eesti teaduste
akadeemia kirjastus
SINCE 1952
Proceeding cover
of the estonian academy of sciences
ISSN 1736-7530 (Electronic)
ISSN 1736-6046 (Print)
Impact Factor (2022): 0.9
Research article
Assessing the international Breastfeeding and Early Interaction Course in the COVID-19 era: student feedback and suggestions for improvement; pp. 340–345

Marge Põldma, Aino Ezeonodo, Annely Kärema, Leena Hannula

With the global target of achieving an exclusive breastfeeding rate of 70% for babies up to 6 months old by 2030, there is a significant need for educated and skilled multiprofessional healthcare teams to support, protect, and promote breastfeeding. The Erasmus+ programme for the period of 2021–2027 supports the adoption of digital technologies, innovative and open pedagogies in education and training, and is also designed to reach out to a larger and more diverse group of students and staff in higher education. Since 2012, Metropolia University of Applied Sciences and Tallinn Health Care College have been providing education on basic skills and knowledge of breastfeeding to healthcare students of different curricula. The objective of the Breastfeeding and Early Interaction Course (BF&EI Course) is to facilitate collaborative online learning exchange and teamwork among different healthcare professionals. Student feedback is one of the factors influencing the development of a study course. After the course, students are equipped to provide clinical breastfeeding counselling and help mothers with lactation problems. However, the COVID-19 pandemic restricted contact studies and hence had some influence on the learning experience of the students as well as on the development of the breastfeeding course.


1. National Institute for Health Development. Breastfed infants by breastfeeding duration and county. 2022. (accessed 2022-10-12).  

2. Hakala, M., Kaakinen, P., Kääriäinen, M., Bloigu, R., Hannula, L., Elo, S. Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study. Eur. J. Midwifery, 2021, 5, 1–11.  

3. World Health Organization. Guideline: counselling of women to improve breastfeeding practices. Licence: CC BY-NC-SA 3.0 IGO. 2018.

4. Demirtas, B. 2012. Strategies to support breastfeeding: a review. Int. Nurs. Rev., 2012, 59(4), 474–481.

5. Azad, M. B., Nickel, N. C., Bode, L., Brockway, M., Brown, A., Chambers, C. et al. Breastfeeding and the origins of health: Interdisciplinary perspectives and priorities. Matern. Child Nutr., 2021, 17(2), e13109.  

6. Erasmus+ Virtual Exchange | European Youth Portal (accessed 2022-12-17).

7. Pamfilie, R., Bumbac, R. and Orîndaru, A. Innovative e-learning benefits for universities and companies. In The 9th International Scientific Conference “Learning and Software for Education”, Bucharest, Romania, 25–26 April 2013. Carol I National Defense University, 2013.

8. Borrelli, S., Walker, L., Coolin, K., Fumagalli, S., Karema, A., Konstantinidis, S. et al. Midwifery students’ perspectives of physical and virtual mobility activities including preferences for e-learning: A cross-sectional survey. Nurse Educ. Today, 2022, 109, 105214.  

9. Rollett, W., Bijlsma, H. and Röhl, S. Student Feedback on Teaching in Schools. Springer International Publishing, 2021.   

10. Clark, R. C. and Mayer, R. E. E-Learning and the Science of Instruction: Proven Guidelines for Consumers. John Wiley & Sons, Hoboken, NJ, 2011.

11. Oelhafen, S., Hölzli, U., Häsänen, M., Kärema, A., Kasemets, M.-T., Bartels, I. et al. Increasing midwives’ ethical competence: a European educational and practice development project. Int. J. Ethics Educ., 2017, 2, 147–160.  

12. Rowe, M., Frantz, J. and Bozalek, V. The role of blended learning in the clinical education of healthcare students: A systematic review. Med. Teach., 2012, 34(4), e216-e221.  

13. Seemiller, C. and Grace, M. Generation Z: educating and engaging the next generation of students. About Campus, 2017, 22(3), 21–27.

14. Çiftçi, B., Aras, G. N. and Yıldız, Ö. Examining the correlation between intercultural sensitivity and individualized care perception of nursing students. Nurse Educ. Today, 2021, 102, 104937.

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