A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers.
Acad Pediatr
; 10(1): 14-20, 2010.
Article
em En
| MEDLINE
| ID: mdl-19854119
ABSTRACT
OBJECTIVE:
The purpose of this study was to assess whether providing a breastfeeding support team results in higher breastfeeding rates at 6, 12, and 24 weeks postpartum among urban low-income mothers.DESIGN:
A randomized controlled trial with mother-infant dyads recruited from 2 urban hospitals.PARTICIPANTS:
Breastfeeding mothers of full-term infants who were eligible for Special Supplemental Nutrition Program for Women, Infants, and Children (n=328) were randomized to intervention (n=168) or usual-care group (n=160). INTERVENTION The 24-week intervention included hospital visits by a breastfeeding support team, home visits, telephone support, and 24-hour pager access. The usual-care group received standard care. OUTCOMEMEASURE:
Breastfeeding status was assessed by self-report at 6, 12, and 24 weeks postpartum.RESULTS:
There were no differences in the sociodemographic characteristics between the groups 87% were African American, 80% single, and 51% primiparous. Compared with the usual-care group, more women reported breastfeeding in the intervention at 6 weeks postpartum, 66.7% vs 56.9% (odds ratio, 1.71; 95% confidence interval, 1.07-2.76). The difference in rates at 12 weeks postpartum, 49.4% vs 40.6%, and 24 weeks postpartum, 29.2% vs 28.1%, were not statistically significant.CONCLUSIONS:
The intervention group was more likely to be breastfeeding at 6 weeks postpartum compared with the usual-care group, a time that coincided with the most intensive part of the intervention.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
5_ODS3_mortalidade_materna
Base de dados:
MEDLINE
Assunto principal:
Apoio Social
/
Aleitamento Materno
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Serviços de Saúde Materna
/
Mães
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Infant
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Acad Pediatr
Ano de publicação:
2010
Tipo de documento:
Article