Are 2 Weeks of Daily Breastfeeding Support Insufficient to Overcome the Influences of Formula?

Bunik, Maya; Shobe, Patricia; O’Connor, Mary; Beaty, Brenda; Langendoerfer, Sharon; Crane, Lori A.; Kempe, Allison

doi:10.1016/j.acap.2009.09.014

Cited by 80 publications

(94 citation statements)

References 26 publications

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“…An RCT of telephone peer support among adolescent mothers also showed gains in exclusive breastfeeding, whereas daily telephone calls by nurses to Latina women 2 weeks after giving birth showed no effect. 19,20 Samples sizes in both studies were small, with #40 women in the treatment group.…”

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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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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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“…Provider education interventions during residency training significantly increased exclusive breastfeeding rates, although neither hospital staff training 21 nor postpartum nurse phone support was effective in doing so. 22 Among Latinas randomized to a Special Supplemental Nutrition Program for Women, Infants and Children (WIC)-based lactation consultant intervention or control group, there were no prenatal versus 3 months postpartum differences in breastfeeding knowledge or attitudes or in exclusive breastfeeding at any time. 23 Given baseline lack of differences in knowledge and attitudes, these variables were not analyzed as predictors of feeding intention or outcome.…”

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confidence: 99%

What Predicts Intent to Breastfeed Exclusively? Breastfeeding Knowledge, Attitudes, and Beliefs in a Diverse Urban Population

Stuebe

Bonuck

2011

Breastfeeding Medicine

142

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Background: Maternal knowledge and comfort with breastfeeding affect prenatal feeding intentions, and these intentions are strong predictors of feeding outcomes. However, predictors of exclusive breastfeeding intention have not been well characterized. Methods: We measured the association between intentions to exclusively breastfeed and knowledge of infant health benefits, feeding guidelines, and comfort related to breastfeeding in social settings. Participants were lower-income, ethnically diverse women in two randomized, controlled trials of breastfeeding support. We compared results with data from the national Infant Feeding Practices Study II. Results: Among 883 women in our trials, exclusive breastfeeding, mixed feeding, and exclusive formula feeding intentions were 45.9%, 46.1%, and 8.0%, respectively. In multivariate-adjusted models, women who disagreed that ''Infant formula is as good as breastmilk'' were more likely to intend exclusive breastfeeding versus exclusive formula feeding (odds ratio 3.44, 95% confidence interval 1.80-6.59) compared with women who agreed with this statement. Increasing levels of agreement that breastfed infants were less likely to develop ear infections, respiratory infections, diarrhea, and obesity were positively associated with intentions to exclusively breastfeed ( p for trend < 0.001 for all). Compared with the national sample, our study participants were more likely to agree with all of these statements. Women who felt comfortable breastfeeding in public intended to exclusive breastfeed for 0.84 month longer (95% confidence interval 0.41-1.28) than those who felt uncomfortable. Conclusions: Maternal knowledge about infant health benefits, as well as comfort with breastfeeding in social settings, was directly related to intention to exclusively breastfeed. Prenatal interventions that address these issues may increase exclusive breastfeeding intention and duration.

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“…15 Another RCT that used daily telephone support in the first 2 weeks after delivery to a group who was 88% Hispanic reported no increases in breastfeeding duration or exclusivity. 20 The lack of any improvement may be related to the absence of prenatal support as noted by the authors.…”

Section: Figurementioning

confidence: 92%

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

2014

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Are 2 Weeks of Daily Breastfeeding Support Insufficient to Overcome the Influences of Formula?

Cited by 80 publications

References 26 publications

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

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

What Predicts Intent to Breastfeed Exclusively? Breastfeeding Knowledge, Attitudes, and Beliefs in a Diverse Urban Population

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

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