Mothers in the intervention group (77 %) reported enjoying breastfeeding more than mothers in the control group (69 %) whose partner did not receive the antenatal education session intervention.
However, a higher percentage of
mothers in the intervention group exclusively breastfed their babies until the age of 6 months, compared to the control group, that is, 107/194 (55.2 %) against 69/178 (38.8 %) with a statistically very significant difference of p = 0.002, which proved that the educational booklet has a positive impact on the duration of EB.
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).
A higher percentage of
mothers in the intervention group exclusively breastfed their babies up to the age of six months compared to the control group, 55.2 % against 38.8 % (p = 0.002).
Mothers in the intervention group will be taught the DCIC system and also settling techniques that they can use with their baby.
In addition to all of the valid points made by other breastfeeding supporters, what was noteworthy to me was that
the mothers in the intervention group were taught to supplement their newborns with biologically appropriate feeding volumes consistent with the recommendations of the Academy of Breastfeeding Medicine.
Earlier papers from this same research sample found lower rates of depression and better sleep among
the mothers in the intervention group.
This difference was attributable to overseas - born
mothers in the intervention group feeding for significantly longer than overseas - born mothers in the comparison group.
Children of the psychosocially distressed and non-distressed
mothers in the intervention group, and the non-distressed comparison group mothers, were not significantly different to the general population norm of 100 (SD 15).20 The mean score for children of the antenatally psychosocially distressed mothers in the comparison group, however, was statistically different to the population norm (t = 3.522, p = 0.003, power 94 %, ES (d) = 0.92), with 47.4 % of these children being delayed (ie, Mental Developmental Index < 85).
In the Infant Health and Development program,
mothers in the intervention group engaged in higher - quality interactions with their infants, though the effects were small.82 In New Zealand, Early Start documented higher positive parenting attitudes, a greater prevalence of nonpunitive attitudes, and more favorable overall parenting scores for families in the treatment group.83 In Queensland,
mothers in the intervention group were rated as significantly higher in emotional and verbal responsivity.84
One evaluation conducted in Queensland, Australia, reported moderate reductions in depressive symptoms for
mothers in the intervention group at the six - week follow - up.89 A subsequent follow - up, however, suggested that these benefits were not long lasting, as the depression effects had diminished by one year.90 Similarly, Healthy Families San Diego identified reductions in depression symptoms among program mothers during the first two years, but these effects, too, had diminished by year three.91 In Healthy Families New York, mothers at one site (that was supervised by a clinical psychologist) had lower rates of depression at one year (23 percent treatment vs. 38 percent controls).92 The Infant Health and Development program also demonstrated decreases in depressive symptoms after one year of home visiting, as well as at the conclusion of the program at three years.93 Among Early Head Start families, maternal depressive symptoms remained stable for the program group during the study and immediately after it ended, but decreased just before their children entered kindergarten.94 No program effects were found for maternal depression in the Nurse - Family Partnership, Hawaii Healthy Start, Healthy Families Alaska, or Early Start programs.
Mothers in the intervention group had increased reporting of borderline or clinical behavioral concerns (18.1 % vs 14.8 %; P =.01; OR: 1.35; 95 % confidence interval [CI]: 1.10 — 1.64)(Table 3); these results were comparable to results at 30 to 33 months (Table 4).
Mothers in the intervention group had increased reporting of aggressive behavior and problems sleeping compared with control mothers, and comparable perceptions of anxious or depressed behaviors in their children.
No differences were observed between adolescent
mothers in the intervention group with low program exposure and those in the control group.
Mothers in the intervention group had significantly higher parent knowledge scores at 2 and 6 months postpartum as compared to their controls.
Ninety - three per cent of
mothers in the intervention group attended the first individual visit, 67 % attended the group session at child age 12 months, and 56 % attended the group session at child age 15 months; 11 thus 49 % of intervention mothers completed all three intervention sessions.
When infants were 3 months of age, we conducted a food frequency questionnaire to test the hypothesis that the adolescent
mothers in the intervention group would be more likely to adhere to feeding guidelines of limiting their infants» intake to breast milk, formula, or water for the first 4 to 6 months of life, compared with mothers in the control group.
Mothers in the intervention group had higher self - efficacy and provided a better environment for learning and were also more likely to use parenting services.
Not exact matches
• A brief, inexpensive US
intervention (one prenatal session,
in separate gender
groups focusing on psychosocial issues related to becoming first - time parents) was associated with reduced distress
in some
mothers at six weeks postpartum.
• A brief, inexpensive US prenatal
intervention (consisting of one prenatal session with parents
in separate gender
groups focusing on psychosocial issues of first - time parenthood) was associated with
mothers» reporting greater satisfaction with the sharing of home and baby tasks post partum (Matthey et al, 2004).
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.
«Kenneth C Johnson and Betty - Anne Daviss's Outcomes of planned home births with certified professional midwives: large prospective study
in North America, BMJ 2005; 330:1416 (18 June), found that the outcomes of planned homebirths for low risk
mothers were the same as the outcomes of planned hospital births for low risk
mothers, with a significantly lower incident of
interventions in the homebirth
group.»
For discontinuing any breastfeeding before 12 months, small socioeconomic gradients
in the control
group were widened
in the
intervention group (RR = 1.04 and 1.16, respectively, for
mothers with secondary education or less).
Despite the widened socioeconomic inequalities by the
intervention in rates of prolonged exclusive and any breastfeeding, breastfeeding rates were even higher among
mothers with the lowest education (secondary school or less)
in the
intervention group than they were among
mothers who completed university
in the control
group.
Verbal IQ deficits among children of
mothers with lower education compared with those who completed university were somewhat smaller
in the
intervention group than
in the control
group: 5.2 (95 % CI: 3.1, 7.3) vs 6.5 (95 % CI: 5.6, 7.4) points deficit among
mothers with partial university education and 10.7 (95 % CI: 8.4, 12.9) vs 11.7 (95 % CI: 10.2, 13.2) points among those with secondary education or less.
No socioeconomic inequalities were observed
in the control
group, whereas a small gradient was seen
in the
intervention group (RD = 0.06, 95 % CI: 0.03, 0.09 for
mothers with partial university education; RD = 0.10, 95 % CI: 0.06, 0.14 for
mothers with no more than secondary education).
The corresponding risk differences were larger
in the
intervention group: 0.11 (95 % CI: 0.08, 0.15) for
mothers with partial university and 0.10 (95 % CI: 0.06, 0.14) for
mothers with secondary education or less.
Absolute inequality measures reflect not only inequalities across socioeconomic subgroups but also public health importance of the outcome
in consideration, and they could provide different, even contradictory, patterns of inequalities from relative measures
in a given outcome.21, 22 However, measuring absolute inequality is often neglected
in health inequalities research.23 Relative risks (RRs) and absolute risk differences (RDs) of discontinuing breastfeeding among
mothers with lower education compared with
mothers with complete university education (reference category) were separately estimated
in the
intervention and
in the control
group and then compared between the two
groups.
In the
intervention group,
mothers who had not completed university were also more likely to wean their infants before 12 months than
mothers who had, but no dose - response gradient was observed.
Interventions to improve breastfeeding initiation, exclusivity and duration are based on extensive evidence from both observational and intervention studies of short - and long - term health benefits of breastfeeding for both mothers and infants.13 — 15 Nevertheless, to our knowledge none of previous studies has systematically examined whether the increases in breastfeeding resulting from such interventions have equally benefited all socioeco
Interventions to improve breastfeeding initiation, exclusivity and duration are based on extensive evidence from both observational and
intervention studies of short - and long - term health benefits of breastfeeding for both
mothers and infants.13 — 15 Nevertheless, to our knowledge none of previous studies has systematically examined whether the increases
in breastfeeding resulting from such
interventions have equally benefited all socioeco
interventions have equally benefited all socioeconomic
groups.
In the
intervention group, however,
mothers with partial university education showed a 12 % (95 % CI: 1.04, 1.20) higher relative risk of discontinuing exclusive breastfeeding before 3 months relative to
mothers with completed university education (Figure 1a).
for training, practice and reference, December 2007 IBFAN Training Courses on the Code ICAP, 2010 Improving Retention, Adherence, and Psychosocial Support within PMTCT Services: Implementation Workshop for Health Workers IYCN Project, The roles of grandmothers and men: evidence supporting a familyfocused approach to optimal infant and young child nutrition IYCN Project
Mother - to - Mother Support Groups Trainer's Manual - Facilitator's Manual with Discussion Guide IYCN Project, 2010, Infant Feeding and HIV: Trainer's guide and participant's manual for training community - based workers and volunteers IYCN Project 2010, Infant Feeding and HIV: Participant's manual for community - based workers and volunteers IYCN Project, Infant and Young Child Feeding and Gender: A Training Manual for Male Group Leaders and Participant Manual for Male Group Leaders IYCN Project 2012, Helping an HIV - positive breastfeeding mother decide how to feed her child at 12 months: A checklist for health care providers IYCN Project 2012, Community interventions to promote optimal breastfeeding; evidence on early initiation, any breastfeeding, exclusive breastfeeding and continued breastfeeding; literature review, January 2012 UNICEF 2011, Community IYCF Counselling Package - The technical content of this package reflects the Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding in the Context of HIV and a Summary of Evidence related to IYCF in the context o
Mother - to -
Mother Support Groups Trainer's Manual - Facilitator's Manual with Discussion Guide IYCN Project, 2010, Infant Feeding and HIV: Trainer's guide and participant's manual for training community - based workers and volunteers IYCN Project 2010, Infant Feeding and HIV: Participant's manual for community - based workers and volunteers IYCN Project, Infant and Young Child Feeding and Gender: A Training Manual for Male Group Leaders and Participant Manual for Male Group Leaders IYCN Project 2012, Helping an HIV - positive breastfeeding mother decide how to feed her child at 12 months: A checklist for health care providers IYCN Project 2012, Community interventions to promote optimal breastfeeding; evidence on early initiation, any breastfeeding, exclusive breastfeeding and continued breastfeeding; literature review, January 2012 UNICEF 2011, Community IYCF Counselling Package - The technical content of this package reflects the Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding in the Context of HIV and a Summary of Evidence related to IYCF in the context o
Mother Support
Groups Trainer's Manual - Facilitator's Manual with Discussion Guide IYCN Project, 2010, Infant Feeding and HIV: Trainer's guide and participant's manual for training community - based workers and volunteers IYCN Project 2010, Infant Feeding and HIV: Participant's manual for community - based workers and volunteers IYCN Project, Infant and Young Child Feeding and Gender: A Training Manual for Male
Group Leaders and Participant Manual for Male
Group Leaders IYCN Project 2012, Helping an HIV - positive breastfeeding
mother decide how to feed her child at 12 months: A checklist for health care providers IYCN Project 2012, Community interventions to promote optimal breastfeeding; evidence on early initiation, any breastfeeding, exclusive breastfeeding and continued breastfeeding; literature review, January 2012 UNICEF 2011, Community IYCF Counselling Package - The technical content of this package reflects the Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding in the Context of HIV and a Summary of Evidence related to IYCF in the context o
mother decide how to feed her child at 12 months: A checklist for health care providers IYCN Project 2012, Community
interventions to promote optimal breastfeeding; evidence on early initiation, any breastfeeding, exclusive breastfeeding and continued breastfeeding; literature review, January 2012 UNICEF 2011, Community IYCF Counselling Package - The technical content of this package reflects the Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding
in the Context of HIV and a Summary of Evidence related to IYCF
in the context of HIV.
The analysis of the socio - demographic, prenatal and natal parameters of
mothers and newborns
in the
intervention group and control
group (Table 1) did not reveal any statistically significant differences
in terms of age, living area, education level,
mother's profession, number of children, medical follow - up, number of prenatal visits, Apgar score and birth weight.
Sociodemographic, prenatal and natal parameters of
mothers and newborns
in the overall population and
in the control and
intervention groups.
Mothers remained
in the
intervention group once they were randomized whether or not they made a prenatal pediatric visit».
«If the infant belonged to the
intervention group, the researcher was called and stayed with the
mother in the labor room»
On the other hand, Table 2 summarizes the distribution of parameters
in relation to
mothers» breastfeeding knowledge and practices
in the control
group and
intervention group.
Similarly, an
intervention in Turkey found that EBF prevalence was highest
in a
group where both
mothers and fathers received breastfeeding education, compared to a
group where only
mothers received it [22].
The proportion of their own
mother's milk during the first 10 days of life was high
in both
groups (89.1 percent of the total average intake during the
intervention period for the donor milk
group and 84.5 percent for the formula
group).
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.
Among breastfeeding
mothers, 45 % of those
in the
intervention group had not planned to breastfeed, but changed their minds and decided to breastfeed compared with 14 % of controls (P < 0.05).
After a research assistant enrolled the
mother, she opened the sealed envelope to determine whether the subject would be
in the
intervention or control
group.
In the
intervention group, after each breastfeeding the
mothers were instructed to feed their babies by syringe a tiny amount of formula supplement: 10 mL, or about one - third of an ounce.
This study is a randomized clinical trial (RCT) with 50
mother / infant pairs
in the
intervention arm, 50
in one control
group and 25
in a third control
group.
The study
groups were similar
in most respects, and also the frequency of perinatal hospital practices that are likely to influence breastfeeding, such as early
mother — newborn contact and rooming -
in, was identical between
intervention and control
groups (Table 2).
Quote: «The researchers responsible for the breastfeeding evaluations did not participate
in the
intervention and were blinded to the
group to which the
mother infant pairs had been assigned.»
We were unable to reach the remaining
mothers (11
in the MI
group [42 %] and 4
in the AC
group [15 %]-RRB-
in person or by phone to conduct the remaining assessments and
interventions / control sessions.
The political leaders are extolling and highlighting your examples, the urban dwellers are chanting your praises, the rural dwellers can not stop talking about your messianic
interventions in their lives, the civil servants can not thank you enough, nor can
mothers, children, traditional rulers and indeed every
group or stratum of the state.
The proportion of their own
mother's milk during the first 10 days of life was high
in both
groups (89.1 percent of the total average intake during the
intervention period for the donor milk
group and 84.5 percent for the formula
group).
Nevertheless, based on our findings stratified by population
groups, for
interventions targeting parents, those would be more effective when targeted at
mothers, minority
groups, and as early as possible
in childhood.