Provision of support strategies and services: results from an internet-based survey of community-based breastfeeding counselors

The effect of lactation educators implementing a telephone-based intervention among low-income Hispanics: A randomised trial

OBJECTIVES

To assess whether a phone-based breastfeeding intervention delivered by lactation educators influenced exclusive breastfeeding rates amongst low-income Hispanic women in the USA.

DESIGN

Randomised two-group design.

SETTING

Pregnant low-income Hispanic women (298) were recruited from community health clinics in Los Angeles County (USA) and randomly assigned to either a control or an intervention group.

METHODS

Data relating to the factors associated with breastfeeding were collected during the third trimester. Breastfeeding outcome data was collected at 72 hours, one month, three months, and six months postpartum.

RESULTS

There were no differences between the groups in rates of breastfeeding initiation. There was a significant difference in the duration of exclusive breastfeeding among participants during the infant's first week of life. While not significant, after controlling for covariates and intent to breastfeed at third trimester, the duration of exclusive breastfeeding amongst all participants was, on average, longer for intervention group mothers than control group mothers. Additionally, , the intervention group mothers were more likely to report exclusive and only breastfeeding at all data points compared to the control group, and less likely to discontinue breastfeeding.

CONCLUSION

Findings from this study suggest that telephone-based breastfeeding interventions delivered by a lactation educator show promise as a cost-effective strategy for improving both the quantity and duration of breastfeeding among low-income Hispanic women in the USA. Intervention group mothers not only sustained breastfeeding for a longer durations, but also provided their infants with greater amounts of breast milk over these longer durations.

Avaliação de um ambiente digital de aprendizagem pelo usuário

OBJETIVO: Avaliar o ambiente digital de aprendizagem "Aleitamento Materno do Prematuro" sob a perspectiva do usuário. MÉTODO: Estudo descritivo, transversal com análise quantitativa de dados; amostra composta por 30 mães de prematuros hospitalizados em uma unidade neonatal do Sudeste do País para a avaliação da impressão geral e do conteúdo do ambiente digital. RESULTADOS: Os critérios "bom" e "ótimo" relativos a impressão geral (visual, facilidade de uso e navegabilidade) e conteúdo (aprendizagem sem auxílio e aleitamento materno) do ambiente digital de aprendizagem atingiram a concordância esperada (acima de 70%). CONCLUSÃO: O ambiente digital "Aleitamento Materno do Prematuro" foi considerado pelos usuários de fácil uso, informativo e importante para apoiar a mãe do prematuro nos aspectos relacionados ao aleitamento materno.