person, a group or an receiving a booklet plus video organisation providing support plus lactation consultation (LC) in many ways. compared with the booklet plus video only. Two studies compared multiple methods of BF education versus routine care. The combination of BF booklet plus plus LC was significantly better than routine care for exclusive BF at three months. Renfrew, MJ et Primary Effective 52 studies contributed outcome Some of the A. These al, 2012 outcomes Postnatal hospital stay data to the review (56,451 interventions are interventions Stopping Skilled breastfeeding support, mother-infant from 21 funded for • are supported Support for breastfeeding peer or professional, countries. All forms of extra national by good healthy before 6 proactively offered to women support analysed together implementation evidence of breastfeeding months who want to breastfeed showed an increase in duration (Baby Friendly effectiveness mothers with postpartum. Preventing the provision of of breastfeeding’ (includes Initiative), but • ’any and are healthy term Stopping discharge packs containing partial and exclusive implementation exclusive formula-feeding information and breastfeeding) (risk ratio (RR) is dependent on babies recommended breastfeeding samples for stopping any breastfeeding trial components for use in the Cochrane before 6 Unrestricted feeding from birth before six months 0.91, 95% CI which are • UK Database of months onwards 0.88 to 0.96). All forms of extra variable Systematic postpartum. Unrestricted mother-baby support together also had a • Reviews Stopping any contact from birth onwards positive effect on duration of breastfeeding Unrestricted kangaroo exclusive breastfeeding (RR at 6 • Maternal health before 4 to 6 care/skin-to-skin care from birth months 0.86, 95% CI 0.82 to Early years onwards 0.91; RR at four to six weeks postpartum. Avoiding supplementary fluids 0.74, 95% CI 0.61 to 0.89). • Stopping for babies unless medically Extra support by both lay and exclusive indicated professionals had a positive
person, a group or an organisation providing support in many ways. receiving a booklet plus video plus lactation consultation (LC) compared with the booklet plus video only. Two studies compared multiple methods of BF education versus routine care. The combination of BF booklet plus plus LC was significantly better than routine care for exclusive BF at three months. Renfrew, MJ et al, 2012 Support for healthy breastfeeding mothers with healthy term babies Cochrane Database of Systematic Reviews Maternal health Early years Primary outcomes Stopping breastfeeding before 6 months postpartum. Stopping exclusive breastfeeding before 6 months postpartum. Stopping any breastfeeding before 4 to 6 postpartum. Stopping exclusive Effective Postnatal hospital stay • Skilled breastfeeding support, peer or professional, proactively offered to women who want to breastfeed • Preventing the provision of discharge packs containing formula-feeding information and samples • Unrestricted feeding from birth onwards • Unrestricted mother-baby contact from birth onwards • Unrestricted kangaroo care/skin-to-skin care from birth onwards • Avoiding supplementary fluids for babies unless medically indicated 52 studies contributed outcome data to the review (56,451 mother-infant from 21 countries. All forms of extra support analysed together showed an increase in duration of ’any breastfeeding’ (includes partial and exclusive breastfeeding) (risk ratio (RR) for stopping any breastfeeding before six months 0.91, 95% CI 0.88 to 0.96). All forms of extra support together also had a positive effect on duration of exclusive breastfeeding (RR at 6 months 0.86, 95% CI 0.82 to 0.91; RR at four to six weeks 0.74, 95% CI 0.61 to 0.89). Extra support by both lay and professionals had a positive Some of the interventions are funded for national implementation (Baby Friendly Initiative), but implementation is dependent on components which are variable A. These interventions are supported by good evidence of effectiveness and are recommended for use in the UK trial
Nutrition%20Evidence%20Review%20Final.docx