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Cited by 83Breastfeeding Practices and InfluencesInfant Nutrition and HealthGlobal Maternal and Child Health

What works to protect, promote and support breastfeeding on a large scale: A review of reviews

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Tomori, Cecília, Hernández‐Cordero, Sonia, Busath, Natalie, Menon, Purnima, Pérez‐Escamilla, Rafael·2022·Maternal & Child Nutrition
DOI 10.1111/mcn.13344PMC PMC9113479
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Abstract

Globally women continue to face substantial barriers to breastfeeding. The 2016 Lancet Breastfeeding Series identified key barriers and reviewed effective interventions that address them. The present study updates the evidence base since 2016 using a review of reviews approach. Searches were implemented using the Epistomenikos database. One hundred and fifteen reviews of interventions were identified and assessed for quality and risk of bias. Over half of reviews (53%) were high‐ or moderate quality, with the remaining low or critically low quality due to weaknesses in assessment of bias. A large portion of studies addressed high‐income and upper‐middle income settings, (41%), and a majority (63%) addressed health systems, followed by community and family settings (39%). Findings from reviews continue to strengthen the evidence base for effective interventions that improve breastfeeding outcomes across all levels of the social‐ecological model, including supportive workplace policies; implementation of the Baby‐Friendly Hospital Initiative, skin to skin care, kangaroo mother care, and cup feeding in health settings; and the importance of continuity of care and support in community and family settings, via home visits delivered by CHWs, supported by fathers', grandmothers' and community involvement. Studies disproportionately focus on health systems in high income and upper‐middle income settings. There is insufficient attention to policy and structural interventions, the workplace and there is a need for rigorous assessment of multilevel interventions. Evidence from the past 5 years demonstrates the need to build on well‐established knowledge to scale up breastfeeding protection, promotion and support programmes.

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  • These factors may worsen the difficulty of establishing healthy infant feeding during the stressful postpartum period by shaping health behavior within the social ecological model.

    “These factors may exacerbate the challenge of developing healthy infant feeding practices during the stressful postpartum period by influencing health behavior within the context of the social ecological model (Tomori et al., 2022).”

    From Infant Feeding Practices and Social Support Networks Among Immigrant Chinese American Mothers With Economic Disadvantage in New York City (2023) · cites this paper as Tomori et al., 2022

    The Introduction (page unavailable) says barriers to breastfeeding operate across the social-ecological model and that broader social and structural conditions shape families’ decisions. It does not address the postpartum period as stressful or establish the same point for healthy infant feeding practices beyond breastfeeding. (LLM, conf=0.82)

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Cited by

Sorted by citations

Authors
Tomori, C., Hernández‐Cordero, S., Busath, N., Menon, P., & Pérez‐Escamilla, R.
Affiliations
  • Johns Hopkins University (US)
  • Universidad Iberoamericana (MX)
  • International Food Policy Research Institute (US)
  • Yale University (US)
Corresponding author
Tomori, Cecília
ORCID
Venue
Maternal & Child Nutrition
Publisher
Wiley
Published
2022-03-22
Volume
18
Issue
S3
Pages
e13344-e13344
ISSN
  • 1740-8695 (ISSN-L)
  • 1740-8709
DOI
10.1111/mcn.13344
PMC
PMC9113479
OpenAlex
W4220805984
Cited by
83
References
3
Citations by year
2026: 17 · 2025: 14 · 2024: 21 · 2023: 17 · 2022: 14
FWCI
2.62
Type
journal article
Language
en
Open access
Licence
Locations
  • Maternal and Child Nutrition (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • IFPRI E-brary (International Food Policy Research Institute) (submittedVersion, other-oa)
  • CGSPace A Repository of Agricultural Research Outputs (Consultative Group for International Agricultural Research) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • International Food Policy Research Institute (International Food Policy Research Institute) (submittedVersion, other-oa)
Funders
World Health Organization
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
breastfeeding promotion, breastfeeding support, breastfeeding interventions, barriers to breastfeeding, Baby-Friendly Hospital Initiative, skin-to-skin care, kangaroo mother care, cup feeding, community health workers, home visits, continuity of care, workplace breastfeeding policies, socio-ecological model, multilevel interventions, health system interventions
MeSH terms
Breast Feeding, Child, Female, Humans, Infant, Infant, Newborn, Kangaroo-Mother Care Method

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