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Featured researches published by Sara Young.


Pediatrics | 2013

Breastfeeding Education and Support Trial for Overweight and Obese Women: A Randomized Trial

Donna J. Chapman; Katherine Morel; Angela Bermudez-Millan; Sara Young; Grace Damio; Rafael Pérez-Escamilla

OBJECTIVE: To evaluate a specialized breastfeeding peer counseling (SBFPC) intervention promoting exclusive breastfeeding (EBF) among overweight/obese, low-income women. METHODS: We recruited 206 pregnant, overweight/obese, low-income women and randomly assigned them to receive SBFPC or standard care (controls) at a Baby-Friendly hospital. SBFPC included 3 prenatal visits, daily in-hospital support, and up to 11 postpartum home visits promoting EBF and addressing potential obesity-related breastfeeding barriers. Standard care involved routine access to breastfeeding support from hospital personnel, including staff peer counselors. Data collection included an in-hospital interview, medical record review, and monthly telephone calls through 6 months postpartum to assess infant feeding practices, demographics, and health outcomes. Bivariate and logistic regression analyses were conducted. RESULTS: The intervention had no impact on EBF or breastfeeding continuation at 1, 3, or 6 months postpartum. In adjusted posthoc analyses, at 2 weeks postpartum the intervention group had significantly greater odds of continuing any breastfeeding (adjusted odds ratio [aOR]: 3.76 [95% confidence interval (CI): 1.07–13.22]), and giving at least 50% of feedings as breast milk (aOR: 4.47 [95% CI: 1.38–14.5]), compared with controls. Infants in the intervention group had significantly lower odds of hospitalization during the first 6 months after birth (aOR: 0.24 [95% CI: 0.07–0.86]). CONCLUSIONS: In a Baby-Friendly hospital setting, SBFPC targeting overweight/obese women did not impact EBF practices but was associated with increased rates of any breastfeeding and breastfeeding intensity at 2 weeks postpartum and decreased rates of infant hospitalization in the first 6 months after birth.


Advances in Experimental Medicine and Biology | 2004

ASSOCIATION OF DEGREE AND TIMING OF EXPOSURE TO BREASTFEEDING PEER COUNSELING SERVICES WITH BREASTFEEDING DURATION

Donna J. Chapman; Grace Damio; Sara Young; Rafael Pérez-Escamilla

Randomized trials conducted in developing countries have demonstrated that breastfeeding peer counseling increases rates of breastfeeding initiation and improves the duration of breastfeeding (Morrow et al. 1999; Haider et al. 2000). We are conducting a randomized community trial, designed to evaluate the effectiveness of an existing community-based breastfeeding peer counseling program serving mostly low income Latinas (i.e., women from Spanish-speaking countries in Latin America or the Caribbean) in Hartford, CT. Preliminary data from this on-going study previously have shown that subjects randomized to receive breastfeeding peer counseling have a median breastfeeding duration one month greater than their counterparts who did not receive breastfeeding peer counseling (1.75 mo vs. 0.8 mo, P<0.05) (Chapman et al. 2002). The objectives of this analysis are to: a) report on a process evaluation of the program, focusing on actual coverage of pre-, peri-, and postnatal services; and b) determine if differences in the degree and timing of the exposure to breastfeeding peer counseling services are associated with breastfeeding duration.


JAMA Pediatrics | 2005

A Randomized Trial Assessing the Efficacy of Peer Counseling on Exclusive Breastfeeding in a Predominantly Latina Low-Income Community

Alex Kojo Anderson; Grace Damio; Sara Young; Donna J. Chapman; Rafael Pérez-Escamilla


JAMA Pediatrics | 2004

Effectiveness of Breastfeeding Peer Counseling in a Low-Income, Predominantly Latina Population: A Randomized Controlled Trial

Donna J. Chapman; Grace Damio; Sara Young; Rafael Pérez-Escamilla


Pediatrics | 2001

Impact of Breast Pumping on Lactogenesis Stage II After Cesarean Delivery: A Randomized Clinical Trial

Donna J. Chapman; Sara Young; Ann M. Ferris; Rafael Perez-Escamilla


Obstetrical & Gynecological Survey | 2005

Effectiveness of breast-feeding peer counseling in a low-income, predominantly Latina population

Donna J. Chapman; Grace Damio; Sara Young; Rafael Perez-Escamilla


The FASEB Journal | 2008

Breastfeeding Education and Support Trial for Obese Women

Donna J. Chapman; Angela Bermudez-Millan; Katherine Wetzel; Grace Damio; Nan Kyer; Sara Young; Rafael Perez-Escamilla


The FASEB Journal | 2010

Effects of breastfeeding peer counseling for obese women on infant health outcomes

Donna J. Chapman; Katherine Wetzel; Angela Bermudez-Millan; Sara Young; Grace Damio; Rafael Perez-Escamilla


The FASEB Journal | 2010

Peer counselors improve breastfeeding technique among low-income, obese women

Katherine Morel; Donna J. Chapman; Nan Kyer; Angela Bermudez-Millan; Sara Young; Rafael Perez-Escamilla


The FASEB Journal | 2009

Infant Breastfeeding Assessment Tool (IBFAT) scoring discrepancy between mothers and lactation consultants

Katherine Wetzel; Donna J. Chapman; Nan Kyer; Angela Bermudez-Millan; Sara Young; Rafael Perez-Escamilla

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Grace Damio

Hispanic Health Council

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Nan Kyer

Hispanic Health Council

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Ann M. Ferris

University of Connecticut Health Center

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Katherine Morel

University of Connecticut

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