Public Health Building, University of Birmingham, Birmingham B15 2TT, UK.
Midwifery. 2012 Dec;28(6):740-5. doi: 10.1016/j.midw.2011.08.005. Epub 2011 Sep 22.
to assess the effectiveness of a peer support worker (PSW) service on breast-feeding continuation.
cluster randomised controlled trial (ISRCTN16126175).
Primary Care Trust, UK serving a multi-ethnic, socio-economically disadvantaged population.
2,724 women giving birth following antenatal care from 66 clinics: 33 clinics (1,267 women) randomised to the PSW service and 33 clinics (1,457 women) to usual care. 848 women consented to additional follow-up by questionnaire at 6 months.
PSW service provided in the antenatal and postnatal period.
any and exclusive breast feeding at 10-14 days obtained from routine computerised records and at 6 weeks and 6 months from a questionnaire.
follow-up: 94% at 10-14 days, 67.5% at 6 months. There was no difference in any breast feeding at 10-14 days between intervention and usual care, odds ratio (OR) 1.07 (95% CI 0.87-1.31, p=0.54). Proportion of women reporting any breast feeding in the intervention group at 6 weeks was 62.7% and 64.5% in the usual care group OR 0.93 (95% CI 0.64-1.35); and at 6 months was 34.3% and 38.9%, respectively, OR 1.06 (95% CI 0.71-1.58).
universal antenatal peer support and postnatal peer support for women who initiated breast feeding did not improve breast-feeding rates up to 6 months in this UK population.
with high levels of professional support part of usual maternity care it may not be possible for low intensity peer support to produce additional benefit. More intensive or targeted programmes might be effective, but should have concurrent high quality evaluation.
评估同伴支持工作者（PSW）服务对母乳喂养持续时间的影响。
整群随机对照试验（ISRCTN85015554）。
英国初级保健信托基金，为多民族、社会经济地位低下的人群提供服务。
2724 名在 66 个诊所接受产前保健后分娩的妇女：33 个诊所（1267 名妇女）随机分配到 PSW 服务组，33 个诊所（1457 名妇女）接受常规护理。848 名妇女同意在 6 个月时通过问卷进行额外随访。
PSW 服务在产前和产后期间提供。
从常规计算机记录和问卷中获得 10-14 天的任何和纯母乳喂养以及 6 周和 6 个月的任何和纯母乳喂养。干预组和常规护理组在 10-14 天的任何母乳喂养方面无差异，优势比（OR）为 1.07（95%置信区间 0.87-1.31，p=0.54）。在干预组中，6 周时报告任何母乳喂养的妇女比例为 62.7%，常规护理组为 64.5%，OR 为 0.93（95%置信区间 0.64-1.35）；6 个月时，分别为 34.3%和 38.9%，OR 为 1.06（95%置信区间 0.71-1.58）。
在英国人群中，针对开始母乳喂养的妇女提供普遍的产前同伴支持和产后同伴支持并没有提高 6 个月内的母乳喂养率。
在高水平的专业支持是常规产妇护理的一部分的情况下，低强度的同伴支持可能无法产生额外的益处。更密集或有针对性的方案可能有效，但应同时进行高质量的评估。
