| Are 2 weeks of daily breastfeeding support insufficient to overcome the influences of formula? | |
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MedLine Citation:
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PMID: 20129478 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the effectiveness of proactive telephone breastfeeding support in low-income, primiparous, primarily Latina women on 1) duration and exclusivity of breastfeeding, 2) satisfaction with feeding, 3) rationale for discontinuing breastfeeding and 4) health care utilization. METHODS: Randomized controlled trial comparing usual care to 2 weeks of daily telephone calls by nurses by using culturally informed scripted protocols; and qualitative study of focused interviews on a sample of women in the intervention group (n = 40). RESULTS: Breastfeeding duration and exclusivity rates, feeding method satisfaction, and reasons for stopping breastfeeding did not differ significantly between intervention (n = 161) and control (n = 180) groups, with 74% of both breastfeeding at 1 month and 28% and 37%, respectively, at 6 months. Insufficient milk supply was the main reason for stopping in both groups. Intervention infants were less likely to have a sick visit by 1 month (25%) than controls (35%, P = .05). Qualitative interviews revealed that the intervention was informative and helpful, with breastfeeding reported as healthier but harder; formula was a good alternative. Intervention mothers reporting < or =2 supplemental formula feedings on day 4 were more likely than mothers reporting > or =3 supplemental feedings to breastfeed at 1 month (odds ratio 7.7; 95% confidence interval 2.4-24.3). CONCLUSIONS: Two weeks of daily telephone support did not increase breastfeeding duration but was associated with a decrease in sick visits in the first month. Early supplementation and the perception of formula as a good alternative to dealing with the breastfeeding difficulties appeared to be factors in failure of the intervention. |
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Authors:
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Maya Bunik; Patricia Shobe; Mary E O'Connor; Brenda Beaty; Sharon Langendoerfer; Lori Crane; Allison Kempe |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Academic pediatrics Volume: 10 ISSN: 1876-2867 ISO Abbreviation: Acad Pediatr Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-02-04 Completed Date: 2010-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101499145 Medline TA: Acad Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 21-8 Citation Subset: IM |
Copyright Information:
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2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Departments of Pediatrics, University of Colorado Denver, Aurora, USA. Bunik.maya@tchden.org |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00717496 |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Breast Feeding / psychology*, statistics & numerical data* Colorado Female Health Promotion / methods* Hispanic Americans / psychology, statistics & numerical data* Humans Infant Infant Formula Infant, Newborn Interviews as Topic Logistic Models Mothers / psychology Poverty Primary Health Care / utilization Social Support* Telephone Time Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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