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Breast-feeding programs and lactational amenorrhea: evaluation using event history analysis
Institution:1. University of North Texas, P.O. Box 311157, Denton, TX 76201, USA;2. University of Texas at Arlington, Arlington, TX, USA;1. Sao Paulo State University (UNESP), School of Veterinary Medicine and Animal Science, Botucatu, Brazil;2. Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL, 61802, USA;1. Department of Endocrinology and Metabolic Disorders, University Hospital of Larissa, Medical School of Larissa, University of Thessaly, Larissa, Greece;2. First Department of Paediatrics, Aghia Sophia University Hospital, Medical School of Athens, Ethnikon and Kapodistriakon University of Athens, Athens, Greece;3. Unit of Endocrinology, Diabetes Mellitus and Metabolism, Aretaieion University Hospital, Medical School of Athens, Ethnikon and Kapodistriakon University of Athens, Athens, Greece;1. INRA, UMR85, Physiologie de la Reproduction et des Comportements, Nouzilly, France;2. CNRS, UMR7247, Nouzilly, France;3. Université François Rabelais de Tours, Tours, France;4. IFCE, Nouzilly, France;1. Department of Gynecological Endocrinology, Poznan University of Medical Sciences, Poznan, Poland;2. Appletree Medical Group, Ottawa, ON K1R 5C1, Canada;1. Maddie’s Shelter Medicine Program, Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL, 32610, USA;2. Humane Society of Tampa Bay, 3809 N Armenia Avenue, Tampa, FL, 33607, USA;1. Program in Neuroscience, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, USA;2. Department of Physiology & Pharmacology, West Virginia University, PO Box 6201, Morgantown, WV 26506, USA;3. Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39232, USA
Abstract:The purpose of this paper is to present an approach toward evaluating the effectiveness of breast feeding programs in relation to their impact on the duration of post partum amenorrhea. The current emphasis on improving reproductive health through family planning services is likely to increase the use of LAM as a birth spacing method. As a result, evaluation of the net impact of breast feeding duration on the length of post partum amenorrhea is essential for designing an effective family planning program. We present event history analysis as an useful tool in evaluating the effectiveness breast feeding programs on post partum amenorrhea. Data from NFH survey (India) of the State of Rajasthan are used to illustrate the event history approach toward outcome evaluation.
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