3. Results Table 1: Evidence Mapping Table Priority Area Nutrition Sub Division Breastfeeding Study Details Outcome Main findings Results Current Evidence Grading measures Wales NICE, 2008 Multiple NHS Trusts, Commissioners & Seven systematic reviews of Elements of the A. This outcomes managers effectiveness, one literature intervention are intervention is relating to Adopt a multifaceted review and three expert papers funded for Interventions supported by to improve the initiation and coordinated programme of were conducted to inform the national good evidence nutrition of maintenance of interventions across different development of this guidance. implementation, of its pregnant and breast-feeding settings to increase The reviews drew on SRs, RCTs but effectiveness breastfeeding breastfeeding and other study types. implementation and is mothers and including: is dependent on children in -activities to raise awareness of There was a lack of evidence on local components recommended low-income the benefits of/ how to effectiveness of interventions which are for use in the households. overcome barriers to, targeting specific socio- variable. UK breastfeeding ethnic, low-income or National - training for health vulnerable groups. In Wales 58.11% Institute for professionals of births in Baby -breastfeeding peer-support The effectiveness of different Friendly hospitals Health and Clinical programmes components within interventions Excellence, -joint working between health was difficult to tease out. BFI scheme professionals and peer being Maternal health supporters There was a lack of good quality implemented years -education and information for economic studies relating to the across Wales pregnant women on how to UK and the conclusions from Health services breastfeed, followed by other studies cannot readily be Most LHBs have and community proactive support during the translated to a UK setting. BF strategy settings postnatal period (the support However, where relevant groups & action may be provided by a published literature exists, it plans but content volunteer). does indicate that increased will vary breastfeeding rates could
3. Results Table 1: Evidence Mapping Table Priority Area Nutrition Sub Division Breastfeeding Study Details Outcome measures Main findings Results Current Wales Evidence Grading NICE, 2008 Interventions to improve the nutrition of pregnant and breastfeeding mothers and children in low-income households. National Institute for Health and Clinical Excellence, Maternal health years Health services and community settings Multiple outcomes relating to initiation and maintenance of breast-feeding NHS Trusts, Commissioners & managers Adopt a multifaceted coordinated programme of interventions across different settings to increase breastfeeding including: -activities to raise awareness of the benefits of/ how to overcome barriers to, breastfeeding - training for health professionals -breastfeeding peer-support programmes -joint working between health professionals and peer supporters -education and information for pregnant women on how to breastfeed, followed by proactive support during the postnatal period (the support may be provided by a volunteer). Seven systematic reviews of effectiveness, one literature review and three expert papers were conducted to inform the development of this guidance. The reviews drew on SRs, RCTs and other study types. There was a lack of evidence on effectiveness of interventions targeting specific ethnic, low-income or vulnerable groups. The effectiveness of different components within interventions was difficult to tease out. There was a lack of good quality economic studies relating to the UK and the conclusions from other studies cannot readily be translated to a UK setting. However, where relevant published literature exists, it does indicate that increased breastfeeding rates could Elements of the intervention are funded for national implementation, but implementation is dependent on local components which are variable. In Wales 58.11% of births in Baby Friendly hospitals BFI scheme being implemented across Wales Most LHBs have BF strategy groups & action plans but content will vary A. This intervention is supported by good evidence of its effectiveness and is recommended for use in the UK socio-