Evaluation of a community-based intervention to increase breastfeeding prevalence

McInnes, Rhona J.; Love, J.; Stone, David H.

doi:10.1093/pubmed/22.2.138

Cited by 72 publications

(89 citation statements)

References 12 publications

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“…The decision to continue breast feeding or stop it depends upon a variety of factors. These include the mother's intention to breastfeed, the counseling and support received from health workers and peers, the social, cultural and economical background as well as whether the mother works outside home [3,6,7,8,14,20,21]. Identification of factors, both maternal and neonatal, that adversely affected breastfeeding in perinatal period would help us to pay more attention to these 'high risk' mother-infant pairs and provide them more focused counseling and support.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

Narayan

Natarajan

Bawa

2005

Medical Journal Armed Forces India

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Background: Despite its known advantages, breastfeeding rates are low world over. Large number of factors affect breastfeeding. This study was designed to detect maternal and neonatal factors that adversely affect breastfeeding in the perinatal period. Methods: A prospective, single-blinded study was conducted on randomly chosen mother-infant pairs in the maternity ward of a tertiary care service hospital. Only full term singletons born by normal vaginal delivery were studied. The B.R.E.A.S.T observation score and time spent by the infant at the mother's breast were primary outcome variables. Maternal age, gravida, para status and education level were recorded. Birth weight, sex, gestation age of the infant and time interval from birth to observation were also recorded. Initial univariate analysis followed by multivariate analysis was performed using SPSS ver 7.5 software. Results: A total of 54 mother-infant pairs formed the study group; 19(35.2%) were primigravidas. Primigravidas status of the mother led to significantly lower scores (p<0.04; 95% CI 0.10 to 3.62) as did maternal age < 26 years (p<0.04; 95% CI 0.2. to 3.46) on univariate analysis. Low birth weight (<2500 g) was the only neonatal factor that significantly lowered breastfeeding scores (p<0.02;95%Cl 0.56 to 6.31). On multivariate analysis only primigravida status was significantly associated with lower scores (p<0.02). The alpha value of the study was 5% and the power was 74%. Time spent by infant on breast was not significantly different between primigravida and non-primigravida mothers. Conclusion: Primigravida status adversely affects breastfeeding scores; therefore counseling and support should be focused on this group. Extra care should also be taken to ensure adequate breastfeeding by younger mothers and in those with low birth weight infants. Larger studies with long-term follow up will be able to identify other factors and dertermine the effects of focused counseling and support in the perinatal period upon long-term breastfeeding rates. MJAFI 2005; 61 : 216-219

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Section: Discussionmentioning

confidence: 99%

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

Narayan

Natarajan

Bawa

2005

Medical Journal Armed Forces India

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“…Peer counselling to promote breast-feeding Peer counsellors had a significant effect on breast-feeding rates and duration Level I -fair 13 Level I -poor 20 Level II-1 -poor [29][30][31][32] There is fair evidence to recommend peer counselling to promote initiation and maintenance of breast-feeding B recommendation…”

Section: A Recommendationmentioning

confidence: 99%

“…In addition, the use of peer counsellors improved breast-feeding rates and duration, and these types of programs may represent a cost-effective alternative to professionally delivered services, especially in locations or settings where professional services are scarce or not available. 13,20,[29][30][31][32] The CTFPHC recommends against the use of written materials (which have not been shown to be effective when used alone, 16,19,22,26,[33][34][35][36] although no harm was demonstrated) and commercial discharge packages (which have been shown to decrease breast-feeding rates). 37 Unfortunately, advice from a woman's primary clinician (such as family physician, obstetrician or midwife) has not been sufficiently evaluated, and a research gap remains in this area.…”

mentioning

confidence: 99%

Interventions to promote breast-feeding: applying the evidence in clinical practice

Palda

Guise²,

Wathen

2004

Canadian Medical Association Journal

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“…The results of the Canadian study 277 were not replicated in a study in a deprived area of the UK; McInnes et al 277 found that increases in breastfeeding at birth were not maintained at 6 weeks, despite peer support. The control arm in the Canadian study reported a rate of breastfeeding that is greater than the 2005 UK average.…”

Section: Discussionmentioning

confidence: 89%

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

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Evaluation of a community-based intervention to increase breastfeeding prevalence

Abstract: As the impact of the intervention was not sustained even for the modest duration of 6 weeks postnatally, it would be premature to justify widespread use of peer support programmes to increase the prevalence of breastfeeding in socially disadvantaged communities.

Cited by 72 publications

References 12 publications

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

Interventions to promote breast-feeding: applying the evidence in clinical practice

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

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