Table 6 Community level healthcare facility breastfeeding interventions among women of color in the U.S.: Prenatal, in-hospital and post-partum
| Study/Setting | Study Design/ methods | Study Population | Intervention | Outcomes Results | Grade |
|---|---|---|---|---|---|
|
Wambach et al. [65] Prenatal clinics |
Design: RCT Data: 2nd trimester; 3, 6 wks & 2–6 mo p.p. |
n = 128 intervention n = 128 control 1 n = 134 usual care; AA adolescents | IBLC and PC provided prenatal, hospital, and p.p. BF support, through 4 wks p.p. | Intervention had a positive effect on BF duration but not on BF initiation or EBF duration | Moderate |
|
Edwards et al. [66] Prenatal clinic |
Design: RCT Data: pregnancy baseline, hospital and 4 mo p.p. |
n = 124 intervention n = 124 control group; AA | Doula conducted BF prenatal home visits, birth, 3 mo p.p. | Doula services increased in-hospital BF attempts and BF > 6 weeks but not at 4 months among young AA | Low |
|
Petrova et al. [67] Health Center |
Design: RCT Data: 3rd trimester, 7 days, 1,2,3 mo p.p. |
n = 52 intervention n = 52 control; 87.5% H; New Brunswick, NJ | Prenatal BF classes, in hospital and p.p. BF support from IBLC by phone | No differences in BF initiation or EBF at 7 d., 1,2,3, mo p.p. | Low |
|
Gross et al. [68] Primary care Prenatal/Pediatric Clinic |
Design: RCT Data: 3rd trimester, chart review, 3 mo p.p.; phone survey |
n = 266 intervention n = 266 control; 100% H | RD/LC delivered prenatal education and provided p.p. BF counseling | Intervention increase EBF prevalence and BF intensity after discharge but not during the hospital stay. | Moderate |
|
Linares et al. [69] Primary Health Care clinic |
Design: RCT Data: 2 prenatal surveys, chart review; 1, 3 mo p.p. survey |
n = 20 intervention n = 19 control; 100% H | BF prenatal education by IBLC & PC with home visits, BF support at Hospital,1st and 2nd wk. p.p. | Intervention increased EBF at all points. No differences in BF initiation. | Very low |
|
Chapman et al. [70] Prenatal Clinic |
Design: RCT Data: baseline survey, 3rd trimester phone survey, chart review, 24 h, survey at 2 wks and monthly thereafter until 6 mo p.p. |
n = 76 intervention; 80% H women n = 79 Control; 83.3% H; overweight women; Hartford, CT | IBCL & PC prenatal BF education, in-hospital BF support, 11 p.p. PC home visits; supported BF among obese. |
Intervention impacted any BF and BF intensity at 2 weeks p.p. but not with EBF Intervention infants less likely to be hospitalized after discharge | Low |