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Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh

AIM: It is unknown whether maternal malnutrition reduces the effect of counselling on exclusive breastfeeding. This study evaluated the effect of breastfeeding counselling on the duration of exclusive breastfeeding, and whether the timing of prenatal food and different micronutrient supplements furt...

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Autores principales: Khan, Ashraful Islam, Kabir, Iqbal, Eneroth, Hanna, El Arifeen, Shams, Ekström, Eva‐Charlotte, Frongillo, Edward A., Persson, Lars Åke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215617/
https://www.ncbi.nlm.nih.gov/pubmed/27659772
http://dx.doi.org/10.1111/apa.13601
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author Khan, Ashraful Islam
Kabir, Iqbal
Eneroth, Hanna
El Arifeen, Shams
Ekström, Eva‐Charlotte
Frongillo, Edward A.
Persson, Lars Åke
author_facet Khan, Ashraful Islam
Kabir, Iqbal
Eneroth, Hanna
El Arifeen, Shams
Ekström, Eva‐Charlotte
Frongillo, Edward A.
Persson, Lars Åke
author_sort Khan, Ashraful Islam
collection PubMed
description AIM: It is unknown whether maternal malnutrition reduces the effect of counselling on exclusive breastfeeding. This study evaluated the effect of breastfeeding counselling on the duration of exclusive breastfeeding, and whether the timing of prenatal food and different micronutrient supplements further prolonged this duration. METHODS: Pregnant women in Matlab, Bangladesh, were randomised to receive daily food supplements of 600 kcal at nine weeks of gestation or at the standard 20 weeks. They also were allocated to either 30 mg of iron and 400 μg folic acid, or the standard programme 60 mg of iron and folic acid or multiple micronutrients. At 30 weeks of gestation, 3188 women were randomised to receive either eight breastfeeding counselling sessions or the usual health messages. RESULTS: The median duration of exclusive breastfeeding was 135 days in the counselling group and 75 days in the usual health message group (p < 0.001). Prenatal supplements did not modify the effects of counselling. Women in the usual health message group who were randomised to multiple micronutrients exclusively breastfed for 12 days longer than mothers receiving the standard iron–folate combination (p = 0.003). CONCLUSION: Breastfeeding counselling increased the duration of exclusive breastfeeding by 60 days. This duration was not influenced by the supplements.
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spelling pubmed-52156172017-01-18 Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh Khan, Ashraful Islam Kabir, Iqbal Eneroth, Hanna El Arifeen, Shams Ekström, Eva‐Charlotte Frongillo, Edward A. Persson, Lars Åke Acta Paediatr Regular Articles AIM: It is unknown whether maternal malnutrition reduces the effect of counselling on exclusive breastfeeding. This study evaluated the effect of breastfeeding counselling on the duration of exclusive breastfeeding, and whether the timing of prenatal food and different micronutrient supplements further prolonged this duration. METHODS: Pregnant women in Matlab, Bangladesh, were randomised to receive daily food supplements of 600 kcal at nine weeks of gestation or at the standard 20 weeks. They also were allocated to either 30 mg of iron and 400 μg folic acid, or the standard programme 60 mg of iron and folic acid or multiple micronutrients. At 30 weeks of gestation, 3188 women were randomised to receive either eight breastfeeding counselling sessions or the usual health messages. RESULTS: The median duration of exclusive breastfeeding was 135 days in the counselling group and 75 days in the usual health message group (p < 0.001). Prenatal supplements did not modify the effects of counselling. Women in the usual health message group who were randomised to multiple micronutrients exclusively breastfed for 12 days longer than mothers receiving the standard iron–folate combination (p = 0.003). CONCLUSION: Breastfeeding counselling increased the duration of exclusive breastfeeding by 60 days. This duration was not influenced by the supplements. John Wiley and Sons Inc. 2016-10-28 2017-01 /pmc/articles/PMC5215617/ /pubmed/27659772 http://dx.doi.org/10.1111/apa.13601 Text en ©2016 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Regular Articles
Khan, Ashraful Islam
Kabir, Iqbal
Eneroth, Hanna
El Arifeen, Shams
Ekström, Eva‐Charlotte
Frongillo, Edward A.
Persson, Lars Åke
Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title_full Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title_fullStr Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title_full_unstemmed Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title_short Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh
title_sort effect of a randomised exclusive breastfeeding counselling intervention nested into the minimat prenatal nutrition trial in bangladesh
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215617/
https://www.ncbi.nlm.nih.gov/pubmed/27659772
http://dx.doi.org/10.1111/apa.13601
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