Objective: Various strategies have been used to promote optimal breastfeeding, but the relative effectiveness of different approaches is not clear. No study has yet rigorously tested the impact of mother-to-mother support pioneered by La Leche League. This research evaluates the one-year impact of the LLL program on early breastfeeding initiation and exclusive breastfeeding among women in peri-urban Guatemala. Methods: In late 1999, we conducted a baseline census and survey of mothers of infants <6 months in 4 communities: 2 program communities with ongoing LLL support and 2 control communities. After the baseline survey, LLL doubled the number of breastfeeding counselors and increased support groups and other outreach in program communities. To evaluate program impact, a follow-up survey is currently being completed. Results: At baseline, of the 777 mothers who participated in the survey, only 21% initiated breastfeeding <1 hour after birth. Place of birth was the only factor associated with early initiation of breastfeeding: mothers who delivered at MOH Health Centers and at home were more likely than mothers delivering at hospitals to initiate breastfeeding in the first hour after birth. Only 20% of mothers exclusively breastfed in the previous 24 hours. Infants were more likely to be exclusively breastfed if they were female, <4 months of age, born at home or at the MOH health center, and if their mothers were young, less formally educated and if they did not work outside the home. In this presentation, we will report on one-year program impact data.
Learning Objectives: At the conclusion of this session, the participant will be able to: 1. Identify factors associated with early initiation of breastfeeding and exclusive breastfeeding in peri-urban Guatemala. 2. Describe the impact of La Leche League's mother-to-mother support on optimal breastfeeding practices.
Keywords: Breastfeeding, International MCH
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: La Leche League
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: The Academy for Educational Development has funded La Leche League International to expand existing programs.