A Randomized Controlled Community-Based Trial to Improve Breastfeeding Rates Among Urban Low-Income Mothers

Linda C. Pugh, Janet R. Serwint, Kevin D. Frick, Joy P. Nanda, Phyllis W. Sharps, Diane L. Spatz, Renee A. Milligan

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Objective: The purpose of this study was to assess whether providing a breastfeeding support team results in higher breastfeeding rates at 6, 12, and 24 weeks postpartum among urban low-income mothers. Methods: Design: A randomized controlled trial with mother-infant dyads recruited from 2 urban hospitals. Participants: Breastfeeding mothers of full-term infants who were eligible for Special Supplemental Nutrition Program for Women, Infants, and Children (n = 328) were randomized to intervention (n = 168) or usual-care group (n = 160). Intervention: The 24-week intervention included hospital visits by a breastfeeding support team, home visits, telephone support, and 24-hour pager access. The usual-care group received standard care. Outcome Measure: Breastfeeding status was assessed by self-report at 6, 12, and 24 weeks postpartum. Results: There were no differences in the sociodemographic characteristics between the groups: 87% were African American, 80% single, and 51% primiparous. Compared with the usual-care group, more women reported breastfeeding in the intervention at 6 weeks postpartum, 66.7% vs 56.9% (odds ratio, 1.71; 95% confidence interval, 1.07-2.76). The difference in rates at 12 weeks postpartum, 49.4% vs 40.6%, and 24 weeks postpartum, 29.2% vs 28.1%, were not statistically significant. Conclusions: The intervention group was more likely to be breastfeeding at 6 weeks postpartum compared with the usual-care group, a time that coincided with the most intensive part of the intervention.

Original languageEnglish (US)
Pages (from-to)14-20
Number of pages7
JournalAcademic pediatrics
Issue number1
StatePublished - Jan 2010


  • breastfeeding
  • community intervention
  • low-income mothers
  • randomized controlled trial

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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