© 2001 Evidence-Based Nursing
Treatment
A breastfeeding intervention increased breast feeding and reduced GI tract infections and atopic eczema
Kramer MS, Chalmers B, Hodnett ED, et al. for the PROBIT Study Group . Promotion of breastfeeding intervention trial (PROBIT): a randomized trial in the Republic of Belarus.JAMA2001Jan 24/31;285:413–20.
QUESTION: In women who have initiated breast feeding, does a breastfeeding promotion intervention increase duration and exclusivity of breast feeding and reduce gastrointestinal (GI) tract infection?
Cluster randomised (cluster allocation concealed), unblinded, controlled trial with 12 months of follow up.
32 maternity hospitals and clinics in Belarus.
Mother-infant pairs were enrolled if the mother intended to breast feed, had no illnesses contraindicating breast feeding, and had given birth to a healthy, singleton infant who had a gestational age 
37 weeks, birth weight 2500 g, and a 5 minute Apgar score 5. 17046 mother-infant pairs were enrolled and 16442 (97%) completed follow up. 31 sites were included in the analysis.
Study sites were allocated to an experimental intervention based on the Baby Friendly Hospital Initiative (BFHI) (n=16) or a control intervention of standard care (n=15). The experimental intervention involved training midwives, nurses, and physicians in the BFHI lacation management course, which emphasised methods to maintain lactation, promote exclusive and prolonged breast feeding, and solve common problems.
The primary outcome was risk of GI tract infection. Secondary outcomes
Public Health Department Sefton Health Authority Liverpool, UK
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