The impact of lactation centres on breastfeeding patterns, morbidity and growth : a birth cohort study.
The influence of lactation centres on breastfeeding patterns, morbidity and nutritional status was assessed through a longitudinal study from birth up to the age of 6 months among 605 mothers and newborns in Guarujá, Sao Paulo, Brazil.
Children recruited in the perinatal period who subsequently attended the lactation centres (54%) were exclusively breastfed significantly more at 4 months (43 versus 18%) and at 6 months of age (15 versus 6%), than non-attenders, even after adjusting for confounders.
Also, attenders presented less diarrhoea in the last fortnight than non-attenders (10 versus 17%), and their weight for age was significantly better (mean z-scores of 0.26 and 0.02, respectively).
Lactation centres are effective in promoting breastfeeding, and their use in areas with short breastfeeding duration should be considered.
This is the first report of significant impact of a breastfeeding promotion programme on children's morbidity and growth.
Mots-clés Pascal : Allaitement, Promotion santé, Mère, Education sanitaire, Personnel sanitaire, Formation professionnelle, Support social, Nouveau né, Brésil, Efficacité, Organisation, Etat nutritionnel, Méthode, Morbidité, Croissance, Etude comparative, Homme, Amérique du Sud, Amérique
Mots-clés Pascal anglais : Breast feeding, Health promotion, Mother, Health education, Health staff, Occupational training, Social support, Newborn, Brazil, Efficiency, Organization, Nutritional status, Method, Morbidity, Growth, Comparative study, Human, South America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0056626
Code Inist : 002B30A03B. Création : 199608.