Outcome Evaluation of the  You Can Do It  Initiative to Promote Exclusive Breastfeeding Among Women Enrolled in the New York State WIC Program by Race/Ethnicity

Edmunds, Lynn S.; Lee, Furrina F.; Eldridge, Johanna D.; Sekhobo, Jackson P.

doi:10.1016/j.jneb.2017.05.350

Cited by 14 publications

(17 citation statements)

References 18 publications

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“…The primary obstacles reported for breastfeeding in this study aligns with results of previous research from the region (12,(18)(19) and other populations (20)(21). Even though they had the option of adding another obstacle that was not listed, all the participants who reported having some di culty with breastfeeding selected one of the 10 options presented.…”

Section: Discussionsupporting

confidence: 84%

“…There are other studies that have shown the effectiveness of doing counseling focused on the needs of women (27-28). In the Edmunds L. et al (20) study, pre and postnatal counseling was provided to women enrolled in the WIC program. The BAPT instrument was applied to assess what their main problems were and they were given personalized counseling based on that.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding Counseling Based on Formative Research at Primary Healthcare Services in Mexico.

Bueno-Gutierrez¹,

Castillo²,

Mondragón³

2020

Preprint

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Breastfeeding rates in Mexico are among the lowest in Latin America with 14.4% for Exclusive Breastfeeding (EBF) under six months of age. It has been reported that rates has been decreasing among low-income and vulnerable population, where there is lack of healthcare assistance. Culturally appropriate counseling based on formative research has shown to be effective in improving breastfeeding. Our objective was to evaluate the effect of interpersonal counseling on EBF in a primary healthcare center in Tijuana, México. MethodsThis was a randomized controlled trial pilot with a sample of mothers with infants under 4 months of age from a Primary Care Center. Participants were randomized to a 1) Control Group, receiving counseling about immunizations as well as routine infant feeding information, and 2) Intervention Group, receiving breastfeeding counseling based on previous formative research using a socio-ecological framework. Changes in breastfeeding attitudes, self-efficacy and EBF at 2 months post-intervention were evaluated.ResultsEighty mothers were included in the study (40 in each group). The mean age was 26.4 years for mothers and 1.4 months for infants. Breastfeeding obstacles reported were breastfeeding in public discomfort (23%), infant unsatisfied (23%), pain (19%), insufficient milk (15%) and returning to work (8%). We observed a significant improvement in breastfeeding attitudes (P=0.0001), self-efficacy (P=0.018) and EBF (P=0.001). There was a 30% increase in EBF in the intervention group and 15% decrease in the control group post-intervention.ConclusionsBreastfeeding counseling based on formative research improved breastfeeding attitudes, self-efficacy and practices in this population. Breastfeeding should be promoted by well-trained health professionals with knowledge and skills to clearly communicate breastfeeding messages, and sensitivity to address women’s needs according to their sociocultural context. Since breastfeeding responds to health systems and socio-economic and cultural environments in which the mother lives; development and evaluation of programs to increase breastfeeding rates in low- and middle-income countries are necessary. Trial Registration ANZCTR ID: 380462 (Under review). Retrospectively registered.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Breastfeeding Counseling Based on Formative Research at Primary Healthcare Services in Mexico.

Bueno-Gutierrez¹,

Castillo²,

Mondragón³

2020

Preprint

View full text Add to dashboard Cite

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“…that is, receiving encouragement, support, guidance, which highlights the importance of investing in the training and development of these professionals at all levels of care. Preparing health professionals to be able to promote breastfeeding, improving their knowledge, skills, and consequently their professional practice can result in more women having access to adequate breastfeeding counselling, guidance, and management from pregnancy until the termination of breastfeeding, as already pointed out by other authors (Edmunds, Lee, Eldridge, & Sekhobo, 2017;Haroon, Das, Salam, Imdad, & Bhutta, 2013;Jesus, Oliveira, & Moraes, 2017;McFadden et al, 2017).…”

Section: Discussionmentioning

confidence: 95%

Combined pro‐breastfeeding practices are advantageous in facilities providing maternity and newborn services

Bizon

Giugliani

Lago

et al. 2019

Maternal & Child Nutrition

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This study aimed to evaluate the association between a set of pro‐breastfeeding practices in facilities providing maternity and newborn services and the prevalence of exclusive breastfeeding at 30 days postpartum, considering the contribution of each practice. A cross‐sectional study nested within a cohort study was conducted with 287 women who delivered healthy term infants in two hospitals in southern Brazil. They were interviewed at home at 30 days postpartum. The following practices were evaluated: skin‐to‐skin contact soon after birth, breastfeeding in the first hour, uninterrupted rooming‐in, professional support with breastfeeding, breastfeeding guidance, encouragement to breastfeed on demand, no supplementation with infant formula, and no pacifier use. A score of pro‐breastfeeding practices was calculated using a logistic model, which allowed each practice to have its discriminatory capacity and difficulty estimated individually. Poisson regression was used to estimate the association between exclusive breastfeeding at 30 days and the pro‐breastfeeding practice score. The prevalence of exclusive breastfeeding at 30 days was 61.7%. The practices with greatest discriminatory capacity, that is, those that contributed most to the score estimates, were professional support with breastfeeding, breastfeeding guidance, and encouragement to breastfeed on demand. The most difficult ones were breastfeeding in the first hour, encouragement to breastfeed on demand, and non‐utilization of infant formula. For each unit (standard deviation) of increase in the score, there was an increase of 20% in the prevalence of exclusive breastfeeding at 30 days. We conclude that the set of pro‐breastfeeding practices assessed here increased the effect of these practices on exclusive breastfeeding rates at 30 days.

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“…Successful breastfeeding peer counselor programs such as the You Can Do It (YCDI) initiative im-plemented by WIC clinics is an example of how peers can be used to support adolescent mothers who choose to breastfeed. [39] A meta-analysis review of eleven controlled studies examining exclusive breastfeeding in low and middle-income countries discovered peer support significantly increased exclusive breastfeeding duration. [40] A study of pregnant African American women ages 18 to 45 found the intent to breastfeed doubled after attending WIC breastfeeding peer support programs.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding attitudes among adolescent mothers attending a nutrition breastfeeding support group

Manion

Wideman

Tutlewski

2017

CNS

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Objective: Breastfeeding is an ideal way of providing infant nutrition. The aim of this study was to evaluate the effect of breastfeeding and nutrition education on breastfeeding attitudes using a support group model. Methods: Design: A descriptive comparative design was used to achieve the aim of this study. The study was conducted at a public school for pregnant and/or parenting young women located in a large metropolitan area. Participants: Pregnant or parenting female adolescents (n = 67) in 6 th through 12 th grade attending a nutrition breastfeeding support group. Instruments: Participants completed an evaluation survey and a breastfeeding questionnaire to assess the effectiveness of the support group and generate information on the group's breastfeeding attitudes and nutrition knowledge.Results: Breastfeeding attitudes improved as more support group meetings were attended. Public embarrassment due to breastfeeding for new group members was reported at 27% and as more meetings were attended dropped to zero with a significant likelihood ratio of .013. Breastfeeding attitude questions regarding never being able to give a bottle, being tired about hearing about breastfeeding, thinking breastfeeding is nasty, and hearing that breastfeeding is good all showed positive trends in breastfeeding attitudes.Conclusions: Attendance at a nutrition breastfeeding support group positively correlated to improved breastfeeding attitudes among adolescent mothers. Peer involvement in a support group environment is an effective intervention for improving breastfeeding knowledge and attitudes in the adolescent population.

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Outcome Evaluation of the You Can Do It Initiative to Promote Exclusive Breastfeeding Among Women Enrolled in the New York State WIC Program by Race/Ethnicity

Abstract: The initiative seems to be effective at increasing exclusive BF, particularly among non-Hispanic black and Hispanic women in the New York State WIC program.

Cited by 14 publications

References 18 publications

Breastfeeding Counseling Based on Formative Research at Primary Healthcare Services in Mexico.

Breastfeeding Counseling Based on Formative Research at Primary Healthcare Services in Mexico.

Combined pro‐breastfeeding practices are advantageous in facilities providing maternity and newborn services

Breastfeeding attitudes among adolescent mothers attending a nutrition breastfeeding support group

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