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The World Health Organization and United Nations Children’s Fund recommend exclusive breastfeeding (EBF) for the first six months of an infant’s life. Although evidence suggests that maintaining breastfeeding ... Sasiwan Suthasmalee and Chadakarn Phaloprakarn. International Breastfeeding Journal 2024 19 :25.
- Characteristics of Included Studies
- Peer Counselling
- Telephone Support
- Prenatal Education
- Other Interventions
- Effectiveness of Interventions on EBF
- Quality Assessment
- Meta-Analyses
Nine studies were included in this review [35,36,37,38,39,40,41,42,43]. Of these, eight studies were conducted in the USA [35,36,37,38,39, 41,42,43] and one in Chile . Seven studies were RCTs [36,37,38,39, 41,42,43] and two were of a quasi-experimental study design [35, 40]. The publication dates ranged between 1992 and 2017. The studies had relati...
Peer counselling refers to support provided by a non-professional person from the community who has personal experience breastfeeding and a willingness to support others. Five studies included a peer counselling component [35, 37,38,39, 42]. Arlotti et al. conducted a quasi-experimental study which included postnatal support from a peer counsellor...
Five studies included a telephone support component [35, 36, 38, 39, 42]. Only one study by Bunik et al. used telephone support as its sole strategy and this support was delivered via a nurse (i.e., professional support). Four studies had a combination of telephone and peer counselling [35, 38, 39, 42] and two of these also included professional s...
Two studies included a prenatal education component [37, 42]. In the study by Chapman et al. , the education was delivered by peer counsellors who provided personalized breastfeeding education during three prenatal sessions. The peer counsellors were trained in La Leche League curricula . In the study by Wambach et al. , a lactation consultant and ...
The remaining studies used a number of other strategies including massage , gift pack , and financial incentive . Serrano et al. conducted a quasi-experimental study where the participants were provided video instruction and a booklet on how to massage their baby. The aim was to evaluate the effect of massage on infant weight gain and EBF. Snell e...
Overall there was modest to no effect with respect to increasing the EBF rates in the studies. Five studies reported no evidence of effect on rates of EBF [36, 37, 40, 42, 43]. These five studies included telephone support, peer counselling, massage, prenatal education, and financial incentives. Three studies reported a positive effect [35, 38, 41]...
The seven studies with an RCT design demonstrated a low risk of bias for random sequence generation [36,37,38,39, 41,42,43] and five of these were also deemed to have a low risk of bias for allocation concealment (Fig. 2) [36,37,38,39, 43]. The two studies with a quasi-experimental design did not randomize their participants and therefore, had a po...
Between two and four studies were included in the meta-analyses, based on reporting of EBF outcomes, common time points and dichotomous data [35, 37, 39, 42]. The χ2 test and the I2statistic for each analysis demonstrated sufficient homogeneity to combine the studies. Two studies, both involving peer counselling, provided data for the 1-month analy...
- Christa Buckland, Debra J Hector, Gregory S Kolt, Paul P Fahey, Paul P Fahey, Amit Arora
- 2020
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