WIC-Based Interventions to Promote Breastfeeding Among African-American Women in Baltimore: Effects on Breastfeeding Initiation and Continuation

We evaluated the single and combined effects of introducing a motivational video and peer counseling into four matched WIC clinics on breastfeeding initiation and continuation at 7-10 days among African-American WIC participants. Of the 242 women with complete data, 48% initiated breastfeeding, but...

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Bibliographic Details
Published in:Journal of human lactation 1998-03, Vol.14 (1), p.15-22
Main Authors: Caulfield, Laura E., Gross, Susan M., Bentley, Margaret E., Bronner, Yvonne, Kessler, Lisa, Jensen, Joan, Weathers, Benita, Paige, David M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans - psychology
Baltimore
Breast Feeding - ethnology
Female
Food Services
Health Knowledge, Attitudes, Practice
Health Promotion
Humans
Motivation
Nursing
Patient Education as Topic - methods
Peer Group
Program Evaluation
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Summary:We evaluated the single and combined effects of introducing a motivational video and peer counseling into four matched WIC clinics on breastfeeding initiation and continuation at 7-10 days among African-American WIC participants. Of the 242 women with complete data, 48% initiated breastfeeding, but only 31% were still breastfeeding at 7-10 days. Initiation was associated with cesarean delivery, infant feeding instruction, no artificial milk discharge pack, attending the peer counselor only-intervention site, and intention to breastfeed. Continuation was influenced by infant feeding instruction, no artificial milk discharge pack, and intention to breastfeed. Overall, trends toward a positive impact of the breastfeeding promotion activities were evident but weak, and largely gone by 7-10 days postpartum.
ISSN:0890-3344
1552-5732
DOI:10.1177/089033449801400110