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Effect of primary care intervention on breastfeeding duration and intensity

Author

Listed:
  • Bonuck, K.
  • Stuebe, A.
  • Barnett, J.
  • Labbok, M.H.
  • Fletcher, J.
  • Bernstein, P.S.

Abstract

Objectives. We determined the effectiveness of primary care-based, and preand postnatal interventions to increase breastfeeding. Methods. We conducted 2 trials at obstetrics and gynecology practices in the Bronx, New York, from 2008 to 2011. The Provider Approaches to Improved Rates of Infant Nutrition and Growth Study (PAIRINGS) had 2 arms: usual care versus pre- and postnatal visits with a lactation consultant (LC) and electronically prompted guidance from prenatal care providers (EP). The Best Infant Nutrition for Good Outcomes (BINGO) study had 4 arms: usual care, LC alone, EP alone, or LC+EP. Results. In BINGO at 3 months, high intensity was greater for the LC+EP (odds ratio [OR] = 2.72; 95% confidence interval [CI] = 1.08, 6.84) and LC (OR = 3.22; 95% CI = 1.14, 9.09) groups versus usual care, but not for the EP group alone. In PAIRINGS at 3 months, intervention rates exceeded usual care (OR = 2.86; 95% CI = 1.21, 6.76); the number needed to treat to prevent 1 dyad from nonexclusive breastfeeding at 3 months was 10.3 (95% CI = 5.6, 50.7). Conclusions. LCs integrated into routine care alone and combined with EP guidance from prenatal care providers increased breastfeeding intensity at 3 months postpartum.

Suggested Citation

  • Bonuck, K. & Stuebe, A. & Barnett, J. & Labbok, M.H. & Fletcher, J. & Bernstein, P.S., 2014. "Effect of primary care intervention on breastfeeding duration and intensity," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 119-127.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301360_3
    DOI: 10.2105/AJPH.2013.301360
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    Cited by:

    1. Palmquist, Aunchalee E.L. & Doehler, Kirsten, 2014. "Contextualizing online human milk sharing: Structural factors and lactation disparity among middle income women in the U.S," Social Science & Medicine, Elsevier, vol. 122(C), pages 140-147.

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