Document Detail


Support for healthy breastfeeding mothers with healthy term babies.
MedLine Citation:
PMID:  22592675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There is extensive evidence of important health risks for infants and mothers related to not breastfeeding. In 2003, the World Health Organization recommended infants be exclusively breastfed until six months of age, with breastfeeding continuing as an important part of the infant's diet till at least two years of age. However, breastfeeding rates in many countries currently do not reflect this recommendation.
OBJECTIVES: To assess the effectiveness of support for breastfeeding mothers.
SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (3 October 2011).
SELECTION CRITERIA: Randomised or quasi-randomised controlled trials comparing extra support for healthy breastfeeding mothers of healthy term babies with usual maternity care.
DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trial quality and extracted data.
MAIN RESULTS: Of the 67 studies that we assessed as eligible for inclusion, 52 contributed outcome data to the review (56,451 mother-infant pairs) from 21 countries. All forms of extra support analysed together showed an increase in duration of 'any breastfeeding' (includes partial and exclusive breastfeeding) (risk ratio (RR) for stopping any breastfeeding before six months 0.91, 95% confidence interval (CI) 0.88 to 0.96). All forms of extra support together also had a positive effect on duration of exclusive breastfeeding (RR at six months 0.86, 95% CI 0.82 to 0.91; RR at four to six weeks 0.74, 95% CI 0.61 to 0.89). Extra support by both lay and professionals had a positive impact on breastfeeding outcomes. Maternal satisfaction was poorly reported.
AUTHORS' CONCLUSIONS: All women should be offered support to breastfeed their babies to increase the duration and exclusivity of breastfeeding. Support is likely to be more effective in settings with high initiation rates, so efforts to increase the uptake of breastfeeding should be in place. Support may be offered either by professional or lay/peer supporters, or a combination of both. Strategies that rely mainly on face-to-face support are more likely to succeed. Support that is only offered reactively, in which women are expected to initiate the contact, is unlikely to be effective; women should be offered ongoing visits on a scheduled basis so they can predict that support will be available. Support should be tailored to the needs of the setting and the population group.
Authors:
Mary J Renfrew; Felicia M McCormick; Angela Wade; Beverley Quinn; Therese Dowswell
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review     Date:  2012-05-16
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  5     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-17     Completed Date:  2012-08-01     Revised Date:  2014-06-20    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD001141     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding*
Female
Health Education / methods*
Humans
Infant
Randomized Controlled Trials as Topic
Social Support*
Term Birth
Grant Support
ID/Acronym/Agency:
10/106/01//Department of Health; 10/4001/02//Department of Health; HTA/10/106/01//Department of Health; SRP/10/4001/02//Department of Health; //Medical Research Council
Comments/Corrections
Update Of:
Cochrane Database Syst Rev. 2007;(1):CD001141   [PMID:  17253455 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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