Postnatal peer counselling on exclusive breastfeeding of low-birthweight infants: A randomized, controlled trial
Postnatal peer counselling on exclusive breastfeeding of low-birthweight infants: A randomized, controlled trial
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DOI：
10.1080/08035250510025752
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发表时间：
2005-01-01
期刊：
影响因子：
3.8
通讯作者：
Ewald, U
中科院分区：
文献类型：
--
作者：
Agrasada, GV;Gustafsson, J;Ewald, U
目的：纯母乳喂养可提高低出生体重 (LBW) 婴儿的存活率并优化生长。如果得到支持，母亲们可以克服从出生到 6 个月期间母乳喂养的独特困难。我们测试了首次当妈妈的产后同伴咨询的效果，旨在增加足月低体重婴儿的纯母乳喂养。方法：在马尼拉一家医院，204 名母亲被随机分为三组。接受家庭咨询访问的两个干预组，一组由接受过母乳喂养咨询培训的辅导员 (n = 68) 担任，另一组由接受过一般儿童保育培训的辅导员 (n = 67) 担任，并与未接受辅导的母亲对照组 (n = 69) 进行比较。结果：88% 的参与组完成了试验。 6 个月时，44% 的母亲接受母乳喂养建议，7% 的母亲接受育儿咨询，而对照组中没有母亲进行纯母乳喂养。与其他组相比，母乳喂养咨询组中有更多的母亲在 6 个月时仍在母乳喂养。 24 名纯母乳喂养 6 个月的婴儿没有出现任何腹泻情况。所有组在 6 个月时的平均年龄别体重 Z 分数均有所改善。 结论：这项研究为足月低出生婴儿实现 6 个月纯母乳喂养的成功干预提供了基本证据。通过改善健康结果，加强母乳喂养显然有可能扰乱营养不良妇女生下低出生体重婴儿的代际循环。
Aim: Exclusive breastfeeding increases survival and optimizes growth of low-birthweight ( LBW) infants. If supported, mothers can overcome the unique difficulties associated with breastfeeding from birth to 6 mo. We tested the efficacy of postnatal peer counselling among first-time mothers that aimed to increase exclusive breastfeeding of term LBW infants. Methods: In a Manila hospital, 204 mothers were randomized into three groups. Two intervention groups receiving home-based counselling visits, one by counsellors trained in breastfeeding counselling (n = 68), the other by counsellors trained in general childcare (n = 67), were compared with a control group of mothers (n = 69) who did not receive counselling. Results: Eighty-eight per cent of the participating pairs completed the trial. At 6 mo, 44% of the breastfeeding counselled mothers, 7% childcare-counselled mothers and none of the mothers in the control group were exclusively breastfeeding. More mothers in the breastfeeding counselled group than in the other groups were still breastfeeding at 6 mo. Twenty-four infants who were exclusively breastfed for 6 mo did not have any diarrhoea. All groups had improved mean weight-for-age Z-scores at 6 mo.Conclusion: This study has provided fundamental evidence of successful intervention to achieve 6 mo of exclusive breastfeeding among term LBW infants. By improving health outcomes, enhanced breastfeeding offers a distinct possibility of disrupting the intergenerational cycle of undernourished women giving birth to LBW infants.