Document Detail


Are 2 weeks of daily breastfeeding support insufficient to overcome the influences of formula?
MedLine Citation:
PMID:  20129478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Maya Bunik; Patricia Shobe; Mary E O'Connor; Brenda Beaty; Sharon Langendoerfer; Lori Crane; Allison Kempe
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Publication Detail:
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:
Title:  Academic pediatrics     Volume:  10     ISSN:  1876-2867     ISO Abbreviation:  Acad Pediatr     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101499145     Medline TA:  Acad Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-8     Citation Subset:  IM    
Copyright Information:
2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Departments of Pediatrics, University of Colorado Denver, Aurora, USA. Bunik.maya@tchden.org
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00717496
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MeSH Terms
Descriptor/Qualifier:
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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