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. 2016 Jan;137(1):e20152423. doi: 10.1542/peds.2015-2423

TABLE 1.

Characteristics of Trials of Breastfeeding Interventions on Breastfeeding Outcomes Among Latina Women

Author, Year (Reference) n Study Design Intervention Study Population and Recruitment Percent Latina Intervention Componentsa Timing of Interventionb Intensity (number of intended contacts) Provider Category Control Outcomes Measured Qualityc
A B C D E F A B C
Bonuck et al, 201438d RCT with allocation concealed in outcome assessment Recruited from prenatal clinic Usual care: access to IBCLC Any and exclusive BF at 1, 3, and 6 mo Good
666 (1) BINGO: LC; (2) BINGO: EP; (3) BINGO: LC+EP (1) 61; (2) 56; (3) 56 1,3 1,2,3 1,2,3 1,3 1,3 1,3 1,2,3 1,3 1,3 (1) 6; (2) 5; (3) 11 (1) IBCLC; (2) medical provider; (3) IBCLC
275 PAIRINGS 54 11 IBCLC
Howell et al, 201439 540 RCT with allocation concealed in outcome assessment Recruited from L&D unit 62 2 Medical provider Usual care: list of community resources; control: phone call Any and exclusive BF duration at 3 wks, 3 and 6 mo Good
Bunik et al, 201021 341 RCT; allocation not concealed in outcome assessment Recruited from L&D unit; majority low-income Mexican-American; consider BF 88 14 Medical provider Usual care: postpartum visits at 3–5 d and 2 wks for all mothers Any and predominant BF at 1, 3, and 6 mo Good
Hopkinson et al, 200922 522 RCT with allocation concealed in outcome assessment WIC‐eligible immigrant Latinas; 85% spoke Spanish only; recruited from L&D unit; 98% plan to mixed feed 100 1 Lay provider Usual care: bedside BF assistance; formula discharge packs; access to phone support Any and exclusive BF at 1 mo Good
Bonuck et al, 200540 382 RCT; allocation not concealed in outcome assessment MILK Recruited from health center prenatal class or prenatal clinic serving primarily low-income women 57 4 IBCLC Usual care: mandatory prenatal care class; WIC BF coordinator available at 1 site Any and exclusive BF duration at 1, 2, 3, 4, 6, 8, 10, and 12 mo Good
Chapman et al, 201341 206 RCT; allocation not concealed in outcome assessment but bias minimized by asking PC contact questions at end of interview Recruited from prenatal clinic; overweight or obese and low-income; must consider BF 82 17 Lay provider Usual care at Baby-Friendly Hospital Any and exclusive BF at birth, 1, 3, and 6 mo Fair
Petrova et al, 200942 104 RCT; allocation not concealed in outcome assessment WIC participants; recruited from prenatal clinic 87.5 6 IBCLC Usual care: BF education and support; access to IBCLC Any and exclusive BF at 7 d, 1, 2, and 3 mo Fair
Chapman et al, 200443 165 RCT; allocation not concealed in outcome assessment but bias minimized by asking PC contact questions at end of interview Majority Puerto Rican; recruited from prenatal clinic; low-income; all participants considering BF 80 6 Lay provider Usual care: prenatal BF information; hands-on assistance from a nurse in-hospital; access to IBCLC and BF phone line Any BF at birth, 1, 3, and 6 mo Fair
Grassley et al, 201244 106 Non-RCT SNAC Recruited from L&D unit; adolescents 13–20 y; plan to BF, mixed feed, or undecided 56 4 Medical provider Usual care: before nurses trained in SNAC intervention Any BF at discharge, 6 wks, and 3 mo Poor
Sandy et al, 200945 281 RCT; allocation not concealed in outcome assessment Best Beginnings Mostly Dominican ethnicity; 88% born outside US; low-income, urban; recruited from prenatal clinics and WIC sites 99 Weekly until weaning Lay provider 1 or 2 prenatal home visits; community services; information and educational materials Any and exclusive BF during 1st week Poor
Gill et al, 200746 200 Non-RCT Recruited from health department prenatal clinic; low-income 100 11 IBCLC Standard BF education; optional BF classes BF initiation and any BF at 6 mo Poor
Schlickau et al 200514 30 Non-RCT PBE (Level 1) Recruited from prenatal clinic; primigravid majority; recent Mexican immigrants 100 1 Medical provider Usual care including BF information and advice to BF Any and exclusive BF at 6–7 wks Poor
Schlickau et al, 200514 200 Non-RCT PBE + Commitment (Level 2) Recruited from health department prenatal clinic; low-income 100 2 Medical provider Standard BF education; optional BF classes BF initiation and any BF at 6 mo Poor
Anderson and colleagues, 200547 and 200748e 182 RCT; allocation not concealed in outcome assessment but bias minimized by asking PC contact questions at end of interview Low-income; recruited from prenatal clinic; all participants considering BF 81 14 Lay provider Usual care: in-hospital BF support and education; access to IBCLC BF initiation and duration of exclusive BF at 1, 2, and 3 mo Poor

BINGO: LC, Best Infant Nutrition for Good Outcomes Study: lactation consultant–only arm; BINGO: EP, BINGO: electronic prompt-only arm; PAIRINGS, Provider Approaches to Improved Rates of Infant Nutrition and Growth Study; BF, breastfeeding; L&D, labor and delivery; SNAC, Supportive Needs of Adolescents during Childbirth; MILK, Moms Into Learning about Kids; PBE, Prenatal Breastfeeding Education.

a

A, support; B, education; C, clinic visits; D, home visits; E, phone call; F, family involved.

b

A, antepartum; B, in-hospital; C, postpartum.

c

See Supplemental Table 4 for detailed quality assessment.

d

Presents 2 studies: BINGO and PAIRINGS trials.

e

These 2 publications present data from 1 study.