Siham Sikander|Joanna Maselko|Shamsa Zafar|Zaeem Haq|Irshad Ahmad|Mansoor Ahmad|Assad Hafeez|At?f Rahman
Cognitive-Behavioral Counseling for Exclusive Breastfeeding in Rural Pediatrics: A Cluster RCT
Human Development Research Foundation|Duke University|Human Development Research Foundation|Human Development Research Foundation|Human Development Research Foundation|Human Development Research Foundation|Health Services Academy|University of Liverpool
test effectiveness cognitivebehavioral counseling rate duration exclusive breastfeeding ebf first 6 months infants life compared routine counselinga single blind clusterrandomized controlled trial undertaken 40 union councils rural district northwest province pakistan may 2009 april 2010 simple unmatched randomization 20 union councils allocated intervention control arms two hundred twentyfour third trimester pregnant women intervention 228 third trimester pregnant women control arm enrolled followedup biweekly 6 months postpartum analyses intention treat mothers intervention group received 7 sessions cognitivebehavioral counseling antenatal 6 months postpartum whereas control group received equal number routine sessions proportion mothers exclusively breastfeeding 6 months postpartum duration ebf 6 months assessedat 6 months postpartum 596 mothers intervention arm 286 control arm exclusively breastfeeding translates 60 reduced risk stopping exclusively breastfeeding first 6 months adjusted hazard ratio 040 95 confidence interval 027060 p 001 mothers intervention group half likely use prelacteal feeds infants adjusted relative risk 051 95 confidence interval 034078compared routine counseling cognitivebehavioral counseling significantly prolonged duration ebf doubling rates ebf 6 months postpartum