Document Detail


The effect of peer counselors on breastfeeding rates in the neonatal intensive care unit: results of a randomized controlled trial.
MedLine Citation:
PMID:  16818832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether peer counselors impacted breastfeeding duration among premature infants in an urban population. DESIGN: This was a randomized controlled clinical trial. SETTING: The trial was conducted in the Newborn Intensive Care Unit at Boston Medical Center, an inner-city teaching hospital with approximately 2000 births per year. PARTICIPANTS: One hundred eight mother-infant pairs were enrolled between 2001 and 2004. Pairs were eligible if the mother intended and was eligible to breastfeed per the 1997 guidelines from the American Academy of Pediatrics and if the infant was 26 to 37 weeks' gestational age and otherwise healthy. INTERVENTION: Subjects were randomized to either a peer counselor who saw the mother weekly for 6 weeks or to standard of care. MAIN OUTCOME MEASURE: The main outcome measure was any breast-milk feeding at 12 weeks postpartum. RESULTS: Intervention and control groups were similar on all measured sociodemographic factors. The average gestational age of infants was 32 weeks (range, 26.3-37 weeks) with a mean birth weight of 1875 g (range, 682-3005 g). At 12 weeks postpartum, women with a peer counselor had odds of providing any amount of breast milk 181% greater than women without a peer counselor (odds ratio, 2.81 [95% confidence interval, 1.11-7.14]; P = .01). CONCLUSIONS: Peer counselors increased breastfeeding duration among premature infants born in an inner-city hospital and admitted to the neonatal intensive care unit. Peer counseling programs can help to increase breastfeeding in this vulnerable population.
Authors:
Anne Merewood; Laura Beth Chamberlain; John T Cook; Barbara L Philipp; Kirsten Malone; Howard Bauchner
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  160     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2006-08-08     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  681-5     Citation Subset:  AIM; IM    
Affiliation:
Boston University School of Medicine, Boston, Mass, USA. anne.merewood@bmc.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Breast Feeding*
Counseling*
Female
Follow-Up Studies
Humans
Infant
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Intensive Care, Neonatal
Male
Peer Group*
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
K24HD 042489/HD/NICHD NIH HHS; R40 MC 00252-03//PHS HHS
Comments/Corrections
Comment In:
J Pediatr. 2007 Mar;150(3):318   [PMID:  17307556 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Use of human immunodeficiency virus postexposure prophylaxis in adolescent sexual assault victims.
Next Document:  Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome.