Adolescent Mothers, Grandmothers, Breastfeeding and Complementary Feeding

Study Overview
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Brief Summary
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The purpose of this study is to determine whether counseling sessions on breastfeeding for adolescent mothers and their grandmothers in the maternity ward and at home are effective in to improve the exclusive and total breastfeeding rates during the first six month, as well as the convenient timing of supplementary feeding introduction.

Detailed Description
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Despite the recognized value of exclusive breastfeeding during the first months of a child's life and efforts for promoting this practice, rates for this pattern of breastfeeding in Brazil are below those recommended by the World Health Organization(WHO), which advocates exclusive breastfeeding during the first 6 months. The last national survey about the prevalence of breastfeeding revealed a median duration of 10 months. However , the length of exclusive breastfeeding was only 23 days. A lot of studies identified maternal age as predictor of breastfeeding. In African, Asian, Latin American and the Pacific societies, older women, or grandmothers,traditionally have considerable influence on decisions related to maternal and child health at the household level. Considering all that, interventions intended to increase frequency of breastfeeding, particularly exclusive breastfeeding. However, there are few studies on this subject.

Official Title
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Effect of Intervention About Breastfeeding and Complementary Feeding in Adolescent Mothers and Their Grandmothers

Conditions
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Breastfeeding, Weaning

Intervention / Treatment
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* Behavioral: counseling sessions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescent mothers Mothers living in the city of Porto Alegre Healthy nontwin newborns with birth weight equal or greater than 2500g Exclusion Criteria: Mothers living with mother-in-law Mother-infant pairs that were unable to stay together due to a health concern in either the mother or infant Mammaplasty reductive

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: visit with grandmother<br>Teenagers mothers and their grandmothers receive counseling sessions about breastfeeding and complementary feeding. | Behavioral: counseling sessions<br>* The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.<br>* Other names: Group four- with grandmother and with intervention;|
| Experimental: visit without grandmother<br>Teenagers mothers don´t live with their grandmothers and receive counseling sessions about breastfeeding and complementary feeding. | Behavioral: counseling sessions<br>* The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.<br>* Other names: Group four- with grandmother and with intervention;|
| No Intervention: no visit with grandmother<br>Teenagers mothers live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding. | |
| No Intervention: no visit without grandmother<br>Teenagers mothers don´t live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of exclusive and total breastfeeding |  | First year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pattern of complementary feeding |  | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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breastfeeding, exclusive breastfeeding, lactation counseling, teenagers, complementary food, adolescent, caregivers