Impact of Lactation Consultant and Peer Counselor Team Interventions on Exclusive Breastfeeding Rates among Adolescent Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/154116
Type:
Presentation
Title:
Impact of Lactation Consultant and Peer Counselor Team Interventions on Exclusive Breastfeeding Rates among Adolescent Mothers
Abstract:
Impact of Lactation Consultant and Peer Counselor Team Interventions on Exclusive Breastfeeding Rates among Adolescent Mothers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Rojjanasrirat, Wilaiporn, PhD, RNC, IBCLC
P.I. Institution Name:University of Kansas
Title:Clinical Assistant Professor
Co-Authors:Karen A. Wambach, PhD, RN; Hung-Wen Yeh, PhD
[Research Paper or Poster Presentation] The purpose of this sub-analysis was to assess the impact of interventions of a lactation consultant and peer counselor team on exclusive breastfeeding rates among adolescent mothers enrolled in a RCT to promote and support breastfeeding decision-making, initiation and duration. The theory of planned behavior and adolescent decision-making theoretical principles guided the study. Pregnant adolescents (N=315), ages 15-18, were recruited from multiple urban prenatal clinics and school settings in the Midwest, US and randomly assigned to an experimental and two control groups. A lactation consultant-peer counselor team was used to influence pregnant adolescents' prenatal beliefs and intentions to breastfeed and to support maintenance of breastfeeding through four weeks postpartum. Breastfeeding rates were collected at hospital discharge, three weeks, six weeks, three months, and six months postpartum. Logistic regression and survival analysis were used to determine the impact of interventions and association between theoretical variables and exclusive breastfeeding. The overall breastfeeding initiation rate was 69.5% (n = 201) across all study groups. Primary results of the RCT indicated the initiation of breastfeeding in the experimental group was significantly higher than the two control groups (P < 0.05) and breastfeeding duration was longer (P < 0.001). For this sub-analysis the experimental group subjects exhibited a greater likelihood of exclusive breastfeeding compared to control group subjects from hospital discharge to six months, but differences were not statistically significance. Log-rank tests also revealed non-significant differences between groups in the duration of exclusive breastfeeding. Although the intervention enhanced the initiation and continuation of overall breastfeeding, low power due to decreasing numbers of breastfeeding subjects over time prohibited us from finding significant differences in exclusive breastfeeding rates. Determining the effectiveness of more intense breastfeeding education and support during the first few weeks postpartum on exclusive breastfeeding is needed and requires further investigation in a larger study.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of Lactation Consultant and Peer Counselor Team Interventions on Exclusive Breastfeeding Rates among Adolescent Mothersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154116-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of Lactation Consultant and Peer Counselor Team Interventions on Exclusive Breastfeeding Rates among Adolescent Mothers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rojjanasrirat, Wilaiporn, PhD, RNC, IBCLC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">wrojjanasrirat@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen A. Wambach, PhD, RN; Hung-Wen Yeh, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] The purpose of this sub-analysis was to assess the impact of interventions of a lactation consultant and peer counselor team on exclusive breastfeeding rates among adolescent mothers enrolled in a RCT to promote and support breastfeeding decision-making, initiation and duration. The theory of planned behavior and adolescent decision-making theoretical principles guided the study. Pregnant adolescents (N=315), ages 15-18, were recruited from multiple urban prenatal clinics and school settings in the Midwest, US and randomly assigned to an experimental and two control groups. A lactation consultant-peer counselor team was used to influence pregnant adolescents' prenatal beliefs and intentions to breastfeed and to support maintenance of breastfeeding through four weeks postpartum. Breastfeeding rates were collected at hospital discharge, three weeks, six weeks, three months, and six months postpartum. Logistic regression and survival analysis were used to determine the impact of interventions and association between theoretical variables and exclusive breastfeeding. The overall breastfeeding initiation rate was 69.5% (n = 201) across all study groups. Primary results of the RCT indicated the initiation of breastfeeding in the experimental group was significantly higher than the two control groups (P &lt; 0.05) and breastfeeding duration was longer (P &lt; 0.001). For this sub-analysis the experimental group subjects exhibited a greater likelihood of exclusive breastfeeding compared to control group subjects from hospital discharge to six months, but differences were not statistically significance. Log-rank tests also revealed non-significant differences between groups in the duration of exclusive breastfeeding. Although the intervention enhanced the initiation and continuation of overall breastfeeding, low power due to decreasing numbers of breastfeeding subjects over time prohibited us from finding significant differences in exclusive breastfeeding rates. Determining the effectiveness of more intense breastfeeding education and support during the first few weeks postpartum on exclusive breastfeeding is needed and requires further investigation in a larger study.</td></tr></table>en_GB
dc.date.available2011-10-26T12:45:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:45:22Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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