Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors
Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors
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DOI：
10.1186/1746-4358-9-19
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发表时间：
2014-01-01
影响因子：
3.5
通讯作者：
Tumwine, James K.
中科院分区：
文献类型：
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作者：
Engebretsen, Ingunn Marie S.;Nankabirwa, Victoria;Tumwine, James K.
背景：分娩后立即和完全开始母乳喂养与更好的新生儿存活率和儿童健康有关，这是世卫组织推荐的。我们从PROMISE-EBF试验中报告其对早期婴儿喂养实践的影响。方法：PROMISE-EBF是2006-2008年期间在布基纳法索、乌干达和南非开展的一项由同伴咨询师促进纯母乳喂养（EBF）的聚类随机行为改变干预试验，共有2579对母婴参与。咨询始于怀孕的最后三个月，母亲们至少接受了五次产后检查。婴儿早期喂养做法：使用泌乳前饲料（在头3天内给予母乳以外的任何食物或饮料），表达和丢弃初乳，以及开始母乳喂养的时间由每个国家的试验组提出。给出了患病率（PR）和95%置信区间（95% CI）。结果：在干预组和对照组中给予泌乳前喂养的妇女比例分别为：布基纳法索的11%和36%，pr0.3 (95% CI 0.2, 0.6)；乌干达的13%和44%，pr0.3 (95% CI 0.2, 0.5)；南非的30%和33%，pr0.9 （95% CI 0.6, 1.3）。虽然大多数人给予初乳，但干预组和对照组中表达和丢弃初乳的比例分别为：8%和12%，布基纳法索为0.7 (95% CI 0.3, 1.6)， 3%和10%，乌干达为0.3 (95% CI 0.1, 0.6)，南非为17%和16%，1.1 （95% CI 0.6, 2.1）。只有布基纳法索的少数人(
Background: Immediate and exclusive initiation of breastfeeding after delivery has been associated with better neonatal survival and child health and are recommended by the WHO. We report its impact on early infant feeding practices from the PROMISE-EBF trial.Methods: PROMISE-EBF was a cluster randomised behaviour change intervention trial of exclusive breastfeeding (EBF) promotion by peer counsellors in Burkina Faso, Uganda and South Africa implemented during 2006-2008 among 2579 mother-infant pairs. Counselling started in the last pregnancy trimester and mothers were offered at least five postnatal visits. Early infant feeding practices: use of prelacteal feeds (any foods or drinks other than breast milk given within the first 3 days), expressing and discarding colostrum, and timing of initiation of breastfeeding are presented by trial arm in each country. Prevalence ratios (PR) with 95% confidence intervals (95% CI) are given.Results: The proportion of women who gave prelacteal feeds in the intervention and control arms were, respectively: 11% and 36%, PR 0.3 (95% CI 0.2, 0.6) in Burkina Faso, 13% and 44%, PR 0.3 (95% CI 0.2, 0.5) in Uganda and 30% and 33%, PR 0.9 (95% CI 0.6, 1.3) in South Africa. While the majority gave colostrum, the proportion of those who expressed and discarded it in the intervention and control arms were: 8% and 12%, PR 0.7 (95% CI 0.3, 1.6) in Burkina Faso, 3% and 10%, PR 0.3 (95% CI 0.1, 0.6) in Uganda and 17% and 16%, PR 1.1 (95% CI 0.6, 2.1) in South Africa. Only a minority in Burkina Faso (