Assignment to a Hospital-Based Breastfeeding Clinic and Exclusive Breastfeeding Among Immigrant Hispanic Mothers: A Randomized,Controlled Trial

Abstract

A randomized controlled trial is used to determine whether assigning mixed feeders to a breastfeeding clinic within 1 week postpartum will increase exclusive breastfeeding at 1 month among Hispanic immigrants. Subjects are eligible for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and 85% are monolingual Hispanic. Mothers (n = 522) of infants at low risk for hyperbilirubinemia are approached at bedside 20 to 48 hours after delivery and randomly assigned to treatment or control groups. Intent-to-treat analysis of feeding behavior at 4 weeks postpartum indicates that the intervention group is more likely to be exclusively breastfeeding (16.4% vs 10% in the control group, P = .03; adjusted odds ratio 1.87; 95% confidence interval, 1.07-3.26); that the incidence of formula supplementation does not differ between groups; and that the intervention group is less likely to supplement with water and tea (P < .002). J Hum Lact. 25(3):287-296.

Keywords

acculturation randomized controlled trial hospital practices Mexico intervention exclusive breastfeeding peer counseling mixed feeding

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References

Ip S. , Chung M. , Raman G. , et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007;(153):1-186.

Gartner LM , Morton J. , Lawrence RA , et al. Breastfeeding and the use of human milk. Pediatrics . 2005;115:496-506.

Ryan AS , Zhou W. Lower breastfeeding rates persist among the Special Supplemental Nutrition Program for Women, Infants, and Children participants, 1978-2003. Pediatrics. 2006;117:1136-1146.

Centers for Disease Control and Prevention. Breastfeeding Practices- Results From the 2005 National Immunization Survey . Atlanta, Ga: Centers for Disease Control and Prevention; 2007.

Gibson MV , Diaz VA , Mainous AG III , Geesey ME Prevalence of breastfeeding and acculturation in Hispanics: results from NHANES 1999-2000 study. Birth. 2005;32:93-98.

Gibson-Davis CM , Brooks-Gunn J. Couples' immigration status and ethnicity as determinants of breastfeeding. Am J Public Health. 2006;96:641-646.

Byrd TL , Balcazar H. , Hummer RA Acculturation and breast-feeding intention and practice in Hispanic women on the US-Mexico border. Ethn Dis. 2001;11:72-79.

Rassin DK , Markides KS , Baranowski T. , et al. Acculturation and breastfeeding on the United States-Mexico border. Am J Med Sci. 1993;306:28-34.

Mennella JA , Turnbull B. , Ziegler PJ , Martinez H. Infant feeding practices and early flavor experiences in Mexican infants: an intra-cultural study. J Am Diet Assoc. 2005;105:908-915.

10.

Rassin DK , Markides KS , Baranowski T. , Richardson CJ , Mikrut WD , Bee DE Acculturation and the initiation of breastfeeding. J Clin Epidemiol. 1994;47:739-746.

11.

Harley K. , Stamm NL , Eskenazi B. The effect of time in the U.S. on the duration of breastfeeding in women of Mexican descent. Matern Child Health J. 2007 ;11:119-125.

12.

Sussner KM , Lindsay AC , Peterson KE The influence of acculturation on breast-feeding initiation and duration in low-income women in the US. J Biosoc Sci. 2008;40:673-696.

13.

Schlickau JM , Wilson ME Breastfeeding as health-promoting behaviour for Hispanic women: literature review. J Adv Nurs. 2005;52:200-210.

14.

Haskins R. , Greenbert M. , Fremstad S. Policy for immigrant children: room for common ground? Future of Children. 2004;14:1-6.

15.

Gonzales A. , Chamberlain LB , Lopez L. , Philipp BL , Merewood A. Las dos cosas: encouraging exclusivity in Hispanic women. Abstract presented at: International Lactation ConsultantsAssociation 2004 Conference and Annual Meeting; July 14, 2004; Scottsdale, AZ.

16.

Albernaz E. , Victora CG , Haisma H. , Wright A. , Coward WA Lactation counseling increases breast-feeding duration but not breast milk intake as measured by isotopic methods. J Nutr. 2003;133:205-210.

17.

Morrow AL , Guerrero ML , Shults J. , et al. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomised controlled trial. Lancet 1999;353:1226-1231.

18.

Nelson VR The effect of newborn early discharge follow-up program on pediatric urgent care utilization. J Pediatr Health Care. 1999 ;13:58-61.

19.

U.S.Preventive Services Task Force. Behavioral interventions to promote breastfeeding: recommendations and rationale . Ann Fam Med. 2003;1:79-80.

20.

Satcher DS DHHS blueprint for action on breastfeeding. Public Health Rep. 2001;116:72-73.

21.

Britton C. , McCormick FM , Renfrew MJ , Wade A. , King SE Support for breastfeeding mothers. Cochrane Database Syst Rev. 2007;(1):CD001141.

22.

Lieu TA , Braveman PA , Escobar GJ , Fischer AF , Jensvold NG , Capra AM A randomized comparison of home and clinic follow-up visits after early postpartum hospital discharge. Pediatrics. 2000;105: 1058-1065.

23.

Pugh LC , Milligan RA , Frick KD , Spatz D. , Bronner Y. Breastfeeding duration, costs, and benefits of a support program for low-income breastfeeding women. Birth. 2002;29:95-100.

24.

Haider R. , Ashworth A. , Kabir I. , Huttly SR Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial. Lancet 2000;356: 1643-1647.

25.

Barros FC , Semer TC , Tonioli FS , Tomasi E. , Victora CG The impact of lactation centres on breastfeeding patterns, morbidity and growth: a birth cohort study. Acta Paediatr. 1995;84:1221-1226.

26.

Olds DL , Eckenrode J. , Henderson CR Jr , et al. Long-term effects of home visitation on maternal life course and child abuse and neglect: fifteen-year follow-up of a randomized trial . JAMA. 1997;278: 637-643.

27.

Chen A. , Rogan WJ Breastfeeding and the risk of postneonatal death in the United States. Pediatrics. 2004;113:e435-e439.

28.

Grummer-Strawn LM , Rice SP , Dugas K. , Clark LD , ton-Davis S. An evaluation of breastfeeding promotion through peer counseling in Mississippi WIC clinics. Matern Child Health J. 1997;1:35-42.

29.

Shaw E. , Kaczorowski J. The effect of a peer counseling program on breastfeeding initiation and longevity in a low-income rural population. J Hum Lact. 1999;15:19-25.

30.

Long DG , Funk-Archuleta MA , Geiger CJ , Mozar AJ , Heins JN Peer counselor program increases breastfeeding rates in Utah Native American WIC population. J Hum Lact. 1995;11:279-284.

31.

Bronner Y. , Barber T. , Miele L. Breastfeeding peer counseling: rationale for the National WIC Survey. J Hum Lact. 2001;17:135-139.

32.

Maisels MJ , Kring E. Early discharge from the newborn nursery-effect on scheduling of follow-up visits by pediatricians. Pediatrics. 1997;100: 72-74.

33.

Galbraith AA , Egerter SA , Marchi KS , Chavez G. , Braveman PA Newborn early discharge revisited: are California newborns receiving recommended postnatal services? Pediatrics . 2003;111:364-371.

34.

Anderson AK , Damio G. , Himmelgreen DA , Peng YK , Segura-Perez S. , Perez-Escamilla R. Social capital, acculturation, and breastfeeding initiation among Puerto Rican women in the United States . J Hum Lact. 2004;20:39-45.

35.

Rea MF , Venancio SI , Batista LE , Greiner T. Determinants of the breastfeeding pattern among working women in Sao Paulo . J Hum Lact. 1999;15:233-239.

36.

Lipsky S. , Stephenson PA , Koepsell TD , Gloyd SS , Lopez JL , Bain CE Breastfeeding and weaning practices in rural Mexico. Nutr Health. 1994;9:255-263.

37.

Garrison MM , Christakis DA A systematic review of treatments for infant colic. Pediatrics. 2000;106:184-190.

38.

Ize-Ludlow D. , Ragone S. , Bruck IS , Bernstein JN , Duchowny M. , Pena BM Neurotoxicities in infants seen with the consumption of star anise tea. Pediatrics. 2004;114:e653-e656.

39.

FDA warns consumers about star anise teas. FDA Consum. 2003;37:4.

40.

Ize-Ludlow D. , Ragone S. , Bernstein JN , Bruck IS , Duchowny M. , Garcia Pena BM Chemical composition of Chinese star anise (Illicium verum) and neurotoxicity in infants. JAMA. 2004;291:562-563.

41.

Chapman DJ , Damio G. , Perez-Escamilla R. Differential response to breastfeeding peer counseling within a low-income, predominantly Latina population. J Hum Lact. 2004;20:389-396.

42.

Chapman DJ , Damio G. , Young S. , Perez-Escamilla R. Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: a randomized controlled trial. Arch Pediatr Adolesc Med. 2004;158:897-902.

43.

Anderson AK , Damio G. , Young S. , Chapman DJ , Perez-Escamilla R. A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community. Arch Pediatr Adolesc Med. 2005;159:836-841.

44.

Perez-Escamilla R. , Hromi-Fiedler A. , Vega-Lopez S. , Bermudez-Millan A. , Segura-Perez S. Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: a systematic literature review. J Nutr Educ Behav. 2008;40:208-225.

45.

Anderson AK , Damio G. , Chapman DJ , Perez-Escamilla R. Differential response to an exclusive breastfeeding peer counseling intervention: the role of ethnicity . J Hum Lact. 2007;23:16-23.

46.

47.

Chung M. , Raman G. , Trikalinos T. , Lau J. , Ip S. Interventions in primary care to promote breastfeeding: an evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149:565-582.

48.

Texas Department of State Health Services. 2007 Texas WIC Infant Feeding Practices Survey . Austin, Tex: Department of State Health Services; 2007

49.

Bakoula C. , Nicolaidou P. , Veltsista A. , et al. Does exclusive breastfeeding increase after hospital discharge? A Greek study. J Hum Lact. 2007;23:165-173.