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A controlled study on baby-friendly communities in Italy : methods and baseline data

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A controlled study on baby-friendly communities in Italy : methods and baseline data

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Título A controlled study on baby-friendly communities in Italy : methods and baseline data
Autor Macaluso, Anna
Bettinelli, Maria Enrica
Chapin, Elise M.
Espírito Santo, Lílian Córdova do
Mascheroni, Rita
Murante, Anna Maria
Montico, Marcella
Cattaneo, Adriano
Abstract Aim: This study reports the research methods and baseline data of a project aimed at assessing the effect of an intervention based on the 7 Steps of the Baby Friendly Community Initiative (BFCI) on the rate of exclusive breastfeeding at 6 months in Italy. Subjects and Methods: In this controlled, nonrandomized study, nine Local Health Authorities were assigned to an early and nine to a late intervention group. Data on breastfeeding in infants followed up from birth to 12 months were gathered at baseline and in two subsequent rounds, after the 7 Steps were implemented in the early and late intervention groups, respectively. Step-down logistic regression analysis, corrected for the cluster effect, was used to compare breastfeeding rates between groups. Results: At baseline, there were no significant differences in breastfeeding rates at birth (n = 1,781) and at 3 (n = 1,854), 6 (n = 1,601), and 12 (n = 1,510; loss to follow-up, 15.2%) months between groups. At birth, 96% of mothers initiated breastfeeding, 72% exclusively (recall from birth). At 3 months, 77% of infants were breastfed, 54% exclusively with 24-hour and 46% with 7-day recall. At 6 months, the rate of any breastfeeding was 62%, with 10% and 7% exclusive breastfeeding with 24-hour and 7-day recall, respectively. At 12 months, 31% of the children continued to breastfeed. Conclusions: The project is ongoing and will allow estimation of the effect of the BFCI.
Contido em Breastfeeding Medicine. New Rochelle: Mary Ann Liebert, 2006-. Vol. 8, no. 2 (Apr. 2013), p. 198-204
Assunto Amamentação
Enfermagem pediátrica
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/104143
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