OBJECTIVE: Whether postpartum visits by trained community health workers (CHWs), reduce newborn breastfeeding problems. METHOD: Community health workers made antenatal and postpartum home visits promoting newborn care practices including breastfeeding. CHWs assessed neonates for adequacy of breastfeeding and provided hands-on support to mothers to establish breastfeeding. History and observation data of 3495 neonates were analyzed to assess effects of CHW visitation on feeding problems. RESULT: Inappropriate breastfeeding position and attachment were the predominant problems (12 to 15%). Only 6% of newborns who received home visit by CHWs within 3 days had feeding difficulties, compared to 34% of those who did not (odds ratio: 7.66, 95% confidence interval (CI): 6.03 to 9.71, P=0.00). Latter group was 11.4 times (95% CI: 6.7 to 19.3, P=0.00) more likely to have feeding problems as late as days 6 to 7, than the former. CONCLUSION: Counseling and hands-on support on breastfeeding techniques by trained workers within first 3 days of birth, should be part of community-based postpartum interventions.
RCT Entities:
OBJECTIVE: Whether postpartum visits by trained community health workers (CHWs), reduce newborn breastfeeding problems. METHOD: Community health workers made antenatal and postpartum home visits promoting newborn care practices including breastfeeding. CHWs assessed neonates for adequacy of breastfeeding and provided hands-on support to mothers to establish breastfeeding. History and observation data of 3495 neonates were analyzed to assess effects of CHW visitation on feeding problems. RESULT: Inappropriate breastfeeding position and attachment were the predominant problems (12 to 15%). Only 6% of newborns who received home visit by CHWs within 3 days had feeding difficulties, compared to 34% of those who did not (odds ratio: 7.66, 95% confidence interval (CI): 6.03 to 9.71, P=0.00). Latter group was 11.4 times (95% CI: 6.7 to 19.3, P=0.00) more likely to have feeding problems as late as days 6 to 7, than the former. CONCLUSION: Counseling and hands-on support on breastfeeding techniques by trained workers within first 3 days of birth, should be part of community-based postpartum interventions.
Authors: B L Philipp; A Merewood; L W Miller; N Chawla; M M Murphy-Smith; J S Gomes; S Cimo; J T Cook Journal: Pediatrics Date: 2001-09 Impact factor: 7.124
Authors: Karen M Edmond; Charles Zandoh; Maria A Quigley; Seeba Amenga-Etego; Seth Owusu-Agyei; Betty R Kirkwood Journal: Pediatrics Date: 2006-03 Impact factor: 7.124
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28
Authors: Robert A McPherson; Jyotsna Tamang; Stephen Hodgins; Laxmi R Pathak; Ram C Silwal; Abdullah H Baqui; Peter J Winch Journal: BMC Pregnancy Childbirth Date: 2010-06-07 Impact factor: 3.007