Study on bf'ing initiation and duration

iVillage Member
Registered: 03-27-2003
Study on bf'ing initiation and duration
2
Fri, 09-26-2003 - 9:50pm
The Effectiveness of Primary Care-Based Interventions to Promote Breastfeeding: Systematic Evidence Review and Meta-Analysis for the US Preventive Services Task Force

Jeanne-Marie Guise, MD, MPH, Valerie Palda, MD, MPH, Carolyn Westhoff, MD, MSc, Benjamin K. S. Chan, MS, Mark Helfand, MD, MS, Tracy A. Lieu MD, MPH

Abstract and Introduction

Abstract

Purpose: We wanted to systematically review whether primary care-based interventions improve initiation and duration of breastfeeding.

Methods: Studies were found by searching MEDLINE (1966-2001), HealthSTAR, the Cochrane Database of Systematic Reviews, the National Health Service Centre for Reviews and Dissemination Databases, and bibliographies of identified trials and review articles. Studies were included if they originated in the primary care setting and were conducted in a developed country, written in English, and contained a concurrent control group.

Results: Thirty randomized and nonrandomized controlled trials and 5 systematic reviews of breastfeeding counseling were included. Educational programs had the greatest effect of any single intervention on both initiation (difference 0.23; 95% confidence interval , 0.12-0.34) and short-term duration (difference 0.39; 95% CI, 0.27-0.50). Support programs conducted by telephone, in person, or both increased short-term (difference 0.11; 95% CI, 0.03-0.19) and long-term duration (difference 0.08; 95% CI, 0.02-0.16). In contrast, written materials such as pamphlets did not significantly increase breastfeeding. Data were insufficient to determine whether the combination of education with support was more effective than education alone.

Conclusions: Educational programs were the most effective single intervention. One woman would breast-feed for up to 3 months for every 3 to 5 women attending breastfeeding educational programs. Future research and policy should focus on translating these findings into more widespread practice in diverse primary care settings.

http://www.medscape.com/viewarticle/459914?mpid=18730&WebLogicSession=P3MQW2dU1H1DS8iofRMyD8FUriGfg41Yx42Bhs38ayjCT8BBg6vw|-1596364421381855934/184161395/6/7001/7001/7002/7002/7001/-1

You have to sign up with Medscape to access this link. There is a more detailed analysis of the study at this link.

Sherry

iVillage Member
Registered: 03-27-2003
Fri, 09-26-2003 - 9:53pm
I thought this study was interesting after reading some of the posts in the Should Welfare Moms bf'ed thread. It seems that education does make a difference.

I'm not sure if someone should be forced to attend though. I'm guessing that it made a difference with women who attended willingly.

Sherry

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iVillage Member
Registered: 03-25-2003
Fri, 09-26-2003 - 11:29pm
It only stands to reason, Sherry;)

~christine~