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, support; B, education; C, clinic visits; D, home visits; E, phone call; F, family involved.
A, antepartum; B, in-hospital; C, postpartum.
See Supplemental Table 4 for detailed quality assessment.
Presents 2 studies: BINGO and PAIRINGS trials.
These 2 publications present data from 1 study.