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Cited by 84Breastfeeding Practices and InfluencesInfant Nutrition and HealthGlobal Maternal and Child Health

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Peer Support and Exclusive Breastfeeding Duration in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis

Open access
Sudfeld, Christopher R., Fawzi, Wafaie W., Lahariya, Chandrakant·2012·PLoS ONE
DOI 10.1371/journal.pone.0045143PMC PMC3445598
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Abstract

OBJECTIVE: To examine the effect of peer support on duration of exclusive breastfeeding (EBF) in low and middle-income countries (LMICs). DATA SOURCES: Medline, EMBASE, and Cochrane Central Register for Controlled Trials were searched from inception to April 2012. METHODS: Two authors independently searched, reviewed, and assessed the quality of randomized controlled trials utilizing peer support in LMICs. Meta-analysis and metaregression techniques were used to produce pooled relative risks and investigate sources of heterogeneity in the estimates. RESULTS: Eleven randomized controlled trials conducted at 13 study sites met the inclusion criteria for systematic review. We noted significant differences in study populations, peer counselor training methods, peer visit schedule, and outcome ascertainment methods. Peer support significantly decreased the risk of discontinuing EBF as compared to control (RR: 0.71; 95% CI: 0.61-0.82; I(2) =92%). The effect of peer support was significantly reduced in settings with >10% community prevalence of formula feeding as compared to settings with <10% prevalence (p=0.048). There was no evidence of effect modification by inclusion of low birth weight infants (p=0.367) and no difference in the effect of peer support on EBF at 4 versus 6 months postpartum (p=0.398). CONCLUSIONS: Peer support increases the duration of EBF in LMICs; however, the effect appears to be reduced in formula feeding cultures. Future studies are needed to determine the optimal timing of peer visits, how to best integrate peer support into packaged intervention strategies, and the effectiveness of supplemental interventions to peer support in formula feeding cultures.

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Crossref · 10.1371/journal.pone.0045143

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  • Breastmilk alone may be insufficient to meet the nutritional needs of MLBW infants.

    “Further, breastmilk alone may be insufficient to meet the nutritional needs of MLBW infants [42, 44–46]; most facilities did not have alternatives readily available.”

    From Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania (2023) · cites this paper as [42]

    The Introduction discusses potential health benefits of exclusive breastfeeding for low-birth-weight infants, and the trial table reports breastfeeding and weight outcomes. Neither addresses whether breastmilk alone meets the nutritional needs of MLBW infants; searches for nutritional insufficiency and supplementation found no supporting passage. Page numbers are unavailable in our copy. (LLM, conf=0.75)

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Research works printed but not linked: 4

  1. [14]Chapman DJ, Morel K, Anderson AK, Damio G, Pérez-Escamilla R (2010) Breastfeeding peer support: from efficacy through scale-up. J Hum Lact 26: 314– 26. 20715336 PMC3115698
  2. [30]Marriott BM, Campbell L, Hirsch E, Wilson D (2007) Preliminary data from demographic and health surveys on infant feeding in 20 developing countries. J Nutr 137: 518S– 523S. 17237339
  3. [38]Thompson SG, Higgins JP (2002) How should metaregression analyses be undertaken and interpreted? Stat Med 21: 1559– 73. 12111920
  4. [39]Review Manager (RevMan) [Computer program]. Version 5.0. (2008) Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration.

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Metadata

Authors
Sudfeld, C. R., Fawzi, W. W., & Lahariya, C.
Affiliations
  • Harvard University (US)
  • Gajara Raja Medical College (IN)
Corresponding author
Sudfeld, Christopher R.
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2012-09-18
Volume
7
Issue
9
Pages
e45143
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0045143
PMC
PMC3445598
OpenAlex
W2133499333
Cited by
83
References
38
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 9 · 2022: 6 · 2021: 12 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 4
FWCI
0.60
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
  • National Institutes of Health
  • National Institute of Allergy and Infectious Diseases (T32AI007358)
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
peer support, exclusive breastfeeding, breastfeeding duration, low- and middle-income countries, peer counselors, low birth weight infants, infant feeding
MeSH terms
Breast Feeding, Developing Countries, Female, Humans, Income, Peer Group, Regression Analysis, Time Factors, Multivariate Analysis, Confidence Intervals, Randomized Controlled Trials as Topic

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