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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A breast-feeding promotion and support program a randomized trial in The Netherlands.
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A breast-feeding promotion and support program a randomized trial in The Netherlands.

机译：在荷兰进行的一项母乳喂养促进和支持计划随机试验。

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BACKGROUND: In the Netherlands, the initiation rate of breast-feeding (BF) was 80% in 2002, but only 35% of the mothers continued to breast-feed for 3 months. This study examined the effectiveness of a breast-feeding promotion program to increase the continuation of breast-feeding. METHODS: A cluster-randomized intervention trial was used. Ten child health care centers in three regions of the home health care were randomly allocated to the program or usual care. Elements in the program were health counseling, measures to enhance cooperation, early signaling of breast-feeding problems and continuity of care, and lactation consultancy. Pregnant mothers who applied for home health care in the intervention or usual care regions were enrolled and were followed up from pregnancy until 6 months postpartum (n = 683). The primary outcome measure was the continuation of breast-feeding until at least 3 months. RESULTS: The 3-month breast-feeding rate was 32% in the intervention and 38% in the control groups (OR =0.79, 95% CI = 0.58-1.08). CONCLUSION: The program was not effective. We discuss possible explanations from the design and execution of the trial and give some points for improvement of our program, such as the categories of caregivers involved and the number and duration of contacts after parturition.
机译：背景：在荷兰，2002年母乳喂养的开始率为80％，但只有35％的母亲继续母乳喂养3个月。这项研究检查了母乳喂养促进计划增加母乳喂养持续时间的有效性。方法：采用整群随机干预试验。在家庭保健三个区域中的十个儿童保健中心被随机分配给该计划或常规护理。该计划的内容包括健康咨询，加强合作的措施，及早暗示母乳喂养问题和护理的连续性以及哺乳咨询。纳入了在干预区或常规护理区申请家庭保健的怀孕母亲，并从怀孕至产后6个月进行了随访（n = 683）。主要结局指标是持续母乳喂养至少3个月。结果：干预组的3个月母乳喂养率为32％，对照组为38％（OR = 0.79，95％CI = 0.58-1.08）。结论：该程序无效。我们讨论了试验设计和执行过程中可能出现的解释，并提出了一些改进计划的要点，例如所涉及的看护人类别以及分娩后接触的次数和持续时间。

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