Association of Degree and Timing of Exposure to Breastfeeding Peer Counseling Services with Breastfeeding Duration

  • Donna Chapman
  • Grace Damio
  • Sara Young
  • Rafael Pérez-Escamilla
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 554)

Abstract

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.

Keywords

Home Visit Prenatal Visit Infant Feeding Practice Breastfeed Duration Hartford Hospital 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 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
  2. Haider R, Ashworth A, Kabir I, Huttly SRA. Effect of community-based peer counselors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomized controlled trial. Lancet 2000;356:1643–1647.PubMedCrossRefGoogle Scholar
  3. Morrow AL, Guerrero ML, Shults J, Calva JJ, Lutter C, Bravo J, Ruiz-Palacios G, Morrow R.C, Butterfoss FD. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomised controlled trial. Lancet 1999;353:1226–1231.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Donna Chapman
    • 1
  • Grace Damio
    • 2
  • Sara Young
    • 3
  • Rafael Pérez-Escamilla
    • 1
  1. 1.Department of Nutritional SciencesUniversity of ConnecticutStorrsUSA
  2. 2.Hispanic Health CouncilHartfordUSA
  3. 3.Hartford HospitalHartfordUSA

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