Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers

Nutrition Journal

Research

Luciana Dias de Oliveira¹  Elsa Regina Justo Giugliani²  Leandro Meirelles Nunes³  Lilian Córdova do Espírito Santo⁴ 

[1] Department of Social Medicine, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Ramiro Barcelos, 2400, bairro Santa Cecília, CEP 90035-003, Porto Alegre, RS, Brazil;Centro de Estudos em Alimentação e Nutrição (CESAN), UFRGS, Ramiro Barcelos, 2400, bairro Santa Cecília, CEP 90035-003, Porto Alegre, RS, Brazil;Department of Social Medicine, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Ramiro Barcelos, 2400, bairro Santa Cecília, CEP 90035-003, Porto Alegre, RS, Brazil;Centro de Estudos em Alimentação e Nutrição (CESAN), UFRGS, Ramiro Barcelos, 2400, bairro Santa Cecília, CEP 90035-003, Porto Alegre, RS, Brazil;Post-Graduate Program in Children and Adolescent Health, UFRGS, Ramiro Barcelos, 2400, 2° andar, bairro Santa Cecília, CEP 90035-003, Porto Alegre, RS, Brazil;Hospital de Clinicas de Porto Alegre, Ramiro Barcelos, 2350, bairro Santa Cecília, CEP 90035-903, Porto Alegre, RS, Brazil;Nursing School, UFRGS, Rua São Manoel, 963, bairro Rio Branco, CEP 90620-110, Porto Alegre, RS, Brazil;

关键词: Clinical trial;    Breastfeeding;    Adolescent health;    Family relations;   

DOI  :  10.1186/1475-2891-13-73

 received in 2014-02-05, accepted in 2014-07-12,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundConsidering that adolescent mothers may be more vulnerable to discontinuing exclusive breastfeeding (EBF) before 6 months and that their mothers may exert a negative influence on this practice, this study was conducted with the objective of evaluating the efficacy of breastfeeding counselling for adolescent mothers and their mothers in increasing EBF duration.MethodsA clinical trial was performed in 323 adolescent mothers with newborns and their mothers randomized in four groups: (1) not living with mother, without intervention; (2) not living with mother, with intervention; (3) living with mother, without intervention, (4) living with mother, with intervention. The intervention consisted of five counselling sessions directed to mother and grandmother, in the maternity hospital and on follow-up. Information about feeding practices during the newborn’s first six months of life was collected monthly by telephone. Intervention’s efficacy was measured through Cox regression and comparison of exclusive breastfeeding medians and survival curves for the different groups.ResultsThe intervention increased the duration of EBF by67 days for the group which included grandmothers (HR = 0.64; CI 95% = 0.46-0.90) and 46 days for the group which did not include grandmothers (HR = 0.52; CI 95% = 0.36-0.76).ConclusionsCounselling sessions in the first four months of children’s lives proved to be effective in increasing EBF duration among adolescent mothers.Trial registrationClinicalTrials.gov.

【 授权许可】

CC BY   
© Dias de Oliveira et al.; licensee BioMed Central Ltd. 2014