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Interventions for promoting the initiation of breastfeeding
Abstract
BACKGROUND: Despite the widely documented health benefits of breastfeeding, initiation rates remain relatively low in many high-income countries, particularly among women in lower income groups. OBJECTIVES: To evaluate the effectiveness of interventions which aim to encourage women to breastfeed in terms of changes in the number of women who start to breastfeed. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register (30 May 2004), the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 1, 2003) and the following databases from inception to October 2002: MEDLINE, CINAHL, ERIC, Applied Social Sciences, PsychLIT, EMBASE, British Nursing Index, BIDS, EPI-centre. We also searched the following in October 2002 for 'grey literature: 'SIGLE, DHSS Data, and Dissertation Abstracts. We handsearched the Journal of Human Lactation, Health Promotion International and Health Education Quarterly from inception to October 1998. We scanned reference lists of all articles obtained. SELECTION CRITERIA: Randomised controlled trials, with or without blinding, of any breastfeeding promotion intervention in any population group except women and infants with a specific health problem. DATA COLLECTION AND ANALYSIS: One review author independently extracted data and assessed trial quality for checking by a second author. We contacted investigators to obtain missing information. MAIN RESULTS: Seven trials involving 1388 women were included. Five trials involving 582 women on low incomes in the USA showed breastfeeding education had a significant effect on increasing initiation rates compared to routine care (relative risk (RR) 1.53, 95% confidence interval (CI) 1.25 to 1.88). AUTHORS' CONCLUSIONS: Evidence from this review shows that the forms of breastfeeding education evaluated were effective at increasing breastfeeding initiation rates among women on low incomes in the USA.
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Interventions that begin antenatally and continue throughout the postpartum period are more effective for duration and exclusivity of breastfeeding than only antenatal or postnatal programs alone.
“According to systematic reviews, such interventions, which begin antenatally and continue throughout the postpartum period, are considered more effective for the duration and exclusivity of breastfeeding than only antenatal or postnatal programs alone [51,52].”
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Randomised, controlled trial of efficacy of midwife-managed care
Tumbull, D., Holmes, A., Shields, N., Cheyne, H., Twaddle, S., Gilmour, W. H., McGinley, M., Reid, M., Johnstone, I., Geer, I., et al. (1996) · The Lancet · doi:10.1016/s0140-6736(95)11207-3 · Cited by 227
A Randomized, Controlled Trial of Nurse‐Midwifery Care
Harvey, S., Jarrell, J., Brant, R., Stainton, C., & Rach, D. (1996) · Birth · doi:10.1111/j.1523-536x.1996.tb00473.x · Cited by 108
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Metadata
- Authors
- Dyson, L., McCormick, F. M., & Renfrew, M. J.
- Affiliations
- University of Leeds (GB)
- University of York (GB)
- ORCID
- Renfrew, Mary J
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- John Wiley & Sons, Ltd
- Published
- 2005-04-20
- Issue
- 2
- Pages
- CD001688-CD001688
- ISSN
- 1361-6137 (ISSN-L)
- OpenAlex
- W4232465674
- Cited by
- 167
- References
- 3
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 7 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 7 · 2018: 13 · 2017: 6 · 2016: 14 · 2015: 16 · 2014: 11 · 2013: 7 · 2012: 16
- Type
- reference entry
- Language
- en
- Update notices
- new_version (2016-11-09)
- Open access
- closed
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- breastfeeding initiation, breastfeeding promotion, breastfeeding education, low-income women, health promotion interventions, infant feeding, maternal health
- MeSH terms
- Breast Feeding, Female, Health Education, Humans, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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