Journal article
Breastfeeding promotion interventions and breastfeeding practices: a systematic review
BMC public health, Vol.13(3), pp.S20-S20
2013
DOI: 10.1186/1471-2458-13-S3-S20
PMCID: PMC3847366
PMID: 24564836
Abstract
Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
Details
- Title: Subtitle
- Breastfeeding promotion interventions and breastfeeding practices: a systematic review
- Creators
- Sarah Haroon - Aga Khan UniversityJai K. Das - Aga Khan UniversityRehana A. Salam - Aga Khan UniversityAamer Imdad - Aga Khan UniversityZulfiqar A. Bhutta - Aga Khan University
- Resource Type
- Journal article
- Publication Details
- BMC public health, Vol.13(3), pp.S20-S20
- Publisher
- Springer Nature
- DOI
- 10.1186/1471-2458-13-S3-S20
- PMID
- 24564836
- PMCID
- PMC3847366
- ISSN
- 1471-2458
- eISSN
- 1471-2458
- Number of pages
- 18
- Grant note
- Bill & Melinda Gates Foundation; CGIAR
- Language
- English
- Date published
- 2013
- Academic Unit
- Stead Family Department of Pediatrics; Gastroenterology, Hepatology, Pancreatology, and Nutrition
- Record Identifier
- 9984446430602771
Metrics
10 Record Views