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Breastfeeding promotion interventions and breastfeeding practices: a systematic review

BMC public health, 2013, Vol.13 Suppl 3 (Suppl 3), p.S20-S20, Article S20 [Peer Reviewed Journal]

2013 Haroon et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ;Copyright © 2013 Haroon et al; licensee BioMed Central Ltd. 2013 Haroon et al; licensee BioMed Central Ltd. ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/1471-2458-13-S3-S20 ;PMID: 24564836

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  • Title:
    Breastfeeding promotion interventions and breastfeeding practices: a systematic review
  • Author: Haroon, Sarah ; Das, Jai K ; Salam, Rehana A ; Imdad, Aamer ; Bhutta, Zulfiqar A
  • Subjects: Breast Feeding - statistics & numerical data ; Developed Countries ; Developing Countries ; Female ; Health Promotion - statistics & numerical data ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Maternal Behavior ; Mothers - education ; Mothers - statistics & numerical data ; Randomized Controlled Trials as Topic ; Review ; World Health Organization
  • Is Part Of: BMC public health, 2013, Vol.13 Suppl 3 (Suppl 3), p.S20-S20, Article S20
  • Description: Exclusive Breastfeeding (EBF) rates remain low in both low-income and high-income countries despite World Health Organization recommendations for EBF till 6 months. Breastfeeding has been shown to have a protective effect against gastrointestinal infections, among other benefits. Large-scale interventions focusing on educating mothers about breastfeeding have the potential to increase breastfeeding prevalence, especially EBF, up to recommended standards and also to decrease infant morbidity. A systematic literature search was conducted for RCTs and quasi-experimental studies comparing breastfeeding education or support to routine care. The effect of interventions was observed for exclusive, predominant, partial and no breastfeeding rates. The time intervals of interest were day 1, <1 month, and 1 to 5 months. Outcome-specific evidence was graded according to the Child Health Epidemiology Reference Group (CHERG) rules using the adapted Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria and recommendations were made from studies in developing countries for inclusion into the Lives Saved Tool (LiST) model. After reviewing 4600 abstracts, 372 studies were selected for full text screening and 110 of these studies were finally included. Statistically significant increases in EBF rates as a result of breastfeeding promotion interventions were observed: 43% at day 1, 30% at <1 month, and 90% at 1-5 months. Rates of 'no breastfeeding' reduced by 32% at 1 day, 30% at <1 month, and 18% at 1-5 months. The effect of interventions on the rates of predominant and partial breastfeeding were non-significant. Breastfeeding education and/or support increased EBF rates and decreased no breastfeeding rates at birth, <1 month and 1-5 months. Combined individual and group counseling appeared to be superior to individual or group counseling alone. Interventions in developing countries had a greater impact than those in developed countries.
  • Publisher: England: BioMed Central
  • Language: English
  • Identifier: ISSN: 1471-2458
    EISSN: 1471-2458
    DOI: 10.1186/1471-2458-13-S3-S20
    PMID: 24564836
  • Source: Freely Accessible Journals
    Open Access: PubMed Central
    MEDLINE
    Springer OA刊
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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