title: Effectiveness of exclusive breastfeeding promotion in low-income mothers: a randomized controlled study.
abstract: OBJECTIVE
  To evaluate the effectiveness of a breastfeeding promotion program in the Women, Infant and Children (WIC) Supplemental Nutrition Program participants.
  
  
  METHODS
  This randomized clinical trial included 52 women in the intervention group who received one-to-one pre- and postnatal breastfeeding education and support from a lactation consultant. Women (n = 52) randomized to controls received standard breastfeeding services. Data regarding their infants' feeding (classified as exclusive, partial, and bottle) during the first 7 days, 1, 2, and 3 months of age were compared. Additionally, the mothers were surveyed to assess their knowledge, attitude, and beliefs regarding breastfeeding.
  
  
  RESULTS
  Among the 104 enrolled women, 91 (87.5%) were Hispanic. Almost all the pregnant women had planned to breastfeed their infants. Although the majority of women reported breastfeeding their infants, 45.6% in the intervention group and 28.9% of controls practiced exclusive breastfeeding during the first 7 days. By 3 months, the rate of exclusive breastfeeding in the intervention and control groups had dropped to 13.9% and 10.5%, respectively. Parity, mode of delivery, previous experience with breastfeeding, rooming in, and return to work did not significantly affect the exclusive breastfeeding rate. Maternal knowledge, attitude, and beliefs regarding breastfeeding were comparable between the study groups at the baseline stage as well as 3 months postpartum.
  
  
  CONCLUSIONS
  Participation in the proposed breastfeeding promotion program by the low-income mothers was associated with an insignificant increase in the exclusive breastfeeding rate during the first 3 postpartum months.
authors.affiliation: Department of Pediatrics, University of Medicine and Dentistry, One Robert Wood Johnson Place, MEB 236, New Brunswick, NJ 08903-0019, USA. petroran@umdnj.edu
authors.forename: Anna
authors.initials: A
authors.lastname: Petrova
authors.forename: Charletta
authors.initials: C
authors.lastname: Ayers
authors.forename: Sharon
authors.initials: S
authors.lastname: Stechna
authors.forename: Jo Ann
authors.initials: JA
authors.lastname: Gerling
authors.forename: Rajeev
authors.initials: R
authors.lastname: Mehta
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000193:education / Q000523:psychology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009035:Mothers / Q000193:education / Q000523:psychology*; D009515:New Jersey / Q000453:epidemiology; D010353:Patient Education as Topic; D011203:Poverty; D015397:Program Evaluation; D011632:Public Assistance; D013997:Time Factors; D055815:Young Adult