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世界核心医学期刊文摘（儿科学分册） 2005年第11期1卷 24-25页

作者： agrasada g.v. gustafsson J. Kylberg E. Ewald U. 郭战宏 Department of Women’s and Children’s Health Uppsala University SE-751 85 Uppsala Sweden

Aim: Exclusive breastfeeding increases survival and optimizes growth of low-birthweight (LBW) infants. If supported, mothers can overcome the unique difficulties associated with breastfeeding from birth to 6 mo. We tested the efficacy of postnatal peer counselling among first-time mothers that aimed to increase exclusive breastfeeding of term LBW infants. Methods: In a Manila hospital, 204 mothers were randomized into three groups. Two intervention groups receiving home-based counselling.v.sits, one by counsellors trained in breastfeeding counselling (n = 68), the other by counsellors trained in general childcare (n = 67), were compared with a control group of mothers (n = 69) who did not receive counselling. Results: Eighty-eight per cent of the participating pairs completed the trial. At 6 mo, 44%of the breastfeeding counselled mothers, 7%childcare-counselled mothers and none of the mothers in the control group were exclusively breastfeeding. More mothers in the breastfeeding counselled group than in the other groups were still breastfeeding at 6 mo. Twenty-four infants who were exclusively breastfed for 6 mo did not have any diarrhoea. All groups had improved mean weight-for-age Z-scores at 6 mo. Conclusion: This study has provided fundamental evidence of successful intervention to achieve 6mo of exclusive breastfeeding among term LBW infants. By improving health outcomes, enhanced breastfeeding offers a distinct possibility of disrupting the intergenerational cycle of undernourished women g.v.ng birth to LBW infants.

关键词：母乳喂养对照试验专业咨询出生后儿童保健生长发育干预组咨询员一所咨询组

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