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Breastfeeding for health gain
It is well known that resorting to infant-feeding methods other than breastfeeding has negative implications for both mother and infant. Exclusive breastfeeding is currently promoted for at least the first 6 months of life; however, even in countries where recent efforts have been made to improve initiation of breastfeeding, the trend shows that few babies are exclusively breastfed over this period. The fragility of breastfeeding is underscored by numerous studies that show breastfeeding duration is seldom achieved for as long as intended.
A pragmatic RCT
The study compares a standard midwifery support (SMS) to an extended midwifery programme (EMS) in a randomised controlled trial (RCT) design which recruited 849 mothers and singleton babies who wished to breastfeed. The intervention consists of a brief post-delivery educational session and twice-weekly phone calls and the offer of weekly home visits until the baby is 6 weeks old. …