Adolescent Mothers, Grandmothers, Breastfeeding and Complementary Feeding

Effect of Intervention About Breastfeeding and Complementary Feeding in Adolescent Mothers and Their Grandmothers

The purpose of this study is to determine whether counseling sessions on breastfeeding for adolescent mothers and their grandmothers in the maternity ward and at home are effective in to improve the exclusive and total breastfeeding rates during the first six month, as well as the convenient timing of supplementary feeding introduction.

Study Overview

• Status: Completed
• Conditions: Weaning; Breastfeeding
• Intervention / Treatment: Behavioral: counseling sessions

Detailed Description

Despite the recognized value of exclusive breastfeeding during the first months of a child's life and efforts for promoting this practice, rates for this pattern of breastfeeding in Brazil are below those recommended by the World Health Organization(WHO), which advocates exclusive breastfeeding during the first 6 months. The last national survey about the prevalence of breastfeeding revealed a median duration of 10 months. However , the length of exclusive breastfeeding was only 23 days.

A lot of studies identified maternal age as predictor of breastfeeding. In African, Asian, Latin American and the Pacific societies, older women, or grandmothers,traditionally have considerable influence on decisions related to maternal and child health at the household level.

Considering all that, interventions intended to increase frequency of breastfeeding, particularly exclusive breastfeeding. However, there are few studies on this subject.

• Study Type: Interventional
• Enrollment (Actual): 344
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Brazil
  • Rio Grande do Sul
    • Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
      • Hospital de Clínicas de Porto Alegre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 19 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Adolescent mothers
• Mothers living in the city of Porto Alegre
• Healthy nontwin newborns with birth weight equal or greater than 2500g

Exclusion Criteria:

• Mothers living with mother-in-law
• Mother-infant pairs that were unable to stay together due to a health concern in either the mother or infant
• Mammaplasty reductive

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: visit with grandmother; Teenagers mothers and their grandmothers receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions; The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.; Other Names: Group one- no grandmother and no intervention; Group two- no gradmother and with intervention; Group three - with grandmother and no intervention; Group four- with grandmother and with intervention
Experimental: visit without grandmother; Teenagers mothers don´t live with their grandmothers and receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions; The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.; Other Names: Group one- no grandmother and no intervention; Group two- no gradmother and with intervention; Group three - with grandmother and no intervention; Group four- with grandmother and with intervention
No Intervention: no visit with grandmother; Teenagers mothers live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.
No Intervention: no visit without grandmother; Teenagers mothers don´t live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Frequency of exclusive and total breastfeeding	First year

Secondary Outcome Measures

Outcome Measure	Time Frame
Pattern of complementary feeding	one year

Collaborators and Investigators

• Sponsor: Hospital de Clinicas de Porto Alegre
• Investigators: Study Chair: ELSA REGINA J GIUGLIANI, MD,PhD,IBCLC, Hospital de Clínicas de Porto Alegre

Publications and helpful links

General Publications

• da Silva CF, Nunes LM, Schwartz R, Giugliani ER. Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers. BMC Pregnancy Childbirth. 2016 May 3;16:97. doi: 10.1186/s12884-016-0878-z.
• Schwartz R, Vigo A, de Oliveira LD, Justo Giugliani ER. The Effect of a Pro-Breastfeeding and Healthy Complementary Feeding Intervention Targeting Adolescent Mothers and Grandmothers on Growth and Prevalence of Overweight of Preschool Children. PLoS One. 2015 Jul 10;10(7):e0131884. doi: 10.1371/journal.pone.0131884. eCollection 2015.
• Dias de Oliveira L, Justo Giugliani ER, Cordova do Espirito Santo L, Meirelles Nunes L. Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers. Nutr J. 2014 Jul 17;13:73. doi: 10.1186/1475-2891-13-73.
• de Oliveira LD, Giugliani ER, Santo LC, Nunes LM. Impact of a strategy to prevent the introduction of non-breast milk and complementary foods during the first 6 months of life: a randomized clinical trial with adolescent mothers and grandmothers. Early Hum Dev. 2012 Jun;88(6):357-61. doi: 10.1016/j.earlhumdev.2011.09.010. Epub 2011 Oct 15.

Study record dates

Study Major Dates

• Study Start: May 1, 2006
• Primary Completion (Actual): August 1, 2008
• Study Completion (Actual): January 1, 2009

Study Registration Dates

• First Submitted: May 28, 2009
• First Submitted That Met QC Criteria: May 28, 2009
• First Posted (Estimate): May 29, 2009

Study Record Updates

• Last Update Posted (Estimate): May 29, 2009
• Last Update Submitted That Met QC Criteria: May 28, 2009
• Last Verified: May 1, 2009

More Information

Terms related to this study

• Keywords: adolescent; breastfeeding; caregivers; teenagers; exclusive breastfeeding; lactation counseling; complementary food
• Other Study ID Numbers: 02-389