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Article: Antenatal education to increase exclusive breastfeeding: A randomized controlled trial

TitleAntenatal education to increase exclusive breastfeeding: A randomized controlled trial
Authors
Issue Date2014
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.greenjournal.org
Citation
Obstetrics and Gynecology, 2014, v. 124 n. 5, p. 961-968 How to Cite?
AbstractOBJECTIVE: To evaluate the effectiveness of a professional one-to-one antenatal breastfeeding support and education intervention on the exclusivity and duration of breastfeeding. METHODS: A total of 469 primiparous women who attended the antenatal clinics of two geographically distributed public hospitals in Hong Kong were randomized to receive either standard antenatal care or a one-to-one antenatal breastfeeding support and education session. The primary outcome was the prevalence of exclusive breastfeeding at 6 weeks postpartum. Secondary outcomes were the prevalence of exclusive breastfeeding at 3 and 6 months postpartum as well as the overall duration of any and exclusive breastfeeding across the first 6 months postpartum. RESULTS: The exclusive breastfeeding rate in the intervention group was 37.8% at 6 weeks postpartum compared with 36.4% in the standard care group (P=.77; 95% confidence interval [CI] -0.08 to 0.11). There were no significant differences between the two treatment groups in exclusive breastfeeding rates at 3 and 6 months or in the overall duration of any (hazard ratio [HR] 1.11, 95% CI 0.88-1.40] or exclusive breastfeeding (HR 0.96, 95% CI 0.79-1.17). The study had a least 80% power to detect a 50% increase in the rate of exclusive breastfeeding at 6 weeks postpartum. CONCLUSION: In a setting with a high breastfeeding initiation rate, one-to-one antenatal breastfeeding support and education did not increase the exclusivity or duration of breastfeeding. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, www.clinicaltrials.gov, NCT01648114.
Persistent Identifierhttp://hdl.handle.net/10722/204318
ISSN
2015 Impact Factor: 5.656
2015 SCImago Journal Rankings: 2.899

 

DC FieldValueLanguage
dc.contributor.authorWong, KL-
dc.contributor.authorFong, DYT-
dc.contributor.authorLee, ILY-
dc.contributor.authorChu, S-
dc.contributor.authorTarrant, AM-
dc.date.accessioned2014-09-19T22:31:59Z-
dc.date.available2014-09-19T22:31:59Z-
dc.date.issued2014-
dc.identifier.citationObstetrics and Gynecology, 2014, v. 124 n. 5, p. 961-968-
dc.identifier.issn0029-7844-
dc.identifier.urihttp://hdl.handle.net/10722/204318-
dc.description.abstractOBJECTIVE: To evaluate the effectiveness of a professional one-to-one antenatal breastfeeding support and education intervention on the exclusivity and duration of breastfeeding. METHODS: A total of 469 primiparous women who attended the antenatal clinics of two geographically distributed public hospitals in Hong Kong were randomized to receive either standard antenatal care or a one-to-one antenatal breastfeeding support and education session. The primary outcome was the prevalence of exclusive breastfeeding at 6 weeks postpartum. Secondary outcomes were the prevalence of exclusive breastfeeding at 3 and 6 months postpartum as well as the overall duration of any and exclusive breastfeeding across the first 6 months postpartum. RESULTS: The exclusive breastfeeding rate in the intervention group was 37.8% at 6 weeks postpartum compared with 36.4% in the standard care group (P=.77; 95% confidence interval [CI] -0.08 to 0.11). There were no significant differences between the two treatment groups in exclusive breastfeeding rates at 3 and 6 months or in the overall duration of any (hazard ratio [HR] 1.11, 95% CI 0.88-1.40] or exclusive breastfeeding (HR 0.96, 95% CI 0.79-1.17). The study had a least 80% power to detect a 50% increase in the rate of exclusive breastfeeding at 6 weeks postpartum. CONCLUSION: In a setting with a high breastfeeding initiation rate, one-to-one antenatal breastfeeding support and education did not increase the exclusivity or duration of breastfeeding. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, www.clinicaltrials.gov, NCT01648114.-
dc.languageeng-
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.greenjournal.org-
dc.relation.ispartofObstetrics and Gynecology-
dc.titleAntenatal education to increase exclusive breastfeeding: A randomized controlled trial-
dc.typeArticle-
dc.identifier.emailFong, DYT: dytfong@hku.hk-
dc.identifier.emailTarrant, AM: tarrantm@hkucc.hku.hk-
dc.identifier.authorityFong, DYT=rp00253-
dc.identifier.authorityTarrant, AM=rp00461-
dc.identifier.doi10.1097/AOG.0000000000000481-
dc.identifier.pmid25437725-
dc.identifier.hkuros235239-
dc.identifier.volume124-
dc.identifier.issue5-
dc.identifier.spage961-
dc.identifier.epage968-
dc.publisher.placeUnited States-

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