Breastfeeding peer counselling for mothers of preterm neonates: protocol of a stepped-wedge cluster randomised controlled trial.
Identifieur interne : 000284 ( Main/Exploration ); précédent : 000283; suivant : 000285Breastfeeding peer counselling for mothers of preterm neonates: protocol of a stepped-wedge cluster randomised controlled trial.
Auteurs : Sophie Laborie [France] ; Angelique Denis [France] ; Antje Horsch [Suisse] ; Pauline Occelli [France] ; Jennifer Margier [France] ; Mathilde Morisod Harari [Suisse] ; Olivier Claris [France] ; Sandrine Touzet [France] ; Celine Julie Fischer Fumeaux [Suisse]Source :
- BMJ open [ 2044-6055 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Assistance.
- psychologie : Mères.
- statistiques et données numériques : Allaitement naturel, Unités de soins intensifs néonatals.
- Adulte, Femelle, Groupe de pairs, Humains, Mâle, Nouveau-né, Prématuré.
English descriptors
- KwdEn :
- MESH :
- methods : Counseling.
- psychology : Mothers.
- statistics & numerical data : Breast Feeding, Intensive Care Units, Neonatal.
- Adult, Female, Humans, Infant, Newborn, Infant, Premature, Male, Peer Group.
Abstract
INTRODUCTION
Among preterm infants, mother's own milk feeding reduces neonatal morbidity and decreases the length of hospital stay. However, breastfeeding rates and duration are lower than among term infants. It is reported that peer counselling is effective in increasing breast feeding in term infants in low-income and middle-income countries, but results are mixed in high-income countries. We aim to investigate herein whether peer counselling may be a feasible and effective breastfeeding support among preterm infants in French-speaking high-income countries.
METHODS AND ANALYSIS
Eight European centres will participate in this stepped-wedge cluster randomised controlled trial. We plan to include 2400 hospitalised neonates born before 35 gestational weeks. Each centre will begin with an observational period. Every 3 months, a randomised cluster (centre) will begin the interventional period with peer counsellors until the end of the study. The counsellors will be trained and supervised by the trained nurses. They will have a weekly contact with participating mothers, with a face-to-face meeting at least once every fortnight. During these meetings, peer counsellors will listen to mothers' concerns, share experiences and help the mother with their own knowledge of breast feeding. The main outcome is breastfeeding rate at 2 months corrected age. Secondary outcomes are breastfeeding rates at hospital discharge and at 6 months, breastfeeding duration and severe neonatal morbidity and mortality. The mental health of the mother, mother-infant bonding and infant behaviour will be assessed using self-report questionnaires. A neurodevelopmental follow-up, a cost-effectiveness analysis and a cost-consequence at 2 years corrected age will be performed among infants in a French subgroup.
ETHICS AND DISSEMINATION
French, Belgian and Swiss ethics committees gave their agreement. Publications in peer-reviewed journals are planned on breast feeding, mental health and economic outcomes.
TRIAL REGISTRATION NUMBER
NCT03156946.
DOI: 10.1136/bmjopen-2019-032910
PubMed: 32005780
PubMed Central: PMC7045006
Affiliations:
- France, Suisse
- Auvergne-Rhône-Alpes, Canton de Vaud, Rhône-Alpes
- Lausanne, Lyon, Villeurbanne
- Université Claude Bernard Lyon 1
Links toward previous steps (curation, corpus...)
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Bron</wicri:regionArea><wicri:noRegion>Bron</wicri:noRegion><wicri:noRegion>Bron</wicri:noRegion></affiliation></author><author><name sortKey="Denis, Angelique" sort="Denis, Angelique" uniqKey="Denis A" first="Angelique" last="Denis">Angelique Denis</name><affiliation wicri:level="3"><nlm:affiliation>Service de Biostatistique-Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Biostatistique-Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Équipe Biostatistique-Santé, Laboratoire de Biométrie et Biologie Évolutive, CNRS UMR 5558, Villeurbanne, France.</nlm:affiliation><country 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Vaud</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Woman-Mother-Child, Lausanne University Hospital, Lausanne</wicri:regionArea><placeName><settlement type="city">Lausanne</settlement><region nuts="3" type="region">Canton de Vaud</region></placeName></affiliation></author><author><name sortKey="Occelli, Pauline" sort="Occelli, Pauline" uniqKey="Occelli P" first="Pauline" last="Occelli">Pauline Occelli</name><affiliation wicri:level="3"><nlm:affiliation>Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôle Santé Publique, Hospices Civils de Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratoire Health Services and Performance Research, EA 7425 HESPER, Université Lyon 1, Villeurbanne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratoire Health Services and Performance Research, EA 7425 HESPER, Université Lyon 1, Villeurbanne</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Villeurbanne</settlement><settlement type="city" wicri:auto="agglo">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Margier, Jennifer" sort="Margier, Jennifer" uniqKey="Margier J" first="Jennifer" last="Margier">Jennifer Margier</name><affiliation wicri:level="3"><nlm:affiliation>Public Health, University Hospital Centre Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Public Health, University Hospital Centre Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Morisod Harari, Mathilde" sort="Morisod Harari, Mathilde" uniqKey="Morisod Harari M" first="Mathilde" last="Morisod Harari">Mathilde Morisod Harari</name><affiliation wicri:level="1"><nlm:affiliation>Child and Adolescent Psychiatry, Centre Hospitalier Universitaire Vaudois, Lausanne, Vaud, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Child and Adolescent Psychiatry, Centre Hospitalier Universitaire Vaudois, Lausanne, Vaud</wicri:regionArea><wicri:noRegion>Vaud</wicri:noRegion></affiliation></author><author><name sortKey="Claris, Olivier" sort="Claris, Olivier" uniqKey="Claris O" first="Olivier" last="Claris">Olivier Claris</name><affiliation wicri:level="1"><nlm:affiliation>Hopital Femme Mère Enfant, Neonatology, Hospices Civils de Lyon, Bron, Auvergne-Rhône-Alpes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hopital Femme Mère Enfant, Neonatology, Hospices Civils de Lyon, Bron, Auvergne-Rhône-Alpes</wicri:regionArea><wicri:noRegion>Auvergne-Rhône-Alpes</wicri:noRegion><wicri:noRegion>Auvergne-Rhône-Alpes</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Equipe P2S4129, Université Claude Bernard Lyon 1, Villeurbanne, Auvergne-Rhône-Alpes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Equipe P2S4129, Université Claude Bernard Lyon 1, Villeurbanne, Auvergne-Rhône-Alpes</wicri:regionArea><wicri:noRegion>Auvergne-Rhône-Alpes</wicri:noRegion><orgName type="university">Université Claude Bernard Lyon 1</orgName><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Touzet, Sandrine" sort="Touzet, Sandrine" uniqKey="Touzet S" first="Sandrine" last="Touzet">Sandrine Touzet</name><affiliation wicri:level="3"><nlm:affiliation>Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôle Santé Publique, Hospices Civils de Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratoire Health Services and Performance Research (HESPER) EA 7425, Université de Lyon 1, Villeurbanne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratoire Health Services and Performance Research (HESPER) EA 7425, Université de Lyon 1, Villeurbanne</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Villeurbanne</settlement><settlement type="city" wicri:auto="agglo">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Fischer Fumeaux, Celine Julie" sort="Fischer Fumeaux, Celine Julie" uniqKey="Fischer Fumeaux C" first="Celine Julie" last="Fischer Fumeaux">Celine Julie Fischer Fumeaux</name><affiliation wicri:level="3"><nlm:affiliation>Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Woman-Mother-Child, Lausanne University Hospital, Lausanne</wicri:regionArea><placeName><settlement type="city">Lausanne</settlement><region nuts="3" type="region">Canton de Vaud</region></placeName></affiliation></author></analytic><series><title level="j">BMJ open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Breast Feeding (statistics & numerical data)</term><term>Counseling (methods)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Infant, Premature (MeSH)</term><term>Intensive Care Units, Neonatal (statistics & numerical data)</term><term>Male (MeSH)</term><term>Mothers (psychology)</term><term>Peer Group (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Allaitement naturel (statistiques et données numériques)</term><term>Assistance (méthodes)</term><term>Femelle (MeSH)</term><term>Groupe de pairs (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Mères (psychologie)</term><term>Nouveau-né (MeSH)</term><term>Prématuré (MeSH)</term><term>Unités de soins intensifs néonatals (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Counseling</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Assistance</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mères</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mothers</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Breast Feeding</term><term>Intensive Care Units, Neonatal</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Allaitement naturel</term><term>Unités de soins intensifs néonatals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Infant, Premature</term><term>Male</term><term>Peer Group</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Groupe de pairs</term><term>Humains</term><term>Mâle</term><term>Nouveau-né</term><term>Prématuré</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Among preterm infants, mother's own milk feeding reduces neonatal morbidity and decreases the length of hospital stay. However, breastfeeding rates and duration are lower than among term infants. It is reported that peer counselling is effective in increasing breast feeding in term infants in low-income and middle-income countries, but results are mixed in high-income countries. We aim to investigate herein whether peer counselling may be a feasible and effective breastfeeding support among preterm infants in French-speaking high-income countries.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS AND ANALYSIS</b></p><p>Eight European centres will participate in this stepped-wedge cluster randomised controlled trial. We plan to include 2400 hospitalised neonates born before 35 gestational weeks. Each centre will begin with an observational period. Every 3 months, a randomised cluster (centre) will begin the interventional period with peer counsellors until the end of the study. The counsellors will be trained and supervised by the trained nurses. They will have a weekly contact with participating mothers, with a face-to-face meeting at least once every fortnight. During these meetings, peer counsellors will listen to mothers' concerns, share experiences and help the mother with their own knowledge of breast feeding. The main outcome is breastfeeding rate at 2 months corrected age. Secondary outcomes are breastfeeding rates at hospital discharge and at 6 months, breastfeeding duration and severe neonatal morbidity and mortality. The mental health of the mother, mother-infant bonding and infant behaviour will be assessed using self-report questionnaires. A neurodevelopmental follow-up, a cost-effectiveness analysis and a cost-consequence at 2 years corrected age will be performed among infants in a French subgroup.</p></div><div type="abstract" xml:lang="en"><p><b>ETHICS AND DISSEMINATION</b></p><p>French, Belgian and Swiss ethics committees gave their agreement. Publications in peer-reviewed journals are planned on breast feeding, mental health and economic outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION NUMBER</b></p><p>NCT03156946.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32005780</PMID><DateCompleted><Year>2021</Year><Month>02</Month><Day>09</Day></DateCompleted><DateRevised><Year>2021</Year><Month>02</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN><JournalIssue CitedMedium="Internet"><Volume>10</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>01</Month><Day>30</Day></PubDate></JournalIssue><Title>BMJ open</Title><ISOAbbreviation>BMJ Open</ISOAbbreviation></Journal><ArticleTitle>Breastfeeding peer counselling for mothers of preterm neonates: protocol of a stepped-wedge cluster randomised controlled trial.</ArticleTitle><Pagination><MedlinePgn>e032910</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2019-032910</ELocationID><Abstract><AbstractText Label="INTRODUCTION">Among preterm infants, mother's own milk feeding reduces neonatal morbidity and decreases the length of hospital stay. However, breastfeeding rates and duration are lower than among term infants. It is reported that peer counselling is effective in increasing breast feeding in term infants in low-income and middle-income countries, but results are mixed in high-income countries. We aim to investigate herein whether peer counselling may be a feasible and effective breastfeeding support among preterm infants in French-speaking high-income countries.</AbstractText><AbstractText Label="METHODS AND ANALYSIS">Eight European centres will participate in this stepped-wedge cluster randomised controlled trial. We plan to include 2400 hospitalised neonates born before 35 gestational weeks. Each centre will begin with an observational period. Every 3 months, a randomised cluster (centre) will begin the interventional period with peer counsellors until the end of the study. The counsellors will be trained and supervised by the trained nurses. They will have a weekly contact with participating mothers, with a face-to-face meeting at least once every fortnight. During these meetings, peer counsellors will listen to mothers' concerns, share experiences and help the mother with their own knowledge of breast feeding. The main outcome is breastfeeding rate at 2 months corrected age. Secondary outcomes are breastfeeding rates at hospital discharge and at 6 months, breastfeeding duration and severe neonatal morbidity and mortality. The mental health of the mother, mother-infant bonding and infant behaviour will be assessed using self-report questionnaires. A neurodevelopmental follow-up, a cost-effectiveness analysis and a cost-consequence at 2 years corrected age will be performed among infants in a French subgroup.</AbstractText><AbstractText Label="ETHICS AND DISSEMINATION">French, Belgian and Swiss ethics committees gave their agreement. Publications in peer-reviewed journals are planned on breast feeding, mental health and economic outcomes.</AbstractText><AbstractText Label="TRIAL REGISTRATION NUMBER">NCT03156946.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Laborie</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><Identifier Source="ORCID">0000-0002-3257-6050</Identifier><AffiliationInfo><Affiliation>Hopital Femme Mère Enfant, Neonatology, Hospices Civils de Lyon, Bron, France sophie.laborie@chu-lyon.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Denis</LastName><ForeName>Angelique</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Service de Biostatistique-Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Équipe Biostatistique-Santé, Laboratoire de Biométrie et Biologie Évolutive, CNRS UMR 5558, Villeurbanne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Horsch</LastName><ForeName>Antje</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Occelli</LastName><ForeName>Pauline</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratoire Health Services and Performance Research, EA 7425 HESPER, Université Lyon 1, Villeurbanne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Margier</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials><Identifier Source="ORCID">0000-0003-2590-4228</Identifier><AffiliationInfo><Affiliation>Public Health, University Hospital Centre Lyon, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morisod Harari</LastName><ForeName>Mathilde</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Child and Adolescent Psychiatry, Centre Hospitalier Universitaire Vaudois, Lausanne, Vaud, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Claris</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Hopital Femme Mère Enfant, Neonatology, Hospices Civils de Lyon, Bron, Auvergne-Rhône-Alpes, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Equipe P2S4129, Université Claude Bernard Lyon 1, Villeurbanne, Auvergne-Rhône-Alpes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Touzet</LastName><ForeName>Sandrine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratoire Health Services and Performance Research (HESPER) EA 7425, Université de Lyon 1, Villeurbanne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fischer Fumeaux</LastName><ForeName>Celine Julie</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT03156946</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>01</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open</MedlineTA><NlmUniqueID>101552874</NlmUniqueID><ISSNLinking>2044-6055</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001942" MajorTopicYN="N">Breast Feeding</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003376" MajorTopicYN="N">Counseling</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007234" MajorTopicYN="Y">Infant, Premature</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007363" MajorTopicYN="N">Intensive Care Units, Neonatal</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009035" MajorTopicYN="N">Mothers</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010379" MajorTopicYN="N">Peer Group</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">breastfeeding</Keyword><Keyword MajorTopicYN="Y">nutritional support</Keyword><Keyword MajorTopicYN="Y">peer counselling</Keyword></KeywordList><CoiStatement>Competing 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IdType="pubmed">413500</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>France</li><li>Suisse</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Canton de Vaud</li><li>Rhône-Alpes</li></region><settlement><li>Lausanne</li><li>Lyon</li><li>Villeurbanne</li></settlement><orgName><li>Université Claude Bernard Lyon 1</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Laborie, Sophie" sort="Laborie, Sophie" uniqKey="Laborie S" first="Sophie" last="Laborie">Sophie Laborie</name></noRegion><name sortKey="Claris, Olivier" sort="Claris, Olivier" uniqKey="Claris O" first="Olivier" last="Claris">Olivier Claris</name><name sortKey="Claris, Olivier" sort="Claris, Olivier" uniqKey="Claris O" first="Olivier" last="Claris">Olivier Claris</name><name sortKey="Denis, Angelique" sort="Denis, Angelique" uniqKey="Denis A" first="Angelique" last="Denis">Angelique Denis</name><name sortKey="Denis, Angelique" sort="Denis, Angelique" uniqKey="Denis A" first="Angelique" last="Denis">Angelique Denis</name><name sortKey="Margier, Jennifer" sort="Margier, Jennifer" uniqKey="Margier J" first="Jennifer" last="Margier">Jennifer Margier</name><name sortKey="Occelli, Pauline" sort="Occelli, Pauline" uniqKey="Occelli P" first="Pauline" last="Occelli">Pauline Occelli</name><name sortKey="Occelli, Pauline" sort="Occelli, Pauline" uniqKey="Occelli P" first="Pauline" last="Occelli">Pauline Occelli</name><name sortKey="Touzet, Sandrine" sort="Touzet, Sandrine" uniqKey="Touzet S" first="Sandrine" last="Touzet">Sandrine Touzet</name><name sortKey="Touzet, Sandrine" sort="Touzet, Sandrine" uniqKey="Touzet S" first="Sandrine" last="Touzet">Sandrine Touzet</name></country><country name="Suisse"><region name="Canton de Vaud"><name sortKey="Horsch, Antje" sort="Horsch, Antje" uniqKey="Horsch A" first="Antje" last="Horsch">Antje Horsch</name></region><name sortKey="Fischer Fumeaux, Celine Julie" sort="Fischer Fumeaux, Celine Julie" uniqKey="Fischer Fumeaux C" first="Celine Julie" last="Fischer Fumeaux">Celine Julie Fischer Fumeaux</name><name sortKey="Horsch, Antje" sort="Horsch, Antje" uniqKey="Horsch A" first="Antje" last="Horsch">Antje Horsch</name><name sortKey="Morisod Harari, Mathilde" sort="Morisod Harari, Mathilde" uniqKey="Morisod Harari M" first="Mathilde" last="Morisod Harari">Mathilde Morisod Harari</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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