Supporting breastfeeding In Local Communities (SILC) in Victoria, Australia: a cluster randomised controlled trial

BMJ Open
Helen L McLachlanRhonda Small

Abstract

Breastfeeding has significant health benefits for mothers and infants. Despite recommendations from the WHO, by 6 months of age 40% of Australian infants are receiving no breast milk. Increased early postpartum breastfeeding support may improve breastfeeding maintenance. 2 community-based interventions to increase breastfeeding duration in local government areas (LGAs) in Victoria, Australia, were implemented and evaluated. 3-arm cluster randomised trial. LGAs in Victoria, Australia. LGAs across Victoria with breastfeeding initiation rates below the state average and > 450 births/year were eligible for inclusion. The LGA was the unit of randomisation, and maternal and child health centres in the LGAs comprised the clusters. Early home-based breastfeeding support by a maternal and child health nurse (home visit, HV) with or without access to a community-based breastfeeding drop-in centre (HV+drop-in). The proportion of infants receiving 'any' breast milk at 3, 4 and 6 months (women's self-report). 4 LGAs were randomised to the comparison arm and provided usual care (n=41 clusters; n=2414 women); 3 to HV (n=32 clusters; n=2281 women); and 3 to HV+drop-in (n=26 clusters; 2344 women). There was no difference in breastfeeding at 4 m...Continue Reading

References

Sep 15, 2000·BMJ : British Medical Journal·M CampbellP Tyrer
Apr 30, 2004·BMC Medical Research Methodology·Marion K CampbellDiana R Elbourne
Oct 13, 2006·International Breastfeeding Journal·Della A ForsterJudith Lumley
Sep 15, 2011·Archives of Disease in Childhood. Fetal and Neonatal Edition·Peter J Fleming
Apr 9, 2013·Acta Paediatrica·H M JohnsH L McLachlan
Oct 5, 2014·BMC Pregnancy and Childbirth·Helen L McLachlanTouran Shafiei

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Citations

Nov 22, 2017·International Breastfeeding Journal·Rhian L CramerDella A Forster
May 22, 2018·Maternal & Child Nutrition·Heather WhitfordMary J Renfrew
Aug 3, 2019·Journal of Women's Health·Jimi Francis, Darby Dickton
Mar 1, 2017·The Cochrane Database of Systematic Reviews·Alison McFaddenStephen MacGillivray
Apr 16, 2020·Health & Social Care in the Community·Elaine BurnsVirginia Schmied
Oct 28, 2019·International Breastfeeding Journal·Alison McFaddenStephen MacGillivray
Jun 15, 2019·International Journal of Public Health·Lai Yin ChengPhoenix Kit-Han Mo
Dec 2, 2020·International Breastfeeding Journal·Elaine S BurnsZoi Triandafilidis
Feb 21, 2021·Women and Birth : Journal of the Australian College of Midwives·Nawal AbdulghaniLisa H Amir
Aug 24, 2021·Women and Birth : Journal of the Australian College of Midwives·Rhian L CramerDella A Forster

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Software Mentioned

SILC
Stata

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