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首页> 外文期刊>American Journal of Obstetrics and Gynecology >An intervention to extend breastfeeding among black and Latina mothers after delivery
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An intervention to extend breastfeeding among black and Latina mothers after delivery

机译：在黑人和拉丁裔母亲分娩后扩大母乳喂养的干预措施

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Objective The purpose of this study was to compare breastfeeding duration in mothers after delivery who were assigned randomly to a behavioral educational intervention vs enhanced usual care. Study Design We conducted a randomized trial. Self-identified black and Latina mothers early after delivery were assigned randomly to receive a behavioral educational intervention or enhanced usual care. The 2-step intervention aimed to prepare and educate mothers about postpartum symptoms and experiences (including tips on breastfeeding and breastipple pain) and to bolster social support and self-management skills. Enhanced usual care participants received a list of community resources and received a 2-week control call. Intention-to-treat analyses examined breastfeeding duration (measured in weeks) for up to 6 months of observation. This study was registered with clinicaltrial.gov (NCT01312883). Results Five hundred forty mothers were assigned randomly to the intervention (n = 270) vs control subjects (n = 270). Mean age was 28 years (range, 18-46 years); 62% of the women were Latina, and 38% were black. Baseline sociodemographic, clinical, psychosocial, and breastfeeding characteristics were similar among intervention vs control subjects. Mothers in the intervention arm breastfed for a longer duration than did the control subjects (median, 12.0 vs 6.5 weeks, respectively; P =.02) Mothers in the intervention arm were less likely to quit breastfeeding over the first 6 months after delivery (hazard ratio, 0.79; 95% confidence interval, 0.65-0.97). Conclusion A behavioral educational intervention increased breastfeeding duration among low-income, self-identified black and Latina mothers during the 6-month postpartum period.
机译：目的这项研究的目的是比较分娩后接受行为教育干预与加强常规护理的母亲分娩后的母乳喂养时间。研究设计我们进行了一项随机试验。在分娩后不久就将自我识别的黑人和拉丁裔母亲随机分配接受行为教育干预或加强常规护理。分两步进行的干预旨在为母亲做好产后症状和经验的准备和教育（包括有关母乳喂养和乳房/乳头疼痛的提示），并增强社会支持和自我管理技能。增强型常规护理参与者收到了社区资源列表，并收到了为期2周的控制电话。意向治疗分析检查了长达6个月的观察的母乳喂养时间（以周为单位）。该研究已在Clinicaltrial.gov（NCT01312883）上注册。结果与对照组（n = 270）相比，有540名母亲被随机分配至干预组（n = 270）。平均年龄为28岁（范围18-46岁）; 62％的女性为拉丁裔，而38％为黑人。干预组与对照组之间的基线社会人口统计学，临床，社会心理和母乳喂养特征相似。干预组的母亲与对照组相比，母乳喂养的时间更长（分别为中位数，分别为12.0和6.5周; P = .02）。干预组中的母亲在分娩后的头6个月内不再母乳喂养（危险）比率0.79; 95％置信区间0.65-0.97）。结论在产后6个月内，行为教育干预增加了低收入，自我认同的黑人和拉丁裔母亲的母乳喂养时间。

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