Ann L Kellams1, Kelly K Gurka2, Paige P Hornsby3, Emily Drake4, Mark Riffon5, Daphne Gellerson6, Gauri Gulati7, Valerie Coleman8. 1. Department of Pediatrics, University of Virginia, Charlottesville, VA, USA alk9c@virginia.edu. 2. Department of Epidemiology, West Virginia University, Morgantown, WV, USA. 3. Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA. 4. School of Nursing, University of Virginia, Charlottesville, VA, USA. 5. Department of Biostatistics, West Virginia University, Morgantown, WV, USA. 6. University of Maryland School of Medicine, Baltimore, MD, USA. 7. Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, USA. 8. Institute of Women's Health, Virginia Commonwealth University, Richmond, VA, USA.
Abstract
BACKGROUND: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. OBJECTIVE: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. METHODS: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. RESULTS: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups (P = .87). CONCLUSION: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.
RCT Entities:
BACKGROUND: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. OBJECTIVE: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. METHODS: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. RESULTS: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups (P = .87). CONCLUSION: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.
Authors: Adam K Lewkowitz; Nandini Raghuraman; Julia D López; George A Macones; Alison G Cahill Journal: Am J Perinatol Date: 2018-12-19 Impact factor: 1.862
Authors: Olukunmi O Balogun; Elizabeth J O'Sullivan; Alison McFadden; Erika Ota; Anna Gavine; Christine D Garner; Mary J Renfrew; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2016-11-09