Peer Counselor Program Increases Breastfeeding Rates in Utah Native American WIC Population

Abstract

Lack of breastfeeding promotion and support hinder successful breastfeeding. In this study, a breastfeeding peer counselor program improved both the initiation rate and duration of breastfeeding up to three months postpartum among Native American WIC participants. Trained peer counselors contacted subjects prenatally, and at one, two, and four to six weeks postpartum. Breastfeeding rates for the experimental group were compared to historical controls. Women in the peer counselor group who had complete data for three months (n=41) had a higher rate of breastfeeding than the control group (n=67) at initiation (84 percent vs. 70 percent; p=0.05) and at three months postpartum (49 percent vs. 36 percent; p=0.08).

Keywords

breastfeeding Native American peer counselor WIC

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References

1. American Medical Association : Concepts of nutrition and health. J Am Med Assoc 1979; 242:2345-2338.

2. American Academy of Pediatrics : Breastfeeding: a commentary in celebration of the International Year of the Child. Pediatrics 1978; 62:591-601.

3. American Dietetic Association : Position of the American Dietetic Association: promotion of breastfeeding. J Am Diet Assoc 1986; 86:1580-1585.

4. Koop CE : Report of the Surgeon General's Workshop on Breastfeeding and Human Lactation. Washington, DC: US Department of Health and Human Services. DHHS (PHS) publication HRS-D-MC 8; 1984; entire document.

5. Food and Nutrition Service : Special Supplemental Food Program for Women, Infants, and Children. Washington, DC: US Department of Agriculture. Fed Reg 1979; 44:44422-44428.

6. Healthy People 2000 : National Health Promotion and Disease Prevention Objectives. Washington, DC: US Department of Health and Human Services. DHHS (PHS) publication 9150212, 1991; pp. 379-380.

7. Ryan AS , Rush D , Krieger FW , Lewandowski GE : Recent declines in breastfeeding in the United States, 1984 through 1989. Pediatrics 1991; 88:719-727.

8. Rassin DK , Richardson CJ , Baranowski T , Naker PR , Guenther N , Bee DE , et al: Incidence of breastfeeding in a low socioeconomic group of mothers in the United States: ethnic patterns. Pediatrics 1984; 73:132-137.

9. Faden RR , Gielen A : Contemporary breastfeeding patterns: focus on disadvantaged women. Clin Nutr 1985; 5:200-209

10.

10. Libbus MK : Perspectives of common breastfeeding situations: a known group comparison. J Hum Lact 1992; 8:199-203.

11.

11. Barron SP , Lane HW , Hannan TE , Struempler B , Williams JC : Factors influencing duration of breastfeeding among lowincome women. JAm Diet Assoc 1988; 88:1557-1561.

12.

12. Baranowski T , Bee DE , Rassin DK , Richardson CJ , Brown JP , Guenther N , et al: Social support, social influence, ethnicity and the breastfeeding decision. Soc Sci Med 1983; 17:1599-1611.

13.

13. Norusis MJ : Hierarchical Log-Linear Models: Procedures HILOGLINEAR. In: SPSS/PC+ Advanced Statistics 4.0 for the IBM PC/XT/AT and PS/2. Chicago, IL: SPSS, Inc., 1990; pp. 139-158.

14.

14. Norusis MJ : Nonparametric Test: Procedures NONPAR CORR and NPAR Test. In: SPSS Introductory Statistics Student Guide. Chicago, IL: SPSS, Inc., 1990; pp. 225-242.

15.

15. Neaner WL , Morse MJ : Tradition and change in the northern Alberta Woodlands Cree: implications for infant feeding practices. Can J Public Health 1989; 80:190-194.

16.

16. Utah WIC Program (Utah WIC Program Automated Data Processing System) : Report 2 Duration of Breastfeeding by Age of Infant and Year of Birth. Greenwood, Indiana: Viking Computing, Inc., 1991; p. 85-85.

17.

17. McNally E , Hendricks S , Horowitz I : A look at breastfeeding trends in Canada (1963-1982). Can J Public Health 1985; 76:101-107.

18.

18. Schaefer O , Spady DW : Changing trends in infant feeding patterns in the Northwest Territories, 1973-1979. Can J Public Health 1982; 73:304-309.

19.

19. Stewart PJ , Steckle J : Breastfeeding among Canadian Indians on-reserve and women in the Yukon and NWT. Can J Public Health 1987; 78:255-261.

20.

20. Macaulay AC , Hanusaik N , Beauvais JE : Breastfeeding in the Mohawk community of Kahnawake: revisited and redefined. Can J Public Health 1980; 80:177-181.

21.

21. Gabriel A , Gabriel R , Lawrence RA : Cultural values and biomedical knowledge: choices in infant feeding. Soc Sci Med 1986; 23:501-509.

22.

22. Saunders SE , Carroll J : Post-partum breastfeeding support: impact on duration. J Am Diet Assoc 1988; 88:213-215.

23.

23. Friel JK , Hudson NI , Banoub S , Ross A : The effect of a promotion campaign on attitudes of adolescent females towards breastfeeding. Can J Public Health 1989; 80:195-200.

24.

24. Winikoff B , Meyers D , Laukaran VH , Stone R : Overcoming obstacles to breastfeeding in a large municipal hospital: applications of lessons learned. Pediatrics 1987; 80:423-433.

25.

25. Grossman LK , Harter C , Sachs L , Kay A : The effect of postpartum lactation counseling on the duration of breastfeeding in low-income women. Am J Dis Child 1990; 144:471-474.

26.

26. Glor ED : Impact of a prenatal program for Native women. Public Health 1987; 78:249-253.