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 80
- Downloads 0
Adverse perinatal outcomes for advanced maternal age: a cross-sectional study of Brazilian births
Objectives To investigate the risk of adverse perinatal outcomes in women aged ≥41 years relatively to those aged 21–34. Methods Approximately 8.5 million records of singleton births in Brazilian hospitals in the period...
Evaluation of nonalcoholic fatty liver disease using magnetic resonance in obese children and adolescents
Objective To determine the frequency of nonalcoholic fatty liver disease using nuclear magnetic resonance as a noninvasive method. Methodology This was a cross-sectional study conducted on 50 children and adolescents fo...
Cross-cultural adaptation and validation of the Karitane Parenting Confidence Scale of maternal confidence assessment for use in Brazil
Objectives To transculturally adapt and validate the Karitane Parenting Confidence Scale to the Brazilian Portuguese language and culture and verify the combination of the results with the maternal sociodemographic chara...
Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach
Objectives To review the clinical characteristics, comorbidities, and management of insomnia in childhood and adolescence. Sources This was a non-systematic literature review carried out in the PubMed database, from whe...
Microcephaly and Zika virus: a clinical and epidemiological analysis of the current outbreak in Brazil
Objective This study aimed to critically review the literature available regarding the Zika virus outbreak in Brazil and its possible association with microcephaly cases. Sources Experts from Instituto do Cérebro do Rio...