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Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers

BACKGROUND: Being an adolescent mother and cohabiting with the maternal grandmother have been shown to be risk factors for a shorter breastfeeding duration. The objective of this study was to assess whether the positive effects of a pro-breastfeeding intervention aimed at adolescent mothers and mate...

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Autores principales: Silva, Cristiano Francisco da, Nunes, Leandro Meirelles, Schwartz, Renata, Giugliani, Elsa Regina Justo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855844/
https://www.ncbi.nlm.nih.gov/pubmed/27141951
http://dx.doi.org/10.1186/s12884-016-0878-z
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author Silva, Cristiano Francisco da
Nunes, Leandro Meirelles
Schwartz, Renata
Giugliani, Elsa Regina Justo
author_facet Silva, Cristiano Francisco da
Nunes, Leandro Meirelles
Schwartz, Renata
Giugliani, Elsa Regina Justo
author_sort Silva, Cristiano Francisco da
collection PubMed
description BACKGROUND: Being an adolescent mother and cohabiting with the maternal grandmother have been shown to be risk factors for a shorter breastfeeding duration. The objective of this study was to assess whether the positive effects of a pro-breastfeeding intervention aimed at adolescent mothers and maternal grandmothers on the prevalence of breastfeeding observed in the first year of life were maintained at 2 years of age. METHODS: This study is the continuation of a randomized clinical trial initiated in 2006 involving 323 adolescent mothers, their newborns and maternal grandmothers when cohabiting. The intervention consisted of six breastfeeding counseling sessions, the first one held at the maternity ward and the others at the participants’ homes at 7, 15, 30, 60, and 120 days postpartum. The present study reports data collected when the children were 4 to 7 years old, concerning the maintenance of breastfeeding at 2 years. Data were analyzed using multivariable Poisson regression model with robust variance, with breastfeeding at 2 years of age as the outcome. RESULTS: Maintenance of breastfeeding for 2 years or more was present in 32.2 % of the sample. When the intervention and control groups were compared, the prevalence of breastfeeding at 2 years was similar (29.9 vs. 34.3 %, respectively; p = 0.605). Multivariable analysis failed to reveal an association between exposure to the intervention and maintenance of breastfeeding at 2 years in the different models tested. CONCLUSIONS: The positive impact of the intervention on the prevalence of breastfeeding observed in the first year of life was not maintained at 2 years of age. TRIAL REGISTRATION: The study was registered at ClinicalTrials.gov on May 28, 2009 under protocol no. NCT00910377.
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spelling pubmed-48558442016-05-05 Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers Silva, Cristiano Francisco da Nunes, Leandro Meirelles Schwartz, Renata Giugliani, Elsa Regina Justo BMC Pregnancy Childbirth Research Article BACKGROUND: Being an adolescent mother and cohabiting with the maternal grandmother have been shown to be risk factors for a shorter breastfeeding duration. The objective of this study was to assess whether the positive effects of a pro-breastfeeding intervention aimed at adolescent mothers and maternal grandmothers on the prevalence of breastfeeding observed in the first year of life were maintained at 2 years of age. METHODS: This study is the continuation of a randomized clinical trial initiated in 2006 involving 323 adolescent mothers, their newborns and maternal grandmothers when cohabiting. The intervention consisted of six breastfeeding counseling sessions, the first one held at the maternity ward and the others at the participants’ homes at 7, 15, 30, 60, and 120 days postpartum. The present study reports data collected when the children were 4 to 7 years old, concerning the maintenance of breastfeeding at 2 years. Data were analyzed using multivariable Poisson regression model with robust variance, with breastfeeding at 2 years of age as the outcome. RESULTS: Maintenance of breastfeeding for 2 years or more was present in 32.2 % of the sample. When the intervention and control groups were compared, the prevalence of breastfeeding at 2 years was similar (29.9 vs. 34.3 %, respectively; p = 0.605). Multivariable analysis failed to reveal an association between exposure to the intervention and maintenance of breastfeeding at 2 years in the different models tested. CONCLUSIONS: The positive impact of the intervention on the prevalence of breastfeeding observed in the first year of life was not maintained at 2 years of age. TRIAL REGISTRATION: The study was registered at ClinicalTrials.gov on May 28, 2009 under protocol no. NCT00910377. BioMed Central 2016-05-03 /pmc/articles/PMC4855844/ /pubmed/27141951 http://dx.doi.org/10.1186/s12884-016-0878-z Text en © Silva et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Silva, Cristiano Francisco da
Nunes, Leandro Meirelles
Schwartz, Renata
Giugliani, Elsa Regina Justo
Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title_full Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title_fullStr Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title_full_unstemmed Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title_short Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
title_sort effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855844/
https://www.ncbi.nlm.nih.gov/pubmed/27141951
http://dx.doi.org/10.1186/s12884-016-0878-z
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