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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Effectiveness of policy to provide breastfeeding groups (BIG) for pregnant and breastfeeding mothers in primary care: cluster randomised controlled trial
Author(s): Hoddinott, Pat
Britten, Jane
Prescott, Gordon J
Tappin, David
Ludbrook, Anne
Godden, David J
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Issue Date: 30-Jan-2009
Date Deposited: 12-Dec-2012
Citation: Hoddinott P, Britten J, Prescott GJ, Tappin D, Ludbrook A & Godden DJ (2009) Effectiveness of policy to provide breastfeeding groups (BIG) for pregnant and breastfeeding mothers in primary care: cluster randomised controlled trial. BMJ, 338 (a3026).
Abstract: Objective: To assess the clinical effectiveness and cost effectiveness of a policy to provide breastfeeding groups for pregnant and breastfeeding women. Design: Cluster randomised controlled trial with prospective mixed method embedded case studies to evaluate implementation processes. Setting: Primary care in Scotland. Participants: Pregnant women, breastfeeding mothers, and babies registered with 14 of 66 eligible clusters of general practices (localities) in Scotland that routinely collect breastfeeding outcome data. Intervention: Localities set up new breastfeeding groups to provide population coverage; control localities did not change group activity. Main outcome measures: Primary outcome: any breast feeding at 6-8 weeks from routinely collected data for two pre-trial years and two trial years. Secondary outcomes: any breast feeding at birth, 5-7 days, and 8-9 months; maternal satisfaction. Results: Between 1 February 2005 and 31 January 2007, 9747 birth records existed for intervention localities and 9111 for control localities. The number of breastfeeding groups increased from 10 to 27 in intervention localities, where 1310 women attended, and remained at 10 groups in control localities. No significant differences in breastfeeding outcomes were found. Any breast feeding at 6-8 weeks declined from 27% to 26% in intervention localities and increased from 29% to 30% in control localities (P=0.08, adjusted for pre-trial rate). Any breast feeding at 6-8 weeks increased from 38% to 39% in localities not participating in the trial. Women who attended breastfeeding groups were older (P less than 0.001) than women initiating breast feeding who did not attend and had higher income (P=0.02) than women in the control localities who attended postnatal groups. The locality cost was £13 400 (€14 410; $20 144) a year. Conclusion: A policy for providing breastfeeding groups in relatively deprived areas of Scotland did not improve breastfeeding rates at 6-8 weeks. The costs of running groups would be similar to the costs of visiting women at home.
DOI Link: 10.1136/bmj.a3026
Rights: Publisher allows this work to be made available in this repository. Published in BMJ 2009; 338:a3026 doi: (Published 30 January 2009) by BMJ Group Publishing with the following policy: authors may use their own articles for the following non commercial purposes without asking our permission (and subject only to acknowledging first publication in the BMJ and giving a full reference or web link, as appropriate).

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