Abstract
This project evaluated a self-help manual designed to motivate low-income mothers to breastfeed. The manual communicated simple breastfeeding skills as a low-cost extension of counseling. It was tested in a randomized, two-group pre-/post-test design among 151 low-income pregnant women. Seventy-three treatment women received the manual and standard breastfeeding information; 78 controls received only information. Sixty percent of treatment women initiated breastfeeding compared to 44% of the controls (p = .04). No significant differences in breastfeeding duration were found. Data suggest that the manual was positively associated with breastfeeding initiation, justifying the development of revisions to improve efficacy, especially for breastfeeding duration.
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