Evaluating breastfeeding support : a randomised controlled trial of support from breastfeeding counsellors

696 33 1690 5 2438 document 1690 Graffy02MD.pdf application/pdf 1efe7afb61e621cfe2d6f9f32f1a487e MD5 3386598 2011-07-19 16:21:41 http://etheses.bham.ac.uk//id/eprint/696/1/Graffy02MD.pdf 696 1 1 application/pdf application/pdf en public

Graffy02MD.pdf

http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8966 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8966 http://eprints.org/relation/hassmallThumbnailVersion http://etheses.bham.ac.uk/id/document/8966 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8967 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8967 http://eprints.org/relation/haspreviewThumbnailVersion http://etheses.bham.ac.uk/id/document/8967 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8968 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8968 http://eprints.org/relation/hasIndexCodesVersion http://etheses.bham.ac.uk/id/document/8968 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/13061 http://eprints.org/relation/haspreviewThumbnailVersion http://etheses.bham.ac.uk/id/document/13061 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/13061 1691 6 2439 document 1691 Decl_IS_Graffy02MD.pdf application/pdf 31410006cc5db1dc31560584f4cb1201 MD5 232446 2011-07-19 16:21:42 http://etheses.bham.ac.uk//id/eprint/696/2/Decl_IS_Graffy02MD.pdf 696 2 2 application/pdf application/pdf en staffonly

Decl_IS_Graffy02MD.pdf

http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8964 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8964 http://eprints.org/relation/hassmallThumbnailVersion http://etheses.bham.ac.uk/id/document/8964 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8965 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8965 http://eprints.org/relation/haspreviewThumbnailVersion http://etheses.bham.ac.uk/id/document/8965 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/8969 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/8969 http://eprints.org/relation/hasIndexCodesVersion http://etheses.bham.ac.uk/id/document/8969 http://eprints.org/relation/hasVolatileVersion http://etheses.bham.ac.uk/id/document/13062 http://eprints.org/relation/haspreviewThumbnailVersion http://etheses.bham.ac.uk/id/document/13062 http://eprints.org/relation/hasVersion http://etheses.bham.ac.uk/id/document/13062 8964 2 11459 document 8964 small.png image/png 7df82d9625950d51c1ddb5198794a975 MD5 8287 2011-07-19 23:05:10 http://etheses.bham.ac.uk//id/eprint/696/3/small.png 696 3 3 image/png thumbnail_small Thumbnail Documents conversion from application/pdf to thumbnail_small en staffonly

small.png

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/issmallThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1691 8965 2 11460 document 8965 preview.jpg image/jpeg 505ed0f7094189a2436f666bf8afa984 MD5 30051 2011-07-19 23:05:11 http://etheses.bham.ac.uk//id/eprint/696/4/preview.jpg 696 4 4 image/jpeg image/jpeg Thumbnail Documents conversion from application/pdf to thumbnail_preview en staffonly

preview.jpg

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/ispreviewThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1691 8966 2 11461 document 8966 small.png image/png d11fb8ad02b9c227d9d2e72f109066f3 MD5 2928 2011-07-19 23:05:12 http://etheses.bham.ac.uk//id/eprint/696/5/small.png 696 5 5 image/png thumbnail_small Thumbnail Documents conversion from application/pdf to thumbnail_small en public

small.png

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/issmallThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1690 8967 2 11462 document 8967 preview.jpg image/jpeg 04efe3fe8482bed277b197ee53425ea3 MD5 9513 2011-07-19 23:05:12 http://etheses.bham.ac.uk//id/eprint/696/6/preview.jpg 696 6 6 image/jpeg image/jpeg Thumbnail Documents conversion from application/pdf to thumbnail_preview en public

preview.jpg

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/ispreviewThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1690 8968 2 11464 document 8968 indexcodes.txt text/plain 395a2524e0acc8b3245bfa3714f7cfc3 MD5 51728 2011-07-19 23:05:16 http://etheses.bham.ac.uk//id/eprint/696/7/indexcodes.txt 696 7 7 text/plain indexcodes Generate index codes conversion from application/pdf to indexcodes en public

indexcodes.txt

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/1690 8969 2 11465 document 8969 indexcodes.txt text/plain 09fde6f1420ae974b82de8f297980754 MD5 2065 2011-07-19 23:05:17 http://etheses.bham.ac.uk//id/eprint/696/8/indexcodes.txt 696 8 8 text/plain indexcodes Generate index codes conversion from application/pdf to indexcodes en staffonly

indexcodes.txt

http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/1691 13061 2 18468 document 13061 preview.png image/png 2ac8876871a79ffa895535eefeeeec0c MD5 8714 2011-07-21 10:48:22 http://etheses.bham.ac.uk//id/eprint/696/9/preview.png 696 9 9 image/png image/png en public

preview.png

http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/ispreviewThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1690 http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1690 13062 2 18471 document 13062 preview.png image/png 0e25a44a2959c0c686a07f609c6eb82e MD5 28707 2011-07-21 10:48:22 http://etheses.bham.ac.uk//id/eprint/696/10/preview.png 696 10 10 image/png image/png en staffonly

preview.png

http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/ispreviewThumbnailVersionOf http://etheses.bham.ac.uk/id/document/1691 http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1691 archive 4031 disk0/00/00/06/96 2010-05-24 14:50:50 2019-01-23 09:52:40 2011-07-19 16:21:41 thesis show 0 Graffy Jonathan Peter jpg43@medschl.cam.ac.uk University of Birmingham Evaluating breastfeeding support : a randomised controlled trial of support from breastfeeding counsellors unpub RA0421 RJ 30sch_medi Breastfeeding, Infant feeding, volunteer, peer support, randomised controlled trial Two-thirds of UK mothers begin breastfeeding, but many soon stop. Although breastfeeding benefits health, infant feeding is influenced by social and attitudinal factors. Study one prospectively investigated the attitudes and experiences of 514 women. Past experience predicted which multiparae would stop by six weeks. Manual social class and considering bottle feeding did so for primiparae. Perceived insufficient milk was the commonest reason for stopping. Study two, a randomised trial of support from breastfeeding counsellors, recruited 720 women. At four months, 46.1% (143/310) intervention and 42.3% (131/310) control women breastfed (Chi\(^2\)=0.942, P=0.33); 73.9% (229/310) vs 79.4% (246/310) gave bottle feeds (Chi\(^2\)=2.60, P=0.11). Survival analysis confirmed that differences between intervention and control women's partial and full breastfeeding duration were not significant (P=0.45 and 0.15 respectively.) Significantly fewer intervention women felt they had insufficient milk. Qualitative analysis of women’s comments revealed they wanted better information, practical help with positioning, effective advice, encouragement and their feelings acknowledged. Women valued counselling, but their feeding behaviour changed little, which may reflect the strength of social influences and that not all mothers contacted the counsellors postnatally. Practical support in the early postnatal period is important. Counselling may increase women's confidence in breastfeeding and producing enough milk. 2002-07 2001-11 graduation 2202230 eng author unchecked This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. public 394 University of Birmingham School of Health and Population Sciences, Primary Care Clinical Sciences h_md na 2002-07 graduation