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A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women.
- Source :
-
Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine [Breastfeed Med] 2018 Dec; Vol. 13 (10), pp. 666-673. Date of Electronic Publication: 2018 Oct 23. - Publication Year :
- 2018
-
Abstract
- Background: Many women initiate breastfeeding but do not meet their duration goals, and low-income women initiate and continue breastfeeding at lower rates than their counterparts. One-on-one counseling is associated with increased breastfeeding but requires significant resources. In contrast, video education, which requires fewer resources and is effective in other health care settings, such as vaccine uptake, has gone untested for prolonging breastfeeding duration among low-income women. Objective: To determine whether use of an educational breastfeeding video shown individually to low-income pregnant women in the prenatal clinic would prolong duration of any and exclusive breastfeeding. Methods: A multicenter, randomized, controlled trial was conducted in four prenatal clinics. Low-income pregnant women were randomized to view the intervention (breastfeeding education) or control (prenatal nutrition) video in the third trimester and interviewed by telephone at 1, 3, and 6 months postpartum about infant feeding practices. Kaplan-Meier survival curves with log-rank tests and Cox proportional hazards regression were utilized to compare groups. Results: Of the 816 eligible women approached, 64% participated: 263 assigned to the intervention, and 259 assigned to the control. Six-month data were obtained for 211 (80%) and 220 (85%) women, respectively. Rate of breastfeeding cessation did not differ by group (hazard ratios; HR = 1.00, 95% confidence interval [CI]: 0.81-1.24 and HR = 0.93, 95% CI: 0.76-1.14, for any and exclusive breastfeeding, respectively). Conclusion: A single viewing of a breastfeeding education video shown in the prenatal clinic did not impact breastfeeding duration or exclusivity among low-income women in this study. Although not sufficient alone, educational videos may be useful as one component of a comprehensive program to promote breastfeeding.
- Subjects :
- Adult
Female
Health Promotion methods
Health Promotion organization & administration
Humans
Infant, Newborn
Needs Assessment
Outcome Assessment, Health Care
Poverty psychology
Poverty statistics & numerical data
Pregnancy
Time Factors
Breast Feeding methods
Breast Feeding psychology
Education, Distance methods
Prenatal Care methods
Prenatal Care standards
Prenatal Education methods
Subjects
Details
- Language :
- English
- ISSN :
- 1556-8342
- Volume :
- 13
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 30351169
- Full Text :
- https://doi.org/10.1089/bfm.2018.0115