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A Randomized Controlled Community-Based Trial to Improve Breastfeeding Rates Among Urban Low-Income Mothers

2009; Elsevier BV; Volume: 10; Issue: 1 Linguagem: Inglês

10.1016/j.acap.2009.07.005

1876-2867

Linda C. Pugh, Janet R. Serwint, Kevin D. Frick, Joy P. Nanda, Phyllis Sharps, Diane L. Spatz, Renee A. Milligan,

Pediatric health and respiratory diseases

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.A randomized controlled trial with mother-infant dyads recruited from 2 urban hospitals.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).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.Breastfeeding status was assessed by self-report at 6, 12, and 24 weeks postpartum.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.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.