Pregnant Women in Ghana: Findings from a Cluster-Randomized Controlled Trial
2024

Group Antenatal Care and Breastfeeding in Ghana

Sample size: 1761 publication 10 minutes Evidence: high

Author Information

Author(s): Lanyo Theresa Norpeli, Williams John, Ghosh Bidisha, Apetorgbor Veronica E. A., Kukula Vida A., Zielinski Ruth, Awini Elizabeth, Moyer Cheryl, Lori Jody R.

Primary Institution: University of Michigan School of Nursing

Hypothesis

Does group antenatal care improve breastfeeding knowledge and practices among pregnant women in Ghana?

Conclusion

Group antenatal care significantly improved breastfeeding knowledge and practices among women in Ghana.

Supporting Evidence

  • Women in group antenatal care had higher odds of exclusively breastfeeding for the first six months.
  • Group sessions improved knowledge about when to introduce solid foods.
  • Participants reported better breastfeeding practices compared to those receiving individual care.

Takeaway

This study shows that when pregnant women attend group sessions instead of individual check-ups, they learn more about breastfeeding and are more likely to do it right.

Methodology

A cluster-randomized controlled trial with 1761 pregnant women from 14 health facilities in Ghana, comparing group antenatal care to individual care.

Potential Biases

Potential selection bias due to purposive sampling at study sites.

Limitations

Participants were not blinded, and the study only followed up to 14 months postpartum.

Participant Demographics

Majority aged 25-34, 10% tertiary education, 93% Christian.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI: 2.1, 6.3

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.3390/ijerph21121587

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