| Abstract | Background:
Midwives nurses -in conjunction with other caregivers - believe they 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. The present study aims 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 student, and 20 nurses midwives) practices were involved in a questionnaire survey. Materials: The intervention comprised a CD-ROM with accompanying information sheets on drugs for lactating women. Study setting: The data collection carried out at 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 their own children. Internship nursing student 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 student together in practice-based education. Conclusion: The findings of this study have highlighted that 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 there is a need for caregivers training about breastfeeding, as well as refresher courses for trained caregivers. Recommendation: From this study for future research would include a larger evaluation which also explored the training in terms of women's experiences of care and measured breastfeeding outcomes.
Key wards: CD-ROM, BREASTFEEDING, LEARNING, PACKAGE, TRAINING, CAREGIVERS:
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