Effect of Primary Care Intervention on Breastfeeding Duration and Intensity

Overview

Journal Am J Public Health

Specialty Public Health

Date 2013 Dec 21

PMID 24354834

Citations 33

Authors

Karen Bonuck

Alison Stuebe

Josephine Barnett

Miriam H Labbok

Jason Fletcher

Peter S Bernstein

Affiliations

Soon will be listed here.

Abstract

Objectives: We determined the effectiveness of primary care-based, and pre- and postnatal interventions to increase breastfeeding.

Methods: We conducted 2 trials at obstetrics and gynecology practices in the Bronx, New York, from 2008 to 2011. The Provider Approaches to Improved Rates of Infant Nutrition & Growth Study (PAIRINGS) had 2 arms: usual care versus pre- and postnatal visits with a lactation consultant (LC) and electronically prompted guidance from prenatal care providers (EP). The Best Infant Nutrition for Good Outcomes (BINGO) study had 4 arms: usual care, LC alone, EP alone, or LC+EP.

Results: In BINGO at 3 months, high intensity was greater for the LC+EP (odds ratio [OR] = 2.72; 95% confidence interval [CI] = 1.08, 6.84) and LC (OR = 3.22; 95% CI = 1.14, 9.09) groups versus usual care, but not for the EP group alone. In PAIRINGS at 3 months, intervention rates exceeded usual care (OR = 2.86; 95% CI = 1.21, 6.76); the number needed to treat to prevent 1 dyad from nonexclusive breastfeeding at 3 months was 10.3 (95% CI = 5.6, 50.7).

Conclusions: LCs integrated into routine care alone and combined with EP guidance from prenatal care providers increased breastfeeding intensity at 3 months postpartum.

Citing Articles

Breastfeeding Support Provided by Lactation Consultants: A Systematic Review and Meta-Analysis.

DHollander C, McCredie V, Uleryk E, Kucab M, Le R, Hayosh O JAMA Pediatr. 2025; .

PMID: 40029627 PMC: 11877411. DOI: 10.1001/jamapediatrics.2024.6810.

Telelactation Services and Breastfeeding by Race and Ethnicity: A Randomized Clinical Trial.

Uscher-Pines L, Kapinos K, Waymouth M, Howell K, Alvarado G, Ray K JAMA Netw Open. 2025; 8(2):e2461958.

PMID: 40014345 PMC: 11868977. DOI: 10.1001/jamanetworkopen.2024.61958.

Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review.

Oggero M, Rozmus C, LoBiondo-Wood G Health Educ Behav. 2024; 51(5):665-676.

PMID: 38240358 PMC: 11420594. DOI: 10.1177/10901981231220668.

Effect of online intervention mode on breastfeeding results: a systematic review and meta-analysis.

Sun Y, Gao Y, Zhu Z, Zhu L Reprod Health. 2023; 20(1):164.

PMID: 37926827 PMC: 10626799. DOI: 10.1186/s12978-023-01701-0.

Support for healthy breastfeeding mothers with healthy term babies.

Gavine A, Shinwell S, Buchanan P, Farre A, Wade A, Lynn F Cochrane Database Syst Rev. 2022; 10:CD001141.

PMID: 36282618 PMC: 9595242. DOI: 10.1002/14651858.CD001141.pub6.

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