| Reduction of Unnecessary Intake of Water and Herbal Teas on Breast-fed Infants: A Randomized Clinical Trial With Adolescent Mothers and Grandmothers. | |
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MedLine Citation:
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PMID: 21856517 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the efficacy of counseling sessions on breast-feeding for adolescent mothers and maternal grandmothers on the reduction of unnecessary water and herbal teas intake on breast-fed infants. METHODS: A randomized clinical trial was conducted involving adolescent mothers, newborn infants, and maternal grandmothers allocated into four groups: mother and grandmother not cohabitating, without intervention; mother and grandmother not cohabitating, with intervention directed only toward mother; mother and grandmother cohabitating, without intervention; and mother and grandmother cohabitating, with intervention directed toward both. The intervention consisted of six counseling sessions on breastfeeding: in the maternity ward, and after birth on days 7, 15, 30, 60, and 120 at home. The data about feeding practices were collected by telephone every month until the end of the sixth month of the baby's life. The effect of the intervention was measured by comparing the medians and the survival curves for initiation of water and/or tea intake in the first 6 months of life, and Cox regression was used to estimate its magnitude. RESULTS: The intervention had a positive effect for the group in which the adolescent mothers cohabitated with the baby's grandmother (hazard ratio = .53; 95% confidence interval = .35-.80), and also for the group in which they did not cohabitate with the baby's grandmother (hazard ratio = .48; 95% confidence interval = .31-.76). By comparing the medians of the time of initiation of water and/or tea intake between control and intervention groups, it was observed that the intervention postponed the use of these liquids in 67 days in the group in which mothers and grandmothers cohabitated and in 44 days in the group in which they did not live together. CONCLUSION: Multiple counseling sessions on infant feeding in the first 4 months postpartum for adolescent mothers and maternal grandmothers, when they cohabitate, proved to be an effective strategy to postpone the unnecessary water and/or tea intake of breast-fed infants. |
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Authors:
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Leandro Meirelles Nunes; Elsa Regina Justo Giugliani; Lilian Cordova do Espírito Santo; Luciana Dias de Oliveira |
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Publication Detail:
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Type: Journal Article Date: 2011-05-04 |
Journal Detail:
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Title: The Journal of adolescent health : official publication of the Society for Adolescent Medicine Volume: 49 ISSN: 1879-1972 ISO Abbreviation: J Adolesc Health Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102136 Medline TA: J Adolesc Health Country: United States |
Other Details:
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Languages: eng Pagination: 258-64 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Post-Graduate Programme in Child and Adolescent Health, School of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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