Randomised controlled trial assessing the effectiveness of a booklet on the duration of breast feeding
Institute of
Paediatrics, Catholic University, Rome, Italy
Correspondence to: Professor Pierpaolo Mastroiacovo, Institute of Paediatrics, Catholic University, L go A Gemelli 8, 00168 Rome, Italy.
Accepted 14
February 1997
OBJECTIVE
To test the efficacy of an information
booklet to increase the duration of breast feeding.
RESEARCH DESIGNRandomised design, stratifying by
maternal residence and working activity. Two hundred women were
recruited, 103 received the booklet and verbal counselling and 97 verbal counselling only.
POPULATIONInfants observed from 15 September
1993 to 15 June 1994 in the well baby outpatient clinic of the
Paediatric Institute of the Catholic University of Rome, Italy.
MAIN RESULTSNo statistically significant
difference was found between the two groups in the prevalence of
exclusive or complementary breast feeding at 6 months of age: 48.5%
and 59.2% in the intervention group, 43.7% and 51.5% in the control
group. The median duration of exclusive or complementary breast feeding
was 24 and 27 weeks in the treated group, 22 and 25 in the control group.
CONCLUSIONSThe information booklet alone does
not seem to increase the duration and the prevalence of breast feeding
at 6 months of age. The use of written material with a more
individualised support and more extensive use of randomised clinical
trials in the evaluation of health promoting programmes is recommended.
© 1997 by Archives of Disease in Childhood
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