Lumbiganon, P Duration of 18/19 included studies had 14 studies involving 6932 Elements of the C. There is et al, 2011 any BF either unclear or high risk women contributed data to the intervention are some Duration of of bias. There were wide analyses funded for evidence Antenatal exclusive BF variations in the nature of BF Five studies compared a single national supporting the breastfeeding Proportion of educational interventions as well method of BF education with implementation, use of this education for mothers BF at as in type and completeness of routine care. Peer counselling but intervention increasing three & 6 reported outcomes between significantly increased BF implementation but it is not breastfeeding months studies. Therefore the internal initiation. is dependent on duration - Proportion of validity of the results of this studies compared one form local components conclusive mothers review is limited. of BF education versus another. which are routine BF education, exclusively BF No intervention was significantly variable formal BF at 3 & 6 Because there were significant more effective than another education, months methodological limitations and intervention in increasing printed Initiation rate the observed effect sizes were initiation or duration of BF. information, of BF small, it is not appropriate to Seven studies compared video, peer recommend any specific form of multiple methods versus a single counselling antenatal BF education. There is method of BF education. and lactation an urgent need to conduct RCTs Combined BF educational consultation. with adequate power to evaluate interventions were not the effectiveness of antenatal BF significantly better than a single Cochrane education. intervention in initiating or increasing BF duration. Database of Systematic NB BF education is usually a However, in one trial a Reviews formalised, defined, descriptive combined BF education and goal-orientated programme significantly reduced nipple pain Maternal health with a specific purpose and and trauma. Early years target audience. BF education One study compared different differs from BF support. BF combinations of interventions. support is usually aimed at the There was a marginally individual person as the need significant increase in exclusive arises and is defined as a BF at six months in women
Lumbiganon, P et al, 2011 Antenatal breastfeeding education for increasing breastfeeding duration - routine BF education, formal BF education, printed information, video, peer counselling and lactation consultation. Cochrane Database of Systematic Reviews Maternal health Early years Duration of any BF Duration of exclusive BF Proportion of mothers BF at three & 6 months Proportion of mothers exclusively BF at 3 & 6 months Initiation rate of BF 18/19 included studies had either unclear or high risk of bias. There were wide variations in the nature of BF educational interventions as well as in type and completeness of reported outcomes between studies. Therefore the internal validity of the results of this review is limited. Because there were significant methodological limitations and the observed effect sizes were small, it is not appropriate to recommend any specific form of antenatal BF education. There is an urgent need to conduct RCTs with adequate power to evaluate the effectiveness of antenatal BF education. NB BF education is usually a formalised, defined, descriptive and goal-orientated programme with a specific purpose and target audience. BF education differs from BF support. BF support is usually aimed at the individual person as the need arises and is defined as a 14 studies involving 6932 women contributed data to the analyses Five studies compared a single method of BF education with routine care. Peer counselling significantly increased BF initiation. studies compared one form of BF education versus another. No intervention was significantly more effective than another intervention in increasing initiation or duration of BF. Seven studies compared multiple methods versus a single method of BF education. Combined BF educational interventions were not significantly better than a single intervention in initiating or increasing BF duration. However, in one trial a combined BF education significantly reduced nipple pain and trauma. One study compared different combinations of interventions. There was a marginally significant increase in exclusive BF at six months in women Elements of the intervention are funded for national implementation, but implementation is dependent on local components which are variable C. There is some evidence supporting the use of this intervention but it is not conclusive
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