More
women in the intervention group were undecided about breastfeeding.
Given the desirability of breastfeeding, it is possible that
women in the intervention group felt more guilty about discontinuing breastfeeding than control women because of relationships developed with the peer counselor, and thus, they did not answer telephone calls when the research assistant called to ascertain feeding status.
Of the 53 enrolled in the intervention group, 5 did not receive the allocated intervention; 3 subjects changed their mind after enrollment but before receiving the intervention, 1 mother had positive postpartum drug test results and was therefore not eligible to breastfeed, and 1 infant died, leaving a total of 48
women in the intervention group.
Moreover, significantly more
women in the intervention group reported to have received support and relevant help with infant feeding from their partners (128 [91 %] of 140 vs 48 [34 %] of 140).
Among
the women in the intervention group who reported problems, the frequency of full breastfeeding at 6 months was 23 (24 %) of 96 and was significantly higher compared with control group (4 [4.5 %] of 89; P <.001; Table 4).
Moreover, significantly more
women in the intervention group reported receiving support and relevant help with infant feeding management from their partners (128 [91 %] of 140 vs 48 [34 %] of 140).
Women in the intervention group reported outcomes at scheduled interviews, whereas the control group were interviewed at 6 months postpartum only.
73 % were described as included in the analyses;
women in the intervention group that did not receive the intervention as planned were not included.
Women in the intervention group were more likely to have an emergency caesarean, and were taller.
Outcome data were collected at 4 months, but it is likely that there may have been recall bias for some outcomes, e.g. breast engorgement —
women in the intervention groups would have discussed this and maybe it was recorded at the time it occurred, women in the control group would not have been asked until 4 months postpartum.
There was also a higher rate of C - sections among
the women in the intervention group, the study showed.
At the end of the five - year study, the researchers found no overall difference in breast cancer recurrence — even though
the women in the intervention group consumed about half of the fat and had a 31 % higher fiber and 54 % higher intake of fruits and vegetables than other study subjects.
Women in the intervention group significantly boosted levels of SHBG while decreasing serum testosterone, compared to women who made no dietary changes.
Not exact matches
The program to encourage breastfeeding seemed to work - by three months out, 43 percent of mothers who gave birth at
intervention hospitals were still exclusively breastfeeding, compared to six percent of
women in the comparison
group.
Flint and colleagues suggested that when midwives get to know the
women for whom they provide care,
interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births of 77 %, with 35 % of
women having a home birth.23 A review of care for
women at low risk of complications has shown that continuity of midwifery care is generally associated with lower
intervention rates than standard maternity care.24 Variation
in normal birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care»
groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
The neonatal outcomes for
women giving birth centre or a labour ward were comparable although the levels of
intervention were higher
in the labour ward
groups despite similarities
in demographic and obstetric predictors.
The cohort has a high representation of
women from disadvantaged and lower socioeconomic
groups, who are of particular interest
in the targeting of breastfeeding
interventions.29, 30 We can not exclude residual confounding by factors that we were not able to account for within this observational study.
In order to study all aspects related to the topic, we used a reference questionnaire prepared by nutrition and breastfeeding experts, which had been tested, modified and validated two months before our research team1 started the study (following a pilot study conducted on 20 women to determine whether the questions were clear and understandable), and then administered in a standardized fashion to women in both groups (intervention group and control group
In order to study all aspects related to the topic, we used a reference questionnaire prepared by nutrition and breastfeeding experts, which had been tested, modified and validated two months before our research team1 started the study (following a pilot study conducted on 20
women to determine whether the questions were clear and understandable), and then administered
in a standardized fashion to women in both groups (intervention group and control group
in a standardized fashion to
women in both groups (intervention group and control group
in both
groups (
intervention group and control
group).
Overall, 372 (178 from the control
group, and 194 from the
intervention group) of the 500
women surveyed could be followed and answered all of our telephone calls during the second stage of our survey (Table 3); that is, a participation rate of 74.4 %
in the overall population and a rate of 71.2 % and 77 %
in the control
group and
intervention group, respectively, and the rest of
women were lost sight of.
Women in the hospital
group were more likely to have
interventions such as labour augmentation, assisted vaginal births or cesarean deliveries.
Distribution of followed breastfeeding
women according to exclusive breastfeeding practice over time
in the control and
intervention groups.
The analysis of Table 3, representing the distribution of breastfeeding
women followed according to the practice of EB over time
in the two
groups, showed that the continuation of EB until the age of 6 months was significantly high among mothers
in the
intervention group compared to the control
group (55.2 % against 38.8 %, p = 0.002).
The 2
groups of
women appeared to have similar baseline characteristics: «Dyads
in the
intervention and control
group did not differ with regard to maternal age, education, type of medical coverage, week at which prenatal care was initiated, infant gestational age at birth, race, or rate of vaginal delivery».
This critical review identified several
interventions that successfully improved breastfeeding outcomes among minority
women in the United States, including PC, breastfeeding teams (a peer counselor working with a health professional),
group prenatal classes, breastfeeding - specific clinic appointments, and hospital / WIC policy change.
Women in the planned home - birth
group were significantly less likely than those who planned a midwife - attended hospital birth to have obstetric
interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95 % CI 0.29 — 0.36; assisted vaginal delivery, RR 0.41, 95 % 0.33 — 0.52) or adverse maternal outcomes (e.g., third - or fourth - degree perineal tear, RR 0.41, 95 % CI 0.28 — 0.59; postpartum hemorrhage, RR 0.62, 95 % CI 0.49 — 0.77).
In the subgroup analysis in which we excluded women whose labour was induced by outpatient administration of prostaglandins, amniotomy or both (118 [4.1 %] of women in the home - birth group, 344 [7.2 %] of those who planned a midwife - attended hospital birth and 778 [14.6 %] of those who planned a physician - attended hospital birth), the relative risks of obstetric interventions and adverse maternal and neonatal outcomes did not change significantl
In the subgroup analysis
in which we excluded women whose labour was induced by outpatient administration of prostaglandins, amniotomy or both (118 [4.1 %] of women in the home - birth group, 344 [7.2 %] of those who planned a midwife - attended hospital birth and 778 [14.6 %] of those who planned a physician - attended hospital birth), the relative risks of obstetric interventions and adverse maternal and neonatal outcomes did not change significantl
in which we excluded
women whose labour was induced by outpatient administration of prostaglandins, amniotomy or both (118 [4.1 %] of
women in the home - birth group, 344 [7.2 %] of those who planned a midwife - attended hospital birth and 778 [14.6 %] of those who planned a physician - attended hospital birth), the relative risks of obstetric interventions and adverse maternal and neonatal outcomes did not change significantl
in the home - birth
group, 344 [7.2 %] of those who planned a midwife - attended hospital birth and 778 [14.6 %] of those who planned a physician - attended hospital birth), the relative risks of obstetric
interventions and adverse maternal and neonatal outcomes did not change significantly.
Among the
women who had reported difficulties with lactation
in the
intervention and control
groups (96 [69 %] and 89 [64 %], respectively), the prevalence of full breastfeeding at 6 months was 24 % and 4.5 %, respectively.
Intervention 2: postnatal lactation support:
in addition to routine care,
women received 2 postnatal sessions with a LC, 1
in hospital within the first 3 postnatal days (when they received the same printed guides on breastfeeding as the antenatal education
group) and 1 during the first routine postnatal visit 1 to 2 weeks after the birth.
A total of 876
women were followed up
in the 3 study
groups:
Intervention 1 (285
women),
Intervention 2 (294
women) and Control (297
women).
Intervention: staff training;
women (n = 93) received a «motivationally enhanced» version of control
group care from staff who had been trained
in a programme called «Designer Breastfeeding».
In the intervention group outcome data were collected by the staff carrying out the intervention whereas in the control group outcome data were collected by a research interviewer who the women will not have me
In the
intervention group outcome data were collected by the staff carrying out the
intervention whereas
in the control group outcome data were collected by a research interviewer who the women will not have me
in the control
group outcome data were collected by a research interviewer who the
women will not have met.
As noted above, included studies were very varied
in setting, population
group studied, content, timing and intensity of the
intervention, whether it was proactively offered to
women or available only if they asked for it, the standard care available, staff training programmes, and the type and timing of the outcomes measured.
Authors noted that they were unable to complete the baseline assessment and randomisation before birth, as planned, for 190
women (93
in the
intervention group and 97
in the control
group).
Loss to follow - up
in control
group was 18 % and 8.4 %
in intervention group; authors stated baseline characteristics of
women who were lost to follow - up
in each measurement were similar to
women who remained
in the study.
In studies where there was randomisation at the clinic level, all
women may have been exposed to the same
intervention, and contamination between
groups would thereby be reduced, but there may still have been a risk of response bias if outcomes were reported to staff providing care.
Potential confounders:
women were excluded from
intervention group following randomisation if they had received fewer than 2 prenatal lactation consultations; ITT analysis not performed (8
women in control
group who met LC excluded);
intervention included input by staff caring for both
intervention and control
groups.
Intervention: a community - based worker carrying out 2 activities: 1) 1 home visit to all pregnant
women in the third trimester, followed by subsequent monthly home visits to all infants aged 0 — 24 months to support appropriate feeding, infection control, and care - giving; 2) a monthly
women's
group meeting using participatory learning and action to catalyse individual and community action for maternal and child health and nutrition.
The ads, which begin with a warning disclaimer, «This program contains subject matter and language that may be disturbing to some viewers,» shows a small
group of men and
women sitting
in a circle staging an
intervention for a struggling friend.
The
women were divided into four
groups in which they received one of four
interventions: clomiphene plus active acupuncture; clomiphene plus control acupuncture (also called placebo acupuncture or mock acupuncture); placebo medication plus active acupuncture; or placebo medication plus control acupuncture.
Additional proven HIV prevention
interventions, such as PrEP, should be added to the mix to reduce HIV infections
in women and other high - risk
groups.»
(1)
In this study — the LIFEstyle study performed in the Netherlands — 290 women were assigned to a 6 - month lifestyle - intervention programme preceding 18 months of infertility treatment (intervention group) while 287 women were assigned to prompt infertility treatment over the same 24 month study period (control group
In this study — the LIFEstyle study performed
in the Netherlands — 290 women were assigned to a 6 - month lifestyle - intervention programme preceding 18 months of infertility treatment (intervention group) while 287 women were assigned to prompt infertility treatment over the same 24 month study period (control group
in the Netherlands — 290
women were assigned to a 6 - month lifestyle -
intervention programme preceding 18 months of infertility treatment (
intervention group) while 287
women were assigned to prompt infertility treatment over the same 24 month study period (control
group).
However, the rate of ongoing pregnancies following natural conception was found significantly higher
in the
group of
women who received the lifestyle
intervention than
in those following fertility treatment.
The analysis calculated rates of vaginal birth of a healthy singleton at term
in natural and assisted reproduction conception comparing
women in the
intervention (lifestyle modification)
group and those
in the control (prompt treatment)
group according to six different subgroups: these subgroups were defined by age (over or under 36 years), cycle regularity (ovulatory or anovulatory) and body weight (above or below a BMI of 35 kg / m2).
Two
groups of lactating
women participated
in highly - controlled single - blinded cross-over dietary
intervention studies to evaluate if maternal diet plays a significant role
in structuring the taxonomic and metagenomic composition of the breast milk microbiome.
One year after completing the
intervention,
women in the EAAA program experienced 46 % fewer completed rapes and 63 % fewer attempted rapes than
women in the control
group.
Researchers found that around 36 % of
women who were allocated to
interventions to help them manage their weight, had excessive weight gain over the course of their pregnancy compared with around 45 %
in the control
groups.
As a result,
women in the DOVE
intervention group experienced an average of 20 - 30 fewer instances of violence compared to non-participants.
The Dartmouth
group's rehabilitation
intervention was designed to help
women find ways to accelerate recovery and engage
in health - promoting activities.
A popular study published
in the Journal of Social and Clinical Psychology found that when college
women were given a «compassion
intervention» after eating doughnuts (where researchers basically told them things like, «Don't be too hard on yourself for indulging,» or, «Everyone eats unhealthy foods sometimes; it's OK»), these
women actually ate less candy afterward than a
group of
women who also ate the doughnuts but who weren't given the same compassion
intervention.
«There are no clinical research trials to say whether it works or not and
in pregnancy you don't want to do any
interventions that have not shown to be safe and effective,» Donnica Moore, MD, ob - gyn and president of Sapphire
Women's Health
Group in New Jersey, tells Health.