What do Kramer's Baby-Friendly Hospital Initiative PROBIT studies tell us? A review of a decade of research

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Patricia J Martens

Abstract

Kramer et al's PROBIT (Promotion of Breastfeeding Intervention Trial) research in Belarus studied effects of the Baby-Friendly Hospital Initiative (BFHI) training on breastfeeding duration, exclusivity, and health outcomes. To critique inclusion criteria, context, approaches to data analysis, and health outcome results. Twenty-two articles were retrieved from PubMed and the PROBIT Website for 2001-2010; 6 were excluded as not focusing on breastfeeding and health outcomes. PROBIT data from the cluster randomized hospital comparisons included only breastfed babies since all non-breastfed babies were excluded from the research. Context may affect outcomes, knowing that Belarus has good basic health services, 3-year maternity leaves with little use of daycare, 95% breastfeeding initiation rate, and a well-educated population. PROBIT data were analyzed in 2 ways: (a) intent-to-treat analyses of breastfeeding and health differences by cluster randomized intervention and control site mother/baby pairs; and (b) as an observational cohort study of health outcomes for all mother/baby pairs, analyzed by various breastfeeding categorizations and controlling for biases. PROBIT demonstrated links between BFHI and longer breastfeeding duratio...Continue Reading

References

Mar 10, 2001·JAMA : the Journal of the American Medical Association·M S KramerUNKNOWN PROBIT Study Group (Promotion of Breastfeeding Intervention Trial)
Aug 8, 2002·Pediatrics·Michael S KramerUNKNOWN PROBIT Study Group
Feb 18, 2003·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Kathryn G Dewey
Jul 30, 2003·The American Journal of Clinical Nutrition·Michael S KramerNatalia Bogdanovich
May 18, 2004·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·M S KramerN Bogdanovich
Aug 18, 2004·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·S ArenzR von Kries
Apr 6, 2006·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
May 1, 2007·Journal of Midwifery & Women's Health·Della A Forster, Helen L McLachlan
Sep 15, 2007·BMJ : British Medical Journal·Michael S KramerUNKNOWN Promotion of Breastfeeding Intervention Trial (PROBIT) Study Group
Mar 4, 2008·Pediatrics·Michael S KramerUNKNOWN Promotion of Breastfeeding Intervention Trial (PROBIT) Study Group
May 7, 2008·Archives of General Psychiatry·Michael S KramerUNKNOWN Promotion of Breastfeeding Intervention Trial (PROBIT) Study Group
Dec 25, 2008·The Journal of Nutrition·Michael S KramerStanley Shapiro
Mar 24, 2009·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·M S KramerB Mazer
Aug 28, 2009·The American Journal of Clinical Nutrition·Michael S KramerRobert W Platt
Jan 19, 2010·American Journal of Epidemiology·Seungmi YangMichael S Kramer
Apr 27, 2010·European Journal of Public Health·Rita PatelRichard M Martin
Sep 18, 2010·Early Human Development·Michael S Kramer

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Citations

Oct 12, 2013·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Eleanor Bimla Schwarz
Dec 11, 2013·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Allison V HolmesMaya Bunik
May 20, 2014·International Journal of Epidemiology·Shiu Lun Au Yeung, C Mary Schooling
Apr 22, 2014·Maternal and Child Health Journal·Marianne Busck-RasmussenAnne-Marie Nybo Andersen
Jul 17, 2013·American Journal of Epidemiology·Man Ki KwokC Mary Schooling
Apr 16, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Allison C MunnSarah N Taylor
Jan 14, 2017·Nutrients·Colin BinnsMasaharu Kagawa
Jun 28, 2016·Journal of Hypertension·Man Ki KwokIchiro Kawachi
Aug 20, 2015·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Marie TarrantJoan E Dodgson
Jan 19, 2017·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Rafael Vila-CandelEnrique Castro-Sánchez
Jul 13, 2014·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Donna J Chapman
Feb 9, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Enrique Gomez-Pomar, Robert Blubaugh
Jan 15, 2019·The Health Care Manager·Lisa H AkersKaren Ford
May 21, 2013·Annals of the New York Academy of Sciences·Sylvia ChristakosDaniel D Bikle
Apr 30, 2017·BMC Pregnancy and Childbirth·Welma Lubbe, Wilma Ten Ham-Baloyi
Sep 6, 2018·Maternal & Child Nutrition·Julie A PattersonBeth H Olson
Nov 21, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Maria-Teresa Hernández-AguilarUNKNOWN Academy of Breastfeeding Medicine
Jul 16, 2017·Maternal and Child Health Journal·Leah K CrockettHeather J Prior
Jan 1, 2020·International Journal of Environmental Research and Public Health·Mi Kyung Lee, Colin Binns
Nov 20, 2020·Maternal & Child Nutrition·Meghan B AzadLuisa Zuccolo
Nov 5, 2020·International Breastfeeding Journal·Yue ZhangXi Jin

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Software Mentioned

PROBIT

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