Effects of a prenatal intervention on breastfeeding initiation rates in a Latina immigrant sample

J Hum Lact. 2009 Nov;25(4):404-11; quiz 458-9. doi: 10.1177/0890334409337308.


A randomized controlled trial study design was used to investigate the effectiveness of a Healthy Families America model prenatal intervention for increasing breastfeeding rates among Latina immigrants residing in an impoverished New York City community. Exposure to the intervention did not affect mother report of any breastfeeding (ABF) during the first week postpartum, but it did affect mother report of exclusive breastfeeding (EBF). Thirty-two percent (44/137) of mothers exposed to the intervention reported EBF during the first week postpartum compared to 20% (20/101) of mothers not exposed to the intervention (odds ratio 1.92; 95% confidence interval 1.05-3.52). This positive effect of the intervention on EBF remained statistically significant after controlling for the negative effect of household income on EBF (adjusted odds ratio, 1.89; 95% confidence interval, 1.02-3.50). Additional research is needed on the effectiveness of breastfeeding promotion programs targeting low-income Latinas.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acculturation
  • Adolescent
  • Adult
  • Age Factors
  • Breast Feeding / epidemiology*
  • Breast Feeding / statistics & numerical data
  • Dominican Republic / ethnology
  • Educational Status
  • Emigrants and Immigrants / psychology
  • Female
  • Health Education
  • Health Promotion / methods*
  • Hispanic Americans / psychology*
  • House Calls*
  • Humans
  • Infant
  • Infant, Newborn
  • Logistic Models
  • Mothers / education*
  • Multivariate Analysis
  • New York City / epidemiology
  • Postpartum Period
  • Poverty
  • Prenatal Care
  • Time Factors
  • Young Adult