Postnatal peer counselling on exclusive breastfeeding of low‐birthweight infants: A randomized, controlled trial
- 1 August 2005
- journal article
- research article
- Published by Wiley in Acta Paediatrica
- Vol. 94 (8), 1109-1115
- https://doi.org/10.1111/j.1651-2227.2005.tb02053.x
Abstract
Exclusive breastfeeding increases survival and optimizes growth of low-birthweight (LBW) infants. If supported, mothers can overcome the unique difficulties associated with breastfeeding from birth to 6 mo. We tested the efficacy of postnatal peer counselling among first-time mothers that aimed to increase exclusive breastfeeding of term LBW infants. In a Manila hospital, 204 mothers were randomized into three groups. Two intervention groups receiving home-based counselling visits, one by counsellors trained in breastfeeding counselling (n=68), the other by counsellors trained in general childcare (n=67), were compared with a control group of mothers (n=69) who did not receive counselling. Eighty-eight per cent of the participating pairs completed the trial. At 6 mo, 44% of the breastfeeding counselled mothers, 7% childcare-counselled mothers and none of the mothers in the control group were exclusively breastfeeding. More mothers in the breastfeeding counselled group than in the other groups were still breastfeeding at 6 mo. Twenty-four infants who were exclusively breastfed for 6 mo did not have any diarrhoea. All groups had improved mean weight-for-age Z-scores at 6 mo. This study has provided fundamental evidence of successful intervention to achieve 6 mo of exclusive breastfeeding among term LBW infants. By improving health outcomes, enhanced breastfeeding offers a distinct possibility of disrupting the intergenerational cycle of undernourished women giving birth to LBW infants.Keywords
This publication has 23 references indexed in Scilit:
- Effect of breastfeeding on cognitive development of infants born small for gestational ageActa Paediatrica, 2002
- Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysisThe Lancet, 2000
- The World Health Organization multinational study of breast-feeding and lactational amenorrhea. III. Pregnancy during breast-feedingFertility and Sterility, 1999
- Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomised controlled trialThe Lancet, 1999
- Breastfeeding Patterns of Low-Birth-Weight Infants After Hospital DischargeJournal of Obstetric, Gynecologic & Neonatal Nursing, 1997
- Getting Enough: Mother’ Concerns About Breastfeeding a Preterm Infant After DischargeJournal of Obstetric, Gynecologic & Neonatal Nursing, 1995
- The association of maternal low birthweight and infant low birthweight in a racially mixed populationPaediatric and Perinatal Epidemiology, 1992
- Intergenerational studies of human birthweight from the 1958 birth cohort. 1. Evidence for a multigenerational effectBJOG: An International Journal of Obstetrics and Gynaecology, 1992
- A simplified score for assessment of fetal maturation of newly born infantsThe Journal of Pediatrics, 1979