- The initial and persistent lead of 6-visit mothers suggests that their
extra pre-partum (mid-pregnancy) visit was the single most important
variable in distinguishing them from the 3-visit mothers. 2 prepartum
interventions bundled into regular prenatal care visits, and then one
done in-hospital post-partum, might combine the economy of the three-visit
group with much of the efficacy of 6 visits without requiring additional
points of contact with the health care system beyond those already involved
in standard obstetric care.
- Similarly, the additional marginal efficacy of the 6-week postpartum
visit may be worth investigating further.
- The sample size of 170 pregnancies detected over 1.5 years in a population
of 30,000 is equivalent to a crude birth rate of 3.7/1000 population/year,
where Mexico's true crude birth rate is over 20. This suggests over
3/4 of births in that time period may not have been detected for inclusion.
- The non-milk food substances used in this population do vary significantly
from those likely to be prevalent in the US population.
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to promote exclusive breastfeeding: a randomized controlled trial. Lancet
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Interventions to Promote Breastfeeding: Systematic Evidence Review and
Meta-Analysis for the US Preventive Services Task Force. Annals of
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