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Background birth and feeding data, staff training and feeding team characteristics and roles are reported separately.
In some cases, women or their partner would phone the feeding team back at a more convenient time, and these calls were included in the FEST team-initiated phone call total used to calculate the median duration of successful calls.
All women were informed (written and verbal) that they could phone the feeding team at any time for up to 2 weeks after hospital discharge Randomisation occurred after hospital discharge to: Proactive telephone calls (intervention) daily for 1 week following hospital discharge.
She was treated and guided by a feeding team.
Could effective telephone support be delivered without a dedicated feeding team?
Women could telephone the feeding team at any point over the 2 weeks following discharge.
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6 The FEeding Support Team (FEST) intervention provided a dedicated feeding support team based on a postnatal ward that delivered proactive (feeding team-initiated) and reactive (woman-initiated) telephone support for breastfeeding women living in disadvantaged areas for up to 14 days after hospital discharge.
Further process evaluation will be crucial as dedicated feeding teams would have widespread implications for the working lives of midwives, students, other staff and resources as well as women.
More research is required before feeding teams and proactive calls are widely implemented as there are likely to be unintended consequences to such an organisational change in postnatal care.
Increasing feeding care after birth, proactive rather than reactive care, specialisation with dedicated feeding teams, a family-centred narrative approach rather than checklists, these changes in health service behaviour would all have considerable implications for health professional training, accreditation schemes and resources.
Further research prior to implementation is crucial as dedicated feeding teams would have widespread implications for the working lives of midwives, other staff and resources as well as women, and unanticipated consequences from such a change in service delivery are likely.
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