Randomized controlled trial of a prenatal and postnatal lactation consultant intervention on infant health care use

Journal Name: 
Arch Pediatr Adolesc Med
OBJECTIVE: To determine whether infants of women randomized to a prenatal and postpartum lactation support intervention incur fewer otitis media-, respiratory tract-, or gastrointestinal-related visits than controls. DESIGN: Randomized, unmasked controlled trial recruiting women from prenatal care settings. Breastfeeding sensitive (BFS) illness visits for otitis media or respiratory tract or gastrointestinal complaints were obtained up to 12 months. SETTING: Two urban community health centers. PARTICIPANTS: Analytic sample of 338 low-income, primarily Hispanic and/or black mother-infant dyads (n = 163 for the intervention group and n = 175 for the control group). INTERVENTION: Study lactation consultants attempted 2 prenatal meetings, 1 postpartum hospital and/or home visit, and telephone calls as needed. Controls received the standard of care. MAIN OUTCOME MEASURES: Combined outpatient and emergency department visits with illness and BFS illness diagnoses. RESULTS: There was a significant interaction between treatment and Medicaid; among those not receiving Medicaid, the number of otitis media visits was higher among controls (P
African Continental Ancestry Group, Breast, Breast Feeding, Chi-Square Distribution, Child Health Services, community, Community Health Centers, Counseling, effects, Emergencies, epidemiology, ethnology, Female, Gastrointestinal Diseases, Health, health care, Hispanic Americans, hospital, Humans, Infant, Infant,Newborn, interaction, intervention, Interviews as Topic, Linear Models, low-income, Maternal Behavior, Medicaid, medical, Medicine, Methods, New York, Otitis Media, population, Postnatal Care, Poverty, Pregnancy, Prenatal Care, Research, Research Support, Respiratory Tract Diseases, statistics & numerical data, support, Telephone, Treatment Outcome, utilization, women