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Initiation


Evaluation of the Missouri WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) Breastfeeding Peer Counselling Programme

The objective of this study was to evaluate the effectiveness of the peer counseling (PC) program on breastfeeding initiation among WIC Program participants in Missouri. Results showed that the breastfeeding initiation rate in PC agencies was significantly higher than the rate in non-PC agencies, among prenatal participants. However, the difference was not significant among postpartum participants. Prenatal participation in the WIC breastfeeding PC program (especially, participation early during pregnancy) was associated with an increased rate of breastfeeding initiation in Missouri.


Breastfeeding Peer Counseling: From Efficacy Through Scale-Up

The authors pursued a systematic review of (1) the randomized trials assessing the effectiveness of breastfeeding peer counseling in improving rates of breastfeeding initiation, duration, exclusivity, and maternal and child health outcomes and (2) scientific literature describing the scale-up of breastfeeding peer counseling programs. Evidence from randomized controlled trials indicated that peer counselors effectively improved rates of breastfeeding initiation, duration, and exclusivity.


Breastfeeding Experiences of Mothers from Disadvantaged Groups: A Review

This study identified factors that prevented disadvantaged groups from initiating and successfully breastfeeding, particularly teenage mothers and mothers from low-income groups. researchers found that the disadvantaged mothers might require extra support to overcome problems associated with breastfeeding.


The Differential Impact of WIC Peer Counseling Programs on Breastfeeding Initiation across the State of Maryland

This study examines Maryland's WIC breastfeeding self-reported initiation rates by participation in one of three groups: (1) peer counselor (PC-treatment) group, (2) lactation consultant (LC) group, and (3) standard care (SC) group. Results showed that the odds of breastfeeding initiation were significantly greater among PC-exposed infants, compared with the reference group of SC infants, but not significantly different between LC and the SC infants. In the Maryland WIC Program, breastfeeding initiation rates were positively associated with peer counseling.


Progress in Protecting, Promoting, and Supporting Breastfeeding: 1984–2009

This article examines the progress in breastfeeding support through workplaces, public education, professional education, health system changes, support services, and research. Although there has been considerable progress in breastfeeding support over the past 25 years, significant gaps remain in protecting, promoting, and supporting breastfeeding.


Breastfeeding Peer Support: Are There any Additional Benefits?

This study investigated whether breastfeeding peer supporters might offer additional benefits to breastfeeding women and their families, beyond increasing breastfeeding initiation and duration. The findings suggested that breastfeeding peer supporters might have a positive impact on several aspects of families; lives, including improved mental health, increased self-esteem or confidence, and improved family diet.


Breastfeeding by Hispanic Women

This study reviewed the literature describing Hispanic breastfeeding beliefs, attitudes, and practices in the US. The study reported that breastfeeding initiation rates are high among Hispanics living in the US. Newly immigrated women initiated and continued to breastfeed longer than did more acculturated women.


Variation in Breastfeeding Behaviors, Perceptions, and Experiences by Race/Ethnicity Among a Low-Income Statewide Sample of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Participants in the United States

This study examines how breastfeeding behaviors, perceptions, and experiences vary by race and ethnicity among a low-income sample in the US. The authors concluded that although breastfeeding initiation rates approached the Healthy People 2010 goals, breastfeeding duration remained far below these goals. Racial and ethnic differences in experiences related to breastfeeding cessation suggested that culturally sensitive breastfeeding interventions were necessary.