The impact of a hospital and clinic-based breastfeeding promotion programme in a middle class urban environment
| Autor: | Silvia Catalán, Alfredo Perez, Verónica Valdés, Isabella Zambrano, Edda Pugin, Miriam H. Labbok |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Urban Population Cost effectiveness Cost-Benefit Analysis Population Breastfeeding Health Promotion Medicine Outpatient clinic Humans Prospective Studies Chile education Breastfeeding promotion education.field_of_study business.industry Public health Lactational amenorrhea Infectious Diseases Breast Feeding Social Class Pediatrics Perinatology and Child Health Female business Breast feeding |
| Zdroj: | Journal of tropical pediatrics. 39(3) |
| ISSN: | 0142-6338 |
| Popis: | A prospective case-control study compared data on 422 urban middle-class mother-child pairs who were part of the breast feeding promotion program (BFPP) with data on 313 controls of like socioeconomic status. All mothers delivered at the Clinical Hospital of the Catholic University of Chile in Santiago. BFPP interventions included training of the health team (physicians midwives nurses and nutritionists) in breast feeding prenatal clinic activities (individual and group counseling on breast feeding educational materials) hospital activities (early contact with newborn rooming-in individual counseling) and follow-up care at a newly-created outpatient lactation clinic. The maternity ward gave formula to 18% of newborns. Cases were significantly more likely to practice exclusive breast feeding at 6 months than were controls (66.8% vs. 31.6%; p < .0001). They were also more likely to still have lactational amenorrhea at 6 months than controls (56.2% vs. 22%). BFPP mothers had 30 minutes more breast feeds per day than did controls which likely contributed to their prolonged lactational amenorrhea. The postpartum separation period for the BFPP group was shorter than that for controls (2.8 hours vs. 6.7 hours; p < .0001). BFPP reduced infant supplementation from 53 to 19%. Both early postpartum breast feeding and reduced supplementation decreased expenses on formula and bottles. Rooming-in alone reduced personnel costs by 34% (i.e. US$0.50-1.20 savings/day). The researchers thought that the training and motivation of health care providers and the quality of mother-child care at the outpatient clinic were the most important activities of BFPP. |
| Databáze: | OpenAIRE |
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