Involvement of maternal grandmother and teenage mother in intervention to reduce pacifier use: a randomized clinical trial
Journal Title: Jornal de Pediatria - Year 2019, Vol 95, Issue 2
Abstract
Objective To assess the impact of an intervention for teenage mothers with the involvement of maternal grandmothers on the prevalence of pacifier use in the first six months of life. Methods This randomized clinical trial involved 323 teenage mothers, allocated to four groups: intervention with teenagers only, intervention with teenagers and their mothers, and respective controls. Six breastfeeding counseling sessions, including the recommendation to avoid the use of a pacifier, were delivered at the maternity ward and subsequently at the teenagers’ homes, at seven, 15, 30, 60, and 120 days postpartum. Data on infant feeding and pacifier use were collected monthly by interviewers blinded to group allocation. The impact of the intervention was measured by comparing survival curves for pacifier use in the first six months of life and mean time to pacifier introduction. Results The intervention had a significant impact on reducing pacifier use only in the group in which grandmothers were involved. In this group, the intervention delayed by 64 days the introduction of a pacifier (21–85 days), compared to 25 days in the group without the participation of grandmothers (65–90 days). Conclusions The intervention reduced pacifier use in the first six months of life and delayed its introduction until beyond the first month when grandmothers were involved. The intervention did not have a significant impact when only teenage mothers were involved.
Authors and Affiliations
Leandro Nunes
Keywords
Related Articles
- EP ID EP497408
- DOI 10.1016/j.jped.2017.12.011
- Views 72
- Downloads 0
Impact of health professional training in breastfeeding on their knowledge, skills, and hospital practices: a systematic review
Objective To identify the impact of training in breastfeeding on knowledge, skills, and professional and hospital practices. Data source The systematic review search was carried out through the MEDLINE, Scopus, and LILA...
Obese fathers lead to an altered metabolism and obesity in their children in adulthood: review of experimental and human studies
Objective To discuss the recent literature on paternal obesity, focusing on the possible mechanisms of transmission of the phenotypes from the father to the children. Sources A non-systematic review in the PubMed databa...
The importance of understanding hospital and country-specific case-mix for neonatal patients
The study by Grandi et al. provides important information about the prevalence and impact of maternal diabetes mellitus on the outcomes of very low birth weight infants in South American neonatal intensive care units (NI...
Cost analysis of substitutive renal therapies in children
Objective End-stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in c...
Overview of meta-analysis on prevention and treatment of childhood obesity
Objectives This study aimed to assess the quality of systematic reviews on prevention and non-pharmacological treatment of overweight and obesity in children and adolescents. Data source A search was done in electronic...