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The journal addresses all of these aspects, including identifying women who are at increased risk of not breastfeeding; the impediments to breastfeeding and the health effects of not breastfeeding for infants and their mothers; interventions to increase breastfeeding initiation and duration; and the management of breastfeeding problems.
- Results of The Search
- Participants and Settings
- Interventions
- Comparisons
- Risk of Bias
- Effects of Interventions
- Timing
- Frequency
- Mode of Provision
- Provider
The searches resulted in 5180 original records and a further 11 records were identified through checking reference lists of included studies and published systematic reviews. We excluded 4837 titles and abstracts. We assessed 354 full text articles and excluded 248, leaving 106 articles reporting 82 studies (see Fig. 1). Nineteen studies were subse...
The participants in the 63 trials comprised 33,073 women and their infants (range 41–9675) from 26 countries. Almost two thirds of the studies, representing 76% of the participants, were from 10 high-income countries (40 studies; 25,223 participants). Fourteen studies, involving 3236 participants (10% of participants) were from nine upper middle-in...
A broad range of interventions was apparent across the 63 studies. The amount and nature of counselling along with detail of interventions reported varied considerably. Interventions commonly included an element of education, for example, about the importance and benefits to health of exclusive breastfeeding, but women were usually also encouraged ...
Most comparisons were described in the studies as usual or standard care and in ten studies this included either care in a UNICEF/WHO accredited hospital [50, 63, 66, 76, 77], working towards accreditation or a session using UNICEF/WHO guidelines [57, 59, 61, 75]. In 11 studies extra contacts were provided either to support women with different as...
Included studies were judged to be of mixed risk of bias across all domains. For example, just under half (49%) were judged to be at low risk of bias for allocation concealment; 40% were judged to be at low risk of bias for blinding of outcome assessment and 46% were judged to be of low risk of bias for incomplete outcome data. It was difficult to ...
Counselling interventions compared to no counselling/standard care
Table 1 shows the pooled effects of counselling interventions on eight of the nine outcomes of this review; no trials assessed breastfeeding rates at 24 months. Counselling interventions reduced the risk of women stopping any breastfeeding at 4 to 6 weeks by 15% (risk ratio [RR] 0.85, 95% confidence interval [CI] 0.77,0.94), and at 6 months by 8% (RR 0.92, CI 0.87,0.97). For exclusive breastfeeding the effect was greater with a 21% (RR 0.79, CI 0.72, 0.87) reduction at 4 to 6 weeks and a 16%...
Sub-group analyses: intervention characteristics
Because of the low number of relevant trials, we did not conduct sub-group analyses for two outcomes: number of women who stop breastfeeding at 12 months (two trials), and number of newborns given prelacteal or other foods or fluids within the first 2 days following birth (one trial).
Table 2 shows the effects of counselling interventions according to whether the intervention was provided antenatally, postnatally, or both. For ‘any breastfeeding’, six trials provided low quality evidence that counselling interventions delivered both antenatally and postnatally were more effective in reducing the risk of women stopping any breast...
Table 3 shows the pooled effect of counselling interventions categorised by whether counselling was delivered fewer than four times or four or more times. Interventions delivered four or more times showed a statistically significant effect on both any and exclusive breastfeeding, but the effect size was greater for exclusive breastfeeding. The grea...
We conducted sub-group analyses according to whether the counselling was delivered face-to-face, by telephone, or included a combination of both (see Table 4). The greatest effect was again for exclusive breastfeeding at 4 to 6 weeks where there was low quality evidence from 17 comparisons (3550 women) that face-to-face counselling reduced the risk...
Sub-group analysis was conducted according to whether the intervention was delivered by lay, non-lay personnel, or by both (Table 5). The largest effect was on reducing the risk of women not initiating breastfeeding within the first hour when counselling was delivered by non-lay personnel, the reduction being 42% based on low quality evidence from ...
- Alison McFadden, Lindsay Siebelt, Joyce L. Marshall, Anna Gavine, Lisa-Christine Girard, Andrew Symo...
- 2019
3 天前 · International Breastfeeding Journal 2024 19 :39. Research Published on: 31 May 2024. Full Text. PDF. Maternal employment characteristics as a structural social determinant of breastfeeding after return to work in the European Region: a scoping review. The European Region has the lowest rate of exclusive breastfeeding at 6 months worldwide.
2020年12月1日 · This systematic review explores interventions to increase the rate of exclusive breastfeeding among young mothers in high-income countries. Methods. A systematic search of the following databases was completed in August 2020: CINAHL, PubMed, MEDLINE, ProQuest, PsychInfo, Web of Science, Cochrane, Scopus and Embase.
2019年2月19日 · The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies | International Breastfeeding Journal | Full Text. Research. Open access. Published: 19 February 2019.
2022年12月3日 · How midwives and nurses experience implementing ten steps to successful breastfeeding: a qualitative case study in an Indonesian maternity care facility | International Breastfeeding Journal | Full Text. Research. Open access. Published: 03 December 2022.
2007年10月22日 · 3 Citations. 6 Altmetric. Metrics. Abstract. The relationship between poverty and human development touches on a central aim of the International Breastfeeding Journal's editorial policy which is to support and protect the health and wellbeing of all infants through the promotion of breastfeeding.
