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The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial
An antenatal/postnatal intervention involving proactive telephone support and written materials was conducted among primiparas. Four hundred women, from the Split‐Dalmatia County, Croatia, were randomized between November 2013 and December 2016 into three groups: intervention (IG), active control (A...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296797/ https://www.ncbi.nlm.nih.gov/pubmed/31943761 http://dx.doi.org/10.1111/mcn.12948 |
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author | Puharić, Drita Malički, Mario Borovac, Josip Anđelo Šparac, Vladimir Poljak, Boris Aračić, Nađa Marinović, Nero Luetić, Nives Zakarija‐Grković, Irena |
author_facet | Puharić, Drita Malički, Mario Borovac, Josip Anđelo Šparac, Vladimir Poljak, Boris Aračić, Nađa Marinović, Nero Luetić, Nives Zakarija‐Grković, Irena |
author_sort | Puharić, Drita |
collection | PubMed |
description | An antenatal/postnatal intervention involving proactive telephone support and written materials was conducted among primiparas. Four hundred women, from the Split‐Dalmatia County, Croatia, were randomized between November 2013 and December 2016 into three groups: intervention (IG), active control (ACG) and standard care (SCG). Primary outcome was exclusive breastfeeding (EBF) at 3 months. Secondary outcomes included breastfeeding difficulties, attitudes towards infant feeding, breastfeeding self‐efficacy and social support. Practice staff were blinded to group allocation. Of 400 women, 45 (11%) were lost to follow‐up, and final analyses were conducted on 129 (IG), 103 (ACG) and 123 (SCG) participants. EBF rates at 3 months were significantly higher for the IG (odds ratio [OR] 4.6, 95% confidence interval [CI], 2.7 to 8.1; EBF 81%) as well as at 6 months (OR 15.7, 95% CI, 9.1 to 27.1; EBF 64%) compared with SCG (EBF 47% at 3 months and 3% at 6 months). Higher rates were also observed for the ACG at 3 months (OR 2.2, 95% CI, 1.3 to 3.8, EBF 68%) and 6 months (OR 2.3, 95% CI, 1.4 to 3.9, EBF 16%). Participants in the IG had the highest increase in positive attitudes towards infant feeding, in comparison to baseline, and significantly higher breastfeeding self‐efficacy. Participants in SCG experienced significantly more breastfeeding difficulties, both at 3 and 6 months, in comparison to AC and IGs. Written breastfeeding materials and proactive telephone support among primiparas are an effective means of increasing breastfeeding rates, decreasing breastfeeding difficulties and improving self‐efficacy and attitudes towards infant feeding. |
format | Online Article Text |
id | pubmed-7296797 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72967972020-06-17 The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial Puharić, Drita Malički, Mario Borovac, Josip Anđelo Šparac, Vladimir Poljak, Boris Aračić, Nađa Marinović, Nero Luetić, Nives Zakarija‐Grković, Irena Matern Child Nutr Original Articles An antenatal/postnatal intervention involving proactive telephone support and written materials was conducted among primiparas. Four hundred women, from the Split‐Dalmatia County, Croatia, were randomized between November 2013 and December 2016 into three groups: intervention (IG), active control (ACG) and standard care (SCG). Primary outcome was exclusive breastfeeding (EBF) at 3 months. Secondary outcomes included breastfeeding difficulties, attitudes towards infant feeding, breastfeeding self‐efficacy and social support. Practice staff were blinded to group allocation. Of 400 women, 45 (11%) were lost to follow‐up, and final analyses were conducted on 129 (IG), 103 (ACG) and 123 (SCG) participants. EBF rates at 3 months were significantly higher for the IG (odds ratio [OR] 4.6, 95% confidence interval [CI], 2.7 to 8.1; EBF 81%) as well as at 6 months (OR 15.7, 95% CI, 9.1 to 27.1; EBF 64%) compared with SCG (EBF 47% at 3 months and 3% at 6 months). Higher rates were also observed for the ACG at 3 months (OR 2.2, 95% CI, 1.3 to 3.8, EBF 68%) and 6 months (OR 2.3, 95% CI, 1.4 to 3.9, EBF 16%). Participants in the IG had the highest increase in positive attitudes towards infant feeding, in comparison to baseline, and significantly higher breastfeeding self‐efficacy. Participants in SCG experienced significantly more breastfeeding difficulties, both at 3 and 6 months, in comparison to AC and IGs. Written breastfeeding materials and proactive telephone support among primiparas are an effective means of increasing breastfeeding rates, decreasing breastfeeding difficulties and improving self‐efficacy and attitudes towards infant feeding. John Wiley and Sons Inc. 2020-01-13 /pmc/articles/PMC7296797/ /pubmed/31943761 http://dx.doi.org/10.1111/mcn.12948 Text en © 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd This is an open access article under the terms of the 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 | Original Articles Puharić, Drita Malički, Mario Borovac, Josip Anđelo Šparac, Vladimir Poljak, Boris Aračić, Nađa Marinović, Nero Luetić, Nives Zakarija‐Grković, Irena The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title | The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title_full | The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title_fullStr | The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title_full_unstemmed | The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title_short | The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial |
title_sort | effect of a combined intervention on exclusive breastfeeding in primiparas: a randomised controlled trial |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296797/ https://www.ncbi.nlm.nih.gov/pubmed/31943761 http://dx.doi.org/10.1111/mcn.12948 |
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