Abdulwadud, The rate, Lack of evidence for workplace No RCTs or quasi RCTs trials Implementation Lack of OA, Snow, ME. duration and interventions to promote BF have evaluated the effectiveness not currently evidence prevalence of of workplace interventions in taking place Breast-feeding exclusive promoting breastfeeding among in the breastfeeding women returning to paid work workplace amongst after the birth of their child. The working impact of such intervention on Cochrane mothers process outcomes is also Database of unknown. Systematic Reviews Maternal health years L et al, Initiation and Findings from these studies Statistical analyses were This intervention B. This 2005 duration of any suggest that larger increases in conducted on data from eight is implemented intervention is and exclusive BF initiation rates are likely to trials (1553 women). Five locally in some supported by breastfeeding result from needs-based, studies (582 women) on low Interventions areas but does moderate to for promoting informal repeat education incomes in the USA with not have a good quality the initiation sessions than more generic, typically low breastfeeding rates consistent evidence of its of formal antenatal sessions. These showed breastfeeding education national effectiveness breastfeeding findings are based only on 5 had a significant effect on education studies conducted in the USA, increasing initiation rates – programme or a sessions among women on low incomes compared to standard care (risk co-ordinated with varied ethnicity and feeding ratio (RR) 1.57, 95% CI 1.15 to approach OR is Cochrane intention, and this raises some 2.15, P = 0.005). Subgroup implementation Database of questions regarding analyses showed that Systematic generalisability to other settings. needs-based, informal Reviews repeat education sessions and
Abdulwadud, OA, Snow, ME. Breast-feeding in the workplace Cochrane Database of Systematic Reviews Maternal health years The rate, duration and prevalence of exclusive breastfeeding amongst working mothers Lack of evidence for workplace interventions to promote BF No RCTs or quasi RCTs trials have evaluated the effectiveness of workplace interventions in promoting breastfeeding among women returning to paid work after the birth of their child. The impact of such intervention on process outcomes is also unknown. Implementation not currently taking place Lack of evidence L et al, 2005 Interventions for promoting the initiation of breastfeeding – education sessions Cochrane Database of Systematic Reviews Initiation and duration of any and exclusive breastfeeding Findings from these studies suggest that larger increases in BF initiation rates are likely to result from needs-based, informal repeat education sessions than more generic, formal antenatal sessions. These findings are based only on 5 studies conducted in the USA, among women on low incomes with varied ethnicity and feeding intention, and this raises some questions regarding generalisability to other settings. Statistical analyses were conducted on data from eight trials (1553 women). Five studies (582 women) on low incomes in the USA with typically low breastfeeding rates showed breastfeeding education had a significant effect on increasing initiation rates compared to standard care (risk ratio (RR) 1.57, 95% CI 1.15 to 2.15, P = 0.005). Subgroup analyses showed that needs-based, informal repeat education sessions and This intervention is implemented locally in some areas but does not have a consistent national programme or a co-ordinated approach OR is implementation B. This intervention is supported by moderate to good quality evidence of its effectiveness