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).
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.
Not exact matches
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.
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).
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.
These results are similar to those found
in other sustained nurse home visiting studies, 1 14 although the
intervention impacted on a broader range of domains of the home environment for this subgroup of
women than has been
reported previously.1 An increasing body of evidence from both animal and human studies suggests that stress
in pregnancy has significant impacts on developmental and behavioural outcomes for children.29 While the mental development of children of mothers who were not distressed antenatally
in both the
intervention and comparison
groups was comparable with the general population, children's development was particularly poor
in the distressed subgroup
in the absence of the MECSH
intervention, suggesting that sustained nurse home visiting may be particularly effective
in ameliorating some adverse developmental impacts for children of mothers with antenatal distress.