Association of Degree and Timing of Exposure to Breastfeeding Peer Counseling Services with Breastfeeding Duration
Randomized trials conducted in developing countries have demonstrated that breastfeeding peer counseling increases rates of breastfeeding initiation and improves the duration of breastfeeding (Morrow et al. 1999; Haider et al. 2000). We are conducting a randomized community trial, designed to evaluate the effectiveness of an existing community-based breastfeeding peer counseling program serving mostly low income Latinas (i.e., women from Spanish-speaking countries in Latin America or the Caribbean) in Hartford, CT. Preliminary data from this on-going study previously have shown that subjects randomized to receive breastfeeding peer counseling have a median breastfeeding duration one month greater than their counterparts who did not receive breastfeeding peer counseling (1.75 mo vs. 0.8 mo, P<0.05) (Chapman et al. 2002). The objectives of this analysis are to: a) report on a process evaluation of the program, focusing on actual coverage of pre-, peri-, and postnatal services; and b) determine if differences in the degree and timing of the exposure to breastfeeding peer counseling services are associated with breastfeeding duration.
KeywordsHome Visit Prenatal Visit Infant Feeding Practice Breastfeed Duration Hartford Hospital
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- Chapman DJ, Damio G, Young S, Pérez-Escamilla R. Impact of breastfeeding peer counseling services on breastfeeding initiation and duration among a low-income, Hispanic population: A randomized community trial. FASEB J 2002;16:A978.Google Scholar