Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers

Silva, Cristiano Francisco da; Nunes, Leandro Meirelles; Schwartz, Renata; Giugliani, Elsa Regina Justo

doi:10.1186/s12884-016-0878-z

Cited by 15 publications

(13 citation statements)

References 23 publications

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“…A study conducted in Porto Alegre (RS) demonstrated an increased prevalence of breastfeeding in the first year of life, especially when the mothers did not live with their own mothers, that is, with their child’s maternal grandmother. ( 12 ) This result is similar to that of a research carried out in the United Kingdom where, in general, the mothers with frequent contact with their mothers and mothers-in-law were associated with lower rates of breastfeeding initiation and a shorter duration of it. However, cohabitation of the mother with her mother-in-law did not fit into this tendency, that is, daily living of the mother with paternal grandmothers was associated with fewer probabilities of early weaning.…”

Section: Discussionsupporting

confidence: 87%

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Ferreira¹,

Piccioni²,

Queiroz³

et al. 2018

Einstein (São Paulo)

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Objective To evaluate the influence of grandmothers of infants on exclusive breastfeeding, from their perspective.Methods A descriptive cross-sectional study was carried out with 91 women from a hospital in the inland state of São Paulo. By means of a questionnaire, the following data were collected: sociodemographic data of the grandmother, mother and child; duration of exclusive breastfeeding of daughter or daughter-in-law; information on kinship of participant and grandchild; kind of help provided by grandmother; and knowledge about breastfeeding.Results The prevalence of infants on exclusive breastfeeding at two months was 35.17%; a total of 67.3% of grandmothers considered it important to give food to babies before six months of life, and 54% considered relevant breastfeeding at regular intervals. Moreover, 40% believed in weak milk and were not aware of signs of sufficient breast milk. Of the grandmothers interviewed, 69% had already offered tea and water to their grandchildren. In the univariate analysis, the maternal grandmother was more involved and close to the pair mother and child.Conclusion The presence of grandmothers influences in exclusive breastfeeding.

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Section: Discussionsupporting

confidence: 87%

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Ferreira¹,

Piccioni²,

Queiroz³

et al. 2018

Einstein (São Paulo)

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“…In models adjusted for unplanned 120 pregnancy, maternal employment, and head of household employment, not breastfeeding was associated with an increased risk of EPDS≥13 compared with breastfeeding (adjusted OR, 1.52; 95% CI, 1.12 to 2.06). 202 The three studies that found no difference in depression scores and breastfeeding status measured outcomes at a similar time point (4 to 8 weeks postpartum). In one (N=551) unadjusted analyses showed no association between current breastfeeding (at 4 weeks) and EPDS scores ≥13 (7% vs. 9%, respectively; p=0.48).…”

Section: Resultsmentioning

confidence: 99%

Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Feltner¹,

Weber²,

Stuebe³

et al. 2018

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ii Key Messages Purpose of ReviewTo summarize the effectiveness of community, workplace, and health care system-based programs and policies aimed at supporting and promoting breastfeeding, and to determine the association between breastfeeding and maternal health Key Messages• Baby-Friendly Hospital Initiative (BFHI) is associated with improved rates of breastfeeding initiation and duration.• Health care staff education combined with postpartum home visits may be effective for increasing breastfeeding duration.• Health care staff education alone (with no additional breastfeeding support services) may not be effective for increasing breastfeeding initiation rates.• For women enrolled in the WIC Program, peer-support interventions offered by WIC agencies may improve rates of breastfeeding initiation and duration.• Breastfeeding is associated with reduced maternal risk of breast and ovarian cancer, hypertension, and type 2 diabetes.• Workplace, school-based, and community-based interventions and underlying socioeconomic factors need further research.iii This report was funded by the Office on Women's Health at the Office of the Assistant Secretary for Health (OASH) and the Centers for Disease Control and Prevention (CDC) through an interagency agreement with the Agency for Healthcare Research and Quality (AHRQ) and is based on research conducted by the RTI International-University of North Carolina Evidencebased Practice Center (EPC) under contract to AHRQ, Rockville, MD (Contract No. 290-2015-00011-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.The information in this report is intended to help health care decisionmakers-patients and clinicians, health system leaders, and policymakers, among others-make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.AHRQ or U.S. Department of Health and Human Service...

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“…For the present study, sample size power was calculated a posteriori, considering the sample available for analysis. The following parameters were used: breastfeeding prevalence of 69.7% at 6 months, 50.1% at 12 months, and 32.2% at 24 months [ 12 , 15 ], and a minimum relative risk of 1.25, 1.5, and 1.65, respectively, to assess associations between the variables and outcomes of interest. The sample available for assessing the outcome (breastfeeding) at 6, 12, and 24 months presented a power of at least 80% in the two-tailed hypothesis test, at a significance level of 5%.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers

Muelbert

Giugliani

2018

BMC Public Health

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BackgroundPrevious studies have demonstrated that adolescent mothers present a higher risk of not breastfeeding or of early interruption of this practice. Considering the scarcity of studies investigating the determining factors of breastfeeding in adolescent mothers, and the absence of studies exploring the determining factors of breastfeeding maintenance for different periods of time in a single population of adolescent mothers, the aim of this research was to identify factors associated with breastfeeding maintenance for at least 6, 12, and 24 months in adolescent mothers.MethodsData analysis from a randomised control trial involving adolescent mothers recruited at a university hospital in southern Brazil. Participants were followed through the first year of life of their infants and reassessed at 4–7 years. Factors associated with any breastfeeding for at least 6, 12, and 24 months were assessed using multivariate Poisson regression.ResultsData for 228, 237, and 207 mothers were available, respectively. Breastfeeding maintenance for at least 6, 12, and 24 months was observed in 68.4, 47.3, and 31.9% of the sample, respectively. Only one factor was associated with breastfeeding maintenance at all outcomes: infant not using a pacifier showed a higher probability of breastfeeding maintenance in the first 2 years. Maternal grandmother breastfeeding support and exclusive breastfeeding duration were associated with breastfeeding maintenance for 6 and 12 months. The other factors evaluated were associated with breastfeeding maintenance at only one of the time points assessed: 6 months, maternal skin color (black/brown); 12 months, female infant and partner breastfeeding support; and 24 months, older paternal age and multiparity.ConclusionsThe present findings shed light upon barriers and facilitators of breastfeeding practices among adolescent mothers. In order to contribute to the challenge of increasing BF duration among adolescent mothers interventions aimed at boosting breastfeeding maintenance among this population should take into consideration the determining factors here identified. Additionally, breastfeeding education and support should be provided continuously as factors influencing these practices vary with time. Thus, support for adolescent mothers during the different stages of breastfeeding need to be tailored to have a positive impact on breastfeeding experience.

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Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers

Cited by 15 publications

References 23 publications

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers

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