title: WIC-based interventions to promote breastfeeding among African-American Women in Baltimore: effects on breastfeeding initiation and continuation.
abstract: 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.
authors.affiliation: Center for Human Nutrition, Johns Hopkins University (JHU), Baltimore, MD, USA.
authors.forename: L E
authors.initials: LE
authors.lastname: Caulfield
authors.forename: S M
authors.initials: SM
authors.lastname: Gross
authors.forename: M E
authors.initials: ME
authors.lastname: Bentley
authors.forename: Y
authors.initials: Y
authors.lastname: Bronner
authors.forename: L
authors.initials: L
authors.lastname: Kessler
authors.forename: J
authors.initials: J
authors.lastname: Jensen
authors.forename: B
authors.initials: B
authors.lastname: Weathers
authors.forename: D M
authors.initials: DM
authors.lastname: Paige
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D015142:Baltimore; D001942:Breast Feeding / Q000208:ethnology*; D005260:Female; D005522:Food Services; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic / Q000379:methods*; D010379:Peer Group; D015397:Program Evaluation