A clinical trial for improving adherence to exclusive breastfeeding through a brief motivational intervention
Section: Artículo Especial
How to quote
Franco-Antonio C, Santano-Mogena E, Calderón-García JF, Rico-Martín S, Poblador-Borrella S, Soto-Terrón L, et al. Ensayo clínico para mejorar la adherencia a la lactancia materna exclusiva con una intervención motivacional breve (IMB). Matronas hoy 2019; 7(2):28-35
Authors
1,2 Cristina Franco-Antonio, 3 Esperanza Santano-Mogena, 3 Julián Fernando Calderón-García, 3 Sergio Rico-Martín, 2 Soledad Poblador-Borrella, 2 Laura Soto-Terrón, 3 Sergio Cordovilla-Guardia
Position
1 Matronas del Departamento de Enfermería. Universidad de Extremadura2 Matronas Servicio Extremeño de Salud3 Enfermeros del Departamento de Enfermería, Universidad de Extremadura
Contact email: cristinafrancounex@gmail.com
Abstract
Objective: this study is included in the development of the MOTIVA Breastfeeding Project, which consists in the use of “Brief Motivational Interventions” in health promotion, specifically for addressing the support for breastfeeding in order to achieve the overall health objective by the World Health Organization (WHO), which is to prolong exclusive breastfeeding (EBF) for the first six months of life.
Objectives: to increase the number of women giving EBF during the first six months. To assess the efficacy of the BMI for improving adherence to EBF.
Method: a multicenter randomized clinical trial, conducted in two hospitals from Badajoz, in women who underwent vaginal delivery with a healthy newborn and BF initiated during the first hour of life.
Results: while no final outcomes were available, no significant differences were detected in the preliminary analyses on the efficacy of the BMI in terms of BF duration between both arms; however, there seemed to be a trend towards the longer duration of EBF and BF in the arm which received the BMI, and this was supported by the analysis of EBF survival, where significant differences started to appear in favour of the arm receiving the BMI (Long Rank p= 0.045). It is encouraging to find that BMI seems to present a trend towards a protective effect on EBF discontinuation, preventing almost 70% of discontinuations (HR 0.288 (0.075-1.104) p= 0.064).
Keywords:
breastfeeding; support; promotionbrief motivational intervention
Versión en Español
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