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Table 8 Summary of Publications Included in the Realist Analysis Following a Pretest-Posttest Design. Realist Review on “How Do Breastfeeding Workplace Interventions Work?”

From: How do breastfeeding workplace interventions work?: a realist review

PRETEST-POSTTEST DESIGN

Lead Author; Publication Year

Katcher et al. [37]; 1985

 Study Population

Female employees of Department of Pediatrics at Hunterdon Medical Center, New Jersey;

Pretest group (N = 19): Mothers who took maternity leave between September 12, 1979 and May 27, 1981, before support program was implemented;

Posttest group (N = 22): Mothers who returned to work between July 2, 1981 and January 7, 1983, after support program was implemented

 Country

USA

 Intervention

Lactation room

Electric breast pump (stored in the office of the Employee Health Service)

Assistance by Employee Health Service (pump instruction, access to lactation room, information about BM storage and use at home)

Refrigerator to store expressed BM

BF counseling

 Outcomes

BF initiation: 16 out of 19 (pretest) vs. 22 out of 22 (posttest)

Discontinuation of BF before RTW: 7 out of 16 (pretest) vs. 0 out of 22 (posttest), p < 0.003

Average EBF duration (weeks): 10.6 (pretest) vs. 12.1 (posttest), p < 0.003

Average total BF duration (months): 6.0 (pretest) vs. 11.7 (posttest), p < 0.003

Lead Author; Publication Year

Rea et al. [48]; 1997

 Study Population

Women working in factories in São Paulo (70% blue collar workers) who are in their third pregnancy trimester;

Interview in third pregnancy trimester (N = 76);

Re-interview after RTW (N = 69)

 Country

Brazil

 Intervention

Childcare at worksite

Lactation room for BM extraction and BM storage

Schedule flexibility

Not working in production line

 Outcomes

Factors associated with longer BF duration:

 • Higher socioeconomic status

 • Childcare at worksite

 • Lactation room for BM extraction and BM storage

 • Not working during weekend

 • Not working in production line

Lead Author; Publication Year

Yimyam et al. [51]; 2014

 Study Population

Employed mothers;

Pretest group: N = 24;

Posttest group: N = 33

 Country

Thailand

 Intervention

BF education by nurse-midwives and/or lactation consultants in cooperation with nurses at the workplace

BF support by nurse-midwives and/or lactation consultants in cooperation with nurses at the workplace

Lactation room

BF support campaigns at the workplace

 Outcomes

EBF rate at 6 months: 4.2% (pretest) vs. 36.4% (posttest), p = 0.004

Any BF rate at 6 months: 29.2% (pretest) vs. 57.6% (posttest), p = 0.033

  1. BF breastfeeding, BM breastmilk, EBF exclusive breastfeeding, RTW return to work