Abstract
Midwives nurses in conjunction with other caregivers play an important role in promoting breastfeeding to women. Although many have positive breastfeeding attitudes, significant knowledge deficits often limit their capacity to effectively encourage, support and assist breastfeeding women and their infants. Aim: To explore the effect of using CD-ROM breastfeeding learning package in training of different caregivers Design: Quasi experimental. Methods: One hundred caregivers (30 physicians, 50 internship nursing students, and 20 nurses midwives). Materials: The intervention comprised a CD-ROM with accompanying information sheets on drugs for lactating women. Study setting: Departments of Obstetric and Pediatric at Obstetric and Pediatric University Hospital at El Minia University, Egypt from first of July to last of September/ 2013. Results: There was an increase in scores relating to knowledge about breastfeeding after training, especially for the physicians and for those who did not have children. Internship nursing students improved their scores on recognition of the symptoms of poor attachment at the breast, and physicians showed greatest improvement in resolving sore nipples and recognizing nipple thrush. Changes in practice were reported and positive comments made about involving physicians and internship nursing students together in practice-based education. Conclusion: There is a need for using an electronic teaching resource and it is feasible for updating the knowledge of the caregivers. It can help to improve breastfeeding expertise and advice about breastfeeding problem management. Also caregive.rs need training about breastfeeding, as well as refresher courses for trained caregivers. Recommendation: Larger evaluation which also explored the training in terms of women's experiences of care and measured breastfeeding outcomes.