Volunteer Peer Counselors Increase Breastfeeding Duration Among Rural Low‐Income Women

Schäfer, Elisabeth; Vogel, Mary Kay; Viegas, Swarna; Hausafus, Cheryl O.

doi:10.1046/j.1523-536x.1998.00101.x

Cited by 106 publications

(113 citation statements)

References 20 publications

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“…The evidence about the long-term impact of peer counseling on prevalence of breast-feeding is mixed (14)(15)(16). In an exhaustive review of the literature, Fairbank and colleagues (16) have noted that peer support programs delivered in the antenatal and postnatal periods have been associated with increased initiation and duration of breast-feeding.…”

Section: Discussionmentioning

confidence: 99%

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Dearden¹,

Altaye²,

Maza³

et al. 2002

Rev Panam Salud Publica

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Section: Discussionmentioning

confidence: 99%

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Dearden¹,

Altaye²,

Maza³

et al. 2002

Rev Panam Salud Publica

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“…3 Numerous observational studies have reported increases in breastfeeding initiation and duration associated with peer counseling programs for WIC clients. [4][5][6][7][8][9][10][11][12] The common approach in these studies has been to compare the outcomes of WIC clients in LWAs with and without a peer counseling program. 4,5,6,8,12 A systematic literature review of peer counseling initiatives has characterized many of these observational studies as being of moderate to poor quality.…”

mentioning

confidence: 99%

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Reeder¹,

Joyce

Sibley³

et al. 2014

Pediatrics

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OBJECTIVE: The US Surgeon General has recommended that peer counseling to support breastfeeding become a core service of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). As of 2008, 50% of WIC clients received services from local WIC agencies that offered peer counseling. Little is known about the effectiveness of these peer counseling programs. Randomized controlled trials of peer counseling interventions among low-income women in the United States showed increases in breastfeeding initiation and duration, but it is doubtful that the level of support provided could be scaled up to service WIC participants nationally. We tested whether a telephone peer counseling program among WIC participants could increase breastfeeding initiation, duration, and exclusivity. METHODS: We randomly assigned 1948 WIC clients recruited during pregnancy who intended to breastfeed or were considering breastfeeding to 3 study arms: no peer counseling, 4 telephone contacts, or 8 telephone contacts. RESULTS: We combined 2 treatment arms because there was no difference in the distribution of peer contacts. Nonexclusive breastfeeding duration was greater at 3 months postpartum for all women in the treatment group (adjusted relative risk: 1.22; 95% confidence interval [CI]: 1.10–1.34) but greater at 6 months for Spanish-speaking clients only (adjusted relative risk: 1.29; 95% CI: 1.10–1.51). The likelihood of exclusive breastfeeding cessation was less among Spanish-speaking clients (adjusted odds ratio: 0.78; 95% CI: 0.68–0.89). CONCLUSIONS: A telephone peer counseling program achieved gains in nonexclusive breastfeeding but modest improvements in exclusive breastfeeding were limited to Spanish- speaking women.

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“…Studies have shown that availability of trained personnel/ peer counselor can significantly improve breastfeeding initiation and duration in rural, low income population. [11][12][13][14][15] Role of nurses as health care worker for successful implementation of breastfeeding cannot be understated. 16 Studies have emphasized the need to adequately train the health care staff for successful breast feeding.…”

Section: Discussionmentioning

confidence: 99%

Effect of structured teaching program on the knowledge and opinion among Indian nursing students regarding breastfeeding

Bharani

Harshey

Verma

et al. 2017

Int J Contemp Pediatr

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Background: Breastfeeding is a basic human activity, vital to the infant and maternal health and of great economic value to the households and societies. Despite this, the rate of exclusive breastfeeding in children below six months, in India continues to be suboptimal. This contributes to the high burden of infant mortality in our country. Nurses play a very important role in the maternity ward by giving the right advice and support for initiation and maintenance of lactation in the post-natal mothers. There is paucity of research assessing the knowledge of nursing students regarding breastfeeding and also to study the effect of a structured teaching program on their knowledge.Methods: A self-administered pre-test questionnaire regarding breastfeeding was given to a single sample of nursing students and then a structured teaching program was administered to them. The improvement in their knowledge was recorded by a post-test self-administered questionnaire. The data was statistically analyzed.Results: A total of eighty students were enrolled in the study. The overall knowledge and opinion of nursing students regarding breastfeeding were good. However, two-third of the students lacked knowledge on exclusiveness of breastfeeding. Almost half of the students did not know about the true contraindications to breastfeeding. Only twenty-one percent students knew about the correct technique of breastfeeding. The knowledge improved significantly after the structured teaching program (p value: 0.056). Conclusions: Implementation of structured teaching program significantly improved the knowledge of nursing students in all domains of breast feeding knowledge.

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Volunteer Peer Counselors Increase Breastfeeding Duration Among Rural Low‐Income Women

Abstract: A volunteer peer counseling program that provides low-income women with role models, accurate information, support, and encouragement can increase the duration of breastfeeding, and thus contribute to healthier infants.

Cited by 106 publications

References 20 publications

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Effect of structured teaching program on the knowledge and opinion among Indian nursing students regarding breastfeeding

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