We did not include the few women who delivered in other hospitals or at home in the assessment of outcome, although those from intervention clusters would have been offered contact with a peer support worker antenatally. From hospital records we obtained information on general practice identifying code, date of delivery, age, parity, mode of delivery, ethnic group, and Townsend deprivation score. As data on outcome were supplied to the research team in an anonymised format the local research ethics committee approved that individual patient consent was not required.Sample sizeAt the time the peer support worker service was planned in 2005, the initiation rate for breast feeding within the primary care trust was 58% and about 6000 deliveries took place per year.
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