Pre-
and postnatal visits with a certified lactation consultant (LC) coupled with
electronic reminders for healthcare providers to discuss breast-feeding at prenatal
visits may boost breast-feeding duration and intensity, new research shows. The
American Academy of Pediatrics recommends exclusive breast-feeding for the
first 6 months after birth, followed by continued breast-feeding for 1 year as
other foods are introduced. Under the Affordable Care Act, private insurers
must cover professional breast-feeding support without cost-sharing.
In
the Best Infant Nutrition for Good Outcomes (BINGO) trial, 666 primarily
low-income women were randomly allocated to 1 of 4 groups: LC alone, LC+EP, EP
alone, and usual care. The study team
followed-up with the women periodically to assess breast-feeding
"intensity," defined as the percentage of all feedings during the
last 7 days that were breast milk. At 3 months, high-intensity breast-feeding
was greater in the LC+EP group and the LC-only group compared with usual care.
In
addition, women in the LC+EP group were more likely to initiate breast-feeding,
do "any" breast-feeding at 1 month, and breast-feed exclusively at 3
months postpartum compared with the control group. For the PAIRINGS primary
outcome of exclusive breast-feeding at 3 months, rates were significantly
higher with LC+EP than usual care.
As
in BINGO, any breast-feeding and both high- and medium-intensity breast-feeding
were more likely with LC+EP than usual care.
0 comments:
Posting Komentar