Thanks for trying, Pat. ResearchNet will still not readily give up its info to plebs like myself! I tried to sign up for a 'free membership' so that I could view the article, but it won't let me because I don't belong to a large research institution or have a CV full of my research successes. :(

Anyway - fwiw, here's the abstract for those who're interested:

Effect of Primary Care Intervention on Breastfeeding Duration and Intensity.
Karen Bonuck, Alison Stuebe, Josephine Barnett, Miriam H Labbok, Jason Fletcher, Peter S Bernstein 
American Journal of Public Health (Impact Factor: 3.93). 12/2013; DOI:10.2105/AJPH.2013.301360 
Source: PubMed 

ABSTRACT Objectives. We determined the effectiveness of primary care-based, and pre- and postnatal interventions to increase breastfeeding. Methods. We conducted 2 trials at obstetrics and gynecology practices in the Bronx, New York, from 2008 to 2011. The Provider Approaches to Improved Rates of Infant Nutrition & Growth Study (PAIRINGS) had 2 arms: usual care versus pre- and postnatal visits with a lactation consultant (LC) and electronically prompted guidance from prenatal care providers (EP). The Best Infant Nutrition for Good Outcomes (BINGO) study had 4 arms: usual care, LC alone, EP alone, or LC+EP. Results. In BINGO at 3 months, high intensity was greater for the LC+EP (odds ratio [OR] = 2.72; 95% confidence interval [CI] = 1.08, 6.84) and LC (OR = 3.22; 95% CI = 1.14, 9.09) groups versus usual care, but not for the EP group alone. In PAIRINGS at 3 months, intervention rates exceeded usual care (OR = 2.86; 95% CI = 1.21, 6.76); the number needed to treat to prevent 1 dyad from nonexclusive breastfeeding at 3 months was 10.3 (95% CI = 5.6, 50.7). Conclusions. LCs integrated into routine care alone and combined with EP guidance from prenatal care providers increased breastfeeding intensity at 3 months postpartum. (Am J Public Health. Published online ahead of print December 19, 2013: e1-e9. doi:10.2105/AJPH.2013.301360).

Regards,
Fay Bosman
Vancouver, WA, USA

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