A randomized controlled trial of telephone peer support's
influence on breastfeeding duration in adolescent mothers
Not exact matches
The
influence of fathers» socioeconomic status and paternity leave
on breastfeeding duration: a population - based cohort study.
Although not directly comparable, our findings are in broad agreement with those from routine data in Scotland that have indicated a positive association between Baby Friendly accreditation, but not certification, and
breastfeeding at 1 week of age.17 Our findings reinforce those of Coutinho and colleagues who reported that high exclusive
breastfeeding rates achieved in Brazilian hospitals implementing staff training with the course content of the Baby Friendly Hospital Initiative were short - lived and not sustained at home unless implemented in combination with post-natal home visits.35 Similarly in Italy, training of staff with an adapted version of the Baby Friendly course content resulted in high
breastfeeding rates at discharge, with a rapid decrease in the days after leaving hospital.36 In contrast, a cluster randomized trial in Belarus (PROBIT) found an association between an intervention modelled
on the Baby Friendly Initiative with an increased
duration of
breastfeeding37 an association also reported from an observational study in Germany.38 Mothers in Belarus stay in hospital post-partum for 6 — 7 days, and in Germany for 5 days, with post-natal support likely to be particularly important in countries where mothers stay in the hospital for a shorter time, with early discharge likely to limit the
influence of a hospital - based intervention.
The purpose of this analysis was to evaluate the effects of pacifier use
on breastfeeding duration in a cohort of US mother — infant dyads and the
influence that timing of pacifier introduction exerts
on any associated declines in
breastfeeding duration.
Some barriers include the negative attitudes of women and their partners and family members, as well as health care professionals, toward
breastfeeding, whereas the main reasons that women do not start or give up
breastfeeding are reported to be poor family and social support, perceived milk insufficiency, breast problems, maternal or infant illness, and return to outside employment.2 Several strategies have been used to promote
breastfeeding, such as setting standards for maternity services3, 4 (eg, the joint World Health Organization — United Nations Children's Fund [WHO - UNICEF] Baby Friendly Initiative), public education through media campaigns, and health professionals and peer - led initiatives to support individual mothers.5 — 9 Support from the infant's father through active participation in the
breastfeeding decision, together with a positive attitude and knowledge about the benefits of
breastfeeding, has been shown to have a strong
influence on the initiation and
duration of
breastfeeding in observational studies, 2,10 but scientific evidence is not available as to whether training fathers to manage the most common lactation difficulties can enhance
breastfeeding rates.
Observational data suggest that fathers are important in the maternal decision
on how to feed the infant and that mothers choose to bottle feed or
breastfeed for a shorter time when the father is not supporting
breastfeeding.16 — 19 Moreover, supporting the father during
breastfeeding may help to improve the mother's satisfaction with
breastfeeding,
duration of
breastfeeding, and adaptation of both parents to parenting.10, 20 — 23 Despite these data, the fathers are poorly informed about the advantages of
breastfeeding24, 25 and may have many concerns that are poorly addressed and that can negatively
influence initiation and
duration rates of
breastfeeding.
Influence of the partner
on breastfeeding duration and breast diseases during lactation.
To our knowledge, the
influence of family size
on recall of
breastfeeding duration has not been reported previously; however, recall of birth weight has been found to decrease among mothers with five or more children (39).