RCTs onlyand limited to our pre-specified countries. Early home discharge and home support Two RCTs evaluated the effectiveness of early discharge with nursing support compared with usual neonatal care which was included in a systematic review Renfrew et al However, there was no difference between groups in breastfeeding duration.
They gave the following conclusions outlined in Table 7. There was also inadequate information given on what type of education the healthcare professionals were exposed to.
For this analysis, the overall figures for — were calculated by summing the raw quarterly actual data.
Combined professional and lay support Five RCTs which examined professional and lay support compared to usual care noted a marked decrease in the cessation of breastfeeding, as found in a recent Cochrane review Britton et al USPSTF recommendations Effective interventions Interventions to promote and support breastfeeding have been found to increase the rates of initiation, duration and exclusivity of breastfeeding.
This systematic review contained RCTs, quasi-experimental design, cross-sectional data, among others, and therefore some of the information presented was descriptive. Why did you continue to express?
Studies based on area-level data are well placed to make use of routinely collected data such as this, and can help to inform commissioning of services as well as providing a framework with which to evaluate relevant interventions.
Peer support Peer support was explored briefly in one systematic review Dyson et al In addition, another Cochrane review found that earlier discharge from hospital and home gavage feeding compared to later discharge did not influence breastfeeding duration Collins et al Strengths and limitations of this study To our knowledge, this is the first UK study to investigate the relationship between sociodemographic factors and breastfeeding at an area-based level.
Top of page Review findings We now present the main findings from our search of the systematic reviews as well as a formal assessment of their quality.
This strategy was repeated for each relationship under study. This review pooled the data from 10 RCTs, involving participants; the authors gave a cautionary note that the included RCTs showed variations in the implementation of the intervention i.
The group receiving some support tended to breastfeed for longer than the control group but this was not statistically significant.
However the randomisation and allocation concealment procedures in this study suggested risk of selection bias and therefore the results should be considered cautiously. Others recommended electric breast pumps as faster and more efficient. A recent study by Freemantle et al 29 used an approach similar to the one described here to look at factors associated with primary care trust PCT level perinatal and infant mortality.
Overall, the review was assessed as high quality despite some methodological limitations of the included studies. Introduction Breastfeeding confers multiple benefits on both infants and mothers, with evidence linking breastfeeding to a lower risk of many adverse outcomes 12 including gastroenteritis, 34 respiratory disease, 45 necrotising enterocolitis 6 and otitis media 15 in infants, and a lower risk of breast cancer in mothers.
Good evidence to recommend against providing discharge packages to mothers Top of page USA: Only one RCT was identified within the systematic review and showed that brief exposure to breast-milk substitutes reduced the success and duration of breastfeeding.
A recently updated Cochrane review on this subject, and involving babies, confirmed that pacifiers do not significantly affect the prevalence or duration of exclusive and partial breastfeeding up to four months of age Jaafar et al Data on breastfeeding outcomes at these two time points birth and 6—8 weeks are released quarterly by DH.
The systematic review contained seven RCTs looking at breastfeeding; however as there was no consistent definition of exclusive breastfeeding among these trials, it was not possible to combine the results.Methods Population-based cohort of very preterm births (22–31 weeks of gestation) discharged home from neonatal units in eight European regions in Results Breastfeeding rates varied from 19% in Burgundy to 70% in Lazio, and were correlated with national rates in.
Background:Maternal breastfeeding self-efficacy (BSE) is reflective of a mother’s confidence in breastfeeding and is a modifiable factor that may improve breastfeeding rates.
Breastfeeding self-efficacy theory purports that women with higher BSE will have better breastfeeding killarney10mile.comch aim:The aim of this systematic review was to explore the theoretical link between BSE and.
Breastfeeding interventions: The Evidence Page last updated: 03 May As previously mentioned strategies for ensuing healthy infant feeding include various interventions aimed at promoting and protecting the practice of breastfeeding.
Variations in Breastfeeding Rates Based on Socioeconomic Differences “Breastfeeding offers infants significant benefits including decreases in the incidences and severity of a wide range of infectious diseases, such as bacterial meningitis, bacteremia, diarrhea, respiratory tract infections, necrotizing enterocolitis, otitis media, urinary tract infection, and late-onset sepsis in preterm infants” (Sterling).
Among low-income mothers (participants in the Special Supplemental Nutrition Program for Women, Infants, and Children [WIC]), the breastfeeding initiation rate was %, but in those with a higher income ineligible for WIC, it was %.
12 Breastfeeding initiation rate was 37% for low-income non-Hispanic black mothers. 7 Similar disparities are age-related; mothers younger than 20 years initiated. We conducted a retrospective analysis of BF initiation rates from to based on data extracted from First Health Certificates (FHCs).
et killarney10mile.comions in breastfeeding rates for very preterm infants between regions and neonatal units in Europe: results from the MOSAIC cohort.
Arch Dis Child Fetal Neonatal Ed, 96 (), pp.