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Assignment to a Hospital-Based Breastfeeding Clinic and Exclusive Breastfeeding Among Immigrant Hispanic Mothers: A Randomized, Controlled Trial

USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030

Margaret Konefal Gallagher, RN, PhD, CNAA

Ben Taub General Hospital, Harris County Hospital District

A randomized controlled trial is used to determine whether assigning mixed feeders to a breastfeeding clinic within 1 week postpartum will increase exclusive breastfeeding at 1 month among Hispanic immigrants. Subjects are eligible for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and 85% are monolingual Hispanic. Mothers (n = 522) of infants at low risk for hyperbilirubinemia are approached at bedside 20 to 48 hours after delivery and randomly assigned to treatment or control groups. Intent-to-treat analysis of feeding behavior at 4 weeks postpartum indicates that the intervention group is more likely to be exclusively breastfeeding (16.4% vs 10% in the control group, P = .03; adjusted odds ratio 1.87; 95% confidence interval, 1.07-3.26); that the incidence of formula supplementation does not differ between groups; and that the intervention group is less likely to supplement with water and tea (P < .002). J Hum Lact. 25(3):287-296.

Key Words: acculturation • randomized controlled trial • hospital practices • Mexico • intervention • exclusive breastfeeding • peer counseling • mixed feeding

This version was published on August 1, 2009

Journal of Human Lactation, Vol. 25, No. 3, 287-296 (2009)
DOI: 10.1177/0890334409335482


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