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. OUTCOME MEASURE: 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. 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
RCT Entities:
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. OUTCOME MEASURE: 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. 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
Authors: Mary Beth Flanders Stepans; Susan L Wilhelm; Melody Hertzog; T Kim Callahan Rodehorst; Susan Blaney; Beth Clemens; Josef J Polak; David S Newburg Journal: Breastfeed Med Date: 2006 Impact factor: 1.817
Authors: Karen Bonuck; Alison Stuebe; Josephine Barnett; Miriam H Labbok; Jason Fletcher; Peter S Bernstein Journal: Am J Public Health Date: 2013-12-19 Impact factor: 9.308
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: Li Ming Wen; Chris Rissel; Huilan Xu; Sarah Taki; Limin Buchanan; Karen Bedford; Philayrath Phongsavan; Louise A Baur Journal: JAMA Pediatr Date: 2020-07-01 Impact factor: 16.193