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2019年11月1日 · Background Chinese mothers of preterm infants often face obstacles to breastfeeding and commonly experience prolonged maternal-infant separation when their high-risk infants are hospitalized in a Neonatal Intensive Care Unit (NICU). This separation hinders mother-infant attachment and the establishment of breastfeeding. Currently, little is known about Chinese mothers’ experiences ...
2023年11月6日 · Background The exclusive breastfeeding rate in China remains significantly low. Numerous studies have identified the impact of maternal characteristics on exclusive breastfeeding; however, the correlation between primary family caregivers’ characteristics, such as health and nutrition knowledge, and exclusive breastfeeding still lacks clarity. The aim of this study is to investigate the ...
- 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
2022年5月21日 · Background In the past decade, various breastfeeding policies were implemented in Hong Kong, including changes in perinatal guidelines in public hospitals, adoption of the Baby-Friendly Hospital Initiative (BFHI), provision of guidelines for the marketing of formula milk, penalisation of discrimination towards breastfeeding, and extension of the statutory maternity leave. Meanwhile, the COVID ...
2019年5月7日 · Published: 07 May 2019. Factors associated with cessation of exclusive breastfeeding at 1 and 2 months postpartum in Taiwan. Pei-Chi Chang, Sin-Fong Li, Hsin-Yi Yang, Li-Chu Wang, Cing-Ya Weng, Kuan-Fen Chen, Wei Chen & Sheng-Yu Fan. International Breastfeeding Journal 14, Article number: 18 ( 2019 ) Cite this article. 14k Accesses. 50 Citations.
2010年11月29日 · Background Midwives' support of breastfeeding in maternity wards has been proven to provide an impact on women's breastfeeding experiences. In previous studies women describe professional support unfavourably, with an emphasis on time pressures, lack of availability or guidance, promotion of unhelpful practices, and conflicting advice. Thus, the present study aims to investigate women's ...
2016年6月18日 · Early or timely initiation of breastfeeding, specifically within 1 h of birth, refers to the best practice recommendation by the World Health Organization (WHO) [ 4 ]. A recent systematic review and meta-analysis revealed that breastfeeding initiation after the first hour of birth doubles the risk of neonatal mortality [ 5 ].
