Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Departamento de Pediatria, Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Departamento de Pediatria, Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2019 Mar-Apr;95(2):166-172. doi: 10.1016/j.jped.2017.12.011. Epub 2018 Feb 12.
To assess the impact of an intervention for teenage mothers with the involvement of maternal grandmothers on the prevalence of pacifier use in the first six months of life.
This randomized clinical trial involved 323 teenage mothers, allocated to four groups: intervention with teenagers only, intervention with teenagers and their mothers, and respective controls. Six breastfeeding counseling sessions, including the recommendation to avoid the use of a pacifier, were delivered at the maternity ward and subsequently at the teenagers' homes, at seven, 15, 30, 60, and 120 days postpartum. Data on infant feeding and pacifier use were collected monthly by interviewers blinded to group allocation. The impact of the intervention was measured by comparing survival curves for pacifier use in the first six months of life and mean time to pacifier introduction.
The intervention had a significant impact on reducing pacifier use only in the group in which grandmothers were involved. In this group, the intervention delayed by 64 days the introduction of a pacifier (21-85 days), compared to 25 days in the group without the participation of grandmothers (65-90 days).
The intervention reduced pacifier use in the first six months of life and delayed its introduction until beyond the first month when grandmothers were involved. The intervention did not have a significant impact when only teenage mothers were involved.
评估一项干预措施对有外祖母参与的青少年母亲的影响，该干预措施旨在减少婴儿在生命的头 6 个月使用安抚奶嘴的流行率。
这是一项随机临床试验，涉及 323 名青少年母亲，分为 4 组：仅青少年组、青少年及其母亲组和各自的对照组。在产妇病房和青少年家中，共进行了 6 次母乳喂养咨询，包括建议避免使用安抚奶嘴，时间分别为产后 7、15、30、60 和 120 天。由对分组情况不知情的访谈者每月通过访谈收集婴儿喂养和安抚奶嘴使用的数据。通过比较前 6 个月使用安抚奶嘴的生存曲线和引入安抚奶嘴的平均时间来衡量干预的效果。
仅当外祖母参与时，干预措施对减少婴儿在生命的头 6 个月使用安抚奶嘴的行为具有显著影响。在外祖母参与的组中，干预措施将引入安抚奶嘴的时间延迟了 64 天（21-85 天），而在外祖母不参与的组中仅延迟了 25 天（65-90 天）。
干预措施减少了婴儿在生命的头 6 个月使用安抚奶嘴的行为，并将其引入时间延迟到第一个月之后，当时外祖母参与了干预。仅当青少年母亲参与时，干预措施没有显著影响。
