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Resumen:Even with the gradual upward trends in
breastfeeding initiation and duration, breastfeeding rates at
6 months continue to lag well behind the 50% target set for
any breastfeeding and the 25% target set for exclusive
breastfeeding by the Healthy People 2010 initiatives.
Overall evidence is limited in identifying effective interventions
that promote breastfeeding duration and more
research needs to be focused on specific nursing strategies
and their effect on breastfeeding outcomes. The aim of this
study was to test the efficacy of a daily feeding log, guided
by Bandura’s social cognitive learning theory, on breastfeeding
duration and exclusivity in primiparous mothers.
The study used a randomized, controlled, two-group
experimental design with a sample of 86 primiparous
mothers. The experimental group completed a daily
breastfeeding log for a minimum of 3 weeks and breastfeeding
outcomes were examined over 6 months. The
breastfeeding outcome variable was analyzed using survival
analysis and Cox proportional hazards regression
procedures. Subjects in the experimental group did not
breastfeed significantly longer than the control group,
however, a larger proportion of subjects in the experimental
group reported full breastfeeding at 6 months as
compared with subjects in the control group. Additional
predictor variables were WIC enrollment, planned duration
of breastfeeding, feeding frequency and feeding length at
1 week. The findings from the study suggest that the breastfeeding log may be a valuable tool in self-regulating breastfeeding and promoting a longer duration of full breastfeeding, but its acceptability may be impacted by socio-demographic variables. |