Kistin N, Abramson R, Dublin P
J Hum Lact. 1994 Mar;10(1):11-5. doi: 10.1177/089033449401000121.
This study examined the effect of support from trained peer counselors on breastfeeding initiation, duration, and exclusivity among low-income urban women. Training of counselors, under the supervision of a registered nurse certified in lactation, adapted education techniques from Paulo Freire to provide information about lactation management and other health care issues. The study compared infant feeding practices of women who planned to breastfeed and received support from counselors (counselor group, N = 59) to women who requested counselors but, owing to inadequate numbers of trained counselors, did not have a counselor (No-counselor group, N = 43). Women in the counselor group had significantly greater (p < .05) breastfeeding initiation (93 percent vs. 70 percent), exclusivity (77 percent vs. 40 percent), and duration (mean of 15 weeks vs. mean of 8 weeks) than women in the no-counselor group. The findings suggest that peer counselors, well-trained, and with on-going supervision, can have a positive effect on breastfeeding practices among low-income urban women who intend to breastfeed.
本研究探讨了受过培训的同伴咨询师提供的支持对低收入城市妇女母乳喂养开始情况、持续时间和纯母乳喂养率的影响。在一名获得泌乳认证的注册护士的监督下，对咨询师进行培训，采用保罗·弗莱雷的教育方法，提供有关泌乳管理和其他医疗保健问题的信息。该研究将计划母乳喂养并得到咨询师支持的妇女（咨询师组，N = 59）的婴儿喂养方式与请求咨询师但由于受过培训的咨询师数量不足而未得到咨询师帮助的妇女（无咨询师组，N = 43）进行了比较。咨询师组的妇女在母乳喂养开始情况（93% 对 70%）、纯母乳喂养率（77% 对 40%）和持续时间（平均15周对平均八周）方面显著高于无咨询师组的妇女（p < .05）。研究结果表明，经过良好培训并持续接受监督的同伴咨询师，能够对打算母乳喂养的低收入城市妇女的母乳喂养行为产生积极影响。
