TY - JOUR
T1 - A Randomized Controlled Community-Based Trial to Improve Breastfeeding Rates Among Urban Low-Income Mothers
AU - Pugh, Linda C.
AU - Serwint, Janet R.
AU - Frick, Kevin D.
AU - Nanda, Joy P.
AU - Sharps, Phyllis W.
AU - Spatz, Diane L.
AU - Milligan, Renee A.
N1 - Funding Information:
This research was supported by a grant (1RO1NR007675) from the National Institute of Health–National Institute of Nursing Research.
PY - 2010/1
Y1 - 2010/1
N2 - 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. Methods: 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.
AB - 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. Methods: 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.
KW - breastfeeding
KW - community intervention
KW - low-income mothers
KW - randomized controlled trial
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U2 - 10.1016/j.acap.2009.07.005
DO - 10.1016/j.acap.2009.07.005
M3 - Article
C2 - 19854119
AN - SCOPUS:74249087321
SN - 1876-2859
VL - 10
SP - 14
EP - 20
JO - Academic pediatrics
JF - Academic pediatrics
IS - 1
ER -